Xiangxiaobei/test2 · Datasets at Fast360

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CXR631_IM-2212-1001.png	The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures. Moderate hypoinflation with associated bibasilar atelectasis.
CXR631_IM-2212-3001.png	The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures. Moderate hypoinflation with associated bibasilar atelectasis.
CXR632_IM-2213-1001.png	Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable. No acute cardiopulmonary abnormality.
CXR632_IM-2213-1002.png	Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable. No acute cardiopulmonary abnormality.
CXR633_IM-2213-1001.png	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine. No evidence of active disease.
CXR633_IM-2213-2001.png	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine. No evidence of active disease.
CXR634_IM-2214-1001.png	None Apical lordotic frontal view. Heart size near top normal limits, aortic calcifications and ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.
CXR634_IM-2214-2001.png	None Apical lordotic frontal view. Heart size near top normal limits, aortic calcifications and ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.
CXR635_IM-2215-1001.png	None Heart size normal. Right lung clear. Persistent but decreased left lower lobe atelectasis infiltrate and effusion.
CXR635_IM-2215-1002.png	None Heart size normal. Right lung clear. Persistent but decreased left lower lobe atelectasis infiltrate and effusion.
CXR636_IM-2215-1001.png	Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion. Subsegmental atelectasis in the left lower lobe.
CXR636_IM-2215-2001.png	Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion. Subsegmental atelectasis in the left lower lobe.
CXR637_IM-2216-2001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR637_IM-2216-4001.png	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. No active disease.
CXR638_IM-2217-1001.png	None Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.
CXR638_IM-2217-2001.png	None Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.
CXR638_IM-2217-3001.png	None Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.
CXR639_IM-2218-1001.png	Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No evidence of active disease.
CXR639_IM-2218-2001.png	Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No evidence of active disease.
CXR64_IM-2218-2001.png	2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX. Small to moderate right apical pneumothorax.
CXR64_IM-2218-4004.png	2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX. Small to moderate right apical pneumothorax.
CXR640_IM-2219-1001.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. Vascular calcification is noted. 1. No evidence of active disease.
CXR641_IM-2220-1001.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 pneumothorax. Mild dextrocurvature of the spine again noted. No acute findings
CXR641_IM-2220-2001.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 pneumothorax. Mild dextrocurvature of the spine again noted. No acute findings
CXR642_IM-2221-0001-0001.png	None Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR642_IM-2221-0001-0002.png	None Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.
CXR643_IM-2222-1001.png	None Heart size normal and lungs are clear. Old healed left lateral rib fractures.
CXR643_IM-2222-2001.png	None Heart size normal and lungs are clear. Old healed left lateral rib fractures.
CXR643_IM-2222-3001.png	None Heart size normal and lungs are clear. Old healed left lateral rib fractures.
CXR644_IM-2223-1001.png	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No evidence of active pulmonary pneumonia on today's exam.
CXR644_IM-2223-2001.png	The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No evidence of active pulmonary pneumonia on today's exam.
CXR645_IM-2224-1001.png	Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine. No acute cardiopulmonary abnormality.
CXR645_IM-2224-2001.png	Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine. No acute cardiopulmonary abnormality.
CXR646_IM-2225-1001.png	Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left. Normal chest exam.
CXR647_IM-2225-2001.png	There is mild blunting of the costophrenic XXXX. There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary XXXX are slightly prominent. Calcified hilar lymph XXXX. No acute bony abnormalities. Right basilar infiltrate or atelectasis, and XXXX bilateral pleural effusions.
CXR648_IM-2226-1001.png	Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated. No acute findings. .
CXR648_IM-2226-4004.png	Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated. No acute findings. .
CXR649_IM-2227-1001.png	The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear. Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.
CXR649_IM-2227-2001.png	The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear. Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.
CXR65_IM-2228-2001.png	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable. No evidence of acute cardiopulmonary process.
CXR65_IM-2228-4004.png	The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable. No evidence of acute cardiopulmonary process.
CXR650_IM-2228-2001.png	Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia. 1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .
CXR650_IM-2228-4001.png	Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia. 1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .
CXR651_IM-2229-1001.png	Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX. 1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.
CXR651_IM-2229-2001.png	Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX. 1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.
CXR652_IM-2229-1001.png	Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities. No acute cardiopulmonary abnormalities.
CXR652_IM-2229-1002.png	Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities. No acute cardiopulmonary abnormalities.
CXR653_IM-2230-1001.png	Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine No radiographic evidence for thoracic metastases.
CXR653_IM-2230-2001.png	Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine No radiographic evidence for thoracic metastases.
