Xiangxiaobei/test2 · Datasets at Fast360

image_name stringlengths 21 29	description stringlengths 9 1.42k
CXR399_IM-2043-1001.png	Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. 1. No evidence of active disease.
CXR399_IM-2043-3003.png	Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. 1. No evidence of active disease.
CXR3991_IM-2044-1001.png	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No acute preoperative findings.
CXR3991_IM-2044-2001.png	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No acute preoperative findings.
CXR3992_IM-2044-1001.png	None Prior sternotomy. Midline sternotomy XXXX. Normal heart size. Vascular congestion. No overt edema or lobar pneumonia. No pleural effusion.
CXR3992_IM-2044-2001.png	None Prior sternotomy. Midline sternotomy XXXX. Normal heart size. Vascular congestion. No overt edema or lobar pneumonia. No pleural effusion.
CXR3993_IM-2044-1001.png	The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable. Borderline cardiomegaly without acute disease.
CXR3993_IM-2044-1002.png	The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable. Borderline cardiomegaly without acute disease.
CXR3994_IM-2045-1001.png	Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality. Mild cardiomegaly with XXXX of early failure.
CXR3994_IM-2045-2001.png	Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality. Mild cardiomegaly with XXXX of early failure.
CXR3995_IM-2046-1001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings. 1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .
CXR3995_IM-2046-2001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings. 1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .
CXR3996_IM-2047-1001.png	The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine. Clear lungs. No acute cardiopulmonary abnormality. .
CXR3996_IM-2047-3001.png	The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine. Clear lungs. No acute cardiopulmonary abnormality. .
CXR3997_IM-2048-1001.png	Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions. No acute findings, no evidence for active TB.
CXR3997_IM-2048-1002.png	Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions. No acute findings, no evidence for active TB.
CXR3998_IM-2048-1001.png	None Heart size is normal and the lungs are clear.
CXR3998_IM-2048-1002.png	None Heart size is normal and the lungs are clear.
CXR3999_IM-2049-1001.png	None The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear clear. The osseous structures are within normal limits.
CXR3999_IM-2049-2001.png	None The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear clear. The osseous structures are within normal limits.
CXR4_IM-2050-1001.png	There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. 1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.
CXR4_IM-2050-2001.png	There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. 1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.
CXR40_IM-2050-1001.png	Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine. Emphysema with no acute cardiopulmonary findings.
CXR40_IM-2050-1002.png	Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine. Emphysema with no acute cardiopulmonary findings.
CXR400_IM-2050-1001.png	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Stable small right basilar calcified granuloma. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. No acute cardiopulmonary abnormality.
CXR401_IM-2051-1001.png	Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion. Diffuse interstitial lung disease with pleural effusion.
CXR401_IM-2051-2001.png	Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion. Diffuse interstitial lung disease with pleural effusion.
CXR402_IM-2051-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR403_IM-2052-1001.png	Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted. No acute cardiopulmonary findings.
CXR403_IM-2052-2001.png	Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted. No acute cardiopulmonary findings.
CXR404_IM-2052-1001.png	Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact. Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.
CXR404_IM-2052-2001.png	Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact. Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.
CXR405_IM-2053-1001.png	Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs.
CXR405_IM-2053-2001.png	Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs.
CXR406_IM-2054-1001.png	Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease. No acute cardiopulmonary abnormality.
CXR406_IM-2054-1002.png	Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease. No acute cardiopulmonary abnormality.
CXR407_IM-2054-1001.png	Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Clear lungs.
CXR407_IM-2054-2001.png	Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Clear lungs.
CXR408_IM-2054-1001.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen. Small bilateral pleural effusions.
CXR408_IM-2054-2001.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen. Small bilateral pleural effusions.
CXR409_IM-2055-2001.png	Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact. Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .
CXR409_IM-2055-3001.png	Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact. Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .
CXR41_IM-2055-1001.png	The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact. 1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .
CXR41_IM-2055-2001.png	The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact. 1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .
CXR410_IM-2056-1002.png	The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX. 1. No acute cardiopulmonary disease.
CXR410_IM-2056-1003.png	The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX. 1. No acute cardiopulmonary disease.
