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CXR3235_IM-1532-2001.png
normal chest exam. heart size is normal. the lungs are clear. no pneumothorax or pleural effusion.
CXR853_IM-2375-2001.png
the heart size and cardiomediastinal silhouette are within normal limits. pulmonary vasculature appears normal. there is no focal air space consolidation. no pleural effusion or pneumothorax.
CXR3560_IM-1745-1001.png
no active disease. both lungs are clear and expanded. heart and mediastinum normal.
CXR1418_IM-0267-2002.png
no comparison chest x-xxxx. well-expanded and clear lungs. mediastinal contour within normal limits. no acute cardiopulmonary abnormality identified.
CXR2241_IM-0839-28001.png
no acute findings. biapical opacities xxxx scarring. there are biapical opacities possibly scarring. lungs otherwise appear clear. no focal airspace consolidation. no pleural effusion or pneumothorax. heart size and mediastinal contour are within normal limits. right-sided chest xxxx catheter tip is at the lower svc. several right axillary surgical clips are noted. there are postoperative changes of right mastectomy.
CXR290_IM-1303-1001.png
no active disease. there are numerous small surgical clips seen overlying the upper thorax bilaterally and the lower cervical region of uncertain significance. the lungs are clear. there are multiple surgical xxxx seen near the apical regions and lower cervical region bilaterally. the heart and mediastinum are normal. there is a screw in the right shoulder. the soft tissues are normal.
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comparison xxxx xxxx. well-expanded and clear lungs. mediastinal contour within normal limits. no acute cardiopulmonary abnormality identified. stable chest.
CXR2503_IM-1028-2001.png
no acute pulmonary disease. the lungs are clear. there is no pleural effusion or pneumothorax. the heart is not significantly enlarged. there are atherosclerotic changes of the aorta. arthritic changes of the skeletal structures are noted.
CXR1978_IM-0636-1001.png
no acute cardiopulmonary abnormality. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. cholecystectomy clips are present.
CXR161_IM-0394-1001.png
xxxx of left base atelectasis. otherwise clear. low lung volumes are present. the heart size and pulmonary vascularity appear within normal limits. no pleural effusion or pneumothorax is seen. scattered xxxx of left base atelectasis are noted. left xxxx-a-xxxx is in xxxx with the tip projecting over the caval atrial junction.
CXR994_IM-2478-1001.png
negative chest . the lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumothorax or pleural effusion.
CXR828_IM-2357-3001.png
low lung volumes. opacity in the lingula is favored to represent prominent pericardial fat but lingular atelectasis or infiltrate cannot be ruled out. the trachea is midline. the cardiomediastinal silhouette is normal. there are low lung volumes causing bibasilar atelectasis and bronchovascular crowding. there is a xxxx opacity in the left lingula. there is no pleural effusion or pneumothorax. visualized bony structures reveal no acute abnormalities.
CXR3548_IM-1739-2001.png
no acute cardiopulmonary abnormalities. the heart is normal in size. the pulmonary vascularity is within normal limits in appearance. no focal air space opacities. no pleural effusions or pneumothorax. no acute bony abnormalities.
CXR2814_IM-1239-2001.png
there is cardiomegaly. lateral view somewhat limited however small bilateral pleural effusions suspected. there is central vascular congestion.
CXR3863_IM-1957-1001.png
cardiomegaly but no focal consolidation. the lungs are clear and without focal airspace opacity. the cardiomediastinal silhouette is enlarged. there is no pneumothorax or large pleural effusion.
CXR2264_IM-0854-1001.png
no acute cardiopulmonary abnormalities. normal heart size and mediastinal contours. low lung volumes. no focal airspace consolidation. no pneumothorax or pleural effusion. visualized bony structures are unremarkable in appearance.
CXR3722_IM-1859-1001.png
clear lungs. no acute cardiopulmonary abnormality. the lungs are clear. heart size is normal. no pneumothorax.
CXR735_IM-2294-1001.png
no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits for size and contour. the lungs are normally inflated without evidence of focal airspace disease pleural effusion or pneumothorax. no acute osseus abnormality.
CXR3604_IM-1780-0001-0002.png
the lungs are clear. no focal consolidation to suggest pneumonia or active tuberculous infection. normal heart size and mediastinal silhouette. no edema. no pleural effusions or pneumothorax.