CXR654_IM-2231-1001.png	Lungs are clear. Heart size normal. The XXXX are unremarkable. No acute cardiopulmonary finding.
CXR654_IM-2231-2001.png	Lungs are clear. Heart size normal. The XXXX are unremarkable. No acute cardiopulmonary finding.
CXR655_IM-2231-1001.png	Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities. No acute cardiopulmonary process. .
CXR655_IM-2231-2001.png	Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities. No acute cardiopulmonary process. .
CXR656_IM-2232-84570001.png	None Mild cardiomegaly as before with no effusions or overt evidence of CHF. Large lung volumes as before. No acute airspace disease. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.
CXR656_IM-2232-84570003.png	None Mild cardiomegaly as before with no effusions or overt evidence of CHF. Large lung volumes as before. No acute airspace disease. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.
CXR657_IM-2233-0001-0001.png	Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity. No acute cardiopulmonary abnormality. .
CXR657_IM-2233-0001-0002.png	Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity. No acute cardiopulmonary abnormality. .
CXR658_IM-2234-1001.png	The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease
CXR658_IM-2234-12001.png	The lungs are clear. The heart and pulmonary XXXX are normal. The pleural spaces are clear. Mediastinal contours are normal. No acute cardiopulmonary disease
CXR659_IM-2235-1001.png	Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine. No acute cardiopulmonary findings.
CXR659_IM-2235-2001.png	Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine. No acute cardiopulmonary findings.
CXR66_IM-2236-1001.png	Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal. 1. Chest. No active disease. 2. Lumbar spine negative.
CXR66_IM-2236-1002.png	Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal. 1. Chest. No active disease. 2. Lumbar spine negative.
CXR660_IM-2237-0001-0001.png	No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable. No acute cardiopulmonary abnormality.
CXR660_IM-2237-0001-0002.png	No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable. No acute cardiopulmonary abnormality.
CXR661_IM-2238-2002.png	Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. Clear lungs.
CXR661_IM-2238-3003.png	Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. Clear lungs.
CXR662_IM-2238-1001.png	Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No radiographic evidence of acute cardiopulmonary disease
CXR662_IM-2238-2001.png	Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No radiographic evidence of acute cardiopulmonary disease
CXR663_IM-2239-1001.png	Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .
CXR663_IM-2239-2001.png	Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .
CXR663_IM-2239-3001.png	Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .
CXR664_IM-2240-1001.png	Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted. No acute radiographic cardiopulmonary process.
CXR664_IM-2240-2001.png	Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted. No acute radiographic cardiopulmonary process.
CXR665_IM-2240-1001.png	None Cardiomegaly stable. Lungs clear. No edema or effusions
CXR665_IM-2240-2001.png	None Cardiomegaly stable. Lungs clear. No edema or effusions
CXR666_IM-2241-1001.png	The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted. Borderline cardiomegaly and mild chronic changes. No acute infiltrate.
CXR666_IM-2241-1002.png	The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted. Borderline cardiomegaly and mild chronic changes. No acute infiltrate.
CXR667_IM-2241-1001.png	There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. 1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. .
CXR667_IM-2241-2001.png	There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. 1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. .
CXR668_IM-2242-1001.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.
CXR668_IM-2242-2001.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.
CXR669_IM-2242-2001.png	Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted. 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.
CXR669_IM-2242-3001.png	Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted. 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.
CXR67_IM-2243-13001.png	There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified. Low volumes with bronchovascular crowding. No acute abnormality.
CXR67_IM-2243-8001.png	There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified. Low volumes with bronchovascular crowding. No acute abnormality.
CXR670_IM-2244-85049001.png	The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen. Mild cardiomegaly and atherosclerosis. No acute infiltrate.
CXR670_IM-2244-85049002.png	The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen. Mild cardiomegaly and atherosclerosis. No acute infiltrate.
CXR671_IM-2245-1001.png	XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax. 1. No acute pulmonary disease.
CXR672_IM-2246-1001.png	None 1. Vascular congestion and diffuse interstitial edema 2. Stable cardiomegaly 3. Low lung volumes
CXR672_IM-2246-2001.png	None 1. Vascular congestion and diffuse interstitial edema 2. Stable cardiomegaly 3. Low lung volumes
CXR673_IM-2247-3001.png	None None
CXR674_IM-2247-1001.png	There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact. No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. .
CXR674_IM-2247-2001.png	There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact. No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. .
CXR675_IM-2247-1001.png	The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis. No acute process.
CXR675_IM-2247-2001.png	The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis. No acute process.
CXR676_IM-2248-1001.png	The lungs are clear. Heart size is normal. No pneumothorax. Clear lungs. No acute cardiopulmonary abnormality. .
CXR676_IM-2248-2001.png	The lungs are clear. Heart size is normal. No pneumothorax. Clear lungs. No acute cardiopulmonary abnormality. .
CXR677_IM-2249-1001.png	PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion. In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.
CXR677_IM-2249-2001.png	PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion. In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.