CXR411_IM-2056-1001.png	There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right. Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.
CXR411_IM-2056-4001.png	There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right. Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.
CXR412_IM-2056-1001.png	Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable. 1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.
CXR412_IM-2056-2001.png	Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable. 1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.
CXR413_IM-2056-1001.png	None Heart size is normal and lungs are clear. No evidence of tuberculosis
CXR413_IM-2056-1002.png	None Heart size is normal and lungs are clear. No evidence of tuberculosis
CXR414_IM-2057-1001.png	Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction. No acute process.
CXR414_IM-2057-2001.png	Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction. No acute process.
CXR415_IM-2058-2002.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted. No acute disease.
CXR415_IM-2058-3003.png	The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted. No acute disease.
CXR416_IM-2059-1001.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
CXR416_IM-2059-2001.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
CXR417_IM-2060-1001.png	Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. 1. No acute cardiopulmonary abnormality.
CXR417_IM-2060-1002.png	Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. 1. No acute cardiopulmonary abnormality.
CXR418_IM-2061-2001.png	Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema. No acute findings
CXR418_IM-2061-3001.png	Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema. No acute findings
CXR419_IM-2062-1001.png	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. No acute preoperative findings.
CXR419_IM-2062-2001.png	Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. No acute preoperative findings.
CXR42_IM-2063-1001.png	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .
CXR42_IM-2063-2001.png	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .
CXR42_IM-2063-3001.png	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .
CXR420_IM-2064-1001.png	Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam. 1. Vague density in right XXXX, XXXX related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality.
CXR420_IM-2064-2001.png	Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam. 1. Vague density in right XXXX, XXXX related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality.
CXR421_IM-2064-1001.png	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum. Negative for acute cardiopulmonary abnormality.
CXR421_IM-2064-2001.png	Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum. Negative for acute cardiopulmonary abnormality.
CXR422_IM-2065-5001.png	None Calcified granuloma periphery left lung. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR422_IM-2065-6001.png	None Calcified granuloma periphery left lung. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR423_IM-2066-0001-0001.png	There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.
CXR423_IM-2066-0001-0002.png	There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.
CXR423_IM-2066-0001-0003.png	There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.
CXR424_IM-2067-2001.png	The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable. Probable nerve stimulator noted. No Acute cardiopulmonary disease.
CXR425_IM-2068-1001.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.
CXR425_IM-2068-2001.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.
CXR426_IM-2069-3001.png	Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine. No acute cardiopulmonary process. .
CXR426_IM-2069-4004.png	Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine. No acute cardiopulmonary process. .
CXR427_IM-2070-1001.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.
CXR427_IM-2070-2001.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.
CXR428_IM-2070-1001.png	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities.
CXR428_IM-2070-1002.png	The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities.
CXR429_IM-2070-1001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture. No acute cardiopulmonary findings. .
CXR429_IM-2070-2001.png	The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture. No acute cardiopulmonary findings. .
CXR43_IM-2070-1001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR43_IM-2070-2001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR430_IM-2071-1001.png	Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact. No acute cardiopulmonary disease.
CXR430_IM-2071-2001.png	Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact. No acute cardiopulmonary disease.
CXR431_IM-2072-1001.png	The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels. no radiographic evidence of tuberculosis or sarcoidosis.
CXR431_IM-2072-1002.png	The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels. no radiographic evidence of tuberculosis or sarcoidosis.
CXR432_IM-2072-1001.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. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality. No acute cardiopulmonary process.
CXR432_IM-2072-1002.png	The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality. No acute cardiopulmonary process.
CXR433_IM-2073-1001.png	None Heart size normal. Lungs clear.
CXR433_IM-2073-2001.png	None Heart size normal. Lungs clear.
CXR434_IM-2074-1001.png	Sternotomy XXXX appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph XXXX unchanged. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is hyperexpansion of the lungs with flattening of the diaphragms. Degenerative changes are present in the spine. No acute abnormality. .
CXR435_IM-2075-1001.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.
CXR435_IM-2075-2001.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.

