medarc/open-i-summarization · Datasets at Hugging Face

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0	The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.	No acute cardiopulmonary abnormality.
1	Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.	1. No acute cardiopulmonary abnormality.
2	Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.	No evidence of active disease.
3	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.
4	The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.	No acute cardiopulmonary findings.
5	The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.	1. Right upper lobe pulmonary nodule, XXXX granuloma.
6	Heart size is enlarged, pulmonary vascularity within normal limits. Cardiac defibrillator generator projects over the left mid lateral lung. No visible pneumothorax or pleural effusion. Minimal streaky airspace opacities in the lower lobes.	1. Cardiomegaly without pulmonary edema. 2. Minimal bibasilar opacities which may reflect atelectasis or infiltrate.
7	Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.	Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. .
8	Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.	Cardiomegaly and pulmonary vascular congestion.
9	Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.	Clear lungs.
10	Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.	No acute cardiopulmonary abnormality.
11	Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.	No evidence of metastatic disease. .
12	Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.	Hyperinflated lungs, air trapping versus inspiratory XXXX.
13	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.	Normal chest film.
14	The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.	Mild chronic changes in the left lung base without acute disease.
15	There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. XXXX unremarkable.	Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically.
16	The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.	Hypoinflation without acute disease.
17	Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.	No acute pulmonary disease.
18	Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.	No acute pulmonary findings.
19	Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.	No acute cardiopulmonary findings.
20	There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.	No acute cardiopulmonary abnormality.
21	The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.	Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.
22	The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.	Negative.
23	The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.	Negative chest .
24	The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.	1. No acute cardiopulmonary process. 2. Large hiatal hernia.
25	The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.	No evidence of active disease.
26	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
27	The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.	1. No evidence of active disease.
28	Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.	No acute cardiopulmonary abnormality.
29	There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.	1. Right upper lobe opacity. Without comparisons, this may represent a focal area of infection/pneumonia. However, correlation should be XXXX for possible tuberculosis exposure as tuberculosis infection could have this appearance. If discordant from clinical suspicion, or does not resolve on follow up imaging, consider further evaluation with XXXX scan. 2. Enlargement of the cardiac silhouette.
30	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.
31	Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.	1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate.
32	Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.	No acute cardiopulmonary abnormality.
33	There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.	No acute cardiopulmonary abnormality.
34	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
35	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 active disease. Specifically, no radiographic evidence for tuberculosis.
36	The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.	No acute cardiopulmonary disease.
37	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.
38	Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.	Stable cardiomegaly without gross evidence for failure or pneumonia.
39	Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.	No acute cardiopulmonary process.
40	The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.	No acute cardiopulmonary findings.
41	No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.	1. No acute cardiopulmonary abnormalities.
42	Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.	1. Chest. No active disease. 2. Right foot. Negative.
43	The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.	1. No acute radiographic cardiopulmonary process.
44	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.
45	Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.	Large right pleural effusion and patchy left lower lobe airspace disease.
46	The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.	No acute cardiopulmonary abnormalities.
47	XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.	No acute cardiopulmonary findings.
48	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..	1. No acute radiographic cardiopulmonary process.
49	Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
50	The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.	No acute cardiopulmonary disease.
51	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. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.	1. Large hiatal hernia. 2. Clear lungs.
52	The heart is normal in size. The pulmonary vascularity is within normal limits in appearance. No focal air space opacities. No pleural effusions or pneumothorax. No acute bony abnormalities.	No acute cardiopulmonary abnormalities.
53	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.	1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.
54	there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.	2 cm noncalcified nodule in the right lower lobe would benefit from a XXXX.
55	No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.	No acute cardiopulmonary abnormality.
56	Stable cardiomegaly with left-sided implanted ICD. Hilar pulmonary venous vasculature stable compared to prior examination. No focal consolidation, pneumothorax, or large pleural effusions identified. No acute osseous abnormality is identified.	Stable cardiomegaly without evidence of overt heart failure/pulmonary edema.
57	There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.	Minimal small area scarring of the left base.
58	The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.	No acute cardiopulmonary disease.
59	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.	1. Low volume study without definite acute process.
60	Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.	Right upper lobe airspace consolidation Please correlate clinically for pneumonia.
61	No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.	No acute cardiopulmonary abnormality. .
62	Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.	No acute cardiopulmonary findings.
63	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
64	Calcified granulomas are noted within the lung bases and stable compared with prior study. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. There is no focal opacity. No large pleural effusion. XXXX is minimal retrolisthesis of two lower thoracic vertebral bodies.	No acute cardiopulmonary disease. Retrolisthesis of two lower thoracic vertebral bodies.
65	This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.	No acute cardiopulmonary abnormality.
66	Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.	No acute abnormality.
67	2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.	No acute cardiopulmonary abnormality identified.
68	No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. XXXX bilateral pleural effusions. No pneumothorax.	1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours.
69	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.	No acute cardiopulmonary abnormality..
70	The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.	1. No acute radiographic cardiopulmonary process.
71	Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.	No acute cardiopulmonary disease.
72	Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.	No acute cardiopulmonary abnormality.
73	Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few XXXX opacities are present in the left base, the appearance which XXXX scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.	1. XXXX opacities in the left base, the appearance which XXXX scarring or atelectasis. Otherwise, clear.
74	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.	1. No evidence of active disease.
75	There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.	Borderline cardiomegaly. Otherwise unremarkable exam.
76	The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.	1. Cardiomegaly without acute cardiopulmonary abnormality.
77	The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.	No acute cardiopulmonary findings.
78	The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.	1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate.
79	Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.	Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .
80	The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone.	No acute cardiopulmonary abnormalities.
81	The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.	No acute pulmonary disease.
82	Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.	1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes.
83	Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.	1. Low volume study without acute process. 2. Mild cardiomegaly.
84	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
85	The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.	No acute disease.
86	The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.	1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.
87	The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.	No acute cardiopulmonary findings.
88	Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.	This is XXXX since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest.
89	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.	No evidence of active disease.
90	There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.	1. No acute cardiopulmonary disease. 2. Calcified left paraesophageal versus intrapulmonary lymph node. 3. Moderate hiatus hernia.
91	Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.	No acute cardiopulmonary findings.
92	Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.	Normal chest
93	Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.	Low lung volumes, otherwise no acute cardiopulmonary abnormality.
94	Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.	No acute cardiopulmonary abnormality.
95	The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.	No active disease.
96	Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.	No acute cardiopulmonary abnormality. .
97	The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.	No acute cardiopulmonary abnormality..
98	Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.	No acute cardiopulmonary disease.
99	Heart size is mildly enlarged but stable.. 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.