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The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures. Moderate hypoinflation with associated bibasilar atelectasis.

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The heart is normal in size. The mediastinum is within normal limits. Dual-lumen right IJ catheter is identified without pneumothorax. The lungs are moderately hypoinflated with bibasilar XXXX opacities XXXX adjacent atelectasis. There is ill-defined density overlying the anterior left 5th rib, possibly healing deformity versus superimposition of structures. Moderate hypoinflation with associated bibasilar atelectasis.

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Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable. No acute cardiopulmonary abnormality.

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Cardiac and mediastinal silhouette are unremarkable. Lungs are clear. No focal consolidation, pneumothorax, or pleural effusion identified. XXXX and soft tissue are unremarkable. No acute cardiopulmonary abnormality.

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The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine. No evidence of active disease.

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The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contour are within normal limits. There are multilevel degenerative changes of the spine. No evidence of active disease.

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None Apical lordotic frontal view. Heart size near top normal limits, aortic calcifications and ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

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None Apical lordotic frontal view. Heart size near top normal limits, aortic calcifications and ectasia/tortuosity. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema.

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None Heart size normal. Right lung clear. Persistent but decreased left lower lobe atelectasis infiltrate and effusion.

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None Heart size normal. Right lung clear. Persistent but decreased left lower lobe atelectasis infiltrate and effusion.

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Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion. Subsegmental atelectasis in the left lower lobe.

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Heart size is normal. Right lung is clear. Granulomatous disease in the bilateral. Subsegmental atelectasis in the left lower lung. No pneumothorax. No pleural effusion. Subsegmental atelectasis in the left lower lobe.

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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 Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.

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None Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.

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None Anterior segment right lower lobe pneumonia. No effusion. Heart size is normal. Lungs otherwise clear.

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Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No evidence of active disease.

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Heart size and pulmonary vascularity appear within normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No evidence of active disease.

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2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX. Small to moderate right apical pneumothorax.

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2 images. Heart size upper limits of normal. Mediastinal contours are maintained. The patient is mildly rotated. There is a small to moderate sized right apical pneumothorax which measures approximately 2.0 cm. No focal airspace consolidation is seen. Left chest is clear. No definite displaced bony injury is seen. Results called XXXX. XXXX XXXX p.m. XXXX, XXXX. Small to moderate right apical pneumothorax.

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Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Vascular calcification is noted. 1. No evidence of active disease.

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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 pneumothorax. Mild dextrocurvature of the spine again noted. 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 pneumothorax. Mild dextrocurvature of the spine again noted. No acute findings

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None Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

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None Comparison XXXX, XXXX. Well-expanded and clear lungs. Mediastinal contour within normal limits. No acute cardiopulmonary abnormality identified.

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None Heart size normal and lungs are clear. Old healed left lateral rib fractures.

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None Heart size normal and lungs are clear. Old healed left lateral rib fractures.

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None Heart size normal and lungs are clear. Old healed left lateral rib fractures.

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The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No evidence of active pulmonary pneumonia on today's exam.

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The cardiac contours are normal. The lungs are clear. Thoracic spondylosis. No evidence of active pulmonary pneumonia on today's exam.

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Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine. No acute cardiopulmonary abnormality.

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Heart size and mediastinal contours appear normal limits. No focal pulmonary opacity, pleural effusion or pneumothorax. No acute bony abnormality. Degenerative changes of the spine. No acute cardiopulmonary abnormality.

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Clear lungs. Normal heart mediastinum. No pneumothorax. No pleural effusion. No acute bony abnormality. Nipple ring on left. Normal chest exam.

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There is mild blunting of the costophrenic XXXX. There is right basilar airspace disease. There is no pneumothorax. The cardiac mediastinal silhouettes are normal. Pulmonary XXXX are slightly prominent. Calcified hilar lymph XXXX. No acute bony abnormalities. Right basilar infiltrate or atelectasis, and XXXX bilateral pleural effusions.