CXR1092_IM-0063-2001.png
no radiographic evidence of acute cardiopulmonary disease heart xxxx mediastinum xxxx bony structures and lung xxxx are unremarkable.
CXR1469_IM-0303-1001.png
no acute cardiopulmonary abnormality. there is no focal airspace consolidation or pleural effusion. heart size is normal. no pneumothorax.
CXR2505_IM-1029-1001.png
no acute or xxxx pulmonary abnormality. normal heart size and mediastinal contours. calcified aortic xxxx. no focal airspace consolidation. no pleural effusion or pneumothorax. visualized osseous structures are unremarkable appearance.
CXR697_IM-2262-3003.png
left basilar airspace disease. recommend follow up chest x-xxxx to document resolution xxxx for better characterization. there is obscuration of the left hemidiaphragm suggesting left retrocardiac airspace disease. this is not identified in the lateral view which is limited by rotation. no evidence for effusion.
CXR1356_IM-0231-1001.png
no acute cardiothoracic abnormality. normal heart size. normal mediastinal contour. no pneumothorax airspace consolidation or pleural effusion. no chest xxxx xxxx. no acute bony abnormality.
CXR575_IM-2173-1001.png
no acute cardiopulmonary abnormalities. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the xxxx are intact. stable calcified granuloma in the left lung.
CXR3116_IM-1464-1001.png
bibasilar airspace disease left greater than right with small effusions. the cardiac silhouette is enlarged. there are bibasilar airspace opacities left greater than right with small right pleural effusion. no visualized pneumothorax.
CXR65_IM-2228-4004.png
no evidence of acute cardiopulmonary process. 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.
CXR3665_IM-1823-1001.png
no acute abnormality. no evidence of pulmonary tuberculosis. heart size within normal limits. negative for focal pulmonary consolidation pleural effusion or pneumothorax. no upper lobe airspace disease or cavitary lesions identified.
CXR2296_IM-0876-1001.png
no acute cardiopulmonary finding. hiatal hernia. the heart is normal in size with normal appearance of the cardiomediastinal silhouette. there is a hiatal hernia with soft tissue projecting behind the mediastinum. the lungs are clear without focal airspace opacity pleural effusion pneumothorax. the osseous structures are intact.
CXR728_IM-2287-2001.png
xxxx left lower lobe nodule. the differential diagnosis includes round pneumonia and parenchymal mass. ct may be of further xxxx. in the interval a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. it is not calcified. no other infiltrates or masses in the lungs. heart and pulmonary xxxx are normal. xxxx are normal.
CXR2403_IM-0951-1001.png
stable left basilar atelectasis versus scarring. no acute cardiopulmonary abnormalities. the heart size and mediastinal silhouette are within normal limits for contour. the lungs are clear. no pneumothorax or pleural effusions. the xxxx are intact. stable left basilar atelectasis versus scarring.
CXR3219_IM-1520-2001.png
heart size within normal limits mild aortic ectasiatortuosity. hyperinflated lungs with xxxx left perihilar and bibasilar opacities which may be compatible with subsegmental atelectasis or scarring. otherwise no focal alveolar consolidation no definite pleural effusion seen. no typical findings of pulmonary edema. dense nodules in the left lung suggest a previous granulomatous process. right upper abdominal coiled artifacts question prior embolization procedure.
CXR2620_IM-1109-1001.png
no evidence of acute cardiopulmonary process. cardiac silhouette within normal limits. central pulmonary vasculature is not engorged. no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. no edema or focal consolidation in the lungs.
CXR3547_IM-1739-2001.png
no acute cardiopulmonary process. heart size and mediastinal contour are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusions or pneumothoraces. degenerative changes in the thoracic spine.
CXR355_IM-1739-1001.png
chronic interstitial and bullous disease. no acute findings. lung volumes are low. prominent increased interstitial markings in both lungs are unchanged in the interval. bullae are present both upper lobes right worse than left. no pleural air collections. heart size normal.
CXR2186_IM-0796-1001.png
no acute cardiopulmonary disease. the lungs appear clear. lung volumes are low. the heart and pulmonary xxxx appear normal. pleural spaces are clear.
CXR1562_IM-0367-1001.png
negative for acute cardiopulmonary abnormality. low lung volumes with magnified appearance of the heart xxxx normal heart size. negative for consolidation effusion or pneumothorax. bony thorax and soft tissues grossly unremarkable.