0

The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.

No acute cardiopulmonary abnormality.

1

Cardiomediastinal silhouette is within normal limits of size and appearance. Pulmonary vascularity is unremarkable. Morgagni hernia, stable. Lungs are expanded and clear of air space disease or consolidation. Negative for pneumothorax or pleural effusion. Limited evaluation reveals diffuse demineralization with stable anterior wedging at the lower thoracic levels.

1. No acute cardiopulmonary abnormality.

2

Heart size and pulmonary vascularity appears normal limits. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Callus or granulomas identified. Left XXXX-A-XXXX remains in XXXX.

No evidence of active disease.

3

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.

4

The heart size and cardiomediastinal silhouette are normal. There is no focal airspace opacity, pleural effusion, or pneumothorax. There are moderate degenerative changes in the thoracic spine. There are postsurgical clips in the right upper quadrant.

No acute cardiopulmonary findings.

5

The heart size is within normal limits. Cardiomediastinal contour is normal. There is a right upper lobe nodule measuring 8 mm in diameter. Trachea is midline. The lungs otherwise clear. XXXX and soft tissues are unremarkable.

1. Right upper lobe pulmonary nodule, XXXX granuloma.

6

Heart size is enlarged, pulmonary vascularity within normal limits. Cardiac defibrillator generator projects over the left mid lateral lung. No visible pneumothorax or pleural effusion. Minimal streaky airspace opacities in the lower lobes.

1. Cardiomegaly without pulmonary edema. 2. Minimal bibasilar opacities which may reflect atelectasis or infiltrate.

7

Patchy airspace disease is noted within the right middle lobe. Subtle opacities are present within the lingula as well. There is no pneumothorax or pleural effusion. The heart size is normal.

