Xiangxiaobei/test2 · Datasets at Fast360

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CXR3519_IM-1717-1001.png	Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable. Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.
CXR3519_IM-1717-1002.png	Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable. Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.
CXR352_IM-1718-1001.png	The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine. 1. No acute cardiopulmonary process. .
CXR352_IM-1718-2001.png	The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine. 1. No acute cardiopulmonary process. .
CXR3520_IM-1718-1001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis. No acute cardiopulmonary abnormality.
CXR3520_IM-1718-2001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis. No acute cardiopulmonary abnormality.
CXR3521_IM-1719-1001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.
CXR3521_IM-1719-2001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.
CXR3521_IM-1719-4001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.
CXR3522_IM-1720-1001.png	Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. No acute cardiopulmonary process.
CXR3522_IM-1720-2001.png	Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. No acute cardiopulmonary process.
CXR3523_IM-1721-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy. No active disease.
CXR3523_IM-1721-1002.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy. No active disease.
CXR3524_IM-1721-1001.png	The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. No acute cardiopulmonary abnormalities.
CXR3524_IM-1721-2001.png	The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. No acute cardiopulmonary abnormalities.
CXR3525_IM-1722-1001.png	Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas. No acute cardiopulmonary abnormality. No fracture visualized.
CXR3525_IM-1722-6001.png	Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas. No acute cardiopulmonary abnormality. No fracture visualized.
CXR3526_IM-1723-1001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated. Low lung volumes without evidence of acute cardiopulmonary process.
CXR3526_IM-1723-2001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated. Low lung volumes without evidence of acute cardiopulmonary process.
CXR3527_IM-1724-1001.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3527_IM-1724-1002.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3528_IM-1725-2002.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No acute disease.
CXR3528_IM-1725-3003.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. No acute disease.
CXR3529_IM-1725-1001.png	Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear. Stable postop changes with stable mild cardiomegaly and normal lung vascularity.
CXR3529_IM-1725-2001.png	Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear. Stable postop changes with stable mild cardiomegaly and normal lung vascularity.
CXR353_IM-1726-1001.png	XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax 1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.
CXR353_IM-1726-2001.png	XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax 1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.
CXR3530_IM-1726-1001.png	None Stable minimal cardiomegaly. Lungs are clear. No pneumonia. Minimal degenerative spurring thoracic spine
CXR3530_IM-1726-1002.png	None Stable minimal cardiomegaly. Lungs are clear. No pneumonia. Minimal degenerative spurring thoracic spine
CXR3531_IM-1726-1001.png	Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. No acute cardiopulmonary abnormalities.
CXR3531_IM-1726-1002.png	Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. No acute cardiopulmonary abnormalities.
CXR3532_IM-1726-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3532_IM-1726-2001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3532_IM-1726-3001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3533_IM-1726-1001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact. Mildly hyperinflated, clear lungs.
CXR3533_IM-1726-2001.png	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact. Mildly hyperinflated, clear lungs.
CXR3534_IM-1727-1001.png	Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable. No acute cardiopulmonary abnormality.
CXR3534_IM-1727-2001.png	Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable. No acute cardiopulmonary abnormality.
CXR3535_IM-1728-0001-0001.png	The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease
CXR3535_IM-1728-0001-0002.png	The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease
CXR3536_IM-1729-4004.png	Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine. 1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.
CXR3536_IM-1729-5001.png	Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine. 1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.
CXR3537_IM-1730-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3537_IM-1730-2001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3538_IM-1731-1001.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.
CXR3538_IM-1731-3001.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.
CXR3539_IM-1731-1001.png	Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX. No acute cardiopulmonary findings.
CXR3539_IM-1731-3001.png	Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX. No acute cardiopulmonary findings.
CXR354_IM-1731-1001.png	The heart is normal in size. The mediastinum is stable. The lungs are clear. No acute disease.
CXR354_IM-1731-3003.png	The heart is normal in size. The mediastinum is stable. The lungs are clear. No acute disease.
CXR3540_IM-1732-1001.png	The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax. 1. No acute cardiopulmonary disease.