CXR2024_IM-0670-1001.png
the heart size and cardiomediastinal silhouette are within normal limits. pulmonary vasculature appears normal. there is no focal air space consolidation. no pleural effusion or pneumothorax.
CXR902_IM-2409-2001.png
no acute cardiopulmonary abnormality. the heart size of the limits of normal. there is no pneumothorax or pleural effusion. there are no focal areas of consolidation. there is a calcified granuloma right midlung and posterior costophrenic sulcus.
CXR1313_IM-0204-2001.png
small bilateral pleural effusions with bibasilar atelectasis andor airspace disease left greater than right. the heart size is within normal limits. there are calcified hilar lymph xxxx bilaterally. there are bibasilar airspace opacities with small bilateral pleural effusions left greater than right. no pneumothorax. no acute bony abnormalities.
CXR880_IM-2395-2001.png
no acute process. the cardiac contours are normal. the lungs are clear. thoracic spondylosis.
CXR3610_IM-1783-1001.png
normal chest no evidence of tuberculosis heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
CXR2506_IM-1029-2001.png
cardiomegaly similar to prior examination. negative for evidence of acute pulmonary disease. cardiomegaly. there is no pulmonary edema. there is no focal consolidation. there are no xxxx of pleural effusion. there is no evidence of pneumothorax.
CXR534_IM-2141-1001.png
mild left-sided scarringsubsegmental atelectasis. no definite infiltrate. the heart is normal in size. the mediastinum is unremarkable. left perihilar scarring is noted in the upper lobe. streaky opacities in the retrocardiac region xxxx reflect mild subsegmental atelectasis. there is no focal infiltrate or pleural effusion.
CXR1554_IM-0361-1001.png
no acute disease. the heart is normal in size. the mediastinum is unremarkable. the lungs are clear. multilevel degenerative changes of the thoracic spine are noted.
CXR2457_IM-0989-1001.png
unremarkable radiographs of the chest. the xxxx examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal.
CXR3520_IM-1718-1001.png
no acute cardiopulmonary abnormality. heart size mediastinal contour and pulmonary vascularity are within normal limits. minimal streaky atelectasis the left lung base. no focal consolidation suspicious pulmonary opacity large pleural effusion or pneumothorax is identified. thoracic spondylosis.
CXR2782_IM-1220-1001.png
no active disease. the heart and lungs have xxxx xxxx in the interval. both lungs are clear and expanded. heart and mediastinum normal.
CXR361_IM-1783-1002.png
no active disease. lungs remain clear and expanded. heart and mediastinum normal.
CXR21_IM-0729-1001-0001.png
heart size normal. mediastinal silhouettes and pulmonary vascularity are within normal limits. calcified lingular granuloma. no focal consolidations or pleural effusions. no pneumothorax. breast implants there is a moderate wedge xxxx deformity of the midthoracic vertebrae xxxx t6 age-indeterminate.
CXR3984_IM-2040-3003.png
stable tortuosity of the thoracic aorta. the presence of an underlying aneurysm cannot be excluded. clear lungs the lungs appear clear. the thoracic aorta remains tortuous. the presence of an aortic aneurysm cannot be excluded on this study xxxx. a there are calcified mediastinal and hilar lymph xxxx suggesting prior histoplasmosis infection. the pleural spaces are clear.
CXR2364_IM-0927-3001.png
no acute cardiopulmonary disease the lungs are clear. there is hyperexpansion of the lungs suggesting underlying emphysema. the heart and pulmonary xxxx appear normal. pleural spaces are clear. mediastinal contours are normal.
CXR3590_IM-1769-1001.png
no acute findings 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.
CXR2010_IM-0661-1001.png
heart size is normal. lungs are clear. right knee. severe joint space narrowing and spurring lateral compartment of the knee and patellofemoral compartment.
CXR3143_IM-1477-1001.png
no acute pulmonary disease. xxxx xxxx and lateral chest examination was obtained. the heart silhouette is normal in size and contour. aortic xxxx appear unremarkable. lungs demonstrate no acute findings. there is no effusion or pneumothorax.
