diff --git "a/cxrmate2_generated_reports_rexgradient_test.csv" "b/cxrmate2_generated_reports_rexgradient_test.csv"
new file mode 100644--- /dev/null
+++ "b/cxrmate2_generated_reports_rexgradient_test.csv"
@@ -0,0 +1,10001 @@
+findings,impression,study_id
+The patient has had previous median sternotomy and coronary artery bypass grafting. The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22735358327567601089576851015768204060
+There is a right-sided PICC line with tip at the cavoatrial junction. Heart size and vascularity are normal. Diffuse bilateral pulmonary infiltrates are slightly improved. No discrete effusions.,Slight improvement in the diffuse bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.36115038761447936204810173795269567817
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Aortic atherosclerosis. Old healed right-sided rib fractures.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.38812192131207274198685996995438970656
+Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis. Upper lungs clear. No pleural effusion or pneumothorax. Bones demineralized with evidence of a severe lower thoracic kyphosis.,Enlargement of cardiac silhouette. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94525330452885027318503702249981535731
+The heart size is normal. There is no effusion or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93218841405568180694376310441924495910
+"Portable AP semi upright view at 8995 hours. Extubated. Enteric tube removed. Swan-Ganz catheter remains in place, tip at the level of the right main pulmonary artery. Mediastinal drain and left chest tube remain. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax. Continued mild retrocardiac atelectasis. No pulmonary edema.","1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. No pneumothorax. Stable lung volumes and mild retrocardiac atelectasis.",1.2.826.0.1.3680043.8.498.22345114090010129482343386590230633381
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94771050485358558344907367916963019657
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.13470332080236713087306441044018671727
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39969517534170295872648639483775449488
+There is a mid inspiration. There is a mild non congestive prominence of the central bronchovascular markings. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour. There is a moderate hiatal hernia.,No active process,1.2.826.0.1.3680043.8.498.37979537477343416684680657055110569401
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51078430716719608274797237506470486397
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34547023088522016664095835392673071574
+Port-A-Cath is in place. The patient is rotated on the study. Lungs are clear. Heart size is upper normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.22858169073919364198352402786444352417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85543453273411245848096636382424641838
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.84924472216077891425185006706155385767
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41337372631705907515730224997426772296
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.68518316087199606996028979986305635003
+The cardiac silhouette is enlarged. The lungs are free of focal consolidations. There is central pulmonary vascular congestion. The aortic arch is calcified. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Cardiomegaly with central pulmonary vascular congestion. There are no focal lobar consolidations.,1.2.826.0.1.3680043.8.498.31719519057718195826341579045593504996
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88638100041757564856312466014774642174
+Trachea is midline. Heart is at the upper limits of normal in size. Aorta is tortuous. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.55946419061733403970643437663501135319
+There are patchy airspace opacities in the lower lobes bilaterally consistent with pneumonia. No effusion. Heart size upper limits normal. Degenerative changes in the thoracic spine.,Bilateral lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.53163820918758189827063884193334359076
+There is consolidation in the right lower lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.30283411607450485416850167120930288677
+The lungs are adequately inflated and clear. The heart and mediastinal structures are normal. The pulmonary vascularity is not engorged. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72654429712887950825570505020124530295
+Interval worsening of left upper lobe pneumonia. Right lung remains clear. No pleural effusion or pneumothorax. Heart size is normal.,Interval worsening of left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.45894938270095384912284136820930780627
+"Chronic interstitial markings. Mild patchy opacity at the left lung base, likely atelectasis. No pleural effusion or pneumothorax. Stable cardiomediastinal silhouette. Aortic atherosclerosis. Multiple compression deformities in the thoracic spine.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89881833591212811002052759927362192185
+Bilateral confluent airspace opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.23328494989791435771584149091853835371
+There is focal airspace disease in the right lower lobe consistent with pneumonia. The left lung is clear. Heart size is normal. There is no pneumothorax or pleural effusion.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.32900805391119336261448182343771232744
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41271652123339828192224245529370954989
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95323170060438656940477213463820041014
+"An endotracheal tube is in place with tip 4.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. A right-sided internal jugular central venous catheter with tip terminating in the mid superior vena cava. Lung volumes are low. There is cephalization of the pulmonary vasculature, without frank pulmonary edema. Bibasilar opacities may reflect areas of atelectasis and/or consolidation. Small right pleural effusion. Mild cardiomegaly. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar atelectasis and/or consolidation and small right pleural effusion. 3. Mild cardiomegaly. 4. Atherosclerosis.",1.2.826.0.1.3680043.8.498.37596351513362022679501742961868656647
+No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No displaced rib fracture.,1.2.826.0.1.3680043.8.498.74806915160385793286787746976493104293
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.60980942047278214857108489397416334457
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78168720980463115071048778885367452280
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.20607376622603725244867202503089207484
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38268926129978420234334778230793172742
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No rib fracture. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.48957843228950609143758154378927009772
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Minimal right basilar subsegmental atelectasis is noted. The visualized skeletal structures are unremarkable.,Minimal right basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.34835618780653925331459346988850848662
+Upper normal heart size. Mildly tortuous thoracic aorta. Mediastinal contours and pulmonary vascularity otherwise normal. Subsegmental atelectasis at both lung bases. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones demineralized.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36718788597288494251583097359735026737
+"Resolved nodular opacities in the right lung. The cardiomediastinal contours are normal. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Resolved nodular opacities in the right lung consistent with resolved COVID-19 pneumonia. No acute chest finding.,1.2.826.0.1.3680043.8.498.86291030004684934041847226358994920488
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31966224306084672816121484426214766320
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.77955702505836296956464500643665853520
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89467820350178430150202046572674515408
+The heart and mediastinum are within normal limits. The lung volumes are slightly diminished. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45490236693479987164025664599242247560
+"Heart: Normal. Lungs: There is suggestion of bilateral perihilar, peribronchial thickening and minimal scattered chronic lung changes throughout both lung fields. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.","Suggestion of minimal scattered chronic lung changes throughout both lung fields and bilateral perihilar, peribronchial thickening with no gross evidence of associated focal infiltrate. Consider correlation with PA and lateral chest x-ray and/or CT chest to better evaluate if there remains clinical concern.",1.2.826.0.1.3680043.8.498.95027485026471136852042829521843187290
+"Normal mediastinum and cardiac silhouette. Normal pulmonary vasculature. No evidence of effusion, infiltrate, or pneumothorax. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.75079931184626742090405289785093252705
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93271237004045053192518545948686236096
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.62239057462624028629081349791790432221
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30354434835229218894238030692607965061
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82464092114796424939656291323431880766
+There is a right-sided venous catheter with the tip projecting over the right atrium. There is a left-sided venous catheter with the tip projecting over the right atrium. There are small bilateral pleural effusions. There is a small area of infiltrate at the right lung base. There is atelectasis at the left lung base. There is no pneumothorax. The heart size is stable.,1. Small bilateral pleural effusions with adjacent atelectasis. 2. Small area of infiltrate at the right lung base which may represent atelectasis or developing pneumonia.,1.2.826.0.1.3680043.8.498.14129210595789196886994659705074646867
+The patient is status post partial lobectomy of the left lung. There is no pneumothorax. There is atelectatic change in the left mid lung and right base regions. No consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Status post partial lobectomy on the left. Areas of mild atelectatic change. No consolidation. No pneumothorax. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.58454522844862367685918731147937457430
+"Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. Enteric tube in place, tip and side-port below the diaphragm. Lung volumes are low. The heart is normal in size. Normal mediastinal contours for technique. No pneumothorax. No pleural effusion. No acute fracture.",1. Endotracheal tube in place with tip 2.2 cm from the carina. Enteric tube in place with tip and side-port below the diaphragm. 2. Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23612776210840399921448541339213520143
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified. Cervical ACDF noted.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55313775366750245164169802609185421955
+Endotracheal tube is 5.6 cm above the carina. Right central line tip is in the SVC. NG tube enters the stomach. There is mild atelectasis at the right lung base. No evidence for pneumothorax.,Stable position of endotracheal tube. New atelectasis at the right base.,1.2.826.0.1.3680043.8.498.69934972518550767230365974161945131699
+Cardiac shadow is stable. Right chest wall port is again seen and stable. There is a left upper lobe mass again identified and stable from the prior exam. No new focal infiltrate is seen. No bony abnormality is noted.,Stable left upper lobe mass. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.84307951139024973893418009826641861567
+"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.80641547996231510085208386149367920833
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.63208849674605733739403058990493729963
+Cardiac shadow is within normal limits. The right lung is clear. There is a large masslike density in the left upper lobe with associated effusion consistent with neoplasm. No bony abnormality is noted.,Large left upper lobe mass with left-sided pleural effusion. CT of the chest with contrast is recommended for further evaluation.,1.2.826.0.1.3680043.8.498.34320920207765967618359292389165094803
+Endotracheal tube tip is 2.5 cm above the carina. No pneumothorax. There is a new focal infiltrate in the left mid lung. There is also atelectatic change in the left base. There is a minimal left effusion. The right lung is clear. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,"Tube and catheter positions as described without pneumothorax. New infiltrate left mid lung, felt to represent a focus of pneumonia. Persistent left base opacity, likely atelectasis. Minimal left effusion. Stable cardiac silhouette. There is aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.76798502881830724887663946639281255202
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39849379565478859277597311666388293687
+"Shallow inspiration. Borderline heart size and pulmonary vascularity, likely normal for technique. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Calcified and tortuous aorta. Degenerative changes in the spine.",Shallow inspiration. No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.50399257221634662093964120552655464711
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44485552650852263547642559856364356624
+Heart is upper limits normal in size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87540688141941752931915675424993673078
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13936692289121615986538045837634085756
+"Heart is normal size. Linear density noted in the lingula, scarring or atelectasis. Right lung is clear. No effusions. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67983816268530575489015027732269221773
+Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. Right subclavian line with tip at the SVC. Hazy bilateral chest opacification from layering pleural effusions. Diffuse interstitial opacity that is stable. No pneumothorax. Normal heart size.,Stable hardware positioning and pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.60177631053020631923759588681786482558
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92795431642341967890255609254882597452
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40749252209434285875313378423838546547
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56305773768457262008925513191006445703
+"Mild cardiomegaly. There is a moderate size hiatal hernia. No significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax.",1. Please see above.,1.2.826.0.1.3680043.8.498.38877705733668484345293326518684505056
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29751829084641998724056348323324868534
+Cardiomegaly is noted. No acute infiltrate or pleural effusion. No pulmonary edema. Thoracic aorta is tortuous.,No active disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.52703160368978665636617430360461631936
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.19081715769976209323242374333168201058
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71710636147731143234584974293427022936
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79317883866344830673689854695746293694
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracolumbar scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70822035264589054878087624567987011363
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36475963984666757151785025494117958016
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. Linear areas of scarring at the left lung base. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.81372927689118741595150850348866785115
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.96146745484332912405908900130471181829
+The lungs are well-expanded. The cavitary lesion in the right upper lobe is again demonstrated. There is persistent rightward shift of the mediastinum. There is pleural thickening versus pleural fluid at the right lung base. The interstitial markings of the left lung are increased diffusely. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The tracheostomy tube tip lies 2.5 cm above the carina. The bony thorax exhibits no acute abnormality.,COPD. Persistent large cavitary lesion in the right upper lobe. Diffuse interstitial infiltrates throughout the left lung consistent with pneumonia. There is a probable small right pleural effusion. The cavitary process is relatively stable. The tracheostomy tube is in appropriate position.,1.2.826.0.1.3680043.8.498.18990734094279170856345370907923044444
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No rib abnormalities are identified.,No acute cardiopulmonary process. No rib abnormalities identified.,1.2.826.0.1.3680043.8.498.88744967590801281412074160403534621366
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect bronchitis.,1.2.826.0.1.3680043.8.498.35214205751055065920548041866801579807
+There is peribronchial thickening. No focal airspace disease or effusion. Lung volume is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.64839340916481353656580627179275388743
+The heart is normal. The lungs are clear. Mediastinal contours are normal. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.51168018283656127588798914884679118711
+"Small bilateral pleural effusions are again noted, perhaps slightly worsened from the prior study. Vascular congestion is again noted, with patchy bilateral midlung and lower lung airspace opacities, concerning for multifocal pneumonia. No pneumothorax is seen. The heart is mildly enlarged. No acute osseous abnormalities are identified.","Small bilateral pleural effusions again noted, perhaps slightly worsened from the prior study. Vascular congestion and mild cardiomegaly, stable. Patchy bilateral midlung and lower lung airspace opacities, concerning for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.23722214196915549030846579862022860442
+The heart is mildly enlarged. There is tortuosity of the thoracic aorta. The pulmonary hila appear normal. The lungs are clear of an acute process. No pleural effusions. No worrisome pulmonary lesions. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.58648821805436587405059506172745505003
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29028010212200985305555935072259341553
+"Normal cardiac silhouette. Left central venous catheter tip projects over mid SVC. No consolidation, effusion, or pneumothorax identified. Pulmonary vascular congestion. Bones are unremarkable.",Pulmonary venous hypertension. No consolidation.,1.2.826.0.1.3680043.8.498.34637305244636544684582970362362563409
+Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: No significant osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26936370365947700217139909747616564768
+There is persistent left lower lobe atelectasis with an associated small left pleural effusion. The right lung remains clear. The heart size is normal.,Stable left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.19688565864541870853519540743671783572
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72060729187642935160366127741259141380
+"Low lung volumes. There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No grossly displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.38622340591320627699012724859520668538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56273694591299926227720428180632120564
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94125597725169344065174038651244993021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57210850833152897066277127757374652510
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71324256043904447447301620548400467844
+The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.95528122358104033984040801011575113324
+Large mass-like area of consolidation in the right lower lobe. This measures approximately 6.6 x 6.6 cm on the frontal view. There is an associated right pleural effusion. The left lung is clear. Normal heart size and shape. Bony thorax intact.,Right lower lobe mass-like consolidation is concerning for primary lung neoplasm. Recommend CT of the chest for further evaluation.,1.2.826.0.1.3680043.8.498.91531097300750895173821687845840365989
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11891858750630945270605620241073388043
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23895590936019859930473119405031206194
+Left chest tube has been removed. There is a tiny left apical pneumothorax. Left lower lobe pulmonary nodule is unchanged. There is minimal left lower lobe atelectasis.,1. Tiny left apical pneumothorax after left chest tube removal. 2. Otherwise no change.,1.2.826.0.1.3680043.8.498.59068876970418484645121735947570134302
+The heart is enlarged. There is pulmonary vascular congestion with evidence of interstitial edema. There is a small left pleural effusion. There is no pneumothorax. The bony structures appear intact.,1. Cardiomegaly with pulmonary edema and left pleural effusion. Correlate for congestive heart failure. 2. Some minimal left lung base pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.49744543522166152499561105748643136461
+"Left arm PICC tip is in the SVC. Heart size is normal. There is no heart failure, infiltrate or edema. There is a small right pleural effusion.",Small right pleural effusion. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.46873472403523516530464987220507628734
+No focal pneumonia or pneumothorax. The heart size is normal. Pulmonary vasculature is unremarkable. No acute osseous findings.,No acute cardiopulmonary findings. No displaced left-sided rib fracture is identified.,1.2.826.0.1.3680043.8.498.60371676242976630786215954263322476114
+The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.15427685484680043721350161091283909923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51787475220126563617871690461339552657
+The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.57702701234479789312125114276373342570
+There is airspace consolidation throughout the left lower lobe with left pleural effusion. There is a moderate right pleural effusion with right base atelectasis. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. Central catheter tip is in the superior vena cava. Feeding tube tip is below the diaphragm. No pneumothorax.,Left lower lobe consolidation with left pleural effusion. Right base atelectasis with right pleural effusion. There is a degree of underlying congestive heart failure.,1.2.826.0.1.3680043.8.498.55296772191097253390222729810578227165
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64599389697892110166467421926925615404
+"Persistent moderate RIGHT pleural effusion, not significantly changed. RIGHT basilar atelectasis, unchanged. No new pulmonary parenchymal abnormalities. No pneumothorax. Cardiac silhouette normal in size, unchanged. Thoracic aorta atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Pulmonary vascularity normal. Degenerative changes involving the thoracic spine.",Stable moderate RIGHT pleural effusion and RIGHT basilar atelectasis. No new abnormalities.,1.2.826.0.1.3680043.8.498.40960950996091394646428894648461503713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85802782087946557547301465373877584612
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49867309723655264880213482295851502480
+Stable normal sized heart and right axillary surgical clips. No rib fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.72952069271653465043138627630635055882
+"Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61593476785510914659168714733957400442
+There is some central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.17937246431974893915219105506825011057
+Again seen is a right upper lobe mass. Right lower lobe nodules also noted. COPD changes present. No effusions. Heart is normal size. No acute bony abnormality.,Right upper lobe mass and right lower lobe nodule. COPD.,1.2.826.0.1.3680043.8.498.58864635406367122675129068883866208313
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54472432037687463850176014338051161429
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51152603621449629792175410600822886475
+"Two views of the chest show a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31759197911960848460076721225834411220
+Trachea is midline. Heart is enlarged. Pacemaker lead tips project over the right atrium and right ventricle. A moderate right pleural effusion and right basilar air space disease persist. Left basilar airspace disease. Small left pleural effusion.,"1. Persistent right basilar air space disease and bilateral pleural effusions, right greater than left. 2. Left basilar airspace disease may represent atelectasis.",1.2.826.0.1.3680043.8.498.88425277330598571147655166930456461644
+Cardiac silhouette normal in size. Hilar and mediastinal contours unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79315020348272085583007880538721319221
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24166075028145367285546292846479176451
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53198738011532418089223544150621979739
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.62532784880809357409347241640134065372
+The lungs are clear. No pleural abnormality is seen. The heart is enlarged. Median sternotomy wires and mediastinal surgical clips are seen. The visualized bony structures are unremarkable.,No evidence of active chest disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.23572142574195028389589477781088876146
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is status post median sternotomy and CABG. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.70438124467413858243479224080960888525
+The lungs are well-aerated. Focal opacity at the left midlung zone is thought to reflect overlying soft tissues. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.75057576791796550581384694308456062335
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95465933042005416474000013124571722202
+Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91106954874035184044506342878057929715
+The lungs are well-expanded. There is increased density in the right upper lobe. There is a small right pleural effusion. There is minimal atelectasis at the left lung base. The heart and pulmonary vascularity are normal. The porta cath appliance tip projects over the midportion of the SVC. The bony thorax exhibits no acute abnormality.,COPD. Increasing density in the right upper lobe consistent with pneumonia. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.81875181679752395458838203257938564507
+The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. Fixation hardware is noted in the lower cervical spine. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.38574139376002925464413793421725243331
+Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations. No pleural effusions. No evidence for pulmonary edema.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82911221139552779084421615771031738717
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69280156370578356454990912670584593579
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48657845866818506697900004156709831698
+"There is a coin in the upper abdomen, right of midline. The lungs are clear. The cardiomediastinal silhouette is normal. There is no pleural effusion. There is no pneumothorax. The osseous structures are unremarkable.",No acute pulmonary disease. Foreign body in the upper abdomen right of midline.,1.2.826.0.1.3680043.8.498.48755300319377808116030491709505322484
+Right IJ Port-A-Cath is stable position. Stable cardiomegaly. Persistent right mid and lower lung consolidation with mass. This appears slightly more prominent than on prior chest x-ray. This is consistent with patient's known lung cancer. No prominent pleural effusion. No pneumothorax.,1. Right IJ Port-A-Cath is stable position. 2. Persistent right mid and lower lung consolidation with mass. This appears slightly more prominent than on prior chest x-ray. This is consistent with patient's known lung cancer.,1.2.826.0.1.3680043.8.498.41410370789342911798016884350376665068
+The heart size is normal and stable. The thoracic aorta is mildly atherosclerotic but unchanged. The hilar and mediastinal contours are otherwise unremarkable. The lungs remain hyperinflated with mild scarring in the right upper lobe. Mild central peribronchial thickening is unchanged. No new pulmonary parenchymal abnormalities are identified. There are no pleural effusions. Mild degenerative changes are again noted throughout the thoracic spine. There has been no significant interval change.,COPD. No evidence of acute disease. Stable since [DATE].,1.2.826.0.1.3680043.8.498.49137839692980726655191662888363570445
+"An endotracheal tube is in place with tip 2.9 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. No acute consolidative airspace disease. No definite pleural effusions. Mild pulmonary venous congestion, without frank pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Mild cardiomegaly with pulmonary venous congestion, but no frank pulmonary edema. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.22488161410045425795895542105783818779
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85654332411415896190552486002082540647
+"Right PICC line is in place. The tip is in the mid right atrium. Recommend pulling back approximately 6 cm. Left pacer is unchanged. There is cardiomegaly. Patchy bilateral airspace disease again noted, not significantly changed. Small bilateral effusions.",Right PICC line tip in the mid right atrium. Recommend pulling back 6 cm. No change in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.24831099519523791607614059402235318190
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77107848285054965051364824103188259047
+There is cardiomegaly and pulmonary edema. No focal airspace disease is identified. No definite effusion.,Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.98469721234098076341676512622322398645
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is mildly enlarged but stable in size as compared to the prior exam. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. The heart appears mildly enlarged but is stable in size as compared to the prior exam.,1.2.826.0.1.3680043.8.498.65945192252362755049142180499377861416
+The inspiratory level is less than optimal. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial markings compatible with interstitial edema. Atelectasis is noted at the right base. The heart is mildly enlarged. The mediastinal and osseous structures show no acute changes.,1. The inspiratory level is less than optimal. 2. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 3. No definite pneumonia is seen. 4. There is haziness at the right base consistent with atelectasis. 5. The heart appears mildly enlarged.,1.2.826.0.1.3680043.8.498.22275251823661248936431232923544427532
+There is hyperinflation compatible with COPD. Heart is upper limits normal in size. No confluent airspace opacities or effusions. Degenerative changes in the thoracic spine.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.75231753096210855555370609944095981871
+Cardiomegaly and CABG changes again noted. Left lower lung consolidation/atelectasis and small bilateral pleural effusions are again noted. There is no evidence of pneumothorax. Bilateral rib fractures and left clavicle fracture again noted.,Little significant change with continued left lower lung consolidation/atelectasis and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.66536950157230679681710907451842157778
+"Lung volumes are low. There is interstitial pulmonary edema with a component at the left lung base. No consolidative process, pneumothorax or effusion. Heart size is normal.",1. Pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.51014787206921033842614382361964161366
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11834133254965170117016994515717051296
+The heart is upper limits of normal. The aorta is tortuous and calcified. There is mild tortuosity of the thoracic trachea. The lung volumes are low and there is bibasilar atelectasis. No edema or effusions. Colonic interposition is noted on the right side.,Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.22124565933381201315358242105704673835
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27993135137441899973870187108568482676
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22829272784657869896830561060935195728
+"Endotracheal tube is 1.2 cm above the carina. OG tube is in the stomach. UVC is at the T7 level. UAC tip is at the T6-7 level. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, slightly improved since prior study. No effusions or pneumothorax.","Mild hazy opacities in the lungs, slightly improved since prior study.",1.2.826.0.1.3680043.8.498.41692895841178428758676380982268302903
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16022039754824660718359777433733522355
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99133367433360036335886840741938626140
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Patchy infiltrates in the mid to lower lungs bilaterally consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.27573015262969599261782468075916473259
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.44918210800587058803866469422584033707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54241040276471732108834929144033941295
+Linear atelectasis or scar at the left base. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease. Scarring or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.19567687845779078920932461951780474991
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19839759818829701787169987929008805760
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15750408349818098403994208324106116960
+Hyperinflation of the lungs compatible with COPD. No infiltrate or congestive heart failure. Atelectasis at the left lung base. No plain film evidence of pulmonary malignancy. Atherosclerotic calcification of the aorta. Heart size within normal limits. Left shoulder arthroplasty. Right shoulder degenerative changes.,COPD. Atelectasis at the left lung base. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.42453905367373011133483300064223404832
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29884881555430649838907269326686174380
+Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Tracheal air column is within normal limits. No consolidation or pleural effusion. There is central peribronchial thickening. No confluent airspace opacity. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting.,1.2.826.0.1.3680043.8.498.38059852217694392345362988881109517138
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94965788448188538509755827979791119757
+Small left pleural effusion similar to prior radiograph. Left lung base atelectasis. The right lung is clear. No pneumothorax. Stable cardiac silhouette. No acute osseous pathology.,1. No pneumothorax status post thoracentesis. 2. Small left pleural effusion and left lung base atelectasis.,1.2.826.0.1.3680043.8.498.57347686842191326113253217076987476471
+There is no pneumothorax. The heart is mildly enlarged. There is pulmonary vascular congestion and bilateral pulmonary edema. A small left pleural effusion is present. The bony structures are unremarkable.,1. No evidence of pneumothorax. 2. Findings suggestive of pulmonary edema. Correlate for congestive heart failure.,1.2.826.0.1.3680043.8.498.30277975092887482331801788109563080351
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Left lower lobe pneumonia has resolved.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76433134690721610514196474304932022525
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.85797436937136223968886936310409143295
+Tracheostomy tube in place. Heart is normal size. Aorta is tortuous. Biapical pleural thickening. Increased opacity at the right upper lobe concerning for infiltrate. No pulmonary vascular congestion. Degenerative changes of the spine. Follow-up PA and lateral radiograph suggested for better assessment of the lung bases.,Suspect right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.90344980058794074776566232208464820085