Patchy right middle lobe and lingular airspace disease compatible with multilobar pneumonia. .

8

Stable cardiomegaly. Thoracic aortic atherosclerotic calcifications are noted. There is a prominence of the pulmonary vasculature. No consolidating airspace disease is seen. No pleural effusion or pneumothorax.

Cardiomegaly and pulmonary vascular congestion.

9

Lungs are clear. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the spine.

Clear lungs.

10

Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.

No acute cardiopulmonary abnormality.

11

Heart size within normal limits. Negative for focal pulmonary consolidation, pleural effusion or pneumothorax. There is hyperexpansion of the lungs. Mild degenerative changes are present in the spine.

No evidence of metastatic disease. .

12

Hyperinflated lungs with mildly flattened posterior diaphragm and increased retrosternal airspace. No alveolar consolidation, no findings of pleural effusion or pulmonary edema. Heart size within normal limits. No pneumothorax.

Hyperinflated lungs, air trapping versus inspiratory XXXX.

13

The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.

Normal chest film.

14

The heart is normal in size. The mediastinum is stable. The lungs are hypoinflated with scarring in the left lung base. There is no focal consolidation or significant effusion.

Mild chronic changes in the left lung base without acute disease.

15

There is stable elevation of the right hemidiaphragm with questionable increased right basilar airspace opacities. The left lung is clear. Heart size normal. XXXX unremarkable.

Stable elevated right hemidiaphragm with questionable subtle increased right basilar airspace disease/atelectasis. Correlate clinically.

16

The heart is normal in size. The mediastinum is stable. There is again significant thoracolumbar rotatory scoliosis. The aorta is atherosclerotic. The lungs are hypoinflated but clear.

Hypoinflation without acute disease.

17

Evaluation for pneumothorax is limited due to exclusion of the superior-most pulmonary apices. No visible pleural XXXX. No focal air space opacities or pleural effusion. Cardiomediastinal silhouette is within normal limits. No free subdiaphragmatic air. Mild degenerative changes of the thoracic spine. Included osseous structures are grossly intact.

No acute pulmonary disease.

18

Cardiac and mediastinal contours are within normal limits. Right lung base granuloma. The lungs are otherwise clear. Thoracic spondylosis.

No acute pulmonary findings.

19

Normal heart size. Clear lungs. No pneumothorax or large pleural effusion.

No acute cardiopulmonary findings.

20

There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Osseous structures intact.

No acute cardiopulmonary abnormality.

21

The XXXX examination consists of frontal and lateral radiographs of the chest. There are diminished lung volumes with XXXX XXXX atelectasis. The cardiac silhouette is unchanged. There is mild to moderate tortuosity of the thoracic aorta. No focal consolidation, pleural effusion, or pneumothorax identified. Thoracic spondylosis is again seen.

Low lung volumes with minimal bibasilar atelectasis. Overall no significant interval change.

22

The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute abnormality.

Negative.

23

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

Negative chest .

24

The cardiomediastinal silhouette is within normal limits. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. No acute osseus abnormality. Large hiatal hernia.

1. No acute cardiopulmonary process. 2. Large hiatal hernia.

25

The lungs are clear. There is no focal airspace consolidation. No pleural effusion or pneumothorax. Normal heart size and mediastinal contour.

No evidence of active disease.

26

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.

No active disease.

27

The heart size and pulmonary vascularity appear within normal limits. Vascular calcification is identified. Calcified granuloma is present in the right lower lobe. No XXXX nodules are seen. No pneumothorax or pleural effusion is seen. No focal airspace disease is identified.

1. No evidence of active disease.

28

Limited lateral projection. The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Healed distal left clavicular fracture noted.

No acute cardiopulmonary abnormality.

29

There is enlargement of the cardiac silhouette. There is a focal opacity within the right upper lung. There is dense calcification of the thoracic aorta. There is no pneumothorax. There is no large pleural effusion.