CXR1050_IM-0038-2001.png
no acute cardiopulmonary abnormality. mild nonspecific prominence of mediastinum consider repeat cxr xxxx if any concern for vascular process. technically limited study secondary to patient xxxx. decreased lung volumes with associated bronchopulmonary crowding without evidence of focal consolidation suspicious pulmonary opacity large pleural effusion or pneumothorax is identified. visualized osseous structures appear intact.
CXR3930_IM-2003-3001.png
hyperexpanded but clear lungs. lungs are overall hyperexpanded consistent with obstructive lung disease. lungs are clear without focal consolidation. no suspicious pulmonary nodules or masses are noted. no pleural effusions or pneumothoraces. heart size is upper limits of normal.
CXR3047_IM-1418-1001.png
no evidence of active disease. the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen.
CXR2919_IM-1321-3001.png
cardiomegaly with central pulmonary vascular congestion. no xxxx edema. the heart is significantly enlarged. prominent pulmonary vascularity. no focal airspace consolidation suspicious pulmonary opacity or definite pleural effusion. no pneumothorax. visualized osseous structures appear intact.
CXR328_IM-1560-2001.png
no evidence of active disease. the heart size and pulmonary vascularity appear within normal limits. the lungs are free of focal airspace disease. no pleural effusion or pneumothorax is seen.
CXR583_IM-2180-1001.png
right-sided perihilar calcified lymph xxxx and infracarinal calcified lymph xxxx. these xxxx represent previous granulomatous disease. lung parenchyma is clear. no airspace disease. no pulmonary edema. normal heart size. no xxxx of pleural effusions. no xxxx of active cardiopulmonary disease.
CXR2963_IM-1356-1001.png
no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits for size and contour. the lungs are normally inflated without evidence of focal airspace disease pleural effusion or pneumothorax. no acute bone abnormality.
CXR1977_IM-0636-1001.png
heart size is normal. lungs are clear. minimal platelike atelectasis left base.
CXR284_IM-1252-1001.png
negative for acute abnormality. discrete xxxx projectile not seen. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. negative for acute displaced rib fracture. no discrete xxxx projectile visualized. contrast within the bilateral renal collecting systems. contrast also probably within the left colon.
CXR735_IM-2294-2001.png
no acute cardiopulmonary process. the cardiomediastinal silhouette is within normal limits for size and contour. the lungs are normally inflated without evidence of focal airspace disease pleural effusion or pneumothorax. no acute osseus abnormality.
CXR1458_IM-0296-2001.png
stable cardiomegaly. clear lungs. stable cardiomegaly and mediastinal contour. lungs are clear without focal consolidation large pleural effusion or pneumothorax. left basilar airspace opacity xxxx secondary to epicardial fat and overlying soft tissues. dish of the thoracic spine is noted. otherwise visualized osseous structures are unremarkable.
CXR3812_IM-1922-2001.png
no acute cardiopulmonary abnormality. normal heart size and mediastinal contour. atherosclerotic calcification of the aortic xxxx. no abnormal airspace consolidation. no pleural effusion or pneumothorax. stable biapical lucency and apical scarring consistent with emphysema. visualized osseous structures are unremarkable.
CXR1553_IM-0360-1001.png
stable chest. no acute disease process identified. frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. normal mediastinal contour pulmonary xxxx and vasculature central airways and aeration of the lungs. no pleural effusion. there are xxxx spine marginal osteophytes.
CXR3415_IM-1650-1001.png
no acute radiographic cardiopulmonary process. no acute osseous abnormality. mild degenerative changes of the thoracic spine. stable normal cardiomediastinal silhouette and hilar contours. prominence of superior mediastinal xxxx superimposed structures. no focal area of consolidation pleural effusion or pneumothorax. mild bibasilar atelectasis.
CXR1481_IM-0312-3001.png
no acute cardiopulmonary abnormality. the lungs are clear and without focal airspace opacity. the cardiomediastinal silhouette is normal in size and contour and stable. there is no pneumothorax or large pleural effusion.
CXR3664_IM-1822-2001.png
no acute radiographic cardiopulmonary process. there are no acute osseous abnormalities. soft tissue structures are within normal limits. normal heart size and hilar vascular markings. the lungs are clear without focal area of consolidation pleural effusion pneumothorax.