+"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.24367236590606084319068685304057628082
+There is increased density at both lung bases suggestive of atelectasis versus infiltrate. There is no effusion or pneumothorax. The heart is at the upper limits of normal in size. There is a retrocardiac density suggestive of a hiatal hernia.,Basilar atelectasis versus infiltrate. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.36204146646545374550167401933308375692
+"The heart is mildly enlarged. The lung fields are clear. There is no bony abnormality. There is no effusion, infiltrate or edema.",Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76364821481848578399373339817226388784
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33888136884310425574160793278334556820
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13884337452369248461241633130406861160
+Shallow inspiration. Normal heart size and pulmonary vascularity. Focal airspace disease in the right lung base likely to represent pneumonia. Linear atelectasis or infiltration in the left lung base. No blunting of costophrenic angles. No pneumothorax. Calcified and tortuous aorta.,"Infiltration or atelectasis in the lung bases, greater on the right.",1.2.826.0.1.3680043.8.498.59549033895967710893963098963239164581
+The lungs are adequately inflated. There is elevation of the left hemidiaphragm. The interstitial markings on the left are mildly increased but this is not a new finding. The confluent alveolar infiltrate on the left has cleared. The right lung is clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The observed portions of the bony thorax exhibit no acute abnormalities.,There is no evidence of residual pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64555753999107113873099167586239308849
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28716778628832098854249814324039004621
+The lungs are adequately inflated. There is linear density lateral to the left heart border that suggests atelectasis or scarring. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97753444409160505131021348477556354545
+"Tracheostomy tube and right IJ catheter are in place. The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is tortuosity and calcification of the thoracic aorta. Left lower lobe process is likely a combination of effusion and atelectasis. The right lung is clear. No pneumothorax. The bony thorax is intact.","Left lower lobe process, likely a combination of effusion and atelectasis.",1.2.826.0.1.3680043.8.498.11429473058895803944840841393486966111
+"Umbilical venous catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Umbilical artery catheter is seen with tip at the level of T7-8. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. Bowel gas pattern is normal.",Umbilical artery and venous catheters in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.88714720015822683868604484278355708438
+"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51175098716763063908105491778787916420
+There is interstitial pulmonary edema. Heart size is normal. No pleural effusion. No focal bony abnormality.,Pulmonary edema compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.83149423048579392066368344175871898089
+"Right arm PICC tip is in the lower SVC. Heart size is at the upper limits of normal. Chronic interstitial lung disease is again seen. No evidence of focal airspace disease, pleural effusion, or pneumothorax.",No acute cardiopulmonary process. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.17562308982103862078197184399806543096
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14108123424173664455460818213799036182
+"Swan-Ganz catheter has been removed. Right jugular sheath remains. Changes of aortic valve replacement. Left chest tube and mediastinal drain remain in place, unchanged. No pneumothorax. Left lower lobe atelectasis and small left effusion, slightly increased. Mild right base atelectasis and small right effusion.",Postoperative changes. No pneumothorax. Increasing left lower lobe atelectasis and left effusion.,1.2.826.0.1.3680043.8.498.22145827433314451910925780804888114702
+Right PICC is in place with tip in superior vena cava. No pneumothorax is evident. The cardiac silhouette is moderately enlarged. There is ectasia of thoracic aorta. There is elevation of the right hemidiaphragm with minimal right basilar atelectasis. No pulmonary edema is seen.,Right PICC in place with tip in superior vena cava. No pneumothorax is evident. Cardiomegaly with ectasia of thoracic aorta. There is elevation of the right hemidiaphragm with minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.54406356505015689714006982256347813809
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78167562852524270353873858693191444549
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61159993745735542546811873409424346250
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. The lungs appear mildly hyperinflated. Mild diffuse interstitial prominence. No focal consolidation. No visible pleural effusions or pneumothorax. The visualized skeletal structures are unremarkable.,"1. Hyperinflation of the lungs, suggesting COPD. 2. Diffuse interstitial prominence, which could represent bronchitic change versus mild edema.",1.2.826.0.1.3680043.8.498.39023573400138609711658967408889022387
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. Low lung volumes.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22511612051231352935916179980369616726
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12764128444391929685704988747964313207
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76026320580928509145474042178784458622
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68624638143283286093000010857157485915
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55348678356968154546689454443090443362
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.29017370572055749032818106274411396519
+"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is mildly engorged and indistinct. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",Low lung volumes with mild interstitial edema.,1.2.826.0.1.3680043.8.498.78694373574322110705123694097449385345
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.72199162324832222085486045464703282695
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88817372770387238631477300652103716640
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.48797638155348100289497768526395306625
+AP portable semi upright view 4786 hours. Left chest tube in place. Re-expansion of the left lung with trace residual apical pneumothorax. Mildly decreased lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pleural effusion. Mild atelectasis at the lung bases.,1. Left chest tube placed with re-expansion of the left lung and trace residual apical pneumothorax. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.75288284660739212552874038361553914527
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.12961717204926521380161389173478013787
+Bilateral confluent opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.79971255262469109314732681958229775414
+"Left PICC line is in place with the tip at the cavoatrial junction. There is cardiomegaly. Diffuse bilateral airspace disease, left greater than right. Layering left effusion. No acute bony abnormality.","Cardiomegaly with bilateral airspace disease, left greater than right, likely edema. Layering left effusion. Findings could reflect CHF.",1.2.826.0.1.3680043.8.498.68650536928297187978521936335380545768
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute pulmonary process.,1.2.826.0.1.3680043.8.498.42888749711382470516973038028801171610
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.15709389603967735577001678281812372019
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.57004335185560211836564729166486939283
+"Since 1/1/2014, no pneumothorax with slight decrease in left basilar atelectasis seen. Lungs otherwise clear with normal heart size. Port-A-Catheter position remains stable.",1. No pneumothorax post thoracentesis. 2. Slight decrease in left basilar atelectasis. 3. No new acute findings.,1.2.826.0.1.3680043.8.498.56161911920887712884875301312201651317
+The lungs are hypoinflated. The interstitial markings are more prominent today. The left hemidiaphragm is less well demonstrated. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. A followup PA and lateral chest x-ray would be of value when the patient can tolerate the procedure.,1.2.826.0.1.3680043.8.498.54233705698069545962927937387238364626
+Linear scarring or atelectasis at the lingula. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50224059761104517708603081006638733455
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57680630431652714942642084473772294286
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64507448234763301127036992886978658085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73739850953456342333194775833318659474
+"An orogastric tube is in place with its tip in the stomach. The cardiothymic silhouette is normal. Mild hazy opacities are consistent with mild RDS. No consolidation, pleural effusion or pneumothorax is identified. The visualized bowel gas pattern is unremarkable.",Mild RDS.,1.2.826.0.1.3680043.8.498.72211672854440034299640798751969549952
+There is little change in opacity at the left lung base. This may represent atelectasis or pneumonia. The right lung is clear. No effusion is seen. The heart is within upper limits of normal. No bony abnormality is noted.,Persistent opacity at the left lung base. Atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.39587518373902019597898584156794666557
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57923926197254818990494069927643089128
+Sternotomy wires are present. Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61727365104739615603798734626393736227
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38262201195668509151705783431639856222
+Interval placement of a right internal jugular central venous catheter with the tip in the proximal SVC. Endotracheal tube is 3.6 cm above the carina. Enteric tube in place. Stable heart size. Persistent low lung volumes with atelectasis at the left lung base. No pneumothorax. No pulmonary edema.,1. New right internal jugular central venous catheter with the tip in the proximal SVC. 2. Stable endotracheal tube and enteric tube. 3. Stable atelectasis at the left lung base.,1.2.826.0.1.3680043.8.498.64519123640012616505233947073681510970
+"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.92683176475179833453898975724617970823
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88942791884880802342446714281955371279
+OG tube is in place with the tip in the stomach. Heart is normal size. Lungs clear. No effusions. No acute bony abnormality.,OG tube in the stomach. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79946917958544631659682764419177170273
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86308594142635968427811228945576930285
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78913517805445801648068018031303213446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44411195795823768533475776494714786982
+"Unchanged endotracheal tube, Swan-Ganz catheter and enteric tube. Unchanged right-sided chest tube. Stable cardiomediastinal silhouette status post mitral valve repair. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax.",1. Unchanged postoperative chest x-ray. 2. Stable position of support apparatus.,1.2.826.0.1.3680043.8.498.30515119042162389830174357343605766497
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.59828156572691657557979179368381285914
+"Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Moderate LEFT pleural effusion with bibasilar atelectasis, greater on LEFT. Upper lungs clear. No pneumothorax. Bones demineralized.","Persistent bibasilar pleural effusions and atelectasis, not significantly changed. Enlargement of cardiac silhouette post CABG.",1.2.826.0.1.3680043.8.498.80958765802355819987712083472175994190
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.75768185373811386766668194280653857222
+There is linear density at the lung bases suggestive of atelectasis or minimal fibrosis. The lungs otherwise appear to be clear. The heart is normal. The bony and mediastinal structures are unremarkable.,No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.52432491382673836544598255454453631513
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.81816033124853801045927275738286155320
+Lungs are hyperinflated. Heart size is normal. There are no focal consolidations or pleural effusions. No pulmonary edema.,Hyperinflation. No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.41328765777613795642205841026937858456
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.37322297307875803029991347471301679148
+Lung volumes are somewhat low. There is mild left basilar atelectasis. The lungs are otherwise clear. Heart size is upper normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.84893519352411602166339232686611539762
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33397226485572808370663826956440850812
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33557155633290825780356795923111957280
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23377798665010350846593375153170753685
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67591765434172930091146124677020833298
+Mediastinum and hilar structures normal. Heart size normal. Right apical pleural-parenchymal thickening noted most consistent with scarring. COPD. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,COPD. Right apical pleural-parenchymal thickening noted most consistent with scarring.,1.2.826.0.1.3680043.8.498.39673453832972788865831431664332364028
+"Cardiac silhouette moderately enlarged but stable. Mild diffuse interstitial pulmonary edema, improved since the examination 2 months ago. Baseline changes of bronchiectasis and mild to moderate central peribronchial thickening, again demonstrated. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity.","Stable cardiomegaly. Improved pulmonary edema since February, 2009. Stable baseline changes of bronchiectasis and moderate central peribronchial thickening consistent with the given history of asthma. No new/acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.17255539552651832307821539357976246254
+There is chronic elevation of the right hemidiaphragm. There is linear atelectasis or scar at the right lung base. The lungs are otherwise clear. Heart is upper normal in size. The pulmonary vascularity is normal. No effusions. No acute osseous abnormality.,No acute cardiopulmonary disease. Stable elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.34062907922967463018285853730601153219
+Low lung volumes are again noted. Left lower lobe atelectasis or infiltrate is again seen and without significant change. Small left pleural effusion is also stable. No pneumothorax identified. Cardiomegaly is stable. Prior CABG again noted.,"Stable left lower lobe atelectasis, left lower lobe infiltrate, and small left pleural effusion. No significant change since prior exam.",1.2.826.0.1.3680043.8.498.51441377941247680690262854914494169267
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15624217648106487243749683142807763831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82247802762492475922012094105056714403
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72509756182343665580008071315071815926
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41376497486560361092892088999575778815
+"There is persistent airspace consolidation in the right middle lobe region, similar to prior study. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.","Persistent right middle lobe consolidation consistent with pneumonia. This area of consolidation is similar to prior study but is more apparent compared to recent study of February 04, 2012. Stable cardiac silhouette.",1.2.826.0.1.3680043.8.498.45121806598902914849451953543091318990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24687255503686004066078106796032651520
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits. No bony abnormalities identified.,Normal chest.,1.2.826.0.1.3680043.8.498.29506556638594785968093839201311843988
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78994118812356026551677504716335793131
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36170700306105121284915916268230644987
+There is interstitial pulmonary edema. The heart is mildly enlarged. No pleural effusions are noted. No focal airspace consolidation.,1. Interstitial edema. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.87378325922769505753883870182459355184
+Linear scarring or atelectasis at the right base. Left lung clear. Heart is normal size. No effusions or acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49747899352532832905693511712647406532
+"There is again noted increased density at the right base consistent with postsurgical change and apparently secondary to prior right middle lobe resection. No pneumonia, pneumothorax or pleural effusion is seen. No acute bony abnormalities are identified.",Stable appearing chest as compared to the prior exam of 9/4/2013. No acute changes are identified.,1.2.826.0.1.3680043.8.498.48139743909152955288849406668754252649
+"The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right upper quadrant surgical clips, presumably cholecystectomy.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44348478481640400895247283912542343135
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63351843668837011491671573031153975132
+Low lung volumes. Bibasilar atelectasis. Mild vascular congestion. Heart is borderline in size. No definite effusions. No acute bony abnormality.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.75195337385626433762687135379742283058
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37448111218641082097014691011645236106
+There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.15730825913413994097897028207190402708
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.83142573686984154449778818776003331755
+Endotracheal tube is 4.5 cm above the carina. Right Port-A-Cath is in place with the tip at the cavoatrial junction. NG tube enters the stomach. There is cardiomegaly with diffuse bilateral airspace disease. No effusions. No acute bony abnormality.,Cardiomegaly with diffuse bilateral airspace disease which could reflect edema or infection. Support devices as above.,1.2.826.0.1.3680043.8.498.27572557323560687365591030645047517427
+There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There is a small left pleural effusion and left base atelectasis. The right lung appears clear.,1. Left base atelectasis and effusion. 2. Cardiac enlargement.,1.2.826.0.1.3680043.8.498.66819741729049847020598195071109615134
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.94238530919480061525855596877197702400
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs demonstrate bibasilar atelectasis. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.16565995526700157434819367642131792340
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99316137978794972855545784354923497847
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.45605918392385378263825440759476571901
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10918289956549747576102227395329091610
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild peribronchial changes are noted consistent with a viral etiology. The upper abdomen is within normal limits. No bony abnormality is seen.,Increased peribronchial changes as described.,1.2.826.0.1.3680043.8.498.64052333591379514657854943365769131229
+Right IJ catheter tip is in the right atrium. Normal heart size. Small left pleural effusion and basilar airspace disease. No pneumothorax.,Small left effusion and basilar airspace disease.,1.2.826.0.1.3680043.8.498.38986226274304262347601219943696481603
+Bullet projects over the left upper chest. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.69007612124406275914174857160074169600
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48524499138850212223188729108290291225
+Mediastinal and hilar structures normal. Lungs are clear. No pneumothorax. No acute bony abnormality. No evidence of displaced rib fracture.,No acute or focal abnormality.,1.2.826.0.1.3680043.8.498.77221220351561230115614566796712163818
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75435269544525994179208499376851947789
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55386346139290823478336557748291642400
+"Upper normal heart size. Atherosclerotic calcification aorta. Lungs clear. No infiltrate, pleural effusion or pneumothorax. No acute osseous findings.",No active disease.,1.2.826.0.1.3680043.8.498.30477712002624989341692868778398993510
+There is a right-sided pacer with leads in the right atrium and right ventricle. No pneumothorax is identified. The heart is enlarged. There is a left pleural effusion with overlying atelectasis. There is improved aeration of the right upper lobe.,1. No evidence for pneumothorax after pacer placement. 2. Left pleural effusion with overlying atelectasis. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.85243509679832447056390972767559181804
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50391540154559130563101462687827914050
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.57530304327821725701591810935482698002
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17986484411792562373072507347193080320
+The heart is enlarged. The aorta is atherosclerotic. There is mild pulmonary vascular congestion. Diffuse interstitial infiltrates are increased since previous. Small bilateral pleural effusions are suspected. There is no pneumothorax.,1. Cardiomegaly and mild CHF. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.25682284272552729870679800908938860788
+Left subclavian central venous catheter is in place with the tip in the superior vena cava. There is no pneumothorax. Basilar atelectasis is noted. Mild interstitial edema is evident.,1. Left subclavian central venous catheter without complication. 2. Mild edema and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31752228777837198050441197909685517838
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78333193474264039036973752630161998403
+Cardiomediastinal silhouette is normal. Mildly calcified aortic knob. Similar chronic interstitial changes with hyperinflation. No pleural effusion or focal consolidation. No pneumothorax. Osteopenia. Soft tissue planes are nonsuspicious.,"COPD, no acute cardiopulmonary process.",1.2.826.0.1.3680043.8.498.92531309069831701746798396516946713620
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66952816082096970741531957110993823244
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62064600605646330150809629894815473740
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61684967643910571905555479485397103945
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26339030169975804372411182324144584870
+The heart is enlarged. There is left lower lobe opacity which is a combination of pleural fluid and atelectasis. Chronic interstitial changes are noted. No evidence for pulmonary edema. No evidence for pneumothorax.,1. Cardiomegaly. 2. Left lower lobe process likely a combination of pleural fluid and atelectasis. 3. Chronic interstitial changes.,1.2.826.0.1.3680043.8.498.55380125494495625111794437841093408207
+"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.12693287898107387114543092167373691204
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.94764636872382078315832035635776983301
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.88447148536186395211411952414752563890
+The nasogastric tube tip is in the stomach. The lung volumes are low. There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Low lung volumes. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.99264696052090844978985492695075120802
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97714395547481890168119384617654992227
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22414657716554484916792038923519042612
+"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified. Negative visible bowel gas pattern.",Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.92877537870910370062029188872616455242
+There is a right paratracheal mass extending from the superior aspect of the mediastinum to the aortic arch. Heart size is normal. The lungs are clear. No effusions. No osseous lesions.,Right paratracheal mass extending up into the neck. Heart size is normal. The lungs are clear.,1.2.826.0.1.3680043.8.498.30198521571027005527825751753846691921
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No pneumothorax. Low lung volumes.,No acute disease.,1.2.826.0.1.3680043.8.498.92895027325261997252534990377071507385
+There is increased density in the upper lung fields bilaterally. The finding is suggestive of bilateral pneumonia. Some of the density seen may be secondary to a hiatal hernia behind the heart. The heart is enlarged. There is no significant effusion. The bones are osteopenic.,1. Findings suggestive of bilateral pneumonia. 2. Cardiomegaly. 3. A component of superimposed congestive heart failure may be present. Correlate clinically.,1.2.826.0.1.3680043.8.498.16614109954561660900644269265399586296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36029848131930325443145861026604835135
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40892995359347024523477529069107832786
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48380206957420124190779009569314754757
+The heart is enlarged. There is a probable left nipple shadow. There is a small left pleural effusion. The lungs are otherwise clear.,1. Cardiomegaly. 2. Small left pleural effusion with probable left nipple shadow. A repeat PA film with nipple markers is recommended.,1.2.826.0.1.3680043.8.498.98179706202362082972312368473559646778
+The left arm PICC line tip is in the right atrium. The orogastric tube tip is in the stomach. The heart size is normal. No pleural effusion or pneumothorax. No airspace consolidation identified.,1. The left arm PICC line tip is in the right atrium. 2. The tip is in satisfactory position.,1.2.826.0.1.3680043.8.498.23339401040697924368538789488162722446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16965900708645448844449160672723695572
+Endotracheal tube and NG tube removed. Swan-Ganz catheter removed. Chest tube and mediastinal drain remain in place. No pneumothorax. Mild left lower lobe atelectasis unchanged. Negative for heart failure.,Endotracheal tube removed. No pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.58027667647979652320791875612974876044
+Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40031799261786444501515719263220131191
+Extensive bilateral airspace disease persists without marked change since the most recent examination. Small bilateral pleural effusions are noted. There is cardiomegaly. Atherosclerosis. No pneumothorax.,No marked change in diffuse bilateral airspace disease compatible with pneumonia or edema.,1.2.826.0.1.3680043.8.498.41846766582202522798565342482123367181
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24646457619937388591293049921964369504
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72462523678845167925958608814483562798
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.59228482301903667926237066907719890834
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52240000606219841851143674748390366287
+"Cardiovascular: The heart size is at the upper limits of normal. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55189876231261428767720206472001023042
+The right pneumothorax has increased slightly in size. It is estimated at 10-15%. Lung volumes are lower. There is increased atelectasis at the lung bases. Postsurgical changes are noted in the right mid lung.,1. Slight increase in right pneumothorax. 2. Lower lung volumes with increased basilar atelectasis.,1.2.826.0.1.3680043.8.498.10072483522521129317189144631311702732
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84524511166952019049678913621100460707
+The patient is rotated to the left. The lung volumes are low. There are moderate to large bilateral pleural effusions. The heart is enlarged. There are diffuse interstitial opacities which may represent pulmonary edema. Underlying airspace disease cannot be excluded.,1. Cardiomegaly with bilateral pleural effusions and probable pulmonary edema. 2. Underlying airspace disease cannot be excluded.,1.2.826.0.1.3680043.8.498.96763493621272521923674762983724277898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70356563182850713151900861061291227628
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44394078885432162421421071754329889861
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.83064405910394523138003188126652303671
+Heart size is normal. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. No mass or adenopathy identified. No significant change compared to prior exam.,No active disease.,1.2.826.0.1.3680043.8.498.14792736827788173496389930866199397082
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74875608180247453247709884606942425250
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.46129539421513781809022107123277548152
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.44519915904289386159883943010837085921
+Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.51792699180931948585567494144623424610
+"Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.54519637061774414335183570251923223156
+There is central airway thickening with no focal airspace disease. No effusion. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.95861153707419947307445736398061517464
+"Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.38657971983446417878449444337573348425
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72159030728992118589727265341755030652
+Endotracheal tube is noted with its tip above the carina. A nasogastric tube is in place. The cardiomediastinal silhouette is of normal size and shape. The pulmonary vasculature is unremarkable. The trachea is midline. The costophrenic angles are clear. There is no evidence of a pneumothorax. There is no evidence of significant airspace or interstitial disease. Evaluation of the bony thorax is grossly unremarkable.,Endotracheal tube and nasogastric tube in place. No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.29382423010720107911765975339721320512
+Endotracheal tube and gastric catheter are again noted and stable. Cardiac shadow is stable. Patchy infiltrates are again identified bilaterally but slightly increased when compared with the prior exam particularly in the left perihilar region. No bony abnormality is noted.,Slight increase in bilateral infiltrates particularly in the left perihilar region.,1.2.826.0.1.3680043.8.498.86602598040964126717920602364059906902
+There is increase in airspace disease at the right lung base with a small right effusion. Linear atelectasis is noted at the left lung base. There is increase in patchy airspace disease in the right lung apex. No pleural effusion is seen. Heart size is stable.,1. Increasing right basilar airspace disease with a small right effusion. 2. Patchy airspace disease in the right lung apex.,1.2.826.0.1.3680043.8.498.38248352052902443273270319283333050787
+OG tube tip is in the stomach. Normal bowel gas pattern. No evidence of esophageal mass or stricture. No abnormal calcifications.,Normal esophagus.,1.2.826.0.1.3680043.8.498.55205989984556659471551250454827319924
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71106126364600596463257574488534302727
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74603675191072875428597542267925150854
+Enteric tube enters the stomach with the tip not seen on this image. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Mild bibasilar atelectasis. No pulmonary edema.,1. Enteric tube enters the stomach with the tip not seen on this image. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.56498595923086828902287668614950335262
+Endotracheal tube is in place with the tip in good position at the level of the clavicular heads. There is bilateral airspace disease with an upper lobe and perihilar distribution. Small left pleural effusion noted. Heart size is mildly enlarged.,1. ET tube in good position. 2. Bilateral airspace disease could be due to asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.89196578195218046754304418621522156161
+Cardiac shadow remains enlarged. Postsurgical changes are again seen. Aortic calcifications are noted. The vascular congestion is again identified and stable. Small right-sided pleural effusion is noted. No focal infiltrate is seen. No bony abnormality is noted.,Stable cardiomegaly with mild congestive failure and small right-sided pleural effusion.,1.2.826.0.1.3680043.8.498.62091273973350041713855478372866234936
+Cardiothymic silhouette is normal. Lungs are free of focal consolidations and pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34440128099632318847972219195835334320
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.49958207275768896219464974245009787693
+Heart is enlarged. Aorta is tortuous and calcified. Bilateral pleural effusions appear similar. There is pulmonary vascular congestion and bilateral areas of airspace disease which may reflect edema or pneumonia.,No significant change.,1.2.826.0.1.3680043.8.498.47339542874297193344205302068104983858
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84596648608458508769745152647869384322
+Nasogastric tube is in place with its tip in the stomach. There is mild gaseous distention of the bowel. No evidence of free air. Contrast is seen within the colon.,Nasogastric tube tip in the stomach.,1.2.826.0.1.3680043.8.498.21160268833366396601710270740901133151
+Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. There are patchy areas of airspace opacity in the mid and lower lungs consistent with multifocal pneumonia. No evidence of pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,"Patchy bilateral airspace lung opacities consistent multifocal pneumonia, pattern compatible with atypical/viral pneumonia.",1.2.826.0.1.3680043.8.498.72738008000617684466160613409628865934
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23609236613366834386896852472135308447
+There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. There is no pleural effusion or pulmonary edema. Left upper lobe lung mass is again identified. Compared with the previous exam there is improved aeration to the left lung. The right lung is clear.,1. Improved aeration to the left lung. 2. Stable left upper lobe lung mass.,1.2.826.0.1.3680043.8.498.12548921479939175228000959844686996592
+Cardiothymic silhouette is normal. The lungs are clear. No effusions. Bony structures unremarkable.,Normal chest.,1.2.826.0.1.3680043.8.498.78575057455945060810258010163979382117
+The current exam shows increased prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. No pulmonary edema or pleural effusion is seen. No pneumonia is noted. The heart is upper limits for normal in size.,1. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 2. No pneumonia is seen. 3. No acute changes of the heart or pulmonary vasculature are identified.,1.2.826.0.1.3680043.8.498.28851253264173693822592935496242304059
+The heart is mildly enlarged. The aorta is tortuous. Mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,Mild cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60408782615741422802585276154512346240
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43482605923542859052006339925455852641
+The heart is within normal limits and size. The lung fields are clear. No effusions are seen. No pneumothoraces are noted.,No acute cardiopulmonary disease noted.,1.2.826.0.1.3680043.8.498.92883093441431484134745720255952594032
+Right internal jugular dialysis catheter is present with tip over the right atrium. Cardiomegaly. Diffuse pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,1. Cardiomegaly with pulmonary edema consistent with congestive heart failure. 2. Right internal jugular dialysis catheter with tip in the right atrium.,1.2.826.0.1.3680043.8.498.66430955387555210585282930994607423657