CXR399_IM-2043-1001.png

Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. 1. No evidence of active disease.

CXR399_IM-2043-3003.png

Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Degenerative changes are present in the spine. 1. No evidence of active disease.

CXR3991_IM-2044-1001.png

The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No acute preoperative findings.

CXR3991_IM-2044-2001.png

The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No acute preoperative findings.

CXR3992_IM-2044-1001.png

None Prior sternotomy. Midline sternotomy XXXX. Normal heart size. Vascular congestion. No overt edema or lobar pneumonia. No pleural effusion.

CXR3992_IM-2044-2001.png

None Prior sternotomy. Midline sternotomy XXXX. Normal heart size. Vascular congestion. No overt edema or lobar pneumonia. No pleural effusion.

CXR3993_IM-2044-1001.png

The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable. Borderline cardiomegaly without acute disease.

CXR3993_IM-2044-1002.png

The heart is mildly enlarged. Left hemidiaphragm is elevated. There is no acute infiltrate or pleural effusion. The mediastinum is unremarkable. Borderline cardiomegaly without acute disease.

CXR3994_IM-2045-1001.png

Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality. Mild cardiomegaly with XXXX of early failure.

CXR3994_IM-2045-2001.png

Similar mild cardiomegaly. Of the pulmonary vascularity is prominent. No focal consolidations or effusions. No pneumothorax. No acute bony abnormality. Mild cardiomegaly with XXXX of early failure.

CXR3995_IM-2046-1001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings. 1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .

CXR3995_IM-2046-2001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. Compared with prior exam, there has been interval resolution of previously demonstrated bibasilar infiltrates. There is minimal XXXX scarring or atelectasis in the right midlung. There is no XXXX focal airspace disease. There is no pneumothorax or pleural effusion. There are no acute bony findings. 1. Interval resolution of bibasilar airspace disease. 2. Hyperinflation with chronic changes of emphysema. .

CXR3996_IM-2047-1001.png

The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine. Clear lungs. No acute cardiopulmonary abnormality. .

CXR3996_IM-2047-3001.png

The lungs are clear. Heart size is normal. No pneumothorax. There are endplate changes in the spine. Clear lungs. No acute cardiopulmonary abnormality. .

CXR3997_IM-2048-1001.png

Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions. No acute findings, no evidence for active TB.

CXR3997_IM-2048-1002.png

Heart size within normal limits. Small, nodular opacity in the right upper lobe. This does not look like an acute infiltrate, and more XXXX represents a granuloma. No pneumothorax or effusions. No acute findings, no evidence for active TB.

CXR3998_IM-2048-1001.png

None Heart size is normal and the lungs are clear.

CXR3998_IM-2048-1002.png

None Heart size is normal and the lungs are clear.

CXR3999_IM-2049-1001.png

None The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear clear. The osseous structures are within normal limits.

CXR3999_IM-2049-2001.png

None The cardiac silhouette is normal in size and configuration. The mediastinum and perihilar structures appear unremarkable. The lungs appear clear. The osseous structures are within normal limits.

CXR4_IM-2050-1001.png

There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. 1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.

CXR4_IM-2050-2001.png

There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion. 1. Bullous emphysema and interstitial fibrosis. 2. Probably scarring in the left apex, although difficult to exclude a cavitary lesion. 3. Opacities in the bilateral upper lobes could represent scarring, however the absence of comparison exam, recommend short interval followup radiograph or CT thorax to document resolution.

CXR40_IM-2050-1001.png

Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine. Emphysema with no acute cardiopulmonary findings.

CXR40_IM-2050-1002.png

Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine. Emphysema with no acute cardiopulmonary findings.

CXR400_IM-2050-1001.png

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

CXR401_IM-2051-1001.png

Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion. Diffuse interstitial lung disease with pleural effusion.

CXR401_IM-2051-2001.png

Mediastinal contours are normal. Blunting of the left costophrenic XXXX. Increased interstitial opacities.. There is no pneumothorax or large pleural effusion. Diffuse interstitial lung disease with pleural effusion.

CXR402_IM-2051-1001.png

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

CXR403_IM-2052-1001.png

Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted. No acute cardiopulmonary findings.

CXR403_IM-2052-2001.png

Heart size within normal limits. No focal airspace disease. No pneumothorax. No effusions. Multiple old right-sided rib fractures again noted. No acute cardiopulmonary findings.

CXR404_IM-2052-1001.png

Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact. Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.

CXR404_IM-2052-2001.png

Artifact in the region of the central upper abdomen. No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact. Limited exam secondary to artifact within the upper abdomen (this does not represent free intra-abdominal XXXX). Recommend repeat chest x-XXXX.

CXR405_IM-2053-1001.png

Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs.

CXR405_IM-2053-2001.png

Rotated with low lung volumes. Question left atrial enlargement, XXXX appreciated on lateral view. There is no focal consolidation. There are no XXXX of a large pleural effusion. There is no pneumothorax. There is no acute bony abnormality seen. Question left atrial enlargement, XXXX appreciated on lateral view. Clear lungs.

CXR406_IM-2054-1001.png

Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease. No acute cardiopulmonary abnormality.

CXR406_IM-2054-1002.png

Heart size normal. No pneumothorax, large pleural effusion, or focal airspace disease. Bony structures appear intact. Calcified right hilar nodules consistent with chronic granulomatous disease. No acute cardiopulmonary abnormality.

CXR407_IM-2054-1001.png

Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Clear lungs.