CXR3931_IM-2003-1001.png
no acute cardiopulmonary finding. the heart size is normal. the cardiomediastinal silhouette is stable in appearance. the lungs are clear without focal airspace opacity pneumothorax or pleural effusion. the xxxx are normal in appearance.
CXR3728_IM-1864-1001.png
no evidence of acute cardiopulmonary process. the xxxx examination consists of frontal and lateral radiographs of the chest. the cardiomediastinal contours are within normal limits. no focal consolidation pleural effusion or pneumothorax identified. the visualized osseous structures and upper abdomen are unremarkable.
CXR2423_IM-0965-2001.png
no acute disease. the heart is normal in size. the mediastinum is unremarkable. the lungs are clear.
CXR1877_IM-0568-2001.png
normal chest heart size normal. lungs are clear. xxxx are normal. no pneumonia effusions edema pneumothorax adenopathy nodules or masses.
CXR2042_IM-0686-1001.png
the heart size is normal. there is minimal fibronodular scarring right apex otherwise lungs clear
CXR3947_IM-2016-1001.png
no acute cardiopulmonary disease. the lungs appear clear. there are no suspicious pulmonary nodules or infiltrates. the heart and pulmonary xxxx appear normal. the pleural spaces are clear. mediastinal contours are normal. there is a left-sided tunneled catheter the distal tip at the mid superior xxxx xxxx level.
CXR3038_IM-1411-2001.png
no acute cardiopulmonary disease. acute anterior xxxx deformities at l1-lplease see ct of the lumbar spine for further details. the heart and mediastinum are unremarkable. there is a calcified granuloma within the left upper lobe. the lungs are clear without infiltrate. there is no effusion or pneumothorax. there are acute mild anterior xxxx deformities identified at l1-lthere is retropulsion of the posterior vertebral body of la ct of the lumbar spine was already ordered at the time of this dictation.
CXR1335_IM-0215-1001.png
no acute pulmonary disease. xxxx xxxx and lateral chest examination was obtained. the heart silhouette is normal in size and contour. aortic xxxx appear unremarkable. lungs demonstrate no acute findings. there is no effusion or pneumothorax.
CXR3985_IM-2041-2001.png
no acute cardiopulmonary abnormality. no pneumothorax pleural effusion or airspace consolidation. heart size and pulmonary vasculature appear within normal limits. calcified granuloma in the anterior left lower lobe. xxxx xxxx are intact.
CXR3856_IM-1951-2001.png
normal chest xray. pa and lateral views. the cardiomediastinal silhouette is normal. the lungs are clear. no effusions consolidation or pneumothorax.
CXR285_IM-1258-4004.png
heart size is top normal. tortuous aorta. no edema. patchy left upper right basilar atelectasis. no pneumothorax. right hilar surgical clips.
CXR1659_IM-0434-1002.png
no acute cardiopulmonary findings. no displaced fractures. heart size within normal limits. no focal airspace disease. no pneumothorax no pleural effusion. no displaced rib fractures.
CXR1124_IM-0081-3001.png
no focal airspace consolidation. hyperexpanded lungs suggestive of obstructive lung disease. there are postoperative changes of sternotomy. heart size is within normal limits. there is aortic atherosclerotic vascular calcification. the lungs are mildly hyperexpanded. there is no focal airspace consolidation. no pleural effusion or pneumothorax. there are diffuse degenerative changes of the spine.
CXR3582_IM-1761-2001.png
no acute cardiopulmonary findings. heart size is normal. the lungs are clear. there is no pneumothorax or large pleural effusion.
CXR3817_IM-1925-2001.png
no acute cardiopulmonary findings. lungs are clear bilaterally with no focal infiltrate pleural effusion or pneumothoraces. cardiomediastinal silhouette is within normal limits. xxxx and soft tissues are unremarkable.
CXR1781_IM-0509-1002.png
no acute cardiopulmonary abnormalities. heart size mediastinal contours are normal in appearance. no focal airspace consolidation. no pleural effusion or pneumothorax. mild degenerative changes of the thoracic spine.
CXR1556_IM-0363-1001.png
left basilar mixed interstitial and alveolar infiltrate. interval followup to resolution is recommended. heart size appears upper limits of normal. tortuous aorta. otherwise normal mediastinum. confluent and xxxx opacities seen within the left base. there are no visible nodules or masses. no visible pneumothorax. the xxxx are grossly normal. there is no visible free intraperitoneal air under the diaphragm.