+There is density associated with the anterior right 5th rib costochondral junction which is unchanged from 3/8/2012 and on CT scan at that time represents an area of calcification associated with the costochondral junction which is unchanged. No acute fractures are identified. There is no pneumothorax. The lungs are clear. Heart size is normal.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47838850253560981958715941817196815852
+AP portable semi upright view at 2959 hours. Stable left greater than right patchy airspace opacity. Stable cardiac size and mediastinal contours. No pneumothorax. No definite pleural effusion.,Stable left greater than right airspace disease.,1.2.826.0.1.3680043.8.498.55039123435577003832347100419437751658
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.17317392592679485181178832053756319788
+"Lungs are adequately inflated and otherwise clear. Cardiothymic silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88279278303789279191688954365254286852
+The patient has a large hiatal hernia. There is elevation of the left hemidiaphragm with overlying atelectasis. There is also atelectasis at the right lung base. No evidence for pulmonary edema. No focal consolidation.,1. Large hiatal hernia. 2. Bibasilar atelectasis left greater than right.,1.2.826.0.1.3680043.8.498.38159736936811416260181206437990801529
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93265775828136953760461590663620404593
+The heart size and mediastinal contours are within normal limits. New opacity in the left lung base is suspicious for pneumonia. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.96810208229057007395231090513110353374
+"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.45390968327601258715910213454208272066
+Inspiration is suboptimal on the current examination accounting for the crowded bronchovascular markings in the bases. This also accentuates the heart size which I suspect is normal. The atelectasis in the right lung on the previous examination has improved. The lungs remain clear otherwise. There are no pleural effusions.,Suboptimal inspiration. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19609344480584406689257160403346610254
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36634392116692180275398989603353369817
+There is consolidation in the right upper lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69631747256169497479234622901353567259
+There is airspace consolidation in the posterior segment of the right upper lobe. The lungs are otherwise clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax is grossly intact.,Right upper lobe pneumonia. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.91349606118562015583458103371944668697
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. A minimally displaced manubrial fracture of the sternum is again noted. No other osseous findings are seen.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10260370940444546788613038324704623497
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.94272177313646715987159471621729762282
+"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal pneumonia. This may be a reflection of a viral process.,1.2.826.0.1.3680043.8.498.99984527637552844825056922992714865087
+Stable low lung volumes. Stable ectasia of the thoracic aorta. Stable heart size. No pneumothorax. No pleural effusion. Stable patchy left basilar opacity. No pulmonary edema.,"Stable patchy left basilar lung opacity, which could represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.47942733755493650997414546180110204489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.25265493597255191881898413881593108824
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.78811617124346484207459385643315976456
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95397031376028247180313439764984669838
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20465320799494082566326145510804415976
+Two views of the chest were obtained. The lungs are mildly hyperinflated and clear. The heart size and pulmonary vascularity are normal.,There is pulmonary hyperinflation. There is no evidence of pneumonia.,1.2.826.0.1.3680043.8.498.21845857413265975098540389000232424954
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.74270881472247219585769090556928853804
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94229152000992371039028299927426289548
+Right PICC line is unchanged. Stable cardiac silhouette. There is interval improvement in the air space disease within the right lung. Chronic interstitial lung disease is noted. No pneumothorax.,1. Some improvement in right lung pneumonia. 2. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.24633011249033361877907406347515714700
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.97294895225251068371716116640812501889
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65816322164182493090969250027056021229
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.67589006658660562320422106808577020961
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19383814019736114857958829496224130200
+"The heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Age-appropriate osseous structures.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.15550204926697731364928244308944689326
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15664532320307327376022447779437094972
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78842930320363984461079233488793554648
+Tip of orogastric tube projects over stomach. Tip of umbilical venous catheter projects over RIGHT atrium; recommend withdrawal 10 mm to place tip at the inferior cardiac margin. Normal heart size and mediastinal contours. Lungs clear. No pleural effusion or pneumothorax. Bowel gas pattern normal.,Recommend withdrawal of umbilical venous catheter 10 mm to place tip at the inferior cardiac margin. Findings called to Abou Nabil Housain NP in NICU on 5/5/2000 at 4111 hrs.,1.2.826.0.1.3680043.8.498.34805584238468351345600049199448590344
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta. Status post aortic valve replacement.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.83761679818116778037422280010792348659
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55563607830023748528811196856284449019
+Low lung volumes. Some crowding of the bronchovascular markings. No focal consolidation. No pleural effusions. Stable cardiac silhouette. Mild atelectasis at the lung bases. No pneumothorax.,1. No evidence of pulmonary edema. 2. Low lung volumes and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.62488365309982501371200589335973565717
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84057845732098573529325416589012327025
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19597371957896371665949664433419433446
+Stable normal sized heart and diffuse peribronchial thickening. Mild increase in patchy opacity at the right lung base. No significant change in patchy opacity elsewhere in both lungs. Unremarkable bones.,1. Mildly increased right basilar atelectasis or pneumonia. 2. Stable diffuse bronchitis and bilateral pneumonia.,1.2.826.0.1.3680043.8.498.82600928310910991441103896491793341181
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51901496298252888758038323842288137746
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12000560835830060935376248505330265511
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73586585183910417221581248787688597098
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. Lungs are clear. Bony structures are intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40078966496073083259914828034700456726
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Normal chest radiographs.,1.2.826.0.1.3680043.8.498.98795136380303369784706875619443342464
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Mild scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65916728923979011745306570191792681260
+Cardiac shadow is stable. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.61486484731397428983069761093570917723
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50853592598611855290012365151038484766
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82120399933428277656145588882405664403
+Mediastinum and hilar structures normal. Heart size normal. Partial clearing of left lower lobe infiltrate. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,Partial clearing of left lower lobe infiltrate consistent with partial but incomplete clearing of pneumonia.,1.2.826.0.1.3680043.8.498.45086539141705777567722515018647332776
+Cardiothymic silhouette is unremarkable. No pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62533306187310893527431482730558029826
+The lungs are mildly hypoinflated. The perihilar lung markings are coarse. There is no alveolar infiltrate. There is no pleural effusion. The cardiothymic silhouette is normal. The esophagogastric tube tip and proximal port project below the GE junction. The bony thorax is unremarkable.,Mild hypo inflation limits the study. Probable subsegmental atelectasis in the left lower lobe. No definite evidence of pneumonia.,1.2.826.0.1.3680043.8.498.18032183454008170360040232345969876746
+Lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal contours are within normal limits. The visualized bones and soft tissues are without significant appreciable abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35850640240140204021290144016823623275
+Aeration of the lungs has improved. There is still slight blunting of the left costophrenic angle which may be due to pleural thickening or small left pleural effusion. Mild cardiomegaly is stable. A permanent pacemaker remains. There are degenerative changes throughout the thoracic spine.,Improved aeration. Persistent small left pleural effusion versus pleural thickening.,1.2.826.0.1.3680043.8.498.49750702806985394918312015171617828035
+The bony thorax is grossly intact. The aorta is tortuous and atherosclerotic. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.63236229594087465551232459153062319168
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89317580138732009592845944409410252531
+"The heart, mediastinal and osseous structures show no significant abnormalities. There is no pneumothorax. The lungs are clear with no effusions.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.95233238303252370790394815228461487520
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54738633957350805682607484547286448522
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91458067071405599400788282002820293546
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60677290187043187198432074861921372508
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28601846687559454542790434677542233358
+The opacity questioned previously within the right middle lobe has improved somewhat but does remain with linear atelectasis or scarring present. The lungs are hyperaerated consistent with COPD. Cardiomegaly is stable. No bony abnormality is seen.,1. Some improvement in right middle lobe opacity consistent with scarring. 2. COPD. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.93798006268529862557045207479988019094
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45315517868619358206320127132823334237
+Endotracheal tube is 2.6 cm above the carina. NG tube enters the stomach. Diffuse airspace disease throughout the left lung. Patchy airspace opacities in the right upper lobe and right lower lobe. No effusions. Heart is normal size. No acute bony abnormality. No pneumothorax.,Endotracheal tube and NG tube appear to be in satisfactory position. Diffuse airspace disease throughout the left lung. Patchy airspace disease in the right upper lobe and right lower lobe. Findings concerning for pneumonia.,1.2.826.0.1.3680043.8.498.83083871234074308785415222951129408693
+Slight prominence of the pulmonary vasculature. Fluffy bilateral infiltrates. No pneumothorax. The osseous structures are intact. The heart appears enlarged. There are multiple overlying cardiac monitoring leads. Left-sided cardiac pacemaker in place. Multiple median sternotomy wires.,Central pulmonary vascular congestion vs pulmonary edema. Overlying pneumonia cannot be excluded.,1.2.826.0.1.3680043.8.498.57517043336481387695400782494549117927
+An orogastric tube is seen with tip in the mid stomach. The bowel gas pattern is normal. No evidence of bowel obstruction or free intraperitoneal air.,Normal bowel gas pattern. No acute findings.,1.2.826.0.1.3680043.8.498.85808378547830628567700624130362667775
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10544010324702696560333677489175016790
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is a moderate hiatal hernia. There is degenerative change in the thoracic spine. No rib fractures are evident. No pneumothorax.,No edema or consolidation. Moderate hiatal hernia.,1.2.826.0.1.3680043.8.498.27324637242144796970692654766367644843
+The heart is normal in size. The lungs are underexpanded. Patchy infiltrates are seen in the lungs bilaterally. There is no effusion or pneumothorax. Dual lead pacemaker is seen.,Patchy bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.32512963319019396616201820049229704367
+"Stable cardiomegaly. New pulmonary vascular congestion and interstitial edema. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",New interstitial edema.,1.2.826.0.1.3680043.8.498.34476929936562791891678395938131610398
+"Heart size is normal. There is no heart failure, infiltrate, or edema. The lungs are hyperinflated consistent with COPD. There is a small scar in the left lung base.",COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.60301326540019254070294366433914947800
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33192776469416773345978118708411759124
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84022353854068641014021735725380359085
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29756014225057426164727612194155326991
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25718900778860224446597271260794200364
+Patchy airspace opacity in the right middle lobe. The left lung is clear. No evidence of pulmonary edema. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax. No acute osseous abnormality.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.11635065307493613133248758132944473092
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15249142098598522609440979025398303148
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26401372953882795114753383106953205383
+"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.31989259134906473472947051031824722255
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32898327234555722278849675464268357905
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66096024988107898376542277205467598719
+"There are low lung volumes with patchy atelectasis at both lung bases, slightly increased on the left since previous study. No effusion or pneumothorax. Heart size normal. Bilateral rib fractures again noted.",1. Low volumes with some increase in patchy left lower lobe atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.70024617474900853088416416444276367951
+Patchy opacities are seen in the left mid lung and right lower lung. No pneumothorax or pleural effusion. Cardiac size is normal. Pulmonary vascularity is normal. No bone abnormality.,"Patchy bilateral pulmonary opacities, consistent with multifocal pneumonia.",1.2.826.0.1.3680043.8.498.22552554939200234904320875201685317405
+There is persistent elevation of left diaphragm. There is left basilar atelectasis. There is a small left pleural effusion. There is no focal consolidation or pneumothorax. The heart and mediastinal contours are stable. There is evidence of prior CABG. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54069479497731667585621786239597455601
+"Endotracheal tube, NG tube, and central venous catheter are unchanged. Diffuse bilateral airspace disease is again seen and has worsened in the upper lung zones. No pneumothorax.",Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.25593718589328813963959441752549189551
+The patient has undergone previous coronary artery bypass grafting. The heart is mildly enlarged. There is mild pulmonary vascular congestion without evidence of pulmonary edema. Mild atelectasis is noted at the lung bases. There is no evidence of consolidation or pleural effusion.,Cardiomegaly and mild basilar atelectasis. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.18777739919191120326538120727821174867
+Post median sternotomy and CABG procedure. The heart size appears normal. Aortic atherosclerosis is noted. No pleural effusion or edema. No airspace consolidation. Spondylosis noted within the thoracic spine.,1. Low lung volumes. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55750449163918230343648604172565186262
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90888150615900486619054379950700081504
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Previously seen right upper lobe pulmonary nodule is not visualized on the current exam.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73489283721108164874529661574151981693
+Endotracheal tube is 5 cm above the carina. NG tube enters the stomach. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,Endotracheal tube and NG tube in expected position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69379499939133333619506103571438457726
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41013227716295067275696894324580241044
+Cardiomegaly again noted. An endotracheal tube and NG tube have been removed. Bibasilar opacities appear slightly decreased. There is no evidence of pneumothorax or large pleural effusion. No acute bony abnormalities are identified.,Endotracheal tube and NG tube removal with slightly decreased bibasilar opacities. Continued follow-up recommended.,1.2.826.0.1.3680043.8.498.44398271837676025927060540208519142953
+Left arm peripheral central venous catheter tip projects over the lower right atrium. Cardiomediastinal silhouette unremarkable. Lungs clear. No pleural effusions. Visualized bowel gas pattern unremarkable.,1. Left arm peripheral central venous catheter tip projects over the lower right atrium. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48608668297804307486481439413323183215
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81675681137369786142889199469558631556
+"The heart is enlarged. Mediastinal contours are within normal limits. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. Surgical clips are seen in the right upper quadrant of the abdomen.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.94268825836382948496945854301523188501
+"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.46622690944752287208387528045215508531
+Patchy opacities at the lung bases are noted. Trace effusions are present. Heart size is normal. No pneumothorax.,"Patchy bibasilar airspace opacities, possibly atelectasis but pneumonia not excluded.",1.2.826.0.1.3680043.8.498.67251710896501789618533402005295530405
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18807624026615263259008222591668238384
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48217571940059334060250329544433692286
+"Cardiothymic shadow normal. There is a linear density in the left mid lung, consistent with atelectasis or atelectatic pneumonia. No pleural fluid. Right lung clear.",Linear density in the left mid lung consistent with atelectasis or atelectatic pneumonia.,1.2.826.0.1.3680043.8.498.57249999964268628554920956535100141813
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Left lung is clear. Right upper lobe airspace opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Right upper lobe airspace opacity concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.98372711786696543845635456233646438901
+A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.82648232074542449722545551269510847089
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66931679455003029499918794074785603892
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94256022641956690977993401305624902969
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.36884541049409036008494609439458592061
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78323123778115505682124682246125505137
+"Linear densities in both lower lungs, atelectasis versus scarring. Heart is normal size. No effusions. No acute bony abnormality.",Stable bibasilar atelectasis or scarring.,1.2.826.0.1.3680043.8.498.47818528318128659527146315631127821590
+The left-sided PICC line is coiled upon itself and needs to be repositioned. The heart is normal in size. The lungs are well expanded. There is left lower lobe infiltrate with small effusion. The right lung is clear. There is no pneumothorax. Multiple old left rib fractures are seen.,1. Left-sided PICC line is coiled upon itself in the axillary region and needs to be repositioned. 2. Left lower lobe infiltrate with small effusion.,1.2.826.0.1.3680043.8.498.70588447460673776519360762744933566559
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.90779158529921457822791238721016741852
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.35923046546085747801630412218572095094
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87864753157196825581102190068427273307
+No pneumothorax or pneumomediastinum post bronchoscopy. Right upper lobe mass and right apical pleural thickening.,No pneumothorax or pneumomediastinum post bronchoscopy.,1.2.826.0.1.3680043.8.498.25061935798254932518510041588737255809
+Endotracheal tube is 5 cm above the carina. Left PICC line tip is in the SVC. Swan-Ganz catheter is in the main pulmonary artery. NG tube is in the stomach. No pneumothorax. Minimal atelectasis in the left mid lung and left base. No effusions.,Support devices in expected position as above. No pneumothorax. Minimal left mid and lower lung atelectasis.,1.2.826.0.1.3680043.8.498.29028649992961776382599164430237887227
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42308164127805514419926103261776490904
+There is central airway thickening. Focal airspace opacity in the anterior left lower lobe concerning for pneumonia. No focal opacity on the right. No effusions. Heart is normal size. Visualized skeleton unremarkable.,Central airway thickening. Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.76441252803603617696312741390414662898
+The lungs are clear. There is no pneumothorax. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87884374797362488524902200087294776327
+Interval placement of a right central venous catheter with tip projecting over the superior vena cava. Cardiothymic silhouette is within normal limits. Lungs are clear. No evidence of pneumothorax. Visualized bowel gas pattern is nonobstructive.,1. Interval placement of right central venous catheter. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.10491974957545097453586513857111757944
+"Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Bilateral pleural effusions, left side greater than right. Findings are stable. No pneumothorax. No acute bony abnormality.","1. Persistent bilateral pleural effusions, left side greater than right. No change. 2. Stable cardiomegaly. No pulmonary venous congestion.",1.2.826.0.1.3680043.8.498.49731917046896681222444722087003093475
+ET tube mid trachea. Enteric tube courses inferior to the diaphragm. Stable cardiomediastinal contours. Slight interval improvement in overall diffuse bilateral heterogeneous opacities. No pneumothorax or large pleural effusion.,Slight interval improvement in bilateral airspace disease which may reflect improving edema or infection.,1.2.826.0.1.3680043.8.498.36993713797007977041118581846602063633
+Low lung volumes. Patchy basilar airspace disease. Normal heart size. No effusion or pneumothorax. No acute osseous finding.,Low lung volumes with patchy basilar airspace disease which could reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.22404234068211940838437245167311814874
+There is cardiomegaly. There is a tortuous and calcified thoracic aorta. The lungs are hyperinflated consistent with emphysema. There is a small right pleural effusion. There is a 1.5 cm nodular opacity in the right mid lung which was not present on the prior examination. There is a 5 mm nodular opacity in the left lower lung which was not present on the prior examination. There is no pneumothorax. No acute osseous findings are seen.,1. Cardiomegaly and COPD. 2. Small right pleural effusion. 3. Nodular opacities as described. Chest CT is recommended for further evaluation.,1.2.826.0.1.3680043.8.498.86973646046901740833768318392449047416
+The chest is hyperexpanded. There is patchy airspace disease in the lung bases. No pleural effusion. Heart size normal.,Emphysema and patchy basilar airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.65220506883082627347175481398504742152
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30760222029680177293617618765874205999
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.60394337393564054971808279532905444000
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.60820427960023092273250306283628421799
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86645270343210971616534522998735730625
+There is a small left pleural effusion with left base atelectasis. The right lung is clear. There is no pneumothorax. The heart size is normal.,Small left pleural effusion with left base atelectasis.,1.2.826.0.1.3680043.8.498.93249404227847180273669774713300495216
+Small right apical pneumothorax is not significantly changed. Right chest tube remains in place. Opacity at the right lung base is consistent with a combination of pleural fluid and atelectasis/consolidation. Left lung is clear. Heart size is normal. Subcutaneous emphysema in the right chest wall is again seen. Multiple right rib fractures are better demonstrated on CT.,"1. Small right apical pneumothorax, not significantly changed. Right chest tube remains in place. 2. Right lung base opacity consistent with a combination of pleural fluid and atelectasis/consolidation.",1.2.826.0.1.3680043.8.498.88993247748124532936063388604554299720
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55132789864785540468100347460182242777
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61557397429673540151062179064422082182
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46237279383053678855095648262738918587
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25078149733348717467394946613985901544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28264775262890614626127638382961897441
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23011635799826272050466013700847607335
+"Marked cardiomegaly is stable. Left retrocardiac opacity is again seen, likely due to atelectasis or scarring. No evidence of pulmonary airspace disease or pleural effusion. Thoracolumbar scoliosis is again noted.","Stable cardiomegaly and left lower lobe opacity, likely due to atelectasis or scarring. No acute findings.",1.2.826.0.1.3680043.8.498.36545672776809036272165362286234703249
+"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51317916177676633751210707554241098413
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.82298733850048129416551574470007106123
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55842047989387215508708926010336428149
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92466373211874961128856077533462508917
+The aortic arch is mildly tortuous. The lung fields appear clear. Vascularity is within normal limits. No effusions are seen.,1. No acute cardiopulmonary disease identified. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.73573369940857870106864559864266291741
+"Heart: Normal. Lungs: There is suggestion of mild bilateral perihilar, peribronchial thickening and minimal scattered prominence of the pulmonary interstitium throughout both lungs. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.","Findings compatible with minimal congestive heart failure/pulmonary edema, however, cannot entirely exclude atypical infectious process.",1.2.826.0.1.3680043.8.498.60312932238327570879636990558814114479
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40742634891865447743267255861832591976
+The heart is enlarged with a prominent left ventricle. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Cardiomegaly with atherosclerotic change of the aorta. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.80817169230271989230162997104160865872
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Ventriculostomy shunt catheter along the left chest is unchanged.,No acute disease.,1.2.826.0.1.3680043.8.498.51798339914318478607924292314160139294
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70159536943075148414415836061303811087
+There is elevation of the right hemidiaphragm. There is right basilar atelectasis. The heart size is normal. No pleural effusions or pulmonary edema.,1. Persistent elevation of the right hemidiaphragm with overlying atelectasis. 2. Improved aeration to the right lung base.,1.2.826.0.1.3680043.8.498.75281271355168447372945221851124243166
+EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Bilateral airspace disease present in the mid to lower lung fields. Costophrenic angles are sharp. Trachea is midline.,Bilateral airspace disease.,1.2.826.0.1.3680043.8.498.58852874997931965591391283913274955311
+Two views of the chest show no pneumonia. Again there are prominent perihilar markings which can be seen with central airway disease. The heart is within normal limits in size.,No pneumonia. Prominent perihilar markings again noted.,1.2.826.0.1.3680043.8.498.36698185759600853331534316700008857619
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43262015350542270024738022167836042940
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10362231343892534261254183984044384689
+The heart is within normal limits in size. The lung fields appear clear. The vascularity is within normal limits. No effusions are noted. Changes of COPD are noted.,1. COPD. 2. The lung fields are clear.,1.2.826.0.1.3680043.8.498.46838319951331525733685635268583947119
+Cardiac silhouette is within normal limits. Atherosclerotic calcification of the aortic knob is seen. No airspace consolidation is noted. No pneumothorax. No concerning osseous lesions are seen.,No acute infiltrates throughout the chest.,1.2.826.0.1.3680043.8.498.31729407290847482022111812571725113781
+The heart size is enlarged. The mediastinal contour is widened. The aorta is tortuous. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95434806644876834151678031752052831493
+Trachea is midline. Heart is enlarged. Thoracic aorta is calcified. Right PICC tip projects over the SVC. There is airspace disease in the right upper lobe and right perihilar region. A right pleural effusion is small. Left lung is clear. No pneumothorax.,1. Right upper and right lower lobe airspace disease is most consistent with pneumonia. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.26925482784439671350484904718196071895
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82501227627434673898507773491284445800
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12687259244183699698757036527565377520
+"The lungs are hyperinflated consistent with COPD. The cardiac silhouette is normal. There is no edema, infiltrate, effusion or pneumothorax. The bones are osteopenic.",COPD. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.96687116101931509012368323398137524728
+"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs are normally inflated. There are persistent diffuse bilateral interstitial and airspace opacities, similar to previous. No definite pleural effusion. No pneumothorax. No acute osseus abnormality.",1. Tip of the endotracheal tube 2.2 cm above the carina. 2. Persistent diffuse bilateral interstitial and airspace disease.,1.2.826.0.1.3680043.8.498.11687265000963531275369183520165194695
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11029190055193205172081920887700998607
+Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84713141157813673027477641724978245527
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine. A right shoulder prosthesis is present.,Cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.99222503076206204861041814238372882157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92293990543897775067406407606892599315
+There is cardiomegaly. Status post CABG. There is mild vascular congestion. There are small bilateral effusions and basilar lung atelectasis. No focal lung consolidation. No pneumothorax.,Cardiomegaly with mild volume overload/congestive heart failure.,1.2.826.0.1.3680043.8.498.90760856944005626366628779022831749730
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68470554270919839512822332854099146335
+Heart is normal size. Linear atelectasis or scarring in the right mid lung. Left lung clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75165039654643225044636768560296438764
+Tip of RIGHT Swan-Ganz catheter projects over RIGHT pulmonary artery. Tip of intra-aortic balloon pump projects over aortic arch. Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.58373367537179128806090915000175440793
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89373023220298151944159638228612805835
+"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture. Right-sided Port-A-Cath.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.31477841100950138257279959978752597545
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61244355013759052958468950010626351710
+The heart is enlarged. There are small bilateral pleural effusions. There is no edema. The lungs are hyperinflated suggesting COPD. There is bibasilar atelectasis.,1. Cardiomegaly and small bilateral effusions. 2. Probable COPD.,1.2.826.0.1.3680043.8.498.31899814159884779313642274400818155026
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74624678693058362704340740570678810620
+The heart is at the upper limits of normal in size. Mediastinal shadows are normal. The lungs are clear. No effusions. No acute bony finding. Chronic degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27088859542902203844876400111149337538
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A moderate-sized hiatal hernia is noted. No acute osseous findings are seen.,No active cardiopulmonary process. Moderate-sized hiatal hernia.,1.2.826.0.1.3680043.8.498.87342451060813139219572748373088629429
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96165246910924928898404064883792205062
+Shallow inspiration. Heart size and pulmonary vascularity are normal for technique. Increasing perihilar infiltration bilaterally suggesting possible developing edema. No blunting of costophrenic angles. No pneumothorax.,Increasing perihilar infiltrates suggesting developing edema since previous study.,1.2.826.0.1.3680043.8.498.71251910222044683771902841506999387070
+"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality. No pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.85640861387691257611018845199006446550
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.20699654572144422682582802235419307673
+"Multiple bilateral pulmonary metastatic lesions are again noted, similar to prior chest CT. No definite evidence of acute infiltrate. Heart is normal size. No effusions. Diffuse osseous metastatic disease again noted, unchanged.",Diffuse metastatic disease throughout the lungs and osseous structures. No definite acute infiltrate.,1.2.826.0.1.3680043.8.498.30829315584791974116533443145565907177
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65141122807969201075173603244152035160
+The heart size is normal. There is no pleural effusion or pulmonary edema. Chronic interstitial coarsening is noted. No superimposed airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.61965097622994308346339396444354357583
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are hyperinflated. No infiltrates, edema or effusions. The bony thorax is intact.",Hyperinflation but no acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.72119101061398470300427933584772813711
+"No retained radiopaque foreign body. Low lung volumes. Bibasilar atelectasis. Heart is normal size. No visible effusions. No acute bony abnormality. Enteric tube in place, tip in the proximal stomach.",No retained radiopaque foreign body. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36420861146829733747013444902494538780