1. Right upper lobe opacity. Without comparisons, this may represent a focal area of infection/pneumonia. However, correlation should be XXXX for possible tuberculosis exposure as tuberculosis infection could have this appearance. If discordant from clinical suspicion, or does not resolve on follow up imaging, consider further evaluation with XXXX scan. 2. Enlargement of the cardiac silhouette.

30

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.

31

Normal cardiac contours. No pneumothorax or pleural effusions. Clear left lung XXXX. Right middle lobe with increased opacities, XXXX representative of infiltrate.

1. No pneumothorax or pleural effusion. 2. Right middle lobe infiltrate.

32

Aorta is ectatic. Heart size is within normal limits. No focal consolidation, pneumothorax or pleural effusion. Age-indeterminate anterior wedging deformity of lower thoracic vertebra.

No acute cardiopulmonary abnormality.

33

There are no focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. There is no evidence of pneumothorax. Degenerative changes of the thoracic spine.

No acute cardiopulmonary abnormality.

34

Both lungs are clear and expanded. Heart and mediastinum normal.

No active disease.

35

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 active disease. Specifically, no radiographic evidence for tuberculosis.

36

The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.

No acute cardiopulmonary disease.

37

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.

38

Radiographic attenuation obscures detail. Grossly, the lungs are clear and expanded. Heart is large. Pulmonary XXXX are normal.

Stable cardiomegaly without gross evidence for failure or pneumonia.

39

Cardiomediastinal silhouette is within normal limits. Lungs are clear without areas of focal consolidation. Right hilar calcifications XXXX sequela of prior granulomatous disease. No pneumothorax or large pleural effusion. No acute bone abnormality.

No acute cardiopulmonary process.

40

The heart size is normal. Lungs are clear. There is no pleural line to suggest pneumothorax or costophrenic XXXX blunting to suggest large pleural effusion. Bony structures are within normal limits.

No acute cardiopulmonary findings.

41

No pleural effusion no pneumothorax. Normal cardiac contour. No focal consolidation. Lungs clear bilaterally.

1. No acute cardiopulmonary abnormalities.

42

Two-view chest. Both lungs are clear and expanded. Heart and mediastinum normal. Right foot. Hindfoot, midfoot, forefoot XXXX are intact with no fractures or bone destruction.

1. Chest. No active disease. 2. Right foot. Negative.

43

The heart size is normal. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There is redemonstration of a calcified granuloma within the left upper lobe. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.

1. No acute radiographic cardiopulmonary process.

44

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.

45

Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.

Large right pleural effusion and patchy left lower lobe airspace disease.

46

The trachea is midline. The heart XXXX is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.

No acute cardiopulmonary abnormalities.

47

XXXX XXXX sternotomy XXXX appear intact. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There is no focal lung opacity. Clips overlie the right upper quadrant.

No acute cardiopulmonary findings.

48

The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lungs are hyperexpanded without focal airspace consolidation, pleural effusion, or pneumothorax.. Degenerative endplate changes of the spine..

1. No acute radiographic cardiopulmonary process.

49

Both lungs are clear and expanded. Heart and mediastinum normal.

No active disease.

50

The lungs appear clear. There are no suspicious pulmonary nodules or masses. The heart and pulmonary XXXX appear normal. Mediastinal contours appear normal. There's no pneumothorax.

No acute cardiopulmonary disease.

51

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. Large hiatal hernia is present. Osteopenia and degenerative changes are present in the spine. Vascular calcification is noted. Degenerative changes are present in the right shoulder.

1. Large hiatal hernia. 2. Clear lungs.

52

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

No acute cardiopulmonary abnormalities.

53

The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality. Left-sided PICC line has been placed in the interval with tip XXXX in the innominate vein.

1. No acute cardiopulmonary abnormality.. 2. Interval placement of left-sided PICC line with tip XXXX in the innominate vein.

54

there is a rounded opacity in the right lower zone measuring 2.0 cm which is XXXX to be in the posterobasal segment. There is of uncertain etiology but would benefit from followup at XXXX some concern for neoplasm. A XXXX is recommended. No airspace disease, effusion or cavitary nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.