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Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated. No acute findings. .

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Cardiomediastinal size and contour is grossly normal for AP technique. There is a calcified granuloma in the right lower lobe. The lungs are mildly hypoinflated but grossly clear of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are demonstrated. No acute findings. .

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The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear. Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.

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The heart size is normal. Mediastinal contours are within normal limits. Postsurgical changes of left hemithorax are stable. Skin XXXX have been removed since prior study study. The left apical pneumothorax has resolved. There are mild chronic opacities in the left lung base with probable small residual effusion. The right lung is grossly clear. Stable postsurgical changes of left hemithorax with resolution of small apical pneumothorax and basilar air space opacities.

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The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable. No evidence of acute cardiopulmonary process.

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The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiomediastinal contours are within normal limits. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion, or pneumothorax identified. Deformity of the right clavicle related to remote XXXX is again seen. Visualized upper abdomen grossly unremarkable. No evidence of acute cardiopulmonary process.

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Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia. 1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .

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Rotated examination. Tortuous aorta. Moderate right-sided pleural effusion, small left sided. No pneumothorax. Mixed nodular interstitial opacities distributed through bilateral lungs, right greater than left. Cardiomediastinal silhouette is mildly enlarged. Obliquely oriented left humeral neck fracture, transverse, with 5 mm displacement of the distal fragment. Limited evaluation of the aorto iliac stent. No cavitary lesion to suggest. active tuberculosis. Large hiatal hernia. 1. Moderate right-sided pleural effusion. 2. No cavitary lung changes to suggest active tuberculosis. The airspace opacities in right upper lobe seen on XXXX chest are not visualized on this study which could be due to difference in technique and patient rotation. 3. Cardiomegaly with prominent aorta which may be accentuated due to AP view. 4. Left humerus fracture. .

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Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX. 1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.

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Heart size is XXXX within normal limits. There are surgical clips in the left mediastinum. There is no pneumothorax. There is a small left pleural effusion. Abnormal convexity within the mediastinum XXXX represents adenopathy which is better demonstrated on the prior XXXX. 1. Small left pleural effusion. 2. Mediastinal adenopathy noted but better evaluated on the XXXX XXXX CT.

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Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities. No acute cardiopulmonary abnormalities.

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Heart size is normal. No pneumothorax. No large pleural effusions. No focal airspace opacities. No acute cardiopulmonary abnormalities.

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Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine No radiographic evidence for thoracic metastases.

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Heart size and vascularity normal. Lungs clear. No effusions or pneumothorax. Limited degenerative change of the spine No radiographic evidence for thoracic metastases.

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Lungs are clear. Heart size normal. The XXXX are unremarkable. No acute cardiopulmonary finding.

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Lungs are clear. Heart size normal. The XXXX are unremarkable. No acute cardiopulmonary finding.

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Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities. No acute cardiopulmonary process. .

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Normal heart size and mediastinal contours. The lungs are hyperinflated but clear. No pneumothorax or pleural effusion. No acute bony abnormalities. No acute cardiopulmonary process. .

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None Mild cardiomegaly as before with no effusions or overt evidence of CHF. Large lung volumes as before. No acute airspace disease. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.

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None Mild cardiomegaly as before with no effusions or overt evidence of CHF. Large lung volumes as before. No acute airspace disease. Stable mediastinal contour. No XXXX acute abnormalities since the previous chest radiograph.

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Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity. No acute cardiopulmonary abnormality. .

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Heart is at the upper limits of normal size. Lungs are clear without focal infiltrates. No pneumothorax or pleural effusion. Normal pulmonary vascularity. No acute cardiopulmonary abnormality. .

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

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Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine. No acute cardiopulmonary findings.

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Heart size within normal limits. Tortuous aorta. Low lung volumes with no focal consolidations. No pneumothorax or effusion. Moderate degenerative disc disease in the midthoracic spine. No acute cardiopulmonary findings.

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Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal. 1. Chest. No active disease. 2. Lumbar spine negative.

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Chest. Both lungs are clear and expanded with no pleural air collections or parenchymal consolidations. Heart and mediastinum remain normal. Lumbosacral spine. XXXX, disc spaces, and alignment are normal. Sacrum and sacroiliac joints are normal. 1. Chest. No active disease. 2. Lumbar spine negative.

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No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable. No acute cardiopulmonary abnormality.