+Endotracheal tube is 5.5 cm above the carina. Feeding tube enters the stomach. Left PICC line tip is in the proximal SVC. There is cardiac enlargement with worsening bibasilar atelectasis versus airspace disease. No large effusion or pneumothorax.,Worsening basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.23535588512408142900073676494321648822
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Resolved left lower lobe pneumonia. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46494685977747114720724436493908607695
+Cardiac monitoring electrodes are present. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89447530056285748970066886990977975190
+Heart size is normal. No pleural effusion or pulmonary edema. There is a patchy airspace opacity within the right lower lobe which is suspicious for pneumonia. The remaining portions of the lungs are clear. Review of the visualized osseous structures is unremarkable.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24596976197228656833558493152805350445
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.86355776580252459544594831420075627828
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.80067473293573398547143767057663385060
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24170418275439355917101570210636503716
+"Interval placement of left pacemaker with leads in the right atrium and right ventricle. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Left pacer placement as above. No pneumothorax. No active disease.,1.2.826.0.1.3680043.8.498.76187720817612502829586351484386193868
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73263404142568636326477872101986795546
+"Low lung volumes with patchy bibasilar airspace disease, likely atelectasis. No effusion. Heart size normal. No bony abnormality.",Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.69273305158875534502270859339064531457
+"The patient has been intubated. Endotracheal tube terminates 5 cm above the carina. There is worsening aeration of both lungs, particularly on the right. There is increasing airspace disease in the right upper lobe and also patchy airspace disease in the right lower lobe. Findings are consistent with pneumonia. No pleural effusions.",Endotracheal tube is appropriately positioned. Increasing right lung airspace disease.,1.2.826.0.1.3680043.8.498.75201468236314774764939219972412919243
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.57415647075939219778442828296196176978
+There is elevation of the right hemidiaphragm. There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities. 2. Chronic elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54297067241742032281827095546495083663
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50012978097033151945898107393356728172
+Aeration has improved. There is a small left pleural effusion present. No pneumothorax is seen. Cardiomegaly is stable. Median sternotomy sutures are noted.,Improved aeration. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.77825704177305342466430257360870114645
+Left chest tube has been removed. A small left hydropneumothorax is identified. Opacity in the left mid and lower lung zones compatible with contusion noted. The right lung is clear. Heart size is normal. Bullet fragment on the left is noted. Subcutaneous emphysema on the left chest wall is identified.,Status post removal of left chest tube. Small left hydropneumothorax and left mid and lower lung zone airspace disease.,1.2.826.0.1.3680043.8.498.89661210379980710102268452168031141146
+Mild cardiomegaly. No focal opacity or pleural effusion. No pneumothorax.,No active disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.89462297261712866387262743859997758213
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.62873316969151139161853175491475325772
+"AP view at 4899 hours. Endotracheal tube tip is in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. UVC catheter tip is at the level of the diaphragm. UAC catheter tip is at the T6-T7 level. Mildly lower lung volumes. Increased hazy opacity in both lungs. No pneumothorax, pleural effusion or consolidation. Normal cardiac size and mediastinal contours. Visible bowel gas pattern is normal.",1. Lines and tubes in good position. 2. Mildly increased bilateral pulmonary opacity. Favor RDS.,1.2.826.0.1.3680043.8.498.39317566140698155721281517486425558276
+The left upper extremity PICC has been repositioned. The tip is now in the SVC/RA junction. The exam is otherwise stable.,The left upper extremity PICC has been repositioned with the tip now in the SVC/RA junction.,1.2.826.0.1.3680043.8.498.95173850980471773555863126836355406047
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98164697397051635190595187423942866506
+"Lung volumes are stable and within normal limits. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.67366773473846333078370050616840067046
+There is a moderate right pleural effusion with consolidation in the right base. There is a small left pleural effusion with consolidation in the left base. There is mild atelectatic change in the left upper lobe. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Moderate right pleural effusion with right base consolidation. Small left pleural effusion with left base consolidation. There may be a degree of underlying congestive heart failure. There is no airspace consolidation in the right upper lobe currently. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40248081534881616137307938008399005200
+Endotracheal tube and nasogastric tube are unchanged. Left IJ central line tip is in the SVC. Lung volumes remain low. There is bibasilar atelectasis with slight improvement in aeration of both lung bases since the prior examination. No evidence of pulmonary edema or pneumothorax.,Slight improvement in basilar atelectasis.,1.2.826.0.1.3680043.8.498.19056892483355900703587255215813956036
+Right IJ portacatheter tip terminates over the right atrium. The heart and mediastinum are within normal limits. The lung volumes are low. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33973364489639100408822365210274241685
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.51110334294827132730248456940319654575
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.50678213104825628248633758337086086352
+"Low lung volumes. Multiple right rib fractures are again seen, similar to prior study. No visible pneumothorax. Bibasilar atelectasis. Heart is normal size.",Multiple right rib fractures. No visible pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.98554143535667953076922567816026182638
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22629608512729061711781713899526811648
+Cardiothymic silhouette is normal. Streaky and fine granular opacities are identified throughout both lungs. Lung volumes are normal. No pneumothorax. No pleural effusion. No acute osseous finding. The visualized bowel gas pattern is normal.,Streaky and fine granular opacities in both lungs suggest RDS.,1.2.826.0.1.3680043.8.498.37215325338817642866643202332532263888
+Resolution of the right lower lobe airspace disease. The lungs are clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Degenerative changes of the visualized thoracolumbar spine.,Resolved right lower lobe pneumonia. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72393261391594428045661213495770249849
+Heart size is mildly enlarged. Pulmonary vascularity is within normal limits. Mild patchy atelectasis at both lung bases. No pleural effusion or pneumothorax.,Cardiomegaly. Mild patchy atelectasis at both lung bases.,1.2.826.0.1.3680043.8.498.34148746647571865823301507550084474316
+The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.26927483779940680751937450939708135599
+There is cardiomegaly and pulmonary vascular cephalization without frank edema. No focal infiltrates or effusions are identified.,Cardiomegaly and pulmonary vascular cephalization.,1.2.826.0.1.3680043.8.498.40014661239219632149165763506818947383
+Cardiac silhouette normal in size. Thoracic aorta mildly tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49100160314543810921173108762306454606
+Right-sided central venous line has tip in the right atrium. Left-sided pacemaker is present. The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are congestive changes. There is a small left pleural effusion. There is a small infiltrate in the right upper lobe just above the minor fissure. Degenerative changes are seen in the spine.,1. Congestive changes. 2. Small left pleural effusion. 3. Small infiltrate in the right upper lobe.,1.2.826.0.1.3680043.8.498.11518023627223242572480774083061691337
+There is opacity in the right middle lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right middle lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.95610873378201953846568494539197735297
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.38926102585253821837355230757225165194
+The heart is moderately enlarged. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,Cardiac enlargement but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.78872931710714547638268090994266508080
+Cardiothymic silhouette is normal. Lung volumes are normal. No consolidation or pleural effusion. No pneumothorax. No osseous abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.88014426480491189474100320950196485462
+"Normal cardiac silhouette. No focal consolidation, effusion, or pneumothorax. No radiographic evidence of sarcoidosis. Bones are unremarkable.",No radiographic evidence of sarcoidosis.,1.2.826.0.1.3680043.8.498.50932679341266025913738578480534625237
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22004805189392656926410458098347285120
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.82959719774904853091802407663508276957
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.97618551976494959465556382463758154205
+"Since 6/6/2013, slight decrease in right greater than left pulmonary edema and bilateral pleural effusions noted. Stable cardiomegaly seen.",1. Slight decrease in congestive heart failure findings as described. 2. No interval additional acute findings.,1.2.826.0.1.3680043.8.498.41553366209992023985380037396326868700
+"The heart size and mediastinal contours are stable. There are chronic interstitial lung changes with associated scarring. No superimposed airspace disease, edema or pleural effusion is identified. There is no pneumothorax. The osseous structures appear unchanged.",Stable chronic interstitial lung disease. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.44631931537133448331056463879433264781
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.43808053905437670616159905210534748751
+Upper normal heart size. Mediastinal contours normal. Bibasilar atelectasis and small pleural effusions. Peribronchial thickening and central interstitial changes suggesting pulmonary edema. No pneumothorax. Bones unremarkable.,Bibasilar atelectasis and small pleural effusions. Mild peribronchial thickening and central interstitial changes likely reflecting pulmonary edema.,1.2.826.0.1.3680043.8.498.18216448983939859435185755201533049396
+Left subclavian Port-A-Cath is present with tip overlying the SVC. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath in satisfactory position without complicating features.,1.2.826.0.1.3680043.8.498.36327152228006735380936788731695223359
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88983001416112689122871570339215573351
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76813796323727653487916231235795159629
+There is mild cardiomegaly. Aortic calcifications are noted. The lung volumes are low. There are chronic interstitial lung markings. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40576288856144499777398825044019899150
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.38958865327229021034235889229937759386
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12582490598737046401465103521330155814
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Previously seen right lower lobe airspace disease has partially cleared since previous study. Small residual posterior right pleural effusion is seen as well as mild atelectasis or infiltrate in the right lower lobe. Left lung is clear. No evidence of pneumothorax.,"Partial clearing of right lower lobe airspace disease, consistent with resolving pneumonia. Small residual right pleural effusion and mild right lower lobe atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.90758508309664364568018660584035938036
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94472076724416946090954106229267932406
+Extensive bilateral airspace disease with air bronchograms at the bases. Cardiomegaly. Tracheostomy tube in good position. Right PICC with tip at the SVC. No visible effusion or pneumothorax.,Stable advanced airspace disease.,1.2.826.0.1.3680043.8.498.45380703604863140829452515220592744863
+The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is enlarged. I see no pleural effusion. The pulmonary vascularity is prominent.,There are findings consistent with low-grade congestive heart failure. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.88463791710415971302062927596171319083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40954124475528030960272750251089220759
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89626403436374826257156911696600962504
+"There are small bilateral pleural effusions, greater on the left. There is interstitial pulmonary edema. Basilar airspace disease on the left is likely due to atelectasis. No pneumothorax. There is cardiomegaly. Atherosclerosis noted.",Cardiomegaly and interstitial edema with small bilateral effusions.,1.2.826.0.1.3680043.8.498.43104190791872434231979832592964735945
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30137691564187939158967391380464863353
+Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is prominence of the interstitial lung markings. This may be on the basis of vascular congestion. The costophrenic angles are sharp. Trachea is midline. Hilar structures are grossly unremarkable.,Interstitial lung disease present.,1.2.826.0.1.3680043.8.498.59082589257517013613500260200006566948
+Cardiomediastinal silhouette is normal. The lungs are clear without no airspace consolidation. No pleural effusions. No pneumothorax. Osseous structures are normal.,Normal chest x-ray.,1.2.826.0.1.3680043.8.498.14440802379387030691547999827148161316
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59534340631281381004517456160871101069
+Cardiomegaly with vascular congestion. Low lung volumes. No pleural effusion or pneumothorax. No focal consolidation.,Cardiomegaly with vascular congestion and low lung volumes.,1.2.826.0.1.3680043.8.498.15399225338074082556499760385272039324
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22508832174732185961721019212770048313
+Endotracheal tube tip is 2.1 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is atelectatic change in the lung bases. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Bibasilar atelectasis. No consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.60124543222613454125062760182441200061
+Mediastinum and hilar structures normal. Heart size normal. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. No pneumothorax.,Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.43842592621659464612312137768506666289
+Endotracheal tube with tip approximately 3 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Diffuse airspace opacities throughout the right lung and at the left lung base. No large pleural effusion. No pneumothorax. Stable cardiomediastinal silhouette. No acute osseous pathology.,1. Endotracheal tube above the carina. 2. Diffuse airspace opacities throughout the right lung and left lung base.,1.2.826.0.1.3680043.8.498.15080258719753967817479917292158583851
+"UVC tip at the upper right atrium. The enteric tube tip and side-port reaches the stomach. Normal cardiothymic silhouette. No edema, consolidation, effusion, or pneumothorax. Gas distended bowel in the upper abdomen, similar to prior.",1. UVC tip at the upper right atrium. 2. Enteric tube in good position.,1.2.826.0.1.3680043.8.498.12335205975585750216528722158899765286
+There is mild interstitial edema. No consolidation or pleural effusion. Heart is mildly enlarged with pulmonary venous hypertension. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.38654599362388738515647789583455836041
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29199002190850907014107793990032876792
+The heart is enlarged. The mediastinal contours are normal. There is mild vascular congestion without overt pulmonary edema. Patchy opacities are present in the lung bases. There may be small bilateral pleural effusions. No pneumothorax is seen. The bones are unremarkable.,"Cardiomegaly with vascular congestion and bibasilar patchy opacities, likely atelectasis. Pneumonia not excluded. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.51575596683210341226618511576900919306
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76165672377291066167149210004136895650
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37136497667180199091108859240305251708
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17125531176005873382516678201955575450
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81366964632717465556059870210172502336
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. Mild cardiomegaly is present. Median sternotomy sutures are noted. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.86235739233511196831499454236861292903
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78625621509889006903104524928642258057
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78153021289266198541987333618477885240
+No pneumothorax or effusion. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Detailed views show no displaced fracture or other focal lesion.,No acute disease,1.2.826.0.1.3680043.8.498.66317365058231253691603803131496736174
+"Interval extubation. Interval removal of NG tube. Swan-Ganz catheter and left chest tube remain in place, unchanged. No pneumothorax. There is vascular congestion and bibasilar atelectasis, similar to prior study. Stable cardiomegaly.",Interval extubation. Continued vascular congestion and bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.18145767011481304468512483097254791188
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87066199604382193756335676420280122279
+Small left pleural effusion with left base atelectasis. Right lung is clear. Heart is normal size. No acute bony abnormality. No visible rib fracture. No pneumothorax.,Small left pleural effusion with left base atelectasis.,1.2.826.0.1.3680043.8.498.64928312141665777383502655175030392386
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21358962809174430445711133946937272774
+There is cardiomegaly present with bilateral pleural effusions and probable mild pulmonary vascular congestion. Feeding tube is present. The bones are osteopenic.,Cardiomegaly with effusions and probable mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.45564346280569343045708973394173059957
+Cardiac silhouette mildly enlarged. No mediastinal or hilar masses. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55016146303117966784522457753544609351
+"There is hyperinflation of the lungs compatible with COPD. Scarring noted in the upper lobes bilaterally. Increased density noted in the right lung base, increased since prior study. Cannot exclude early infiltrate. No confluent opacity on the left. Heart is normal size. No effusions.",COPD/chronic changes. Increasing density in the right lung base which could represent early infiltrate.,1.2.826.0.1.3680043.8.498.36669220865898843319139768977459595993
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.48950573391075376860421784675029907479
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89321425989613012293304884110281096326
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35071341802408022453604065052794920668
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30590105025572812242419483336117010060
+"Portable AP supine view at 8969 hours. Enteric tube is in place, side hole at the level of the gastric body. UVC tip projects at the level of the diaphragm. UAC tip at T6-T7. Normal visible bowel gas pattern. Normal cardiothymic silhouette. Improved lung volumes and bilateral ventilation. Mild granular pulmonary opacity at the left lung base appears regressed. No pneumothorax, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.",1. Enteric tube and UVC in place. UAC tip at T6-T7. 2. Improved ventilation with mild granular opacity at the left lung base regressed. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.13027757098054881286790156514895689411
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88170293074025549947324372758118109851
+The patient is significantly rotated. The heart is normal in size. The lungs are grossly clear. No pneumothorax. No pleural effusion.,Limited exam secondary to patient positioning. No obvious active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88991338926885345530669547301179421900
+"There is cardiomegaly. New bilateral airspace opacities are noted, most prominent in the right upper lobe. Findings likely represent edema although infection cannot be completely excluded. No effusions. No acute bony abnormality.","New bilateral airspace disease, likely edema. Cannot completely exclude infection.",1.2.826.0.1.3680043.8.498.35717641925960756777633988287245105907
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16929494534085773893828294654350464776
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.35065270210361502908836032183566484572
+Multiple left rib fractures are again noted. No pneumothorax. Bibasilar atelectasis increased slightly in the interval. No significant effusion. Heart size and vascularity normal.,No pneumothorax. Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40528869864515217001929220244276330306
+"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Right-sided scarring is noted, particularly at the lung apex. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Scattered clips are noted at the right lung apex.",Findings of COPD; lungs otherwise grossly clear. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.57701163578469054250721519961251883376
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46753411833108394411660203300968666747
+The heart size and mediastinal contours are within normal limits. Patchy opacities at the lung bases. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Patchy opacities at the lung bases, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.97206654782281086634798197974210421057
+Endotracheal tube tip remains in satisfactory position approximately 3 cm above the carina. Left subclavian central venous catheter tip remains in the upper SVC. Inspiration is markedly suboptimal accounting for atelectasis in the lung bases. This is superimposed upon pulmonary venous hypertension without overt edema. No new abnormalities are detected.,Tubes and lines satisfactory. Markedly suboptimal inspiration accounts for bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16634017744500996654052070013352431768
+Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.28500308525516529214624310957068591331
+There is a right chest wall port catheter with tip in the projection of the SVC. The heart size appears normal. No pleural effusion or edema. No airspace consolidation. The previously noted left upper lobe pneumonia has resolved.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.34492201673668266074663237026716654200
+"Portable AP semi upright view at 9EF0F-7X hours. Low lung volumes. Patchy and indistinct mostly peripheral and basilar pulmonary opacity, typical for COVID pneumonia. Cardiac size at the upper limits of normal. Other mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Negative visible bowel gas pattern. No acute osseous abnormality identified.",Patchy and indistinct mostly peripheral and basilar pulmonary opacity typical of COVID pneumonia.,1.2.826.0.1.3680043.8.498.21808491745369604792914611027874622592
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55994598437129965593246713019026901900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28090779697049640573693520391248474821
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45481726238297011998947165587579706132
+"There is cardiomegaly with vascular congestion. New bilateral lower lobe airspace opacities are noted, likely atelectasis. There may be small bilateral effusions. No acute bony abnormality.","Cardiomegaly, vascular congestion. Bibasilar atelectasis. Cannot completely exclude pneumonia.",1.2.826.0.1.3680043.8.498.83329913031718186480272483194961084138
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56532531290518911688197482785509891808
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Left-sided PICC line with the tip projecting over the SVC.,No active disease.,1.2.826.0.1.3680043.8.498.96137781590972994727451065130382236424
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.12820536224523274892230580724901106894
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Atherosclerotic calcifications present in the transverse aorta. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.71965434331228067237420864855099080292
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83256704742077074255564601640654501522
+Interval removal of right-sided chest tube. No pneumothorax. Midline trachea. Prior median sternotomy. Mild cardiomegaly. Small right-sided pleural effusion. Right base atelectasis is similar. Minimal left base atelectasis.,1. No pneumothorax after right-sided chest tube removal. 2. Small right and trace left pleural fluid with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.38979784067899139434409442289439427620
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27938856377278720660482728730644549962
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The bony thorax is intact. Left subclavian dual lead pacemaker is in satisfactory position.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76689842437679289314976227266450131511
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.43445297799996342191920940974053744608
+Cardiac shadow is mildly enlarged. Endotracheal tube is noted in satisfactory position. Gastric catheter extends into the stomach. The lungs are well aerated bilaterally with evidence of mild left retrocardiac atelectasis. Multiple right-sided rib fractures are again noted. No pneumothorax is seen.,Tubes and lines as described above. Mild left basilar atelectasis is noted.,1.2.826.0.1.3680043.8.498.64983946139409666835825183035024139171
+Pacemaker projects over the right side of the chest. EKG leads project over the patient's chest. Cardiomegaly is present. Congestive heart failure is present. Bilateral pleural effusions are present. Calcified pleural plaques seen on the right.,"No significant interval change, allowing for differences in technique.",1.2.826.0.1.3680043.8.498.87786127946207048564181814737986378428
+"No focal lytic lesions are identified within the skeleton. There are mild degenerative changes within the cervical, thoracic and lumbar spine. No suspicious focal osseous lesions are identified. The visualized lung fields are clear.",No focal bony lesions identified.,1.2.826.0.1.3680043.8.498.65533029304013899071893735332228022799
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71075108069609074583054404835674603864
+Cardiac shadow is within normal limits. Aortic calcifications are seen. Elevation of the right hemidiaphragm is noted. No focal infiltrate or effusion is seen. No acute bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.50704755897931622111254204992239629685
+The lungs are hyperaerated. Also there are prominent perihilar markings with peribronchial thickening most consistent with asthma or bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,Hyperaeration with prominent perihilar markings and peribronchial thickening most consistent with asthma or bronchitis. No pneumonia.,1.2.826.0.1.3680043.8.498.33787241159379812623568150475053145265
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.26402231604764973716704976026450939921
+"Shallow inspiration. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.17316014648676256597358731623652130858
+There is consolidation in the left base. This may represent pneumonia. There is also a small left effusion. The right lung is clear. There is cardiomegaly. There is a dual lead pacemaker. Central catheter tip is in the superior vena cava. No pneumothorax.,Left base consolidation. This may represent pneumonia. Small left effusion.,1.2.826.0.1.3680043.8.498.85834843578105811114024709119919094773
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72686230606283998114643062337792918934
+There is thickening of the interstitial markings as well as mild peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with viral pneumonitis versus reactive airway disease.,1.2.826.0.1.3680043.8.498.17981109361847804839807620794595854599
+Cardiac and mediastinal contours are unchanged. Pulmonary vascular congestion with mild interstitial edema again noted. No pleural effusion or pneumothorax. No focal consolidation. Surgical changes of prior ACDF again noted. Interval removal of the nasogastric tube and endotracheal tube.,1. Persistent pulmonary vascular congestion and mild interstitial edema. 2. Interval removal of nasogastric tube and endotracheal tube.,1.2.826.0.1.3680043.8.498.62899703613377279987414341106368528153
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a dextroscoliosis of the thoracic spine. No rib fracture is identified.",No acute process.,1.2.826.0.1.3680043.8.498.35344718159440264858089885915342033354
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86281916968031435399134492373780801510
+The lungs are clear. There is no pleural effusion. Heart size is normal. The descending thoracic aorta is ectatic. Surgical clips are noted in the gastroesophageal junction and in the right upper quadrant.,No acute disease.,1.2.826.0.1.3680043.8.498.19471407202292970298899435501393319694
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76481208322509963085576096665646174456
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20298787636825554475657346161415879245
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.88662283869245041640540154848916120798
+Endotracheal tube tip between the clavicular heads and carina. The orogastric tube reaches the stomach. Right IJ line with tip at the SVC. Low volume chest with diffuse and patchy pulmonary opacity. No visible effusion or pneumothorax. Stable heart size.,Stable hardware positioning and pulmonary opacity.,1.2.826.0.1.3680043.8.498.96904972105598421668519061742090055431
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34885663975928897733423041981531745210
+"Heart size is normal. Mediastinal shadows are normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.37086396419531295303054500333354272498
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size stable. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59262158615947751011992132082659952093
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Emphysematous changes are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88094247683448413433485448755168434064
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36240362275655790092046506774377942550
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30220515189360134147741681815089614088
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower anterior LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.90390406850337628617485531280044105087
+Tracheostomy tube is in place. There are small to moderate bilateral pleural effusions. Interstitial edema is noted. Bibasilar airspace disease likely reflects atelectasis. No pneumothorax is present. The heart is upper normal in size. The visualized soft tissues and bony thorax are unremarkable.,"1. Interstitial edema with bilateral pleural effusions and bibasilar airspace disease, likely atelectasis. 2. Tracheostomy tube is in place.",1.2.826.0.1.3680043.8.498.83384694009912060646178267777828114179
+"There is advanced COPD. Patchy airspace disease is again noted bilaterally, similar to the prior study. Small bilateral pleural effusions are noted. The heart is mildly enlarged. No pneumothoraces are seen.",No significant interval change.,1.2.826.0.1.3680043.8.498.33949308055787486196880218092777343205
+"The ventricular system is normal in size for the patient's age. There is no evidence of hemorrhage, mass effect or extra-axial fluid collections. There is no evidence of acute infarct in a major vascular distribution. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct, mass effect or hemorrhage. No skull abnormalities are seen. There is no evidence of intracranial mass or mass effect. There is no evidence of hemorrhage. No abnormal extra-axial fluid collections are identified. There is no evidence of acute infarct. No skull abnormalities are seen. There is no evidence of intracranial mass or mass effect. No other significant change.","Negative study. No acute infarct, hemorrhage or mass effect.",1.2.826.0.1.3680043.8.498.27894046603757449588897357312261197769
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62945715139409062241712632086552967511
+"Heart size is normal. There is no heart failure, infiltrate, or mass. COPD is present. There is no suspicious lung nodule.",COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74743857647276695432795104539211613148
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.60437965792681053074672380047237601058
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.97682818610672971467960639416761648745
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88882002340968254832553299266011772653
+There is a stable appearance of a right-sided defibrillator. The heart is mildly enlarged. There is no evidence for heart failure. Left lower lobe airspace disease is unchanged from the prior exam and may represent atelectasis or pneumonia. A calcified granuloma is again noted in the left mid lung. The lungs are otherwise clear. There is no evidence for pleural effusion.,1. No acute cardiopulmonary disease. 2. Stable appearance of the heart and lungs.,1.2.826.0.1.3680043.8.498.58918424369002744933420826960726686268
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57730209418387725856630789336265520132
+There is worsening aeration of both lungs consistent with diffuse airspace disease. The heart is mildly enlarged. Small bilateral effusions are noted.,Worsening CHF.,1.2.826.0.1.3680043.8.498.62892661271349171641432222936989150175
+The lungs are adequately inflated and clear. The heart and mediastinal structures are normal. The pulmonary vascularity is not engorged. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22581773012423936155733756520226276108
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75857997174435961573010339889151671908
+There is thickening of the interstitial markings as well as peribronchial cuffing. A RIGHT-sided pleural effusion is identified which appears to have increased in size when compared to the previous study. The cardiac silhouette is enlarged indicative of cardiomegaly. A LEFT sided pectoralis pacing unit is identified with lead tips projecting in the region of the RIGHT atrium and RIGHT ventricle. The visualized bony skeleton is osteopenic.,1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. 3. Increased RIGHT effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.96323423917942966133837285108269738403
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85048514268978684177498720775845984791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61859589117831468207058105723637048126
+"The lungs are well-aerated. Vascular congestion is noted, with bilateral central and bibasilar airspace opacities, likely reflecting pulmonary edema. A small right pleural effusion is noted, with associated right basilar airspace opacity, possibly reflecting asymmetric interstitial edema. A small left pleural effusion is also seen. There is no evidence of pneumothorax. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy, with evidence of prior CABG. No acute osseous abnormalities are seen.","1. Findings of pulmonary edema, with small bilateral pleural effusions. 2. Mild cardiomegaly.",1.2.826.0.1.3680043.8.498.50217657174162058403230912273126142578