2 cm noncalcified nodule in the right lower lobe would benefit from a XXXX.

55

No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax.

No acute cardiopulmonary abnormality.

56

Stable cardiomegaly with left-sided implanted ICD. Hilar pulmonary venous vasculature stable compared to prior examination. No focal consolidation, pneumothorax, or large pleural effusions identified. No acute osseous abnormality is identified.

Stable cardiomegaly without evidence of overt heart failure/pulmonary edema.

57

There is a small area of scarring or atelectasis in the left base. Calcified granulomas seen in the posterior right lower lobe. Lungs are otherwise clear. The heart and mediastinum are normal. The skeletal structures and soft tissues are normal.

Minimal small area scarring of the left base.

58

The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.

No acute cardiopulmonary disease.

59

The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

1. Low volume study without definite acute process.

60

Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. There is XXXX airspace opacity in the mid right lung radiating from the right hilum to the pleura and bordered inferiorly by the fissures. The XXXX fissure is convex upward. There is right base patchy airspace opacity. This appears chronic and may be due to scarring. There is no significant pleural effusion.

Right upper lobe airspace consolidation Please correlate clinically for pneumonia.

61

No pleural effusions. No pneumothorax. No focal areas of consolidation. Heart size within normal limits. Osseous structures intact.

No acute cardiopulmonary abnormality. .

62

Heart size is within normal limits. No focal airspace disease. No pneumothorax or effusion.

No acute cardiopulmonary findings.

63

The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.

No acute disease.

64

Calcified granulomas are noted within the lung bases and stable compared with prior study. The cardiac silhouette and mediastinal contours are within normal limits. There is no pneumothorax. There is no focal opacity. No large pleural effusion. XXXX is minimal retrolisthesis of two lower thoracic vertebral bodies.

No acute cardiopulmonary disease. Retrolisthesis of two lower thoracic vertebral bodies.

65

This radiograph was XXXX available for my interpretation at XXXX hours XXXX/XXXX. There are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation.

No acute cardiopulmonary abnormality.

66

Heart size is normal. The lungs are clear. There are no focal air space consolidations. No pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal. Normal pulmonary vascularity.

No acute abnormality.

67

2 images. Small centrally calcified granuloma within the lateral right lung base. Otherwise the lungs are clear. Heart size is normal. No evidence for pleural effusion or pneumothorax.

No acute cardiopulmonary abnormality identified.

68

No acute osseous abnormality. Degenerative changes throughout the thoracic spine. Soft tissue structures are within normal limits. There is stable enlargement of the heart. Stable prominent mediastinal contours. Central vascular congestion. Mildly low lung volumes bilaterally. Bibasilar and left perihilar airspace opacities. XXXX bilateral pleural effusions. No pneumothorax.

1. Bilateral airspace disease. 2. Stable enlarged heart and prominent mediastinal contours.

69

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

No acute cardiopulmonary abnormality..

70

The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear. Osseous structures are within normal limits for patient age.

1. No acute radiographic cardiopulmonary process.

71

Normal cardiomediastinal silhouette. No airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. No acute bony abnormality.

No acute cardiopulmonary disease.

72

Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing right mid clavicle injury. Visualized bony structures otherwise unremarkable.

No acute cardiopulmonary abnormality.

73

Heart size and pulmonary vascularity appear within normal limits. The patient is status post CABG. A few XXXX opacities are present in the left base, the appearance which XXXX scarring or atelectasis. No pneumothorax or pleural effusion is seen. Degenerative changes are present in the spine.

1. XXXX opacities in the left base, the appearance which XXXX scarring or atelectasis. Otherwise, clear.

74

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.

1. No evidence of active disease.

75

There is borderline cardiomegaly. Mediastinum and pulmonary vasculature are unremarkable. Lungs are clear. No pleural fluid or pneumothorax is appreciated.

Borderline cardiomegaly. Otherwise unremarkable exam.

76

The heart is enlarged. The mediastinum is unremarkable. Atherosclerotic calcifications present within the thoracic aorta. There is no pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine.