CXR3540_IM-1732-2001.png	The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax. 1. No acute cardiopulmonary disease.
CXR3541_IM-1733-0001-0001.png	Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax. Bilateral lower lobe focal atelectasis.
CXR3541_IM-1733-0001-0002.png	Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax. Bilateral lower lobe focal atelectasis.
CXR3542_IM-1734-1001.png	Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact. No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest.
CXR3542_IM-1734-2001.png	Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact. No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest.
CXR3543_IM-1735-2001.png	Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality. No acute cardiopulmonary abnormality.
CXR3543_IM-1735-3001.png	Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality. No acute cardiopulmonary abnormality.
CXR3544_IM-1736-1001.png	Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding. Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.
CXR3544_IM-1736-2001.png	Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding. Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.
CXR3545_IM-1737-2002.png	XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta. 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia
CXR3545_IM-1737-3003.png	XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta. 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia
CXR3546_IM-1738-2001.png	Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax. Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease.
CXR3546_IM-1738-4004.png	Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax. Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease.
CXR3547_IM-1739-1001.png	Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. No acute cardiopulmonary process.
CXR3547_IM-1739-2001.png	Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. No acute cardiopulmonary process.
CXR3548_IM-1739-1001.png	The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities. No acute cardiopulmonary abnormalities.
CXR3548_IM-1739-2001.png	The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities. No acute cardiopulmonary abnormalities.
CXR3549_IM-1739-1001-0001.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..
CXR3549_IM-1739-1001-0002.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..
CXR3549_IM-1739-1001-0003.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..
CXR355_IM-1739-1001.png	Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal. Chronic interstitial and bullous disease. No acute findings.
CXR355_IM-1739-2001.png	Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal. Chronic interstitial and bullous disease. No acute findings.
CXR3550_IM-1740-1001.png	Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine. No acute cardiopulmonary abnormality.
CXR3551_IM-1740-1001.png	Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings
CXR3551_IM-1740-12012.png	Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings
CXR3551_IM-1740-2001.png	Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings
CXR3552_IM-1741-1001.png	Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No acute findings
CXR3552_IM-1741-3001.png	Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No acute findings
CXR3553_IM-1741-1001.png	None No evidence of acute cardiopulmonary disease
CXR3553_IM-1741-2001.png	None No evidence of acute cardiopulmonary disease
CXR3555_IM-1741-2001.png	The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Degenerative disease of multiple midthoracic vertebral bodies. 1. No acute cardiopulmonary disease.
CXR3556_IM-1741-1001-0001.png	The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal. No acute pulmonary disease.
CXR3556_IM-1741-1001-0002.png	The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal. No acute pulmonary disease.
CXR3557_IM-1742-0001-0001.png	Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted. 1. Small bilateral pleural effusions.
CXR3557_IM-1742-0001-0002.png	Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted. 1. Small bilateral pleural effusions.
CXR3559_IM-1744-1001.png	Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view. No acute abnormality.
CXR3559_IM-1744-2001.png	Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view. No acute abnormality.
CXR356_IM-1744-1001.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. Osseous structures are within normal limits for patient age.. 1. No acute radiographic cardiopulmonary process.
CXR356_IM-1744-2001.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. Osseous structures are within normal limits for patient age.. 1. No acute radiographic cardiopulmonary process.
CXR3560_IM-1745-1001.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3560_IM-1745-1002.png	Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR3561_IM-1746-1001.png	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Negative chest .
CXR3561_IM-1746-2001.png	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Negative chest .
CXR3562_IM-1747-1001.png	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine. 1. Low volume study without acute process.
CXR3562_IM-1747-2001.png	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine. 1. Low volume study without acute process.
CXR3563_IM-1748-2002.png	None No comparison chest x-XXXX. No evidence of active tuberculosis. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR3563_IM-1748-3003.png	None No comparison chest x-XXXX. No evidence of active tuberculosis. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR3564_IM-1749-0001-0001.png	The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen. 1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.
CXR3564_IM-1749-0001-0002.png	The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen. 1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.