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.80826743457927005830272573668300613039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13097956352599261066442162999770005206
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64516881243940122235445661105515967784
+Cardiac silhouette is mildly enlarged. Normal mediastinal contours. No focal airspace opacities. No pleural effusion or pneumothorax.,Mild cardiomegaly without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90844746580935202992684023973855284592
+There is consolidation in the right upper lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.82589722856148831568440551180560881470
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35391947334509130151754921406316363291
+Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a moderate left pleural effusion. There is a small right pleural effusion. Stable cardiomegaly. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.36063664640275090255455978368474073668
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest is hyperexpanded compatible with a history of COPD. There are noted a few old-appearing rib fracture deformities on the LEFT.",1. No acute changes are identified. 2. COPD.,1.2.826.0.1.3680043.8.498.67675628447715735317586279147831153729
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84563132158007672967206963584466151794
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.84573002515108217691841434043427135617
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29727767711486983968366874954254416295
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63290556796623296164184675280625231083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58885006334497424782205550154756644798
+Heart size is normal. The mediastinum is unremarkable. There is linear scarring at the left lung base. The lungs are otherwise clear. No effusions. No significant bony finding.,No active disease.,1.2.826.0.1.3680043.8.498.36925249360313558555779553713857133254
+Heart and mediastinal contours are within normal limits. There is central airway thickening. Focal airspace opacity in the right lower lobe concerning for pneumonia. Left lung clear. No effusions.,Central airway thickening. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.22606518745246247031172315725672710797
+Normal sized heart. Tortuous aorta. Small amount of right pleural fluid and/or thickening. Clear lungs. Mild thoracic spine degenerative changes.,Small amount of right pleural fluid and/or thickening.,1.2.826.0.1.3680043.8.498.78985629004818685301062102413179055696
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or asthma. No acute infiltrate.,1.2.826.0.1.3680043.8.498.20838320837235646286190066661580268530
+"Grossly unchanged cardiac silhouette and mediastinal contours. Interval placement of a right-sided chest tube with tip overlying the right mid lung. Interval decrease in residual small right-sided pneumothorax with residual small amount of pleuroparenchymal thickening about the right minor fissure. Improved aeration of the lungs with persistent bilateral heterogeneous opacities, most conspicuous within the peripheral aspect of the right upper lung. No new focal airspace opacities. No evidence of edema. No pleural effusion. No evidence of edema. No acute osseus abnormalities.",1. Interval placement of a right-sided chest tube with tip overlying the right mid lung. Interval decrease in residual small right-sided pneumothorax. No evidence of edema. 2. Improved aeration of the lungs suggests resolving atelectasis and/or airspace disease. 3. Residual bilateral opacities favored to represent atelectasis.,1.2.826.0.1.3680043.8.498.62712937272407690514595159914400463952
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86395787464276138210251229445315382894
+The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23211363238395183695623174176577961933
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14588881854463009998118024499487275478
+Low lung volumes with clear lungs seen. Stable heart size and post CABG changes seen. Left-sided pacemaker leads ending in the right atrium and right ventricle stable. No new significant abnormality is seen.,1. Low lung volumes. 2. Post CABG. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.36985971792415419128710022244513592153
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51220372190875289932286954775501529605
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.73388359673524229663835704145638766916
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98766460934789863623825183102918165824
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93376995518703912889224814490124400261
+Heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is plate-like atelectasis at both lung bases. No airspace consolidation.,1. Low lung volumes. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47353380982743319500894196102992202598
+Endotracheal tube is 5 cm above the carina. NG tube is in the stomach. There is mild central vascular congestion. There is plate-like atelectasis in the right mid lung. No effusions. No acute bony abnormality.,Endotracheal tube and NG tube in satisfactory position. Central vascular congestion. Plate-like atelectasis right mid lung.,1.2.826.0.1.3680043.8.498.62884491138654396753661224185053519150
+Low lung volumes. New patchy airspace disease in the left upper lobe and right lung base. No pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax. Large hiatal hernia.,"New patchy airspace disease in the left upper lobe and right lung base, which may reflect atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.59471663301011941120171648619882435606
+There is increase in bibasilar airspace disease which may be atelectasis or pneumonia. There is no heart failure or effusion. Lung volume is normal.,"Increase in bibasilar airspace disease, possibly pneumonia.",1.2.826.0.1.3680043.8.498.68938186025112642811902215631207957987
+"Endotracheal tube, nasogastric tube, and right subclavian central line are stable in position. There has been some progression of airspace consolidation throughout much of the left lung. Patchy airspace opacities at the right lung base are stable. Heart size normal. No definite effusion.",1. Some increase in left lung airspace consolidation. 2. Stable airspace opacities at the right lung base.,1.2.826.0.1.3680043.8.498.75100681107676583524739975021116047055
+"There is opacity in the right middle lobe seen best on the frontal and lateral views, consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.",Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.20422298425342150682470970834069609857
+There is mild bilateral interstitial thickening. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56226885772404502206856635985072070061
+There is a right-sided central venous catheter with the tip projecting over the right atrium. There is persistent elevation of the right hemidiaphragm. There is bibasilar atelectasis. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,1. No acute cardiopulmonary process. 2. Persistent elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.76776112497864880093645587855974353055
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Postoperative changes of prior CABG are observed. There is degenerative spurring at multiple levels of the thoracic spine.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.93933522396667170738611484229847089230
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25610873261256642917724694043565593967
+There is peribronchial thickening bilaterally consistent with bronchitis. Lung volumes are normal. No consolidative infiltrates or effusions. No discrete osseous abnormality.,Bronchitis.,1.2.826.0.1.3680043.8.498.99466238638830051489835647492167449893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17461546661588813563739262939512556593
+Heart size within normal limits. Lungs hyperaerated but clear. No pleural fluid. There are degenerative changes in the spine.,COPD - no active disease.,1.2.826.0.1.3680043.8.498.12426729914501686080507468310708358319
+Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Scattered interstitial infiltrates throughout both lungs consistent with pulmonary edema and/or pneumonia. Small LEFT pleural effusion with minimal LEFT basilar atelectasis post thoracentesis. No pneumothorax. Bones demineralized.,No pneumothorax following LEFT thoracentesis.,1.2.826.0.1.3680043.8.498.61208488469685690409055879629547748685
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26582227932907114590837162300743806063
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16907535678346246333893883789877058884
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.49947242007997470459850493414002867248
+"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Diffuse peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits. Visualized soft tissues are unremarkable.","Diffuse peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.55478521131956550461082771486907814410
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87844059975279482545164350090597650128
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.75807139259289229253887886051730604360
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30563898379164048704999169022277800387
+The cardiac silhouette is moderately enlarged. There is upper lobe vessel prominence consistent with pulmonary venous hypertension pattern. There is minimal interstitial density in the right lung with minimal right costophrenic angle blunting. This most commonly reflects interstitial edema with minimal right pleural effusion. No consolidation is evident. There is minimal degenerative spondylosis.,The cardiac silhouette is moderately enlarged. There is upper lobe vessel prominence consistent with pulmonary venous hypertension pattern. There is minimal interstitial density in the right lung with minimal right costophrenic angle blunting. This most commonly reflects interstitial edema with minimal right pleural effusion.,1.2.826.0.1.3680043.8.498.34749423202193687644024925512356273304
+The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The orogastric tube tip overlies the gastric bubble. The visualized upper abdomen is unremarkable.,"Normal, mild, diffuse, granular opacities throughout both lungs.",1.2.826.0.1.3680043.8.498.70461113300361252515674011505692913211
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate size hiatal hernia is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84037356684479362188008555741465798954
+Upper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.43781235467758029622628933969491202577
+The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are bibasilar infiltrates with small effusions. Degenerative changes are seen in the spine.,Bibasilar infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.59387892918653259142491588787300799523
+"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.49235832660414605456486041428385402453
+"AP view of the chest shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. No acute changes of the heart or pulmonary vasculature are identified. A Port-A-Cath is present with the tip projected over the region of the superior aspect of the right atrium. Nasogastric tube is present with the distal portion in the stomach.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21331620182935540783268270294029021504
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22834503152578891917462665444633293582
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47518031770116694054846671406165763773
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. Diffuse interstitial changes extend through the lungs suggesting chronic fibrosis. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected. Chronic interstitial changes extend through the lungs.,1.2.826.0.1.3680043.8.498.35788720655950949389587172138818753077
+Right upper extremity PICC with tip terminating in the superior cavoatrial junction. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size and mediastinal contours are within normal limits. Orthopedic fixation hardware in the cervical spine is incompletely imaged.,1. Tip of PICC line appears appropriately located at the superior cavoatrial junction. 2. No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98187736749291380595600887792169541984
+There is cardiomegaly. There are small bilateral pleural effusions. Interstitial edema pattern has improved from the prior exam. Patchy areas of airspace disease within the right mid and lower lung are unchanged.,Improved edema pattern. No change in airspace disease.,1.2.826.0.1.3680043.8.498.62329000410433351515480886043270114212
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53176628168573160137305441939567609348
+The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98199991085191279311660387771303933947
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92224530235820145422066362675316086425
+Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25739094826752678416659175087601552499
+The heart size and mediastinal contours are within normal limits. There are increased patchy airspace opacities throughout both lungs. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Increased bilateral airspace opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.90790325600128884341347071010642926983
+"Cardiac silhouette mildly enlarged, unchanged. Large hiatal hernia, unchanged. Thoracic aorta tortuous and atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Linear atelectasis or scar in the left lower lobe, unchanged. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity. Degenerative changes involving the thoracic spine.",1. No acute cardiopulmonary disease. 2. Stable mild cardiomegaly. 3. Stable large hiatal hernia.,1.2.826.0.1.3680043.8.498.39294766508958330464060808587012632128
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46835639819842888928603157428692942708
+There is extensive airspace disease in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Extensive right upper lobe airspace disease compatible with pneumonia. Recommend follow-up plain films to clearing.,1.2.826.0.1.3680043.8.498.59130224414390935201113088169361501819
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Right Port-A-Cath in stable position. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68016268796506156310959915888048412228
+The patient has a new right PICC line with the tip in the distal SVC. It could be advanced approximately 3 cm. Stable appearance of the heart and lungs since the earlier film from today.,Right PICC line tip in distal SVC. It could be advanced 3 cm.,1.2.826.0.1.3680043.8.498.31132025630337117798528485104975264967
+Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47636060988366965791467206440191277137
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30193332027712756262490786847470673491
+The trachea is midline. Heart size is normal. Lungs are clear.,No acute findings.,1.2.826.0.1.3680043.8.498.46680735825290251138641962319591225195
+"UVC has been pulled back with the tip in the lower right atrium approximately 7 mm above the IVC right atrial junction. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, unchanged. No effusions.",UVC tip in the right atrium approximately 7 mm above the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.42461088258546794072684636036960673737
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.75950639141343052284829689560369390828
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63921063165013944800452455598015607898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20523936303376309381664159515273689820
+"There is increased opacity at the left lung base, likely a combination of pleural effusion and atelectasis. There is also increased opacity in the left upper lobe, likely related to the patient's known lung cancer. Cavitary lesion in the right upper lobe is again demonstrated. Left upper lobe mass is again noted. No pneumothorax. Heart size and mediastinal contours are grossly stable.","1. Increased opacity at the left lung base, likely a combination of pleural effusion and atelectasis. 2. Increased opacity in the left upper lobe, likely related to the patient's known lung cancer. Cavitary lesion in the right upper lobe and left upper lobe mass appear grossly stable.",1.2.826.0.1.3680043.8.498.75553365075015022809804392457105895189
+"LEFT arm PICC line tip projects over SVC. Enlargement of cardiac silhouette. Calcified mediastinal and hilar lymph nodes. Pulmonary vascular congestion. Chronic interstitial lung disease with upper lobe scarring and bronchiectasis. No definite acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Enlargement of cardiac silhouette. Chronic lung disease with pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.44032219162770115045630303251814317575
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.53250887010138438457553872271581906081
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.90464264348305864205022406959005344259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88686369167595852606389597087261597436
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.30797594709937831384477329797352038819
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.31870401872007324732943642748861445392
+"Right central line, endotracheal tube, and nasogastric tube are unchanged. There is some patchy density at the lung bases which is improved. There was considerable consolidation in these areas on the prior chest x-ray. COPD again noted.",Improved aeration in the lower lobes.,1.2.826.0.1.3680043.8.498.13310367181090912961105979963020518693
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41693144366441381451310970366490523720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58798556880183635455798425486695905675
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11439547593950743215019374572514099885
+There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.71135334286294137930475748591241073601
+Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97604159891065549708294653639496308474
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20921741179314679688692973432665485131
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90900316348181406383327418872957248018
+"Cardiovascular: The heart size is mildly enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78447096690189964816192159021530033951
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.10982121053870825563038148794805088534
+Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No evidence of focal consolidation. No pneumothorax. No pleural fluid. Bony thorax is intact.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.39984735095330319448891347069052101956
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75226941312260620093186861725187865779
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61682513044164447076852290480396602122
+Endotracheal tube is 4.6 cm above the carina. Nasogastric tube extends into the stomach. Swan-Ganz catheter tip is in the right pulmonary artery. There is a left chest tube and a mediastinal drain. No pneumothorax. No pleural effusion. Minimal basilar atelectasis. No pulmonary edema.,Support equipment appears satisfactorily positioned.,1.2.826.0.1.3680043.8.498.64607919202056447383945022180509263056
+There is been slight improvement in the bilateral pulmonary edema. Heart size and vascularity are normal. No discrete effusions. No acute osseous abnormality.,Slight improvement in the bilateral pulmonary edema.,1.2.826.0.1.3680043.8.498.65997565456862619638948872860512405033
+There is some patchy left basilar air space disease. The lungs are otherwise clear. No pleural effusion. Heart size normal.,Patchy left basilar air space disease could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.46711943239070340445376834576369851758
+There has been interval improvement in the aeration of both lung bases. Small bilateral pleural effusions are again noted. Aortic arch tortuosity is again noted. The heart size is normal. No new areas of pulmonary infiltrate are seen.,Improved basilar aeration. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.93672393480913440915676479113629092123
+The lungs are hypoexpanded. Mild left basilar opacity likely reflects atelectasis. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Lungs hypoexpanded; mild left basilar opacity likely reflects atelectasis. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.62667059651297359615953901178295435394
+The lungs are well-expanded. The interstitial markings are increased diffusely. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. Followup films would be of value.,1.2.826.0.1.3680043.8.498.94623182138523175116863489262131668572
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48196630862623320340534257287381165836
+There is worsening diffuse airspace disease versus edema throughout the lungs. Heart size is obscured by the airspace process. Right IJ central line has been removed. No definite effusion or pneumothorax.,Worsening diffuse airspace disease versus edema.,1.2.826.0.1.3680043.8.498.60481374132843712156118717344484021448
+"The heart size is within normal limits. The pulmonary vascularity is within normal limits. The mediastinal contour is within normal limits. No infiltrate, pleural effusion or pneumothorax. The bony structures are intact.",No acute process.,1.2.826.0.1.3680043.8.498.72685949950466317992361819475546609172
+Heart size is normal. There is no heart failure. There is COPD. There is a calcified granuloma in the right lower lobe. There is mild left lower lobe atelectasis. There is no pneumonia or edema.,COPD and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.46433512952398004088805204814167438709
+The lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.49096717900350728774440251643445660858
+Two views of the chest were obtained. There is mild cardiomegaly. There is pulmonary hyperinflation. There are increased interstitial and scattered alveolar opacities throughout both lungs. There is no consolidation. There is no pneumothorax. There is no acute bone lesion. There are postop changes of the mediastinum.,There is cardiomegaly and mild CHF. There has been slight increase in the interstitial and alveolar opacities in both lungs since the prior study. There is no consolidation. There is COPD.,1.2.826.0.1.3680043.8.498.93627124955270449787370133013668031521
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.85259521162721537534878568219361476680
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69344765439084516174136768118054672621
+The heart is normal in size. There is a large area of consolidation in the right upper lobe. The lung volumes are low. Mild reticular opacities are seen at the left lung base.,1. Findings concerning for a large right upper lobe pneumonia. Underlying mass is not excluded. Followup radiographs are recommended to ensure resolution. 2. Mild reticular opacities at the left lung base may be secondary to atelectasis. Infection is not excluded. Followup PA and lateral chest radiograph is recommended.,1.2.826.0.1.3680043.8.498.26515953327504297037374784192563339371
+Left PICC line is in place. The tip is in the mid SVC. Right PICC line has been removed. Left base atelectasis present. Heart is normal size. No effusions. No acute bony abnormality.,Left PICC line tip mid SVC. Left base atelectasis.,1.2.826.0.1.3680043.8.498.59654784740981257650121329621649019407
+Endotracheal tube is 4.5 cm above the carina. Right central line tip is in the mid SVC. No pneumothorax. Nasogastric tube enters the stomach. There is mild basilar atelectasis. No effusions.,Right central line tip mid SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52233449735021690538315249885120069665
+Exam limited by body habitus and positioning. The heart is enlarged. There is vascular congestion and pulmonary edema. No obvious pleural effusions. No pneumothorax. The right PICC line is likely in the right atrium.,1. Cardiac enlargement and congestive heart failure. 2. Pulmonary edema is limited by body habitus. 3. Right PICC line is in the right atrium.,1.2.826.0.1.3680043.8.498.35312272063096231583998706414095445373
+There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.76406813672790517196885764644880178864
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63092191791814269725311557398600743945
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98539805635945025601921613444266913615
+Normal cardiothymic silhouette. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of significant lung hyperinflation. Nonspecific bowel gas pattern with no evidence of pneumatosis or pneumoperitoneum. Visualized osseous structures appear intact.,No active cardiopulmonary disease. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.22445310894253621545562734030736753808
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51576354090359911069547976826107349504
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15959557679266135162244088161186333737
+Heart size is normal. There is no pleural effusion or pulmonary edema. Left hilar adenopathy is again noted. No acute airspace opacities are identified.,1. No acute cardiopulmonary abnormalities. 2. Left hilar adenopathy.,1.2.826.0.1.3680043.8.498.31327479127325004363088615715106937584
+There is little change in diffuse airspace disease throughout both lungs most consistent with interstitial and possibly alveolar edema. No definite effusion is seen although small effusions cannot be excluded. Cardiomegaly is stable. No bony abnormality is seen.,Little change in diffuse airspace disease most consistent with edema.,1.2.826.0.1.3680043.8.498.91493568540983640256068813013058896132
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74461197942705676393876859444344766038
+Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. There is central peribronchial thickening which is stable. There is opacity in the right lower lobe consistent with pneumonia. Remainder of the lungs is clear. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,1. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.80776270223538569573513438224772213003
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18607840903380702837349989176721041273
+Endotracheal tube tip is 3.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. Minimal basilar atelectasis. No pulmonary edema.,Satisfactory appearance following bypass surgery.,1.2.826.0.1.3680043.8.498.17635849743804685594987046031258772823
+There is central airway thickening. No confluent opacities or effusions. Heart is normal size. No bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.16096296572170138329376819319194396475
+There is a moderate-sized right pleural effusion with associated right lower lobe atelectasis. The left lung is clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or acute bony abnormality.,Moderate right pleural effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.54294818096657268281406994341532882759
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16372817115680325738972633671930698355
+The heart is mildly enlarged. The aorta is tortuous and calcified. The lungs show bibasilar atelectasis. No edema or effusions are seen. No acute fractures are evident.,1. Mild cardiomegaly. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76190957423765697464373451471942369474
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.39141571455760447656337459486510768082
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.42923558082010728172394670939157630081
+"There is persistent pulmonary vascular congestion with bilateral perihilar interstitial opacities, compatible with pulmonary edema. Small bilateral pleural effusions are noted. There is no evidence of pneumothorax. Stable cardiomegaly. No acute osseous abnormalities are seen.","Findings again compatible with pulmonary edema, not significantly changed from prior exam.",1.2.826.0.1.3680043.8.498.62620202045064555089224851156788187933
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21019981338000553681116563768746293555
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13361268808067417943054469495540274189
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. Mild central airway thickening is evident. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.57480940611725734674372510189838820385
+There is some patchy airspace disease in the right lung base. Lungs otherwise clear. No effusion. Heart size normal.,Patchy right basilar airspace disease compatible with atelectasis and/or scar. Otherwise negative.,1.2.826.0.1.3680043.8.498.96806071707434359482690342504435134106
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23897155417949835450109969217762034494
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89128406024499569794306612699509151667
+No active infiltrate or effusion is seen. Linear scarring is noted in the left mid lung. Mediastinal contours appear normal. The heart is within upper limits of normal. Left rib detail films show no acute left rib fracture.,1. No active lung disease. 2. Negative left rib detail.,1.2.826.0.1.3680043.8.498.42492966024386491976028110863810249019
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.18920971733674312730403074658062881127
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43067964697160515857327446716398569327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33790776242264143310645455341413500153
+"The heart is mildly enlarged. There is pulmonary vascular congestion without overt pulmonary edema. No pleural effusions are identified. There is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. No acute bony abnormalities are identified.",Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.77064504161699586847206747200243951824
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. The visualized bowel gas pattern is grossly unremarkable.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.77387942460877291678160623648091113952
+Right jugular Port-A-Cath tip in the SVC in good position. No pneumothorax. Mild left lower lobe atelectasis. No pleural effusion.,Satisfactory Port-A-Cath placement.,1.2.826.0.1.3680043.8.498.67404686386280012540219267555234066165
+Shallow inspiration. The heart size and pulmonary vascularity are normal. The lungs appear clear and expanded without focal air space disease or consolidation. No blunting of the costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.16241406580088819202528111374593184003
+"Eventration of the left hemidiaphragm, stable. Left basilar scarring again noted. Heart is normal size. Right lung clear. No effusions. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41564119625023688946916533630926106146
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86363993517373309436993440713705328389
+Cardiac and mediastinal contours are within normal limits given portable AP technique. No focal or consolidative pulmonary opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.29209089981109302307987811856535850825
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.76710398876734236812788139249209947403
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86621690329514965976962898206465215782
+"There is peribronchial cuffing which may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.12273919847292706657828781894110642743
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94384920477051343614844814679659584782
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.74746678526420983656133194137428459998
+The lungs are clear. No pneumothorax or pleural effusion is seen. The cardiac silhouette is mildly enlarged. The mediastinum thin bony structures appear intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.14962519792185381797515158853210226529
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.12531418846716975684348019505819395560
+"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49103274053263358352951632368005940516
+"Endotracheal tube tip projects 2.5 cm above the carina. Nasal/orogastric tube passes below the diaphragm into the stomach. RIGHT arm PICC tip projects over the lower SVC at or near the cavoatrial junction. Improved aeration at the LEFT lung base, with only mild atelectasis persisting. Mild atelectasis at the RIGHT lung base, stable. Lungs otherwise clear. No new pulmonary parenchymal abnormalities.","1. Improved aeration at the LEFT lung base since yesterday, with only mild atelectasis persisting. 2. Stable mild atelectasis at the RIGHT lung base. 3. No new abnormalities.",1.2.826.0.1.3680043.8.498.71706569470625641451374594507388260861
+The lungs are clear. There is cardiomegaly. Hiatal hernia is noted. The patient is status post CABG. No pleural effusion.,Cardiomegaly without acute disease. Hiatal hernia.,1.2.826.0.1.3680043.8.498.62383996826271689575594897531767550970
+"There is elevation of the left hemidiaphragm with associated atelectasis. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26719328060410283954917844116489099612
+Heart size is normal. The lungs are free of focal consolidations and pleural effusions. There is mild interstitial prominence. No evidence for pulmonary edema.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88484949121471922107655122947450743340
+Mediastinum and hilar structures normal. Cardiomegaly with interval clearing of pulmonary edema. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. 2. Interim clearing of pulmonary edema.,1.2.826.0.1.3680043.8.498.55202344689462033874316635377716065244
+Stable borderline enlarged cardiac silhouette and mild changes of COPD. Stable diffuse osteopenia.,Stable borderline cardiomegaly and mild changes of COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.47846412223936781029724741716158551958
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower anterior LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.81008466254673599151992004706043548754
+Endotracheal tube tip is 2.5 cm above the carina. Enteric tube tip is in the left upper quadrant consistent with location in the upper stomach. Large hiatal hernia. Left lung base opacity is likely due to atelectasis adjacent to the hernia. The heart size and pulmonary vascularity are normal. Calcification and tortuosity of the thoracic aorta. No pneumothorax. No acute osseous abnormality.,Appliances appear to be in satisfactory location. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.59746623456879419640067634177457105416
+Stable enlarged heart silhouette. There is new interstitial edema. No focal consolidation. No pleural fluid. No pneumothorax.,1. New interstitial edema. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.38693819095043816145185299473695804352
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43365797567583873750022067487396783755
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70686006226944296630784613318512911508
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61211679741310349589480092507670461395
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16457421354929655601114854595403221037
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23822757890522757617170465024348983244
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22943686284121105251858129024126021012
+Tracheostomy tube is in place. Ventriculoperitoneal shunt catheter is seen along the right chest. Low lung volumes. Mild atelectasis at the bases. Heart is normal size. No effusions. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.50695421522595324920070366480920981275
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462533871904544803680778451288347581
+"The patient has patchy bilateral airspace disease, which is somewhat worse on the left. No effusion. Heart size normal.",Patchy bilateral airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.39241659779100126438525192766737360627
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94059494274313828906365726858545533935
+"Endotracheal tube is in place with the tip 5.5 cm above the carina. There is patchy airspace disease in the lungs bilaterally, new since the prior study. Heart size is normal. No effusion.",1. Endotracheal tube in satisfactory position. 2. New bilateral airspace disease which could represent pneumonia or possibly asymmetric edema.,1.2.826.0.1.3680043.8.498.54999152889115222435726304051247113026
+Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25509643595521738529371984028299619290