1. Cardiomegaly without acute cardiopulmonary abnormality.

77

The cardiac silhouette measures near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is stable eventration of the anterior right hemidiaphragm. The lungs are clear of focal airspace disease, pneumothorax, pleural effusion. There are no acute bony findings.

No acute cardiopulmonary findings.

78

The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. Since the prior study, there's been interval development of left lower lobe airspace disease. The right lung is clear.

1. Interval development of left lower lobe airspace disease. This may be due to atelectasis or infiltrate.

79

Two left-sided chest tubes again noted. Interval improved aeration of the left lung compared to prior. Interval improvement in left lung pleural fluid. Right lung clear. Endotracheal tube noted with tip approximately 4.5 cm above the carina. Left internal jugular central venous catheter with tip approximating the high SVC. No evidence of pneumothorax.

Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease is noted. Stable left-sided chest tubes. .

80

The heart size and mediastinal silhouette are within normal limits. No pneumothorax or pleural effusions. The lungs are clear. No focal consolidations. The osseous structures are intact. Calcification in the right upper quadrant of the abdomen XXXX consistent with gallstone.

No acute cardiopulmonary abnormalities.

81

The lungs are clear. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. There are severe arthritic changes of the XXXX with mild arthritic changes of the thoracic spine.

No acute pulmonary disease.

82

Stable enlargement of the cardiac silhouette, lateral view interlobar fissural thickening. Interstitial opacities greatest in the central lungs and bases.

1. Cardiomegaly, question small bilateral pleural effusions 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, differential diagnosis includes infectious and inflammatory processes.

83

Heart size is mildly enlarged. Tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis.. Degenerative changes of the spine.

1. Low volume study without acute process. 2. Mild cardiomegaly.

84

The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.

No acute disease.

85

The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.

No acute disease.

86

The heart is normal in size. The aorta is tortuous. The lungs are hypoinflated. No focal consolidation or pleural effusion seen. Old right-sided rib fracture is noted.

1. Low lung volumes without acute infiltrate. 2. Aortic tortuosity and mild ectasia.

87

The cardiac silhouette is near upper limits of normal in size. Pulmonary vasculature is normal in caliber. There is mild tortuosity of the descending thoracic aorta. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. There are mild degenerative endplate changes in the thoracic spine.

No acute cardiopulmonary findings.

88

Heart size and pulmonary vascularity appear within normal limits. The ascending aorta is prominent and descending thoracic aorta is is tortuous. Aorta appears unchanged as compared to the study. Lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. No discrete nodules are identified. There is an oblong density projecting over the anterior left 7th rib. Appearance suggests an old rib fracture.

This is XXXX since the previous study. 1. Clear lungs. 2. Apparent old rib fractures in the left anterior chest.

89

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.

No evidence of active disease.

90

There is a 22 x 14 mm calcified nodule in the left lower lobe. A moderate hiatal hernia is present. Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.

1. No acute cardiopulmonary disease. 2. Calcified left paraesophageal versus intrapulmonary lymph node. 3. Moderate hiatus hernia.

91

Heart size within normal limits. No focal airspace disease. No pneumothorax or effusions.

No acute cardiopulmonary findings.

92

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

Normal chest

93

Stable heart size and mediastinal contours. No focal airspace consolidation. Stable calcified granuloma in the right upper lobe. This low lung volumes. No focal airspace disease.

Low lung volumes, otherwise no acute cardiopulmonary abnormality.

94

Mediastinal contours are normal. Lungs are clear. There is no pneumothorax or large pleural effusion.

No acute cardiopulmonary abnormality.

95

The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.

No active disease.

96

Lungs are clear bilaterally with no focal infiltrate, pleural effusion, or pneumothoraces. Cardiomediastinal silhouette is within normal limits. XXXX and soft tissues are unremarkable.

No acute cardiopulmonary abnormality. .

97

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

No acute cardiopulmonary abnormality..

98

Cardiac silhouette, pulmonary vascular pattern within normal limits. No focal infiltrate, pneumothorax or pulmonary edema. No pleural effusion. Osseous structures within normal limits.

No acute cardiopulmonary disease.

99

Heart size is mildly enlarged but stable.. 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.