CXR3519_IM-1717-1001.png

Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable. Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.

CXR3519_IM-1717-1002.png

Large left lower lobe opacity is present. There does not appear to be significant mediastinal shift. There is no pneumothorax. The cardiac silhouette is not definitively identified and not fully evaluated. The mediastinal contours are unremarkable. Large left lower lobe opacity XXXX represents a large layering pleural effusion. Right lung is clear.

CXR352_IM-1718-1001.png

The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine. 1. No acute cardiopulmonary process. .

CXR352_IM-1718-2001.png

The cardiomediastinal silhouette is within normal limits for appearance. The trachea is midline. No focal pulmonary consolidation. No pneumothorax. No pleural effusion. Minimal degenerative changes of the thoracic spine. 1. No acute cardiopulmonary process. .

CXR3520_IM-1718-1001.png

Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis. No acute cardiopulmonary abnormality.

CXR3520_IM-1718-2001.png

Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. Minimal streaky atelectasis the left lung base. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Thoracic spondylosis. No acute cardiopulmonary abnormality.

CXR3521_IM-1719-1001.png

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.

CXR3521_IM-1719-2001.png

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.

CXR3521_IM-1719-4001.png

The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. There is right greater than left biapical bullous emphysema. No focal consolidation, pleural effusion, or pneumothorax identified. There are XXXX degenerative changes of the thoracic spine. No evidence of acute cardiopulmonary process.

CXR3522_IM-1720-1001.png

Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. No acute cardiopulmonary process.

CXR3522_IM-1720-2001.png

Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. No acute cardiopulmonary process.

CXR3523_IM-1721-1001.png

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy. No active disease.

CXR3523_IM-1721-1002.png

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No change right anterior soft tissue surgical clips. Configuration of breast shadows on the PA view suggests prior right lumpectomy. No active disease.

CXR3524_IM-1721-1001.png

The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. No acute cardiopulmonary abnormalities.

CXR3524_IM-1721-2001.png

The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. The XXXX are intact. No acute cardiopulmonary abnormalities.

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Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas. No acute cardiopulmonary abnormality. No fracture visualized.

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Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures appear intact. There is a XXXX radiodensity overlying the right shoulder which is XXXX external to the patient however clinical correlation recommended. Scattered calcified granulomas. No acute cardiopulmonary abnormality. No fracture visualized.

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The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated. Low lung volumes without evidence of acute cardiopulmonary process.

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The XXXX examination consists of frontal and lateral radiographs of the chest. there are diminished lung volumes with XXXX XXXX hypoventilatory changes. The cardiac silhouette is not enlarged. There is mild tortuosity of the thoracic aorta. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Surgical clips are seen in the upper abdomen. No acute osseous abnormalities demonstrated. Low lung volumes without evidence of acute cardiopulmonary process.

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

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

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

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

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Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear. Stable postop changes with stable mild cardiomegaly and normal lung vascularity.

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Status post midline sternotomy with intact XXXX XXXX. Stable mild cardiomegaly. Normal lung vascularity. The lungs are clear. Stable postop changes with stable mild cardiomegaly and normal lung vascularity.

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XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax 1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.

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XXXX XXXX and lateral chest examination was obtained. There is improvement in bilateral pulmonary edema with mild residual. There is minimal right-sided pleural effusion. Heart silhouette is not enlarged. There is calcified mediastinal lymph XXXX. There is no pneumothorax 1. Improving bilateral interstitial edema pattern. 2. Small right-sided pleural effusion.

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None Stable minimal cardiomegaly. Lungs are clear. No pneumonia. Minimal degenerative spurring thoracic spine

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None Stable minimal cardiomegaly. Lungs are clear. No pneumonia. Minimal degenerative spurring thoracic spine

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Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. No acute cardiopulmonary abnormalities.

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Normal heart size. Mild unfolding of the thoracic aorta. No focal airspace opacity. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance. No acute cardiopulmonary abnormalities.

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

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

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

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Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact. Mildly hyperinflated, clear lungs.

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Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is bilateral hyperinflation, without focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures appear intact. Mildly hyperinflated, clear lungs.

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Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable. No acute cardiopulmonary abnormality.

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Lungs are clear bilaterally. There is no focal consolidation, pleural effusion, or pneumothoraces. Heart size is normal. Stable right paratracheal prominence, consistent with known calcified lymph node, seen on prior CT chest dated XXXX. XXXX are unremarkable. No acute cardiopulmonary abnormality.

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The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease

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The lungs are clear. The heart and pulmonary XXXX are normal. Pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease

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Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine. 1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.

CXR3536_IM-1729-5001.png

Heart size is enlarged, pulmonary vascularity within normal limits. No visible pneumothorax . XXXX right pleural effusion blunting posterior costophrenic XXXX. There is a XXXX XXXX of subsegmental atelectasis of the left lung base. There is XXXX alveolar airspace disease in the medial right lung base. Multilevel degenerative disease of the visualized portions of the thoracolumbar spine. 1. Cardiomegaly without pulmonary edema. 2. XXXX right medial basilar airspace disease. 3. Left lower lobe subsegmental atelectasis.

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

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

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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.

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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.

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Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX. No acute cardiopulmonary findings.

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Normal heart size. The lungs are clear without pneumothorax or large pleural effusion. The trachea is midline and XXXX. No acute cardiopulmonary findings.

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

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

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The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax. 1. No acute cardiopulmonary disease.

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The heart and mediastinum are unremarkable. The lungs are hyperexpanded. The lungs are clear without infiltrate. There is no effusion or pneumothorax. 1. No acute cardiopulmonary disease.

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Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax. Bilateral lower lobe focal atelectasis.