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No focal consolidation, suspicious pulmonary opacity or definite pleural effusion. Heart size and pulmonary vascularity within normal limits. Stable mediastinal contour. Calcified hilar lymph XXXX. Visualized osseous structures unremarkable. No acute cardiopulmonary abnormality.

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Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. Clear lungs.

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Spinal stimulator in XXXX. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. Clear lungs.

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Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No radiographic evidence of acute cardiopulmonary disease

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Heart XXXX, mediastinum, XXXX, bony structures and lung XXXX are unremarkable. No radiographic evidence of acute cardiopulmonary disease

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Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .

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Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .

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Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. No acute bony or soft tissue abnormality. No acute cardiopulmonary abnormality. .

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Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted. No acute radiographic cardiopulmonary process.

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Heart and mediastinal contours are unremarkable. The pulmonary vasculature is normal in appearance. The lung parenchyma is clear, without focal infiltrate. There are no pleural effusions, and there is no pneumothorax. The visualized bony structures are grossly unremarkable. No displaced rib fractures. Right nipple ring noted. No acute radiographic cardiopulmonary process.

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None Cardiomegaly stable. Lungs clear. No edema or effusions

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None Cardiomegaly stable. Lungs clear. No edema or effusions

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The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted. Borderline cardiomegaly and mild chronic changes. No acute infiltrate.

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The heart is mildly enlarged. The aorta is atherosclerotic and ectatic. Chronic parenchymal changes are noted with mild scarring and/or subsegmental atelectasis in the right lung base. No focal consolidation or significant pleural effusion identified. Costophrenic XXXX are blunted. Borderline cardiomegaly and mild chronic changes. No acute infiltrate.

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There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. 1. Low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. .

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There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. 1. Low lung volumes with subsequent bronchovascular crowding and bibasilar 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.

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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.

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Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted. 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.

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Cardiomegaly is present. The upper lobe pulmonary vascularity appears mildly prominent consistent with pulmonary venous hypertension. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. There is eventration of the right hemidiaphragm. Bony changes of renal osteodystrophy are noted. 1. Cardiomegaly and mild vascular prominence. 2. No evidence of acute disease.

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There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified. Low volumes with bronchovascular crowding. No acute abnormality.

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There are low volumes with bronchovascular crowding. No focal infiltrate or effusion. Heart and mediastinal contours within normal limits. No displaced fracture identified. Low volumes with bronchovascular crowding. No acute abnormality.

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The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen. Mild cardiomegaly and atherosclerosis. No acute infiltrate.

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The heart is top normal in size. The mediastinum is Stable. The aorta is atherosclerotic. There are mild chronic changes without focal consolidation. No pleural effusion is seen. Mild cardiomegaly and atherosclerosis. No acute infiltrate.

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XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. There are calcified mediastinal perihilar pulmonary nodules consistent with sequela of old granulomatous infection. No acute lung infiltrates. Aortic XXXX appear unremarkable. There is no effusion or pneumothorax. 1. No acute pulmonary disease.

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None 1. Vascular congestion and diffuse interstitial edema 2. Stable cardiomegaly 3. Low lung volumes

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None 1. Vascular congestion and diffuse interstitial edema 2. Stable cardiomegaly 3. Low lung volumes

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None None

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There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact. No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. .

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There are low lung volumes. There is bronchovascular crowding. Heart and mediastinal contours within normal limits. No focal infiltrate or effusion. No pneumothorax. Visualized osseous structures intact. No acute abnormality. Low volumes XXXX XXXX for the opportunity to assist in the care of your patient. If there are any questions about this examination please XXXX. XXXX XXXX, XXXX certified radiologist, at XXXX. .

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The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis. No acute process.

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The cardiac contours are normal. Cardiac valve replacement. The lungs are clear. Thoracic spondylosis. No acute process.

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The lungs are clear. Heart size is normal. No pneumothorax. Clear lungs. No acute cardiopulmonary abnormality. .

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The lungs are clear. Heart size is normal. No pneumothorax. Clear lungs. No acute cardiopulmonary abnormality. .

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PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion. In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.

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PICC line catheter tip XXXX in the right atrium. Heart is not enlarged. Trachea and XXXX bronchi appear normal. Lungs are mildly under expanded. No pneumothorax. There are small areas of patchy density in the left lower lung XXXX. There is a larger area of XXXX patchy density in the right mid and lower lungs with right-sided pleural effusion. In view of the history findings are strongly suggestive of XXXX acute pneumonia with right-sided pleural effusion.