CXR407_IM-2054-2001.png

Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Clear lungs.

CXR408_IM-2054-1001.png

The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen. Small bilateral pleural effusions.

CXR408_IM-2054-2001.png

The heart is normal in size. The mediastinum is unremarkable. The lungs are hypoinflated. Small bilateral pleural effusions are seen. Small bilateral pleural effusions.

CXR409_IM-2055-2001.png

Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact. Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .

CXR409_IM-2055-3001.png

Redemonstration of interstitial opacities, consistent with patient's history of pulmonary fibrosis. Unchanged calcified granulomas at the left greater than right hilum, and in the pretracheal region. No pneumothorax, pleural effusion or focal airspace consolidation. Cardiomediastinal size is the upper limits of normal. Pulmonary vasculature is normal . XXXX XXXX intact. Interstitial markings bilaterally, pulmonary fibrosis, unchanged. .

CXR41_IM-2055-1001.png

The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact. 1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .

CXR41_IM-2055-2001.png

The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact. 1. Slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and the left lung base. These findings are most consistent with slight interval worsening of the patient's known interstitial lung disease. 2. Stable, mild left-sided volume loss. .

CXR410_IM-2056-1002.png

The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX. 1. No acute cardiopulmonary disease.

CXR410_IM-2056-1003.png

The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is a mild levoscoliosis of the thoracic spine. There is mild widening of the right acromioclavicular joint which may be postsurgical or posttraumatic in XXXX. 1. No acute cardiopulmonary disease.

CXR411_IM-2056-1001.png

There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right. Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.

CXR411_IM-2056-4001.png

There is some minimal patchy opacity in left base which may represent atelectasis or scarring. The lungs are otherwise clear. The heart and mediastinum are normal for age. There is some arthritic changes of the skeletal structures and there has been previous rotator XXXX repair on the right. Minimal left basilar opacity most XXXX representing atelectasis or chronic scarring.

CXR412_IM-2056-1001.png

Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable. 1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.

CXR412_IM-2056-2001.png

Bilateral emphysematous again noted and lower lobe fibrotic changes. Postsurgical changes of the chest including CABG procedure, stable. Stable valve artifact. There are no focal areas of consolidation. No large pleural effusions. No evidence of pneumothorax. Degenerative changes noted of the visualized thoracic spine. Nodular right lower lobe opacity, XXXX nipple XXXX. Contour abnormality of the posterior aspect of the right 7th rib again noted, stable. 1. No acute cardiopulmonary abnormality. 2. Stable bilateral emphysematous and lower lobe fibrotic changes.

CXR413_IM-2056-1001.png

None Heart size is normal and lungs are clear. No evidence of tuberculosis

CXR413_IM-2056-1002.png

None Heart size is normal and lungs are clear. No evidence of tuberculosis

CXR414_IM-2057-1001.png

Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction. No acute process.

CXR414_IM-2057-2001.png

Normal heart size. Clear lungs. Multilevel degenerative disc disease with mild dextrocurvature near the thoracolumbar junction. No acute process.

CXR415_IM-2058-2002.png

The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted. No acute disease.

CXR415_IM-2058-3003.png

The heart is normal in size. The mediastinum is unremarkable. The lungs are grossly clear. Bilateral breast prostheses are noted. No acute disease.

CXR416_IM-2059-1001.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

CXR416_IM-2059-2001.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

CXR417_IM-2060-1001.png

Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. 1. No acute cardiopulmonary abnormality.

CXR417_IM-2060-1002.png

Stable calcified granulomas. The trachea is midline. Negative for pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal. 1. No acute cardiopulmonary abnormality.

CXR418_IM-2061-2001.png

Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema. No acute findings

CXR418_IM-2061-3001.png

Stable enlargement of the cardiac silhouette, stable mediastinal and hilar contours, surgical clips and CABG markers. Stable XXXX densities in the left base compatible with scarring or chronic subsegmental atelectasis. No focal alveolar consolidation, no definite pleural effusion seen. Right hilar calcifications suggest a previous granulomatous process. No typical findings of pulmonary edema. No acute findings

CXR419_IM-2062-1001.png

Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. No acute preoperative findings.

CXR419_IM-2062-2001.png

Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact. No acute preoperative findings.

CXR42_IM-2063-1001.png

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .

CXR42_IM-2063-2001.png

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .

CXR42_IM-2063-3001.png

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities. .

CXR420_IM-2064-1001.png

Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam. 1. Vague density in right XXXX, XXXX related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality.