CXR491_IM-2111-1001.png
improving lung volumes with bibasilar atelectasis. cardiomediastinal silhouette is stable and within normal limits. there is improved lung volumes bilaterally with persistent bibasilar atelectatic opacities without focal consolidation pneumothorax or effusion. no acute bony abnormality identified.
CXR1020_IM-0017-1001.png
hypoinflation with no visible active cardiopulmonary disease. lung volumes are low. no focal infiltrates. heart size normal.
CXR3974_IM-2034-2002.png
hyperexpanded lungs suggesting emphysema. patchy right middle lobe airspace disease. may represent pneumonia. followup examination is suggested following treatment to confirm clearing of the opacities. a 4 to 6 xxxx post treatment interval film would be reasonable to allow clearing of inflammatory opacities. the lungs are hyperexpanded consistent with emphysema. the heart size and pulmonary vascularity appear within normal limits. no pneumothorax or pleural effusion is seen. patchy airspace disease is present in the right middle lobe. degenerative changes are present spine.
CXR380_IM-1911-2001.png
no evidence of acute thoracic xxxx. the xxxx examination consists of supine and crosstable lateral radiographs of the chest. external monitor leads xxxx the thorax. the cardiomediastinal contours are within normal limits. pulmonary vascularity is within normal limits. no focal consolidation pleural effusion or pneumothorax identified. the visualized osseous structures and upper abdomen are unremarkable.
CXR702_IM-2267-1001.png
large right pleural effusion with associated passive atelectasis of the right middle and lower lobes. grossly clear left lung. the left lung is grossly clear. the right lung demonstrates a large right pleural effusion with associated atelectatic collapse of the right middle lobe and partial collapse of the right lower lobe. xxxx opacities are seen within the aerated right lung xxxx subsegmental atelectasis. no focal consolidation or pneumothorax identified. no acute osseous abnormality. cardio mediastinal silhouette is stable compared to prior examinations.
CXR387_IM-1962-1001.png
suspected left hilar mass with obstructive atelectasis. xxxx thorax for further characterization. heart size is normal. there is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis. questionable small right midlung nodule. negative for pneumothorax or pleural effusion. bony thorax is unremarkable.
CXR748_IM-2302-2001.png
no acute cardiopulmonary abnormality. mediastinal contours are within normal limits. heart size is within normal limits. no focal consolidation pneumothorax or pleural effusion.
CXR3443_IM-1667-1001.png
winged right scapula consistent with supporting structure soft tissue injury. no visible fractures. no visible cardiopulmonary injury.
CXR3375_IM-1624-1003.png
no acute cardiopulmonary findings. heart size is within normal limits. no focal airspace consolidations. no pneumothorax or pleural effusion. there are degenerative changes of the midthoracic spine.
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bilateral pulmonary nodules suggesting pulmonary metastases right internal jugular central catheter the distal tip in the right atrium. there are bilateral pulmonary nodules whose appearances suggest metastatic disease to lungs. in the right lung there is a 9 x 1 cm nodule overlying the posterior right 6th rib. there is a 0 x 2 cm nodule xxxx above this in the interspace between the posterior 5th and 6th ribs on the right. there is a 0 x 1 cm nodule projecting through the left 9th and 10th interspaces on the pa view. if not already performed contrast-enhanced xxxx would be xxxx suited to evaluate these findings. there are no focal airspace opacities to suggest pneumonia. to the stomach contours appear grossly clear. heart size and pulmonary xxxx appear normal. there are left-sided axillary clips. there is a right internal jugular central catheter the distal tip in right atrium.
CXR779_IM-2321-1001.png
negative for acute abnormality. the cardiomediastinal silhouette is normal in size and contour. no focal consolidation pneumothorax or large pleural effusion. negative for acute displaced rib fracture.
CXR3794_IM-1908-1002.png
6 mm left lung nodular opacity. recommend comparison with prior images. if prior images are not available than further evaluation with ct chest is recommended. old chest film from xxxx xxxx from xxxx was reviewed and the questionable nodule was not xxxx seen. heart size aortic and mediastinal contours are within normal limits. the lungs are clear. no visible pneumothorax or large pleural effusion. 6 mm nodular opacity overlies the left anterior 5th rib on the frontal view. no focal bony abnormality identified.