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91033048258467698610687393974713579280
+Heart size is within normal limits. Mild scoliosis is noted. Both lungs are clear. There is no evidence of pleural effusion. No mass or adenopathy identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71589927126900028900856955921232281537
+There is no pulmonary vascular congestion seen. There are bilateral linear thin streaky opacities seen consistent with bibasilar atelectasis. No focal lung consolidation is seen. There is no pleural effusion seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29281201160808819380998012016866920143
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. There is a S-shaped scoliosis of the thoracolumbar spine. There is a nondisplaced fracture of the lateral right 10th rib.",Nondisplaced fracture of the lateral right 10th rib.,1.2.826.0.1.3680043.8.498.50636803681491393956985007789259063308
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.43976355253138457152752779244558147696
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53728205625772786236471646510953283603
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58618919136203435368748412691965360711
+No pneumothorax after LEFT thoracentesis. A moderate LEFT pleural effusion remains with LEFT basilar atelectasis and/or airspace disease. Small RIGHT pleural effusion remains with mild basilar atelectasis. No new pulmonary opacities. RIGHT internal jugular central venous access is stable and well positioned in the cardiopericardial silhouette.,1. No pneumothorax after LEFT thoracentesis. 2. A moderate LEFT pleural effusion remains with LEFT basilar atelectasis and/or airspace disease. 3. Small RIGHT pleural effusion with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.42997529020603879566236987460398896335
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88497358658890665872814777333350089554
+There is near complete opacification of the left hemithorax with left-sided volume loss and mediastinal shift. This is unchanged when compared with the prior examination. The right lung is clear. There is no evidence for pleural effusion. Surgical clips are noted in the left chest.,Stable appearance of the chest. Persistent near complete opacification of the left hemithorax.,1.2.826.0.1.3680043.8.498.58179399874868119902768634788887149984
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83915701292866414872112634459388830343
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the left lung base consistent with atelectasis or scarring. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.26499982087985823047747330683185797443
+Hyperinflation of the lungs compatible with COPD. Linear areas of scarring in the lung bases bilaterally. Heart is normal size. No effusions or pneumothorax. No visible rib fracture. Stable compression fracture in the lower thoracic spine.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.81634750345982788773400623996809756185
+The lungs are hyperinflated consistent with COPD. There is increased density at the lung bases which could represent atelectasis or pneumonia. Fibrosis or asymmetric edema are also considerations. The heart is normal in size. There is no effusion or pneumothorax.,COPD with persistent increased density at the lung bases which could represent atelectasis or infiltrate. Fibrosis is not excluded.,1.2.826.0.1.3680043.8.498.20901890255168040963078451766105020329
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48204732139293624842333514460298377345
+There is persistent opacity at the left lung base which likely represents a combination of pleural fluid and atelectasis. Underlying pneumonia cannot be excluded. Mild atelectasis is seen at the right lung base. Cardiomegaly is stable. Pulmonary vascular congestion is again noted and without significant change. There is no evidence of frank pulmonary edema. No pneumothorax identified. Prior CABG again noted.,"1. Persistent opacity at the left lung base which likely represents a combination of pleural fluid and atelectasis, although underlying pneumonia cannot be excluded. 2. Stable cardiomegaly and pulmonary vascular congestion. No evidence of frank pulmonary edema.",1.2.826.0.1.3680043.8.498.91970842867272402519529865103123723293
+"The right PICC line is stable. Very low lung volumes with vascular crowding and atelectasis. Bilateral effusions, right greater than left with overlying atelectasis. Stable central cavitary mass.",Low lung volumes with worsening basilar atelectasis and effusions.,1.2.826.0.1.3680043.8.498.96352943160369787538964627451232658075
+Bilateral airspace disease is again noted and unchanged. The central venous catheter is in the right atrium. It needs to be retracted approximately 1.5 cm.,No significant change in severe bilateral airspace disease.,1.2.826.0.1.3680043.8.498.28791659356608402122188535283479542358
+Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Included soft tissue planes and osseous structures are non-suspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.,No acute cardiopulmonary process for this low inspiratory examination.,1.2.826.0.1.3680043.8.498.18222658935623065354838833475057477068
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Mild elevation of the right hemidiaphragm is seen. Mild degenerative changes of the thoracic spine are seen.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46616098861499609245254591386860908178
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.77741716104462969133123610103702390782
+Cardiac shadow is within normal limits. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild scarring is noted in the left base. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72372835670485722755038333539451751647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28891413452056445822301037522734105538
+There are low lung volumes. No focal airspace opacities or effusions. Heart is mildly enlarged. Patient status post median sternotomy.,"Low lung volumes, mild cardiomegaly. No acute findings.",1.2.826.0.1.3680043.8.498.95554443980980505535756000835366074168
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42292146038557087309375793493506754149
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86724083495520059385354447974041649720
+Shallow inspiration with minimal right lung base atelectasis. Patchy airspace opacity in the right mid to lower lung field most consistent with pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Right mid to lower lung field pneumonia.,1.2.826.0.1.3680043.8.498.43472884575311924141040093620822653154
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84571668210329068928598318977046394733
+Heart size is upper normal. Negative for heart failure. The lungs are clear without infiltrate or edema. No pleural effusion. Neurostimulator electrode is in the midthoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41723981213391767943260359736306622281
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Status post aortic valve replacement. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84572212502153024323943338137106121176
+"Endotracheal tube, left arm PICC line, and nasogastric tube are unchanged. There has been some interval improvement in lung volumes with mild bibasilar atelectasis persisting. No edema.",Improved lung volumes with residual basilar atelectasis.,1.2.826.0.1.3680043.8.498.30264382407846264463542339557430002216
+Patchy airspace disease in the right upper lobe and bilateral lower lobes concerning for pneumonia. Heart is normal size. No effusions. No acute bony abnormality.,Patchy bilateral airspace disease in the upper and lower lobes concerning for pneumonia.,1.2.826.0.1.3680043.8.498.73919352800728884074275907889956205561
+Prior CABG. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Minimal left base atelectasis remains.,1. No acute cardiopulmonary disease. 2. Minimal left base atelectasis.,1.2.826.0.1.3680043.8.498.54510328413940714595619597912385803955
+A small left apical pneumothorax remains. Pneumomediastinum is again noted. Subcutaneous air is seen overlying both sides of the neck as well as overlying the right lung. The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,1. No significant change in small left apical pneumothorax. 2. Again noted is pneumomediastinum with subcutaneous air.,1.2.826.0.1.3680043.8.498.23132776337197556031232043355031927286
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.84004597832155668802799863486942476416
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53770954273000905945739786574040577949
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60768426823741399461364825888214260248
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87898789039593973597013068721295843131
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79885502002919051161191109204163711844
+"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal airspace disease - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.32743016799939748651519613472961569219
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pulmonary edema or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51798706848595067486303707836770908901
+Cardiomediastinal silhouette unremarkable. Suboptimal inspiration on the AP image which accounts for crowded bronchovascular markings diffusely; better inspiration on the LATERAL image and the bronchovascular markings are normal. Lung parenchyma clear. No pleural effusions. Lung volumes normal. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41200864146547205284186473147755732493
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.89797188420968190611579010289712348120
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87631877423520497630751687669433788199
+Eventration of the right hemidiaphragm is again identified and stable. Mild right basilar atelectasis is seen. The left lung is clear. No pleural effusion or pneumothorax is noted. The cardiac shadow is within normal limits. No bony abnormality is seen.,Stable eventration of the right hemidiaphragm with mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.19667857633380978237542946700271744471
+There is cardiomegaly present with pulmonary vascular congestion and effusions consistent with congestive heart failure. No bony abnormality is seen.,"CHF with cardiomegaly, pulmonary vascular congestion, and bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.54584540655224988031116995471409074090
+"There is again noted increased density at the lung bases compatible with fibrosis. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no acute changes.",1. There is again noted increased density at the lung bases consistent with fibrosis. 2. No acute changes are identified.,1.2.826.0.1.3680043.8.498.96711243361506931509484688783455808422
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65126195429606238510401490540778777036
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.12937206092800426766653896540607531705
+"Right chest tube remains in place, unchanged. No pneumothorax. Right lower lobe airspace opacity again noted, unchanged. Left lung clear. Heart is normal size.",No significant change. No pneumothorax.,1.2.826.0.1.3680043.8.498.64791248665903311095448855832316200492
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42452904116656481277425425300674907642
+There is some mild prominence of the pulmonary interstitium. Lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.46616841915550713288946251074643235918
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49498906451062430901466996507854659741
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.52579097265554030664098518894218640605
+There is cardiomegaly. Bilateral airspace opacities are again noted. There are moderate bilateral pleural effusions. Mild vascular congestion. No real change since prior study.,"No significant change in bilateral airspace disease, bilateral effusions and vascular congestion.",1.2.826.0.1.3680043.8.498.45474818272156427734606403909889657548
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77468702507512054561455204539901102640
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11484326833390924835063194195339705199
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84068098089039705764042523637276870197
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.49219125997743061178291342884842477252
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Mild subsegmental atelectasis is noted in both lung bases. The visualized skeletal structures are unremarkable.,Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.87340285378339479311579551945717403756
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62498982630661514860836357626078342228
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58417014277220842029703216277725575879
+The heart is markedly enlarged. The pulmonary vessels are slightly congested. No focal consolidation identified. No pleural effusion is seen.,Cardiomegaly with pulmonary vascular congestion. No evidence of acute process.,1.2.826.0.1.3680043.8.498.30556534325175180878501504697043343741
+Interval CABG. Endotracheal tube terminates 5.6 cm above carina. Nasogastric tube extends beyond the inferior aspect of the film. Right internal jugular Swan-Ganz catheter is present with tip in the right pulmonary artery. Mediastinal drain and left chest tube are in place. There is no pneumothorax. No pleural fluid. Minimal left basilar atelectasis.,Interval CABG. Support apparatus satisfactory.,1.2.826.0.1.3680043.8.498.21332909210736535360526548232135592472
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97607854078635612318509881400043743345
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.90169543286311643503793004311802981976
+AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits. No acute regional skeletal abnormality.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.35197354211472105385963284133816988929
+The heart size and mediastinal contours are within normal limits. Left lung is clear. Large right upper lobe airspace opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.62471870977977217984496876087295353198
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26818049945909677557620555323206954353
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.50941845474864470280653305148889596610
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19407753906344243775028342221852096734
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21770443817466054887944176479919041629
+There is airspace disease in the right lower lung zone. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.49187341408670059740932496674803174840
+The heart is normal in size. The lungs are under expanded. Right lower lobe infiltrate is seen with a small effusion. The left lung appears clear. There is no pneumothorax.,Right lower lobe infiltrate with small effusion.,1.2.826.0.1.3680043.8.498.71576456844459414811495853740084731326
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84671558314730535855646241976160588927
+"Right chest tube remains in place, unchanged. Small right apical pneumothorax again noted, unchanged. Right upper lobe consolidation and right hilar mass again noted, unchanged. Small right effusion. Left lung is clear. Heart is normal size.",No significant change.,1.2.826.0.1.3680043.8.498.70631377061541674050943441984128194990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable. Bullet is seen projected over left eighth rib.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13505183209521744410235089515150889906
+The heart size and mediastinal contours are stable. The aortic arch is mildly tortuous and calcified. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65246737849308116244833040543894185361
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68313040703055171486401698160401992661
+Stable cardiomediastinal silhouette. Status post aortic valve repair. Endotracheal and nasogastric tubes are in good position. Right internal jugular catheter is noted with tip in expected position of the SVC. Left-sided chest tube is noted without pneumothorax. Right lung is clear. Minimal left basilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Minimal left basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.47498920358500262284593946363650367972
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.39516482492572890751372123544148964924
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.76183312575069680500189962568923177847
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.20142864676776106931160708653697460257
+Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT basilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette. LEFT basilar atelectasis.,1.2.826.0.1.3680043.8.498.47124759078344726356800291855446622218
+The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is mild tortuosity of the descending thoracic aorta. There is no pleural effusion or pneumothorax. There are degenerative changes of the shoulders and of the thoracic spine.,There is no evidence of CHF nor pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.43488105612496236068108398162250214840
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15848669841728108769752719396682539002
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is dextroscoliosis of the thoracic spine. There is a remote healed left-sided rib fracture. There is no evidence of acute rib fracture. There is no pneumothorax seen.,No evidence of acute rib fracture. No evidence of acute pulmonary disease. Stable scoliosis. No significant change compared to prior study done on 11/17/2023.,1.2.826.0.1.3680043.8.498.86667773982358820120906454117403436758
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact. There is a left-sided PICC line with degenerative changes of the shoulders.,Left PICC line in good position.,1.2.826.0.1.3680043.8.498.76534041528402782967065525324589679504
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89550228636308779981623393651631534837
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79989096593784512182013005213060367982
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33761455274921622354429792042479256883
+"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. Mild cardiomegaly. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30916987495700961316320623312351779120
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94648132373746953286785945321843970261
+"There is worsening bilateral airspace opacification, particularly notable in the right upper lung zone. This likely reflects worsening pulmonary edema, with underlying vascular congestion. No definite pleural effusions are seen. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy. No acute osseous abnormalities are identified.","Worsening pulmonary edema, particularly on the right.",1.2.826.0.1.3680043.8.498.76783579127906835172039950257264594268
+Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the abdomen. Densities at the right lung base are suggestive for consolidation and/or pleural fluid. Subtle densities at the left lung base are also noted. Negative for a pneumothorax. Heart size is within normal limits.,Endotracheal tube is appropriately positioned. Basilar chest densities as described.,1.2.826.0.1.3680043.8.498.54879543826542192990204345364562810258
+The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.44070696473006954423023560156278285282
+"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lung is clear. There is persistent opacity within the right lower lobe, slightly improved from the most recent examination. There is no pleural effusion or pneumothorax. The bones appear unchanged.",Slight improvement in right lower lobe airspace disease consistent with pneumonia. Continued radiographic followup is recommended to document complete clearing.,1.2.826.0.1.3680043.8.498.54259755103353160029918999677392436151
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59765294917151621334107837776792115229
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14814302858868860493973848544667748982
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54810029400903313415316592373450804414
+The heart is mildly enlarged. Pulmonary vascularity is within normal limits. Bibasilar atelectasis is noted. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71405671342842811330712889854281354281
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation.,1.2.826.0.1.3680043.8.498.79313014505333904614295556695205817279
+Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Heart size normal. Minimal bibasilar atelectasis. Lungs are otherwise clear. Multiple right rib fractures. No definite pneumothorax.,Minimal bibasilar atelectasis. Multiple right rib fractures.,1.2.826.0.1.3680043.8.498.46235524406071478378490874783368977972
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19815963491876797443367902039854754753
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76253157132568167056842956416493314274
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.88399041346535102640298970215558925303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66855815658824855027905132167768828926
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84672802079835766486322335346176568686
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81886192532198195152043444497055952657
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No visible rib fracture. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35617238967432348184865812297600636680
+There is little change in airspace disease. Cardiomegaly is stable. Median sternotomy sutures are noted.,No significant change in airspace disease.,1.2.826.0.1.3680043.8.498.39352939384712389656877154780489225093
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82445554854918598623275676305654695005
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77589746041238479142360882538360572095
+"There are moderate to large bilateral pleural effusions, increased from prior exam. There is vascular congestion with bibasilar pulmonary opacities which are probably due to atelectasis. There is no pneumothorax. Diffuse osseous metastatic disease is seen in the spine and in the right scapula. The bones are diffusely demineralized.",Moderate to large bilateral pleural effusions with bibasilar atelectasis. Vascular congestion. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.70145874979352018801393222829804750546
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29934957816162303344819220324915274454
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89870299729522878848546007204088201834
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95582100725739040794207622927859161967
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is mildly enlarged. No pleural effusion or pulmonary edema. There is no airspace consolidation identified. Mild interstitial change of COPD noted.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.26812716377590397146761332707862601781
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69828828802051642432167838670843927511
+The heart is normal in size. The lungs are clear. No pneumothoraces or effusions are seen. The lungs are hyperinflated. A metallic object projects over the right apex.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84496591378551737916929698451974219793
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47803999006328559978864455285336861034
+There is a right-sided dialysis catheter with tips in the projection of the right atrium. The patient is status post median sternotomy and CABG procedure. The lung volumes are low. There is mild interstitial edema. There are bilateral pleural effusions. There is atelectasis at both lung bases.,1. Low lung volumes. 2. Bilateral pleural effusions and interstitial edema consistent with CHF.,1.2.826.0.1.3680043.8.498.94319031923907861779020209885238898989
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32173206401562096574491169966016050075
+The lungs are well expanded. The interstitial markings are increased diffusely. The retrocardiac region on the left is increased in density. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct. The patient has undergone interval intubation of the trachea. The tip of the tube lies approximately 1.5 cm below the inferior margin of the clavicular heads. There is a right subclavian venous catheter in place. The tip lies in the region of the midportion of the SVC.,1. There are findings consistent with congestive heart failure and pulmonary interstitial edema. 2. The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads.,1.2.826.0.1.3680043.8.498.19788621898123917736528133115064034795
+There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95380381313026664577332103960949030970
+Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11181597827555406960212713636528995585
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72024276531754685974408459395408155754
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50194552758288340551547824599355444721
+"The ventricular system is normal in size for the patient's age. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen.",Negative study.,1.2.826.0.1.3680043.8.498.35109449618242757351139760165352535765
+There has been placement of an umbilical artery catheter with the tip at the level of T7. An umbilical vein catheter is seen with the tip approximately 1.5 cm below the level of the inferior cavoatrial junction. Diffuse heterogeneous airspace opacity is seen bilaterally. The bowel gas pattern is normal.,1. New UAC and UVC in appropriate position. 2. Worsening RDS.,1.2.826.0.1.3680043.8.498.50744171199378174427522239639983039811
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower left chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.58973407410521310452505981588547502716
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.77718171250039479440194828914839947314
+Right jugular central line is again noted and stable. Pericardial drain is noted in satisfactory position. Cardiac shadow remains enlarged. No pneumothorax is noted. Mild left basilar atelectasis is seen. No bony abnormality is noted.,No pneumothorax. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.56079885578623005644952494325679677642
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.82074767395377423894894424844656335099
+There is mild atelectasis at the lung bases. The lungs are otherwise clear. No pleural effusion. Mild cardiomegaly. Aortic atherosclerosis. Compression fractures in the thoracic spine appear stable.,No acute disease. Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.11200942217830266976033964465075477404
+The lungs are adequately inflated. There is no focal infiltrate. The perihilar lung markings are coarse. The cardiothymic silhouette is normal. The trachea is midline. There is no pleural effusion. The bony thorax and observed portions of the upper abdomen are normal.,Mild peribronchial cuffing suggests acute bronchiolitis. There is no alveolar pneumonia.,1.2.826.0.1.3680043.8.498.55062505342525540312602149732062090113
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25849443658128411868389831600730283867
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative change thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32181935683828271666402566067833115384
+The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is left lower lobe infiltrate with small effusion. The right lung is clear. There is no pneumothorax. The left-sided pacemaker is similar. Degenerative changes are seen in the spine.,Left lower lobe infiltrate with small effusion. This appears similar to the prior study.,1.2.826.0.1.3680043.8.498.13140480403893064300478115363438559899
+Median sternotomy wires and mediastinal clips are noted. The cardiomediastinal silhouette is enlarged. The pulmonary vasculature is within normal limits. There is a right basilar infiltrate. No pneumothorax or pleural effusion is seen. Bony thorax is intact.,Right lower lobe infiltrate. Follow-up is recommended. Cardiomegaly.,1.2.826.0.1.3680043.8.498.19034989281871653541327595115946778556
+Enlarged cardiac silhouette. Mild prominence of the pulmonary vasculature. Minimal left basilar heterogeneous opacities favored to represent atelectasis. Small left pleural effusion. No pneumothorax. No acute osseus abnormalities.,1. Cardiomegaly and mild pulmonary vascular congestion without overt edema. 2. Probable small left pleural effusion and associated left basilar atelectasis.,1.2.826.0.1.3680043.8.498.54734525829240610880055665927403665447
+"Upper limits normal heart size again noted. Mild peribronchial thickening is unchanged. There is no evidence of focal airspace disease, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80958137132776418513392024015754636373
+There is a low-volume film. Cardiomediastinal silhouette is stable. Persistent patchy airspace disease left lower lung is noted suspicious for pneumonia. No evidence of pleural effusion.,Persistent patchy airspace disease left lower lung suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.96719674668694519113891756801860054487
+Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild vascular congestion is noted centrally with very minimal interstitial edema. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,Mild vascular congestion.,1.2.826.0.1.3680043.8.498.11391001888919918359615574419317353317
+Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No significant bony finding.,No active disease,1.2.826.0.1.3680043.8.498.61642394029360460463947777963664462335
+"The heart is enlarged. Aortic atherosclerosis is noted. There is a left-sided pacemaker with leads projecting over the right atrium and right ventricle. There is diffuse interstitial prominence suspicious for pulmonary edema. There are small bilateral pleural effusions. Patchy airspace opacities are noted at the bases, left greater than right. There is no pneumothorax. No acute osseous abnormality.",1. Cardiomegaly with pulmonary edema and small bilateral pleural effusions consistent with congestive heart failure. 2. Left greater than right basilar airspace opacities may represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.76272712989951252354692256461037390237
+The heart size and mediastinal contours are within normal limits. There is new blunting of the right costophrenic angle suggesting a small right pleural effusion with associated atelectasis. No edema or pneumothorax. The visualized skeletal structures are unremarkable.,New small right pleural effusion with associated atelectasis.,1.2.826.0.1.3680043.8.498.10416478487798855737604920950274743017
+There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild osteoarthritic change. No acute bony abnormality.,1.2.826.0.1.3680043.8.498.14327422062374592310899397630219962920
+The heart is moderately enlarged. Small bilateral pleural effusions are noted. The aorta is tortuous. The lungs are hyperinflated. No pulmonary edema or infiltrate is identified. No pneumothorax is seen. There is mild basilar atelectasis.,Cardiomegaly with small effusions. No definite edema.,1.2.826.0.1.3680043.8.498.77625098447938323240335034489815490474
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97253427626753799584479135482708685417
+The heart is enlarged. A right-sided pacemaker is stable. Diffuse interstitial pattern is now coarsened. Small bilateral pleural effusions are evident. No focal airspace disease is present. The visualized soft tissues and bony thorax are unremarkable.,1. Interval development of mild pulmonary vascular congestion and interstitial edema. 2. Small bilateral pleural effusions. 3. No focal airspace disease. This likely reflects atelectasis.,1.2.826.0.1.3680043.8.498.79855328096090677612735932010674577334
+Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Negative visible bowel gas and osseous structures.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.40672555998086800390443606343106226253
+The lungs are well-expanded. The interstitial markings remain coarse. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The right internal jugular venous catheter tip lies in the proximal SVC. The observed bony thorax is unremarkable.,COPD. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46634711767773471029756329086861123328
+"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27827294349194094100789069048262903127
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40759158068909148490118952531607403181
+"There is a large left pleural effusion. There is a left chest tube in place. There is an endotracheal tube in place. The heart is normal in size. The right lung is under expanded. There is no acute infiltrate, effusion or pneumothorax.",Underexpanded right lung. Large left pleural effusion. Left chest tube in place.,1.2.826.0.1.3680043.8.498.79965175837238228003997938408754085088
+"Right-sided PICC with tip over central SVC. No enteric tube identified. There is shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. Right-sided PICC with tip over central SVC.,1.2.826.0.1.3680043.8.498.39598204570871438842993367216145352448
+Interval placement of right subclavian pacemaker with leads in the right atrium and right ventricle. No pneumothorax. Lungs are clear. No effusion. Heart size normal.,No acute disease,1.2.826.0.1.3680043.8.498.95733069868552034058414424173938321599
+The tip of the endotracheal tube is approximately 2.5 cm above the carina. There is increased atelectasis at the right base. Left lower lobe airspace disease is about the same. No definite heart failure.,1. Endotracheal tube satisfactorily positioned. 2. Increased right lower lobe atelectasis. 3. Stable left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.17147702790161987626778446974714446450
+Cardiothymic silhouette is within normal limits. Coarse reticulonodular opacities are present in the lungs bilaterally. Suspect focal airspace consolidation in the right upper lobe. No visible effusions or pneumothorax. No bony abnormality.,Coarse reticulonodular opacities in the lungs with suspect focal airspace consolidation in the right upper lobe. Findings could reflect meconium aspiration or infection.,1.2.826.0.1.3680043.8.498.93351243186200104417586626672543461255
+Mediastinum and hilar structures are normal. Right lower lobe infiltrate is present. This is a persistent infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Persistent right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.28821134677687583648643679729412036165
+"Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation. Small bilateral pleural effusions. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta. Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.","1. Low lung volumes with bibasilar atelectasis and/or consolidation and small bilateral pleural effusions. 2. Mild cardiomegaly and pulmonary venous congestion, without frank pulmonary edema. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.83151424165612188683508204214127938022
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24826514596182575567107934861805424845
+"There is a mass arising in the left upper lobe, which measures 5.6 x 5.2 cm. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.","Mass arising from the left upper lobe, stable. No edema or consolidation.",1.2.826.0.1.3680043.8.498.63985242095549747656779374954748292991
+Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter remains in place with its tip in the right pulmonary artery. Bilateral chest tubes and mediastinal drain are in place. No pneumothorax. There is mild basilar atelectasis. No edema.,Mild postoperative atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.16767433481571384554031935128727862447
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.19376659398214442694420534283563552787
+Post CABG. Heart is mildly enlarged. There is elevation of the right hemidiaphragm with right basilar atelectasis. No definite consolidation. Scarring noted in the right upper lobe. Left lung is clear. No effusions. No acute bony abnormality.,Right basilar atelectasis with elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.34092229744825848079165727815569750321
+The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities. Mild bronchial cuffing noted.,Findings suggesting reactive airways disease.,1.2.826.0.1.3680043.8.498.79091672990833535020535816991343199216
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98834846870039266669838734158609026223