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Lung volumes are mildly decreased. The cardiac silhouette and pulmonary vascularity are normal. There is bilateral lower lobe XXXX airspace opacities compatible with discoid atelectasis. There is no evidence of pleural effusion or pneumothorax. Bilateral lower lobe focal atelectasis.

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Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact. No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest.

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Heart size and mediastinal contours appear within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Visualized osseous structures appear intact. No acute cardiopulmonary abnormality. No radiographic evidence of metastatic disease in the chest.

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Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality. No acute cardiopulmonary abnormality.

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Heart size and mediastinal contour within normal limits. Multiple calcified granulomas in the bilateral XXXX and lung parenchyma. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality. No acute cardiopulmonary abnormality.

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Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding. Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.

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Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality. XXXX XXXX opacities XXXX reflecting atelectasis versus bronchovascular crowding. Bronchovascular crowding versus atelectasis within the right lung base otherwise no acute cardiopulmonary disease.

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XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta. 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia

CXR3545_IM-1737-3003.png

XXXX opacities in the lung bases are slightly worse XXXX compared to prior study. Lung volumes are low. Heart size and pulmonary XXXX are normal. There no focal airspace opacities to suggest pneumonia. The patient is status post XXXX sternotomy. There calcifications of the thoracic aorta. 1. Worsening bibasilar subpleural interstitial opacities suggestive of interstitial lung disease. High-resolution XXXX would be recommended to evaluate these findings 2. No evidence of acute pneumonia

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Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax. Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease.

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Unchanged cardiomegaly. There is continued interstitial prominence bilaterally. Unchanged vascular appearance. There is patchy retrocardiac opacity. Negative for pneumothorax. Unchanged appearance of the chest with interstitial prominence the differential of which is XXXX but could include interstitial edema, infectious process or interstitial disease.

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Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. No acute cardiopulmonary process.

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Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine. No acute cardiopulmonary process.

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The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities. No acute cardiopulmonary abnormalities.

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The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities. No acute cardiopulmonary abnormalities.

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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..

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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..

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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..

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Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal. Chronic interstitial and bullous disease. No acute findings.

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Lung volumes are low. Prominent increased interstitial markings in both lungs are unchanged in the interval. Bullae are present both upper lobes, right worse than left. No pleural air collections. Heart size normal. Chronic interstitial and bullous disease. No acute findings.

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Normal heart size. Prominent contour of the ascending aorta, consistent with ectasia. Normal mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Minimal degenerative changes of the thoracic spine. No acute cardiopulmonary abnormality.

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Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings

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Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings

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Heart size near top normal limits for technique. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. Dense left lower lobe nodule suggests a previous granulomatous process. No acute findings

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Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No acute findings

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Heart size within normal limits, stable mediastinal and hilar contours. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No acute findings

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None No evidence of acute cardiopulmonary disease

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None No evidence of acute cardiopulmonary disease

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The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. Degenerative disease of multiple midthoracic vertebral bodies. 1. No acute cardiopulmonary disease.

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The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal. No acute pulmonary disease.

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The lungs are clear. There is no pleural effusion or pneumothorax. There has been a XXXX XXXX sternotomy. The heart is not enlarged. Some atherosclerotic changes of the aorta are seen. The skeletal structures are normal. No acute pulmonary disease.

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Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted. 1. Small bilateral pleural effusions.

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Left PICC line and NG tube remain in XXXX. Heart size and vascularity appear within normal limits. The lungs are free of focal airspace disease. Small bilateral pleural effusions are present. No pneumothorax is noted. 1. Small bilateral pleural effusions.

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Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view. No acute abnormality.

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Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild levocurvature of thoracic spine. A 9 mm pulmonary nodule is noted partially overlying the posterior 6th right rib on the frontal view. No acute abnormality.

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The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.. 1. No acute radiographic cardiopulmonary process.

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The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age.. 1. No acute radiographic cardiopulmonary process.

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

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

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Negative chest .

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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Negative chest .

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The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine. 1. Low volume study without acute process.

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The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Sequela of prior granulomatous disease Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine. 1. Low volume study without acute process.

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None No comparison chest x-XXXX. No evidence of active tuberculosis. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

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None No comparison chest x-XXXX. No evidence of active tuberculosis. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

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The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen. 1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.

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The heart is top normal in size. The mediastinum is stable. Surgical clips again seen overlying the superior mediastinum.There is an retrocardiac density compatible hiatal hernia. The lungs are mildly hypoinflated. No acute infiltrate or pleural effusion are seen. 1. Mild hypoinflation without acute disease. 2. Retrocardiac density compatible with hiatal hernia.