CXR420_IM-2064-2001.png

Mediastinal contours are within normal limits. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. No bony abnormality. Vague density in right mid lung, XXXX related to scapular tip and superimposed ribs. Not visualized on lateral exam. 1. Vague density in right XXXX, XXXX related to scapular tip and superimposed ribs. Consider oblique images to exclude true nodule. 2. No acute cardiopulmonary abnormality.

CXR421_IM-2064-1001.png

Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum. Negative for acute cardiopulmonary abnormality.

CXR421_IM-2064-2001.png

Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Bony thorax and soft tissues grossly unremarkable. Negative for pneumoperitoneum. Negative for acute cardiopulmonary abnormality.

CXR422_IM-2065-5001.png

None Calcified granuloma periphery left lung. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

CXR422_IM-2065-6001.png

None Calcified granuloma periphery left lung. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

CXR423_IM-2066-0001-0001.png

There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.

CXR423_IM-2066-0001-0002.png

There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.

CXR423_IM-2066-0001-0003.png

There is a left subphrenic crescentic lucency, this is concerning for pneumoperitoneum. There are low lung volumes and bilateral moderate to large pleural effusions with bibasilar atelectasis/airspace disease that are larger in size in comparison to the prior exam. No pneumothorax. Heart size upper limits of normal. The left central venous catheter tip overlies the lower SVC. The feeding tube has been placed in the interval and extends below the diaphragm and below the XXXX-of-view. 1. Concern for left subphrenic free air. Verification with abdominal decubitus views is recommended for further evaluation. 2. Interval increase in size of the moderate to large bilateral pleural effusions with bibasilar atelectasis/airspace disease. 3. Left central venous catheter in unchanged position. 4. Interval placement of feeding tube the courses beneath the diaphragm and out of the XXXX-of-view.

CXR424_IM-2067-2001.png

The lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The Heart and mediastinum are normal size and shape. XXXX and soft tissues are unremarkable. Probable nerve stimulator noted. No Acute cardiopulmonary disease.

CXR425_IM-2068-1001.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.

CXR425_IM-2068-2001.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.

CXR426_IM-2069-3001.png

Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine. No acute cardiopulmonary process. .

CXR426_IM-2069-4004.png

Normal heart size. Tortuosity of the thoracic aorta. The lungs are free of any focal airspace disease. There is no pneumothorax or pleural effusion. Degenerative changes are present in the spine. No acute cardiopulmonary process. .

CXR427_IM-2070-1001.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.

CXR427_IM-2070-2001.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.

CXR428_IM-2070-1001.png

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities.

CXR428_IM-2070-1002.png

The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary abnormalities.

CXR429_IM-2070-1001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture. No acute cardiopulmonary findings. .

CXR429_IM-2070-2001.png

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There is no definite evidence of acute fracture. No acute cardiopulmonary findings. .

CXR43_IM-2070-1001.png

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

CXR43_IM-2070-2001.png

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

CXR430_IM-2071-1001.png

Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact. No acute cardiopulmonary disease.

CXR430_IM-2071-2001.png

Lungs are clear. No focal infiltrate or effusion. No pneumothorax. Heart and mediastinal contours within normal limits. Visualized osseous structures intact. No acute cardiopulmonary disease.

CXR431_IM-2072-1001.png

The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels. no radiographic evidence of tuberculosis or sarcoidosis.

CXR431_IM-2072-1002.png

The Heart size is normal. Cardiomediastinal silhouette is normal in contour. The lungs are clear bilaterally. Lateral views obscured by patient body habitus. There is no evidence of apical disease. XXXX are unchanged from previous exam and appear normal. Thoracic spine shows osteophyte formations at several levels. no radiographic evidence of tuberculosis or sarcoidosis.

CXR432_IM-2072-1001.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. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality. No acute cardiopulmonary process.

CXR432_IM-2072-1002.png

The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Cholecystectomy clips overlie the right upper quadrant. No acute bone abnormality. No acute cardiopulmonary process.

CXR433_IM-2073-1001.png

None Heart size normal. Lungs clear.

CXR433_IM-2073-2001.png

None Heart size normal. Lungs clear.

CXR434_IM-2074-1001.png

Sternotomy XXXX appear intact. Borderline heart size. Aortic calcification noted. Calcified mediastinal lymph XXXX unchanged. Negative for focal pulmonary consolidation, pleural effusion, or pneumothorax. There is hyperexpansion of the lungs with flattening of the diaphragms. Degenerative changes are present in the spine. No acute abnormality. .

CXR435_IM-2075-1001.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.

CXR435_IM-2075-2001.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.