+The lungs are mildly hypoinflated. There is increased density at the left lung base. There is linear density at the right lung base which is new. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Bibasilar atelectasis or pneumonia greatest on the left. No CHF. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.19573927274949316065749731405515301633
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57512763454506789724763266886042655469
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12677748499910842362372686974623514230
+The endotracheal tube has been removed. The NG tube and right subclavian catheters are stable. The heart is enlarged but stable. Bibasilar atelectasis and a small right effusion are again noted. There is no evidence of pulmonary edema. No pneumothorax is seen.,1. Removal of endotracheal tube. 2. Bibasilar atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.57472758065144601062868594955094357749
+Endotracheal tube is in stable position. Right central venous catheter tip is in the SVC. No pneumothorax. There is cardiomegaly. Worsening aeration of the lungs. Apparent left lung increase in opacity is felt to be due to patient rotation.,Right central venous catheter tip in the SVC. No pneumothorax. Endotracheal tube is stable.,1.2.826.0.1.3680043.8.498.17617920146952181912924248886092995103
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80457598834575842303971847402105920610
+The lungs are not optimally aerated. No pneumothorax is seen. The heart is within normal limits in size. No bony abnormality is noted.,Suboptimal inspiration. No active lung disease.,1.2.826.0.1.3680043.8.498.73490904876247719707025482944056119870
+Right PICC line has been retracted with the tip now in the right innominate vein. Prior CABG. NG tube and left base atelectasis again noted. Small left pleural effusion. No acute bony abnormality.,Right PICC line has been retracted with the tip in the right innominate vein. Otherwise no change.,1.2.826.0.1.3680043.8.498.13234449626560600841814539723814631641
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.57218637731811428762358613594217977217
+Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. No acute consolidative airspace disease.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12366200434813670207041170942752445662
+Cardiac and mediastinal contours are within normal limits given portable AP technique. There are subtle opacities at the right lung base. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Subtle opacities at the right lung base could be due to atelectasis or pneumonia. Consider follow-up PA and lateral views of the chest.,1.2.826.0.1.3680043.8.498.67453639097266847961319567391537112986
+"Normal heart size and mediastinal contours. The lungs are hyperinflated with mild bronchial thickening. No pulmonary edema, focal airspace disease, pleural effusion or pneumothorax. No acute osseous abnormalities are seen.",Stable exam with chronic hyperinflation and bronchial thickening. No acute findings.,1.2.826.0.1.3680043.8.498.71783096350260499804298729773816498168
+Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11896411900134686092414231530535771887
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is evidence of prior vertebroplasty. Surgical clips are identified in the epigastric region.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14596023537737498645546317604469246700
+"Sternal sutures and mediastinal clips are noted. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.92724845511126058625519049917025320120
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.24805705425730065655050001899329305161
+There is a right chest wall porta-catheter with tip in the SVC. The heart size is normal. There is no pleural effusion or pulmonary edema. The lungs are hyperinflated. No acute airspace densities are identified. The previously described right upper lobe lung mass is difficult to visualize on the current exam.,COPD/emphysema. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.52431010339789478918952174397564550765
+"Support devices are stable. There is continued cardiomegaly, vascular congestion, and bibasilar atelectasis. Mild interstitial prominence is noted, slightly decreased since prior study.",Slight decrease vascular congestion. Otherwise no change.,1.2.826.0.1.3680043.8.498.24854266146194106206865806478267375362
+There are new small bilateral pleural effusions. Interstitial prominence is suggestive pulmonary edema. No pneumothorax. Cardiomegaly is similar to prior exam. No acute osseous abnormalities are seen.,1. Findings suggestive of CHF. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.66483987174490127323448248536991903273
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29058403088629895035879980427071740469
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.24609378269447723393477044030526795016
+Right IJ Port-A-Cath is unchanged. Left IJ catheter is unchanged. Stable cardiomegaly. Unchanged bilateral pleural effusions and bilateral pulmonary opacities. No pneumothorax.,1. Stable cardiomegaly and bilateral pleural effusions. 2. Unchanged pulmonary opacities which could represent pulmonary edema or atelectasis.,1.2.826.0.1.3680043.8.498.37081407369748785923275193016007454041
+"Right internal jugular MediPort terminates at the cavoatrial junction. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small right pleural effusion, probably stable. No left pleural effusion. Extensive patchy consolidation throughout the right lung and at the left lung base.","1. Extensive patchy consolidation throughout the right lung and at the left lung base, worrisome for multifocal pneumonia. 2. Small right pleural effusion, probably stable.",1.2.826.0.1.3680043.8.498.16714657510977293910066409858937161835
+There is improvement in the aeration in the lung bases. Residual left lower lobe atelectasis/ pneumonia persists. Right lung is clear. No edema. Stable heart size.,Some improvement in basilar airspace disease suggesting resolving atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.13026354686454991192570595453279808417
+Extensive bilateral airspace disease is present. Lung volumes are low. Heart size is normal. No pneumothorax is present.,Extensive bilateral airspace disease could represent pneumonia or edema.,1.2.826.0.1.3680043.8.498.83844859530718020684339546984978051732
+"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.46239388154093873519763322819596555251
+There is little change in prominent interstitial markings most consistent with chronic interstitial lung disease. No active infiltrate or effusion is seen. Cardiomegaly is stable. The bones are osteopenic.,Stable cardiomegaly and chronic interstitial change. No active lung disease.,1.2.826.0.1.3680043.8.498.48008859138568129615670432838323689167
+Single portable AP chest radiograph is provided. There is a small right pleural effusion. There is no focal parenchymal opacity. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Small right pleural effusion.,1.2.826.0.1.3680043.8.498.29698046595627602733244167349530269985
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61440592336484854731174225051347235226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27311859322374164464663355462821346428
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39337752020516275928913821234531340124
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51328882124431456543576317136580680670
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.78747108051940070214850440989086236691
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40434543360410915737477976521970304014
+"Prior CABG. Heart is normal size. Small right pleural effusion and right base atelectasis, improved since prior study. Left lung clear. No acute bony abnormality. No pneumothorax.",Small residual right pleural effusion and right base atelectasis.,1.2.826.0.1.3680043.8.498.24058730984857032907336869693161969952
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Overall findings are most concerning for mild pulmonary edema.,1.2.826.0.1.3680043.8.498.85697190708011583077956361152067443687
+The lungs are mildly hyperinflated. There is no focal infiltrate. The interstitial markings are coarse. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Hyperinflation consistent with COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17851930230347484222838945849242364324
+The heart is enlarged. Aortic calcifications are noted. There is no pneumothorax. Slight blunting of the left costophrenic angle is likely due to atelectasis. There is no significant pleural effusion. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.15683135145936064142238892589016456090
+Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are unchanged in position. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,Stable support apparatus. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.27242503313454800905481343256727999774
+"No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.12372003147561456227794867347847630950
+"There is a persistent bilateral interstitial and airspace process, right greater than left. This is superimposed on chronic interstitial coarsening and bronchiectasis noted on prior CT. Small bilateral pleural effusions are noted. No pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. Bony thorax is intact.","Persistent bilateral interstitial and airspace process, right greater than left. This may reflect asymmetric pulmonary edema or multifocal pneumonia.",1.2.826.0.1.3680043.8.498.47352152948684814410262156331695328653
+"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.58381460035634992006456972512760524689
+Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Minimal subsegmental atelectasis is noted in the right lung base. Bony thorax is unremarkable.,Minimal right basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.11594073097651830368773688263265799346
+"There is a small right pneumothorax at the right lung base, slightly larger than on the prior exam. Atelectasis at the left lung base is stable. The heart size and vascularity are normal. No effusions. No osseous abnormality.",Small right basilar pneumothorax.,1.2.826.0.1.3680043.8.498.60813168295341573535847308006527674629
+"The enteric tube is in place, tip in the region of the gastric body. Shallow inspiration. Heart size and pulmonary vascularity are normal. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.",No active disease.,1.2.826.0.1.3680043.8.498.20696540450608626167310143112900858888
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94125222016574402583868005790560293149
+No active infiltrate or effusion is seen. Mediastinal contours appear stable. The heart is within upper limits of normal. A right-sided Port-A-Cath remains. No bony abnormality is seen.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.49063273615138822287615717959538928971
+"There is diffuse haziness throughout the mid and lower lung fields. There is silhouetting of the hemidiaphragms consistent with bilateral pleural effusions. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture. There is an endotracheal tube present with the distal tip just above the carina.",Findings consistent with pulmonary edema/CHF.,1.2.826.0.1.3680043.8.498.90536934979601640909387595277753276979
+There is a new opacity in the left mid lung which is probably in the superior segment of the left lower lobe based on the lateral view. This is concerning for pneumonia. Right lung is clear. No effusion. Heart size is normal.,New opacity in the superior segment of the left lower lobe consistent with pneumonia. Recommend follow-up radiographs to clearing.,1.2.826.0.1.3680043.8.498.53322482206578586603403241971825880352
+"Cardiovascular: There is generalized cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal structures are unremarkable. No hilar abnormality is seen. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate. Other: There is a right PICC line catheter again identified.",Pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.73593648832705476403901800900288403265
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53486494890018852731308224175289933677
+The right PICC line is stable. The heart is normal in size. Stable pleural calcifications. Persistent streaky areas of atelectasis. No pneumothorax.,Stable chest x-ray.,1.2.826.0.1.3680043.8.498.22691887465260442074135843195271034064
+The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78488881876729567669175918499945214789
+A right central venous catheter is unchanged with its tip in the SVC. A rounded radiopaque object consistent with a bullet overlies the right lower lung zone. This is unchanged. The lungs are under inflated and grossly clear. No pneumothoraces or effusions are seen.,No significant interval change.,1.2.826.0.1.3680043.8.498.31631596226522163650781614330777772276
+The heart size and mediastinal contours are normal. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,COPD. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.66081922194383737256469672972690453910
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46390629542117828558866568194326797154
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.11809641731318724388791644820774611401
+Mild cardiomegaly. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91110927193703877278828370951554580707
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Stable chest. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32059448337894032963970703936199486438
+There is hyperinflation of the lungs compatible with COPD. Heart is mildly enlarged. No confluent airspace opacities or effusions. No acute bony abnormality.,COPD. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.15779308321875629954841278307781508230
+The heart size is normal. There are new patchy opacities throughout both lungs. There is no pneumothorax. No large pleural effusion. The visualized skeletal structures are unremarkable.,New bilateral patchy airspace opacities concerning for developing viral pneumonia.,1.2.826.0.1.3680043.8.498.91889739274728504472227963017658594995
+Stable cardiac and mediastinal contours. Increased pulmonary vascular congestion now with bilateral airspace opacities. There is a predominately perihilar and right basilar distribution. Findings are most consistent with pulmonary edema. No pneumothorax. No large pleural effusion. No acute osseous abnormality.,"1. Pulmonary vascular congestion and bilateral airspace opacities most consistent with pulmonary edema. However, bilateral pneumonia is not excluded particularly in the right lung base. 2. Stable cardiac and mediastinal contours.",1.2.826.0.1.3680043.8.498.11513203937289201456109567820800190683
+Endotracheal tube is in good position. The right subclavian central venous catheter tip is in the SVC. The left subclavian pacemaker device is stable. The nasogastric tube enters the stomach. The lungs are clear. No pneumothorax.,Tubes and lines are in good position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59384396311875141778148457184403316855
+Right IJ central venous catheter is unchanged at the lower SVC level. The heart size and mediastinal contours are stable. There are slightly low lung volumes with worsening bilateral airspace opacities. Small bilateral pleural effusions are suspected. There is no pneumothorax. The osseous structures appear unchanged.,Worsening bilateral airspace opacities concerning for progressive pulmonary edema or pneumonia.,1.2.826.0.1.3680043.8.498.95992178337158318463271347742348071975
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95913336062261354961388814678857189138
+Right PICC line is unchanged. Stable cardiac silhouette. Mild central venous pulmonary congestion / edema is not significantly changed. No pleural fluid. No pneumothorax.,1. No interval change. 2. Stable cardiomegaly and mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.45669138573050592705438473397490896787
+Heart is mildly enlarged. Lungs clear. No effusions or edema. No acute bony abnormality.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.74442136775028282418476671695730713551
+"Cardiomegaly and CABG changes again noted. A left central venous catheter with tip overlying the superior cavoatrial junction, a right IJ central venous catheter with tip overlying the superior cavoatrial junction and a left IJ venous sheath again noted. There is no evidence of pneumothorax. Mild right basilar atelectasis again noted. There is no evidence of pulmonary edema, consolidation, or pleural effusion.",Unchanged appearance of the chest with support apparatus as described. Continued right basilar atelectasis.,1.2.826.0.1.3680043.8.498.97854929467387221652703398502231691700
+The lungs are adequately inflated. The perihilar lung markings are increased. There is no pleural effusion. The cardiothymic silhouette is normal in appearance. The gas pattern in the upper abdomen is normal. I do not see evidence of a radiopaque foreign body.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I do not see evidence of a radiopaque foreign body.,1.2.826.0.1.3680043.8.498.55676830362169556685251658318805210656
+,,1.2.826.0.1.3680043.8.498.64966506582237811704217694537190664051
+The lung volumes are low. The cardiac silhouette is enlarged. The patient has undergone prior CABG. There is mild prominence of the pulmonary vascularity. I see no pleural effusion.,1. I do not see evidence of pneumonia. 2. There is likely an element of low-grade CHF present.,1.2.826.0.1.3680043.8.498.63600699013385085722479097340417865844
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild bibasilar volume loss. No focal infiltrates or pleural fluid is seen. Bony structures appear intact.,Mild bibasilar volume loss.,1.2.826.0.1.3680043.8.498.86980875209107637385895456976599438625
+The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.13031103562069597084175406131229564003
+"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There is chronic vascular congestion with patchy airspace opacities in the left lung base, similar to the prior study. There is a probable small left pleural effusion. No edema or pneumothorax. The bones appear demineralized. There are degenerative changes in the spine and at both shoulders.","Stable chronic vascular congestion and patchy left basilar pulmonary opacity, probably due to atelectasis. Pneumonia is possible. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.53543302935426364632792825912537129186
+Two views of the chest demonstrate clear lungs. There is no pleural effusion or pneumothorax. Stable top-normal cardiac size. The osseous structures are grossly unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98898797874641000522047164253693694655
+The heart is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. A calcified granuloma is identified within the right upper lobe.,1. Cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.26607547531952449580601094875311835677
+Small left pleural effusion and left basilar airspace disease have improved since the most recent examination. The right lung is clear. Heart size is normal. No pneumothorax. No acute bony abnormality.,Small left pleural effusion and left basilar airspace disease have improved since the most recent examination. Residual opacity could be due to atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.54886388513302872791269294923251952256
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 7/20/2017.,1.2.826.0.1.3680043.8.498.99303237825771605519737529479035703388
+Heart and mediastinal contours normal. There is airspace disease in the right lower lobe consistent with pneumonia. No pleural fluid. Left lung clear.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.81448383744174560579147790812501448796
+"The heart is enlarged with a prominent left ventricle. The lungs are incompletely expanded, but are clear. No consolidation identified. No pleural effusion is seen.","Cardiomegaly with atherosclerotic change of the aorta. Incomplete expansion of the lungs, no focal consolidation. No evidence of pulmonary edema.",1.2.826.0.1.3680043.8.498.39469065389373251768925603161466878757
+The heart size is stable. Aortic calcifications are noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57237906243068162709772857127975085405
+"Patchy ill-defined opacities and areas of interstitial prominence are noted throughout the lungs bilaterally, most evident throughout the mid to lower lungs. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.","Findings are concerning for multilobar pneumonia, compatible with reported diagnosis of COVID-19 infection. Overall, aeration is essentially unchanged compared to the prior study.",1.2.826.0.1.3680043.8.498.65611514317870759446312819448382151097
+There is mid inspiration. There is mild chronic-appearing prominence of the bronchovascular markings of the mid and lower lung fields. There is no acute peripheral process. The heart and mediastinum are physiologic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.77715641081613935713371695335661610991
+Nasogastric tube terminates below the level of the diaphragms but the tip is not included on the film. Right IJ Swan-Ganz catheter tip terminates over the main pulmonary artery. Heart size is mildly enlarged. Lung volumes are low with linear atelectasis seen at the left lung base. No pleural effusion. No pneumothorax.,Support apparatus as above.,1.2.826.0.1.3680043.8.498.99670129224212668651692375621545126617
+Heart is normal size. Patchy airspace opacity in the right mid lung. Left lung clear. No effusions. No acute bony abnormality.,Patchy density in the right mid lung concerning for early infiltrate/pneumonia.,1.2.826.0.1.3680043.8.498.70626124999093271510492153173348636396
+Right middle lobe airspace disease seen on the prior study has resolved. Lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.32621307872984838462738975758395397481
+The lungs are mildly hypoexpanded. Small bilateral pleural effusions are seen. Mild vascular congestion is noted. No pneumothorax is identified. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are seen.,"Lungs mildly hypoexpanded, with small bilateral pleural effusions and mild vascular congestion.",1.2.826.0.1.3680043.8.498.80822656313194553958411710938608668919
+The lungs are clear. No radiographic evidence for active tuberculosis.,No acute disease.,1.2.826.0.1.3680043.8.498.83007445873203555221362068510004330840
+Patient is slightly rotated to the right. Tracheostomy tube is in place. The heart remains enlarged with a prominent tortuous aorta. There is slight increase in left base atelectasis. Right lower lobe atelectasis is stable. Patchy perihilar infiltrates are also suspected.,1. Slight increase in left base atelectasis. 2. Persistent right lower lobe atelectasis. 3. Probable perihilar infiltrates as well.,1.2.826.0.1.3680043.8.498.35626098817776659404091110685650614907
+There is flattening of the hemidiaphragms. Thickening of the interstitial markings is appreciated within the RIGHT upper lobe and RIGHT mid lung. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with COPD with superimposed fibrotic change within the RIGHT upper lobe and RIGHT mid lung. No new focal regions of consolidation or new focal infiltrates are appreciated.,1.2.826.0.1.3680043.8.498.92591893787215444715510841472568751455
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66851443633094204876551977189293231767
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40532860207477171280227708114148709939
+"Right-sided Port-A-Cath in satisfactory position. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37618087062860813181981460572010360708
+There is been some improvement in aeration in the left lung base. Residual linear atelectasis or scar remains in the left lung base. Right lung is clear. No edema. Heart size is stable.,Improved aeration in the left lung base with mild atelectasis or scar remaining.,1.2.826.0.1.3680043.8.498.94755638140105091904349205636455091225
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90404898529022663335155078662754851840
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.55517754076454875942799645319663786276
+Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46990630352396356439470728343732883800
+"There is cardiomegaly. Worsening bilateral airspace opacities are noted, likely worsening edema. There are bilateral effusions and bibasilar atelectasis.",Increasing pulmonary edema.,1.2.826.0.1.3680043.8.498.50397891648019777671494438075598082572
+The heart is enlarged. There is atherosclerotic calcification of the aortic arch. Patchy infiltrate in the right lower lobe is slightly more prominent than on the prior study. There is also a small left pleural effusion with some left base atelectasis. No pulmonary edema.,1. Slight increase in right lower lobe infiltrate. 2. Small left effusion and left base atelectasis.,1.2.826.0.1.3680043.8.498.51757519834189803260261257065179445285
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No edema.,No active disease.,1.2.826.0.1.3680043.8.498.25493150378098585742164677445235338647
+"There are persistent opacities at the lung bases bilaterally, not significantly changed compared to the prior study. No new lung findings. No pleural effusion or pneumothorax seen. Heart size and mediastinal contours are stable. Osseous structures about the chest are unremarkable.",No significant change in the bilateral lower lobe pneumonia. Recommend follow-up to ensure resolution.,1.2.826.0.1.3680043.8.498.83097039065599057228454611412261359005
+The cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.23797746443899832187290734510253187971
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted. Postsurgical changes in the right shoulder are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76232028892305118839346249942434262500
+Low lung volumes. Aortic atherosclerosis. Heart size within normal limits. Plate like atelectasis at the right lung base. No consolidation or edema. No pleural effusion. Lower thoracic and lumbar spondylosis.,Low lung volumes with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.73101489571555485273485497327218749434
+There is some residual right upper lobe airspace disease with volume loss and pleural thickening on the right. The left lung appears clear. There is a small right pleural effusion. The heart size is normal.,1. Residual right upper lobe airspace disease. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.23644509508825762653013168364057524938
+Heart size is normal. The aorta is unfolded. The lungs are clear. The vascularity is normal. No effusions. No significant bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53289938575947136069453643563891415722
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47236536421690477474199299581063094360
+Stable normal sized heart. Increased bibasilar atelectasis. A tiny left apical pneumothorax is not currently seen. Small amount of left lateral chest wall subcutaneous emphysema.,1. No pneumothorax. 2. Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.11869785348992980097830021873177283424
+There is complete opacification of the right hemithorax with shift of the heart and mediastinal structures to the right. This is unchanged since the prior chest x-ray. A small amount of pleural fluid is now present on the left. There is no evidence of pneumothorax. The left lung is clear.,1. Stable appearance of the right hemithorax after a right thoracentesis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.49673279837641986551925362447713122601
+There is a right-sided PICC line with tip in the projection of the SVC. Tracheostomy tube is unchanged. There are bilateral pleural effusions and interstitial edema. Bilateral airspace disease is again noted and appears unchanged.,1. No change in aeration the lungs.,1.2.826.0.1.3680043.8.498.72469413067627911640322461956907268549
+No active infiltrate or effusion is seen. Mild cardiomegaly is stable. No bony abnormality is noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.77498451273285087794898210149720400555
+The heart size and mediastinal contours are stable. Chronic scarring and postoperative changes are noted in the left upper lung unchanged. The heart size is enlarged. There is no pleural effusion or pulmonary edema. The patient is rotated to the right. No acute osseous abnormalities are identified.,Stable postoperative changes of the left upper lung. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94843633424818159677269096594314131228
+The patient has been extubated. NG tube has been removed. Lungs are clear. No effusion. No pneumothorax. Heart size normal.,Status post extubation. No acute disease.,1.2.826.0.1.3680043.8.498.62538936803640479838084162586313015197
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.55659388307372243098522004516114443643
+Heart size and pulmonary vasculature are normal. No evidence for CHF. No focal or consolidative pulmonary opacities. Hyperexpansion of the lungs consistent with COPD. No pleural effusion or pneumothorax. Osseous structures are unremarkable.,No acute cardiopulmonary process. COPD.,1.2.826.0.1.3680043.8.498.52231194363692741369257034154509154187
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.40453712608042021295237035304737927440
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. The known rib fractures are not well appreciated on this exam. No new focal abnormality is noted.,Resolution of previously seen left basilar atelectasis. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.70395790321104199945784731276002717688
+No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted. There is no change in the opacity in the lung bases compared to prior chest x-ray.,No active lung disease. No change in bibasilar opacities compared to prior chest x-ray.,1.2.826.0.1.3680043.8.498.72747582106767460925373516399449704996
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88798029229327829609959468471955512236
+There is a left-sided pneumothorax which is stable to slightly decreased in size when compared to the prior exam. There is mild hazy lung opacities consistent with mild pulmonary edema. Heart size is normal. No effusions are noted.,1. Stable to slight decrease in size of left pneumothorax. 2. Mild pulmonary edema.,1.2.826.0.1.3680043.8.498.11621939555505240236438385465677987634
+"The patient has taken a shallow inspiration. With technique taken into consideration, there is blunting of the left costophrenic angle. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.",1. Persistent small left effusion versus chronic scarring. 2. Cardiomegaly. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30008330377958677199121305514090033089
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86286665968278094009633270006990081921
+The lungs are clear without infiltrate or edema. No pleural effusions. Heart size is normal. Elevation of the right hemidiaphragm is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22528117018930148657740505406173880637
+"AP view at 4899 hours. Cardiothymic silhouette within normal limits. Lung volumes within normal limits. No pneumothorax, pleural effusion, or confluent pulmonary opacity. No definite granular pulmonary opacity. Visible bowel gas pattern within normal limits. No osseous abnormality identified.",No definite acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.23118093320543017473559789878677470295
+"There is mild cardiomegaly, stable. There is atherosclerotic calcification of the aortic arch. There is mild vascular congestion. No pulmonary edema. No focal consolidations. Possible small left pleural effusion. No pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly and vascular congestion. No pulmonary edema.,1.2.826.0.1.3680043.8.498.37636226226811257148744137284264984914
+"The heart size and mediastinal contours are stable status post median sternotomy. There are low lung volumes with patchy bibasilar opacities, left greater than right. There is no pneumothorax or significant pleural effusion. The bones appear unchanged.","1. No evidence of pneumothorax. 2. Low lung volumes with patchy bibasilar opacities, left greater than right.",1.2.826.0.1.3680043.8.498.30512016725942151001990960126871300307
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No CHF. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.46634379396846747264900731998145443440
+Patchy airspace opacities remain bilaterally but are improved in appearance compared to the prior study. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,Improving bilateral COVID pneumonia.,1.2.826.0.1.3680043.8.498.48685047829156536726153674027331752018
+There is airspace disease in the left lower lung compatible with pneumonia. Right lung is clear. Heart is upper normal in size. No pneumothorax.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.59887156225606069135070943111009819198
+"Endotracheal tube, left PICC line, and NG tube are unchanged. Patchy bilateral airspace opacities are again noted, not significantly changed. Heart is borderline in size. No visible effusions or pneumothorax.",Stable patchy bilateral airspace disease.,1.2.826.0.1.3680043.8.498.67512607250195029076279372091565221227
+Endotracheal tube and NG tube in stable position. Heart size normal. Bilateral pulmonary infiltrates/edema again noted. Bilateral pleural effusions again noted. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.92469229325450626832861830037131269940
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.41205882411758348738025056420618192737
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80407650945036070643616589502444366109
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are clear. No pleural effusion. No pneumothorax. The bony thorax is intact. There are stable advanced degenerative changes involving both shoulders.,No acute cardiopulmonary findings. Stable mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.81391775004999671587668525330643429057
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79061352079630718939620181730241002885
+Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Low lung volumes. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,Low lung volumes. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26717635813360764209230106326555104274
+"Left upper anterior mediastinal mass has decreased in size, now measuring 7.6 x 5.6 cm on the frontal radiographic examination compared with 10.0 x 5.6 cm on the previous study. There is no new opacity to suggest a postoperative pneumothorax or pleural effusion. The lungs are clear, symmetrically aerated. No hilar masses. Heart size is normal.",1. Decrease in size of left anterior mediastinal mass. 2. No new acute findings.,1.2.826.0.1.3680043.8.498.85827799025402612842414472242922842792
+Endotracheal tube is 3.5 cm above the carina. Right central line is in place with the tip in the upper right atrium. No pneumothorax. NG tube enters the stomach. Low lung volumes with mild vascular congestion and atelectasis. Heart is borderline in size.,Right central line tip in the upper right atrium. Endotracheal tube and NG tube as above. No pneumothorax. Mild vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.15413358213801785374959450171798810523
+The lungs are clear. There is no infiltrate. There is no effusion. There is no pneumothorax. The heart is normal in size. The aorta is tortuous and calcified. There are multiple old right rib fractures. There is a hiatal hernia present.,"1. No acute cardiopulmonary disease. 2. Hiatal hernia. 3. Old, healed right rib fractures.",1.2.826.0.1.3680043.8.498.55621246740581964347192197556579004350
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69716583898472461411023749703657987530
+"The heart size is normal and stable. The thoracic aorta is mildly tortuous and atherosclerotic but unchanged. The hilar and mediastinal contours are otherwise unremarkable. The lungs are clear. There are no pleural effusions. Again noted is a severe compression fracture in the midthoracic spine, unchanged since the prior examination.",No acute cardiopulmonary disease. Stable severe midthoracic spine compression fracture.,1.2.826.0.1.3680043.8.498.54763745661790435161384146931161577122
+There are low lung volumes with bibasilar atelectasis. Heart is borderline in size. No effusions. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.97191899778430575493773092872954215245
+The lungs are clear and somewhat hyperaerated. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease. Slight hyperaeration.,1.2.826.0.1.3680043.8.498.60473882237784836832211785669972166397
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65165616506045657681378074035640420608
+"Endotracheal tube, gastric catheter and left jugular central line are again seen and stable. Cardiac shadow is stable. Increasing infiltrative changes are noted in the right upper lobe and right lung base. Increasing infiltrative changes are noted in the left lung as well. Small right-sided pleural effusion is noted. No bony abnormality is seen.",Increasing bilateral infiltrates.,1.2.826.0.1.3680043.8.498.17971474326103962676366300632359661977
+Right internal jugular dialysis catheter is noted with tip in the right atrium. The lung volumes are low. There are small bilateral pleural effusions. There is mild interstitial edema. Patchy consolidation of both lung bases may reflect atelectasis or pneumonia.,1. Low lung volumes with small bilateral pleural effusions. Mild patchy consolidation at both lung bases may reflect atelectasis or pneumonia. 2. Mild interstitial edema.,1.2.826.0.1.3680043.8.498.96301719380636321328429537285990292173
+The right arm PCVC tip is in the mid SVC. The lungs appear clear. The cardiothymic silhouette is normal. No pneumothorax.,1. Right arm PCVC tip in the mid SVC. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.99820926712950309865129769397577052569
+The heart is enlarged. Aortic atherosclerosis is noted. There is no pneumothorax. No large pleural effusion. The right lung is clear. There is some mild blunting of the left costophrenic angle which is improved from the prior study. There is no acute osseous abnormality.,1. Persistent but improved left pleural effusion. 2. No focal infiltrate.,1.2.826.0.1.3680043.8.498.84769469864808831106297562894496234902
+There is no pneumothorax after right thoracentesis. There is a large right hilar mass with post-obstructive atelectasis of the right upper lobe. The left lung is clear.,No pneumothorax after right thoracentesis.,1.2.826.0.1.3680043.8.498.64833820590705423345542212728301669020
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Postsurgical changes related to prior CABG.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94797502441613667770578147243904462365
+"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lung is clear. Patchy airspace disease within the right mid and lower lung zones persist, but are improved compared with the most recent examination. There is no significant pleural effusion. There is no pneumothorax. Old right-sided rib fractures are noted.",Improving right lung infiltrates compatible with resolving pneumonia. Continued radiographic followup is suggested.,1.2.826.0.1.3680043.8.498.81328214875675590790491389150965737206
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Patchy infiltrates are noted in the right lung consistent with the given clinical history. No bony abnormality is noted.,Right-sided pneumonia consistent with the given clinical history.,1.2.826.0.1.3680043.8.498.87036528575803243955796088272101546417
+Endotracheal tube placed with tip measuring 6.5 cm above the carina. Enteric tube tip is off the field of view but below the left hemidiaphragm. Heart size and pulmonary vascularity are normal. Lungs are hyperinflated but clear. No pneumothorax.,Appliances appear to be in satisfactory location.,1.2.826.0.1.3680043.8.498.88711809136948196459818645028359502997
+"Endotracheal tube, right central venous catheter, and NG tube are unchanged. Stable cardiac silhouette. There is bilateral pleural effusions not changed from prior. No pneumothorax.",Stable support apparatus. No significant change.,1.2.826.0.1.3680043.8.498.14790333920738765086929732172519605202
+There is increased density in the RIGHT mid lung field compatible with pneumonia. The LEFT lung field is clear. Heart size is normal.,There is a RIGHT mid lung field infiltrate compatible with pneumonia.,1.2.826.0.1.3680043.8.498.42665421132572450554661083274653058507
+Mild atelectasis is seen in the right upper lobe and left lung base. There is no evidence of pulmonary consolidation or pleural effusion. Heart size is normal. Orogastric tube is seen with tip in the mid stomach.,Mild right upper lobe and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.85929749811183382577363790478257591903
+There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild degenerative change without acute bony abnormality.,1.2.826.0.1.3680043.8.498.46934313177625307698410581664774829783
+Low volume chest with atelectasis at the bases. No evidence of hemothorax or pneumothorax. Prominent heart size accentuated by low volumes. Displaced sternal fracture.,Low volume chest without acute finding.,1.2.826.0.1.3680043.8.498.21806717350011822131827578854010071665
+"Single frontal view of the chest shows no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76326798685551570732030416800369071325
+The lungs are clear. Heart size is mildly enlarged. No pleural effusion or pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.67042590790200198489714689746896985905
+"Enlargement of cardiac silhouette with pulmonary vascular congestion. Low lung volumes. Lungs grossly clear. No definite infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Enlargement of cardiac silhouette with pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.90041022824673238872686709244017711923
+"A small right apical pneumothorax remains, slightly smaller compared to the previous exam. Small bilateral pleural effusions are again noted. The lungs are otherwise clear. Heart size and vascularity are normal. CABG. No bone abnormality.",1. Slight decrease in the small right apical pneumothorax. 2. Small bilateral pleural effusions. 3. CABG.,1.2.826.0.1.3680043.8.498.98347049971164060683579328813400161909
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No pneumothorax is noted. There is a 2-cm nodule in the left mid lung. The right lung appears free of infiltrate. The costophrenic angles are clear.",No evidence of pneumothorax following CT-guided lung biopsy.,1.2.826.0.1.3680043.8.498.31227911189943950548654157349316388502
+No evidence for skeletal anomalies is seen. The orogastric tube tip overlies the gastric bubble. The bowel gas pattern is normal. The lungs are clear. The cardiothymic silhouette is normal.,Normal exam.,1.2.826.0.1.3680043.8.498.42186754726969219721741767916498341737
+There is moderate cardiac enlargement. Bilateral pleural effusions and interstitial edema is again noted. The edema appears slightly improved from previous exam. Bilateral airspace consolidation is also noted and appears unchanged from prior exam.,1. Mild improvement in congestive heart failure. 2. No change in aeration to the lungs.,1.2.826.0.1.3680043.8.498.64234376194779275776224443525050082761
+"The mass is homogeneous in appearance with visualization of the margins and hemidiaphragms without difficulty. There is no visualization of the lung surrounding the mass. No pleural effusion is seen. The liver is normal in size and contour. The gallbladder is not visualized. The common bile duct is normal in caliber, measuring 4 mm. The pancreas is not visualized. The spleen is normal in appearance. The left kidney measures 10.6 cm in length and the right kidney measures 11.6 cm in length. No renal mass or hydronephrosis is seen. No definite renal stones are identified. The aorta and inferior vena cava are not visualized.",Status post cholecystectomy. No evidence of biliary obstruction.,1.2.826.0.1.3680043.8.498.99758890225471669539205076460159326569
+Unchanged central pulmonary vascularity. No pneumothorax or pleural effusion. No focal consolidation. Stable cardiomegaly. No acute osseous findings.,1. No evidence of pneumonia. 2. Central pulmonary vascularity is unchanged. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.75743103450873874358719007423141237795
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60569052421377932022652474694152139486
+There is a comminuted fracture of the right clavicle. There is also a fracture of the right first rib. There is no evidence of dislocation. The acromioclavicular joint is normal. The glenohumeral joint is normal. No soft tissue abnormalities are identified.,Fracture of the right clavicle and first rib.,1.2.826.0.1.3680043.8.498.20865002388864839529645645729128177263
+There is a moderate-sized right pleural effusion. This is increased in volume since prior study. There is right lower lobe atelectasis or infiltrate. Left lung is clear. Heart is mildly enlarged. No acute bony abnormality.,"Moderate sized right pleural effusion, increased since prior study. Right lower lobe atelectasis or infiltrate.",1.2.826.0.1.3680043.8.498.85962700560637501253546340390252531226
+The heart is normal in size. Lungs are under aerated and clear. No pneumothorax. No effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80176426561721531288350849786571192084
+"The heart size is enlarged. Aortic calcifications are noted. A right-sided central venous catheter is identified with distal tip in the superior vena cava. There is no pneumothorax. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",Right-sided central venous catheter is identified with distal tip in the superior vena cava. There is no pneumothorax.,1.2.826.0.1.3680043.8.498.26466888392478409962468182557644625038
+There is a 5.6 cm mass in the right lower lobe. This is highly suspicious for primary lung cancer. CT is suggested for further evaluation. The lungs are otherwise clear. No pleural effusion. Heart size is normal.,Mass in the right lower lobe suspicious for primary lung cancer. CT chest is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.98944591714818490914283361954212966512
+The heart is mildly enlarged but stable. The lungs are clear. Emphysematous changes are again noted.,Stable mild cardiomegaly. No acute cardiopulmonary disease. Emphysema.,1.2.826.0.1.3680043.8.498.30144186794352724231836713612046696691
+"Normal heart size. Stable aortic tortuosity. Linear scarring or atelectasis at the left base. There is no edema, consolidation, effusion, or pneumothorax.",No acute finding.,1.2.826.0.1.3680043.8.498.98089222204398019374826255290248897900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84094105704285631410102610724329554071
+There is persistent increased density at the lung bases especially in the left lung base. Findings suggest atelectasis or infiltrate. There is no effusion or pneumothorax. The heart is normal. The bony structures are intact.,Left lung base pneumonia. There is some minimal atelectasis or infiltrate at the right lung base. Atelectasis is favored.,1.2.826.0.1.3680043.8.498.71728398825691706106111567075492928651
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.71840110059628099842974776463725302877
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89664193348957661413424457828758663340
+"The patient's endotracheal tube is seen ending 3-4 cm above the carina. An enteric tube is noted extending below the diaphragm. The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. A small right pleural effusion is noted, with bibasilar airspace opacities, likely reflecting atelectasis. No pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are identified.","1. Endotracheal tube seen ending 3-4 cm above the carina. 2. Enteric tube noted extending below the diaphragm. 3. Lungs hypoexpanded, with small right pleural effusion and bibasilar airspace opacities, likely reflecting atelectasis. 4. Vascular congestion noted.",1.2.826.0.1.3680043.8.498.49267981220123345295331270368728354455
+Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. There is mild peribronchial cuffing. No focal consolidation. No pneumothorax. No bony abnormality.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.85792146349868302193511726877459553754
+The heart size is normal. There is no pleural effusion. Diffuse interstitial lung disease is identified. Atelectasis and/or scarring is noted at the lung bases. No definite superimposed airspace disease is noted.,1. Chronic interstitial lung disease. 2. Mild atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.53751084780889099079290808705011033972
+Right arm PICC line is seen with the tip overlying the distal SVC. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,Right arm PICC line in appropriate position. No active lung disease.,1.2.826.0.1.3680043.8.498.48691278782890203763288946661291680860
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54383701906360818350442156991429490506
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.38342205364052881647759260077454460719
+The current exam shows blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The etiology for the effusions is not identified. No pneumonia is seen. The heart is enlarged but stable as compared to the prior exam. No pulmonary edema is noted.,1. There is increased density at both lung bases compatible with bibasilar pleural effusions. 2. Stable cardiomegaly. 3. No pulmonary edema is seen.,1.2.826.0.1.3680043.8.498.84839056223259950951787321724425054458
+"Cardiomegaly and CABG changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. Left lower rib fractures again identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15392003019730733719170435527880686842
+There is a right-sided chest tube. No pneumothorax is identified. The heart size is normal. There is atelectasis at both lung bases. Patchy areas of atelectasis are noted on the right.,1. No evidence for pneumothorax. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54342030692544037090125664798375232122
+"Portable semi upright AP view 8799 hours. Endotracheal tube tip between level of clavicles and carina. Enteric tube courses to the abdomen, tip not included. Right internal jugular approach Swan-Ganz catheter, tip at the level of the right main pulmonary artery. Left chest tube and mediastinal drain. Sequelae of CABG. No pneumothorax. Mild atelectasis at the left lung base. No pulmonary edema or pleural effusion. Stable cardiac size and mediastinal contours.",1. Lines and tubes appear appropriately placed as above. 2. No pneumothorax. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.44660232684529252207626013310781716645
+There are no rib fractures identified. The visualized lungs are clear. No pleural fluid or pneumothorax is seen. The heart is normal in size. The mediastinum appears intact.,No evidence of rib fracture.,1.2.826.0.1.3680043.8.498.90618096855880981005908444832103169089
+The lungs are mildly hyperinflated. There is no evidence of pneumothorax or pleural effusion. The cardiothymic silhouette is normal. The osseous structures and soft tissues are normal. An endotracheal tube is in place with the tip 1.5 cm above the carina.,1. Endotracheal tube in place. 2. Mild pulmonary hyperinflation.,1.2.826.0.1.3680043.8.498.40611966606601057149829013031533439356
+There is patchy atelectasis in the left base. There is a minimal left pleural effusion. Lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Patchy left base atelectasis. Small left pleural effusion. Lungs elsewhere clear. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.95352348425947900476819793561638350377
+Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.64714824378446349299768127444681416219
+Endotracheal tube is well positioned with tip 1.2 cm above the carina. Enteric tube passes below the diaphragm. Cardiothymic silhouette is normal. Lungs are clear. No pleural effusion or pneumothorax seen.,1. Well-positioned endotracheal tube. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.56992693673959126886538422254187573190
+There is a mass in the right upper lobe. This is not new. The left lung is clear. The cardiac silhouette is not enlarged. There is a Port-A-Cath appliance in place.,There is a persistent mass in the right upper lobe. I do not see evidence of a pneumothorax or pneumomediastinum.,1.2.826.0.1.3680043.8.498.60437720148438844776936058884189492903
+"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Bowel gas pattern is normal. No evidence of dilated bowel loops. Orogastric tube is been removed since prior exam.",Umbilical vein catheter in appropriate position. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.11726986187832192612870635964893619122
+The heart size and mediastinal contours are within normal limits. Previously seen bilateral airspace opacities have resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28739447054378320905736711853999579110
+Heart size is normal. Negative for heart failure. Lungs are clear without infiltrate or mass lesion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93523458920631400556994293592150778577
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64854267050241432594921125242157682384
+Peribronchial thickening is noted bilaterally. No evidence of focal air space opacity. No pleural effusions or pneumothorax. The bony thorax and upper abdomen are within normal limits.,Central airway thickening without focal opacity. Question viral process versus reactive airway disease.,1.2.826.0.1.3680043.8.498.41332594825833377478214555942564180095
+"Portable upright AP view 6061 hours. Stable lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29431027624667230047812910392570889337
+"EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. Extensive airspace disease is present throughout the right lung, increased compared to the prior study. A left upper lobe infiltrate is also suspected. Bilateral pleural effusions are present.","Increasing airspace disease, particularly on the right side of the chest. Bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.87423433141496337439184818880254616058
+Normal cardiac and mediastinal contours. Consolidative opacity within the right upper lung. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,Right upper lung consolidative opacity may represent pneumonia in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.77388951861951268663878552657198699518
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47772525830640957586691459197560488802
+The heart and mediastinum are within normal limits. The lungs are hyperinflated. No focal pulmonary opacities.,"Hyperinflation. Otherwise, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.97027067852823946045900308222105553537
+"The left subclavian central venous catheter tip is in the mid SVC. No complicating features are demonstrated. The cardiac silhouette, mediastinal and hilar contours are stable. The lungs are clear. No pneumothorax.",1. Left subclavian central venous catheter tip in the mid SVC. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.58214833059586728231962455006432483327
+"The patient's umbilical venous line is noted ending within the right atrium; this should be retracted approximately 1 cm. The enteric tube is seen ending at the body of the stomach. The lungs are relatively well expanded and appear grossly clear. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiothymic silhouette is within normal limits. No acute osseous abnormalities are identified. The visualized bowel gas pattern is grossly unremarkable.",1. Umbilical venous line noted ending within the right atrium; this should be retracted approximately 1 cm. 2. Lungs clear bilaterally. 3. Unremarkable bowel gas pattern.,1.2.826.0.1.3680043.8.498.22705130868985682146701001709949009909
+There is no evidence of the bowel loops to suggest obstruction. No evidence of barium is identified. A gastrostomy tube is identified within the right colon.,Negative for obstruction. No evidence of barium.,1.2.826.0.1.3680043.8.498.42347716201824308600419368741937814316
+"Heart is normal size. Linear densities in the lung bases, likely atelectasis. Small bilateral pleural effusions. No acute bony abnormality. Surgical clips in the right axilla.",Small bilateral effusions. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32009205026014588639752353558044891048
+AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette and pulmonary vascularity are within normal limits. Regional skeletal structures are unremarkable.,No acute chest process.,1.2.826.0.1.3680043.8.498.82695019959796841849031980629649188011
+"Right jugular central venous catheter is seen with tip in the distal SVC. No evidence of pneumothorax. Cardiomegaly stable. Increased atelectasis or infiltrate is seen in the left retrocardiac lung base. Increased interstitial prominence is seen, suspicious for interstitial edema.",1. Right jugular central venous catheter in distal SVC. No evidence of pneumothorax. 2. Increased left retrocardiac atelectasis versus infiltrate. 3. Probable mild interstitial edema.,1.2.826.0.1.3680043.8.498.27203098707035228697184844539807478964
+"Normal heart size and mediastinal contours. Peribronchial thickening. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.17703255475899565489528248987988286352
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31052644018049298621617820565151330615
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57381727808639946707898380858136908707
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.13526346320538631782382200560739489004
+Left chest tube has been removed. Swan-Ganz catheter has been removed. No pneumothorax. Slight atelectasis at the lung bases. The remainder of the chest is clear. No pulmonary edema.,No pneumothorax post chest tube removal. Basilar atelectasis.,1.2.826.0.1.3680043.8.498.94206762316241519386097836543472310044
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.59660722912210387645125183764194481066
+There is peribronchial thickening. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Bronchitic change without focal process.,1.2.826.0.1.3680043.8.498.55641135279161906067508706447979078817
+There is a moderate right pleural effusion with right lower lobe atelectasis which is unchanged. Left upper lobe scarring and atelectasis is again noted. There is a small left effusion. There is COPD. There is a new area of opacity in the right upper lobe which is probably due to atelectasis but pneumonia is possible.,1. New area of right upper lobe airspace disease which is probably due to atelectasis but pneumonia is possible. 2. No change in right lower lobe atelectasis and effusion.,1.2.826.0.1.3680043.8.498.38285700924038189473875664995514780847
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93165352961811598817201223227134822029
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28643382194745666977176780595989860536
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.49249391346585622307539842364084403040
+The umbilical artery catheter tip is now in the descending thoracic aorta at the T7 level. The OG tube tip remains in the stomach. The cardiomediastinal silhouette is unremarkable. The lungs remain clear. The bowel gas pattern is unremarkable.,1. UAC tip now in the descending thoracic aorta at the T7 level. 2. No acute cardiopulmonary disease. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.68116176042103075584171054318733448596
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42492642320251576087367272761573517149
+Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.58791460171437325290204883782026912444
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34303078558050380927129210863523402449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46003225664604653371417473975896293787
+The cardiac silhouette is within normal limits. Lungs are clear. Pulmonary vasculature is normal in caliber. The aorta is tortuous and uncoiled.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.19022813811629581388316182956678037533
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64572465189438140924889813208966820922
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84254232818583661347197796760181818362
+There is increased atelectasis at both lung bases. No overt edema. No pleural effusions. Stable cardiomegaly.,Increased bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.38057999457650838822978523896407814673
+Mediastinum and hilar structures are normal. Heart size normal. Persistent right base infiltrate is noted. This is most likely residual pneumonia. Continued follow-up chest x-rays suggested to demonstrate complete clearing. No pleural effusion or pneumothorax. No acute bony abnormality.,"Persistent right lower lobe infiltrate. Although a component of these changes may be chronic, given the patient's smoking history, residual pneumonia is suspected. Continued follow-up chest x-rays suggested to demonstrate complete clearing.",1.2.826.0.1.3680043.8.498.36834773281183604518540174519216468057
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21202423781740391157179749396439862438
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36459934831227170688119415428712152375
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.63003042223420983525609882517866384995
+Single frontal view of the chest demonstrates a stable cardiac silhouette. There is been marked improvement in the bilateral airspace disease seen previously. Persistent consolidation is seen within the left lower lobe. No effusion or pneumothorax. No acute bony abnormalities.,1. Persistent left lower lobe consolidation consistent with pneumonia. 2. Improved bilateral airspace disease.,1.2.826.0.1.3680043.8.498.65076157949982251369746199793360814550
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77186855941387199251978901449200351764
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.50620287789714829145728408415537343956
+Cardiothymic silhouette is normal. Lungs are clear. No pulmonary edema. No pleural effusions. No pneumothorax. Skeletal structures are unremarkable.,Normal chest radiographs.,1.2.826.0.1.3680043.8.498.76508577760117801784642229408046565502
+Right PICC line tip projects over the cavoatrial junction. No pneumothorax. Cardiomegaly with pulmonary vascular congestion and mild interstitial edema. Atelectasis at the lung bases. No effusion. Endotracheal tube has been removed.,1. Right PICC line tip at cavoatrial junction. 2. Stable cardiomegaly with vascular congestion and mild interstitial edema. 3. Low lung volumes with basilar atelectasis.,1.2.826.0.1.3680043.8.498.38137780838762732925089367454381506956
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44376669514242924505199351606568430907
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48105473289560999973854243379671214438
+There is patchy airspace opacity in the upper and lower lung regions as well as in the right mid lung and left base regions. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Multifocal airspace opacity consistent with multifocal pneumonia. Viral pneumonia may certainly present in this manner and is suspected given the clinical history. Heart upper normal in size. No adenopathy evident.,1.2.826.0.1.3680043.8.498.86777156796461005932461254057543615296
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.87860414060574029432770277006475514771
+Endotracheal tube is 1 cm above the carina. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No focal opacities in the lungs.,1.2.826.0.1.3680043.8.498.30303441034431079131142114568172738661
+Linear atelectasis or scarring is noted at the left lung base. The lungs are otherwise clear. No pleural effusion is seen. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease. Linear atelectasis or scarring at the left lung base.,1.2.826.0.1.3680043.8.498.70314053569308368807397846501552908730
+Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.29153372499588940088482970303842259162
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41118353334346434912053490794800172960
+AP view of the chest was obtained. Lung volume is normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Normal pulmonary vascularity. No acute regional skeletal abnormality.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.49146873219012208757437568711622207680
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96421637653779780388884076361453378879
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16883562631193238111414007190335898092
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.16070555297117671813640078277750778504
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62645902678679268354400804981137271164
+Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Chronic appearing thoracic changes/old healed fractures. Visualized upper abdomen: Grossly unremarkable. Right chest wall cardiac generator and leads again noted.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.22955079680553325329637368107654915198
+Patchy opacities are seen at the periphery of the mid and lower right lung. Left lung is clear. No pneumothorax or pleural effusion. Cardiac size is at the upper limits of normal. Pulmonary vascularity is normal. No acute bone abnormality.,Patchy right lung infiltrates.,1.2.826.0.1.3680043.8.498.80719923787182722264804357301130407251
+There is moderate cardiomegaly. The lungs are clear of acute infiltrate or congestion. There is no pleural effusion.,Cardiomegaly. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.65366343856629645238408891847292997492
+The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.66923851724447257149013534950223278358
+Right central line is in place. The tip is in the SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Right central line tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.13014467899934696604242646305231247431
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68223071620021473753575448550146309924
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.46762631777097470743293760192695248661
+The heart size and mediastinal contours are within normal limits. Postsurgical changes of the LEFT upper lung are again noted. No residual pneumothorax. No focal consolidation or pleural effusion. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84000822733799883899957763763773670557
+"Endotracheal tube and NG tube are unchanged. Stable cardiac silhouette. Mild central venous congestion. No effusion, infiltrate, or pneumothorax.",Stable support apparatus. No interval change.,1.2.826.0.1.3680043.8.498.41667322095810377973412329405451217033
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12706233396442034037544038861867657936
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67767730093683308663855219668033398103
+"Right Port-A-Cath remains in place, unchanged. Left upper lobe mass again noted, unchanged. Right lung is clear. Heart is normal size. No effusions.",Stable left upper lobe mass. No acute findings.,1.2.826.0.1.3680043.8.498.94321684018081489401668787835927982024
+Nasogastric tube in place. Left subclavian central line in place. Heart is normal size. Aorta is tortuous. Left hemidiaphragm is elevated. Left basilar atelectasis or infiltrate. Right lung is clear. No pulmonary vascular congestion. Degenerative changes of the spine and shoulders. No pneumothorax.,Left basilar atelectasis or infiltrate. Left hemidiaphragm is elevated.,1.2.826.0.1.3680043.8.498.18309883647266796562480499099188141558
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44097028989494571136787301410064744539
+"Large mass in the left upper lung, unchanged. Left pleural effusion, unchanged. Left apical pleural thickening is stable. Diffuse airspace disease in the left lung is new since the prior study. Mild patchy airspace disease in the right upper lung is stable. No pneumothorax. Cardiac silhouette is normal in size.","1. New patchy airspace disease throughout the left lung, which could reflect pneumonia or asymmetric edema. 2. Stable large mass in the left upper lung and left pleural effusion.",1.2.826.0.1.3680043.8.498.73275086522378399851264320610862975988
+There are low lung volumes with central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,"Low lung volumes, central airway thickening.",1.2.826.0.1.3680043.8.498.20194140762461473915419499745886231132
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.42025580320914048108610039382806477835
+"There is stable minimal enlargement of the cardiac silhouette. Ectasia and nonaneurysmal calcification of the thoracic aorta is seen. There is chronic elevation of the right hemidiaphragm. There is chronic minimal atelectasis and fibrotic change in the right upper lobe. Calcified granuloma is seen. No pulmonary edema, pneumonia, or pleural effusion is seen. There is osteopenic appearance of the bones. Degenerative spondylosis is present.","There is stable minimal enlargement cardiac silhouette. No pulmonary edema, pneumonia, or pleural effusion is evident.",1.2.826.0.1.3680043.8.498.93119738852376191978047159084282762086
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90339962949971253002425235393531894957
+Single portable AP chest radiograph is provided. There is right lower lobe airspace disease most concerning for pneumonia. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.85305046238248280552638820686888460240
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.39347230123576976280954695016583500844
+There is opacity at the left lung base which is most likely atelectasis. Pneumonia is possible. The right lung is clear. No pleural effusion. Heart size is normal.,New opacity at the left lung base is felt most likely to represent atelectasis. Early pneumonia not completely excluded.,1.2.826.0.1.3680043.8.498.34923200240009948492446149844503463613
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.48192402126582149205041725244557092923
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85121227148188584913278110457914138049
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44883812781992116406972258946860038685
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84359116157708620246723779134683529892
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. There is a double density projecting over the lower mediastinum to the left of midline. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with a hiatal hernia. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.53197643619931296895439429950828946999
+There is a new area of atelectasis at the right lung base. The lungs are otherwise clear. There is no pleural effusion. The heart size is normal. No rib fractures are identified.,New right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.49742676482454517167761398433929584799
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79549681081796762862219381083865226130
+Heart size is normal. The aorta is ectatic and unfolded. No pleural effusion. Lungs are clear. No acute bony finding.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32546557599700779972220914088057348713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89834217623753910062195052041382337506
+Low lung volumes. Normal cardiothymic silhouette. There are patchy opacities in both lungs. No pleural effusion or pneumothorax. No osseous abnormalities.,"Patchy bilateral lung opacities, which may reflect atelectasis or meconium aspiration given clinical history.",1.2.826.0.1.3680043.8.498.48794221569023484346660552350635400213
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17592719085380060229296373379099988288
+Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ Swan-Ganz catheter tip projects over the proximal right pulmonary artery. Left chest tube and mediastinal drain are in place. Seven intact sternotomy wires. Lungs are low in volume with mild bibasilar atelectasis. No pneumothorax.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.60400352984765515643538654230978450593
+The lungs are well-aerated. Left basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Left basilar airspace opacity raises concern for pneumonia.,1.2.826.0.1.3680043.8.498.17867911984038742533240405106477717878
+There is focal airspace disease in the right lower lobe consistent with pneumonia. There is also patchy airspace disease in the left lower lobe consistent with pneumonia. Lung volume is normal there is no effusion.,Bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.71104892333020736829257336773378027197
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46276245271300101617222876138527291294
+Right chest port catheter. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30475842370626743243967883825521784213
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70115061970052272687714671240202689455
+"There is central airway thickening with bilateral perihilar densities, but no focal airspace disease. No effusion. Heart size is normal. No focal bony abnormality.",Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.52853958346602207876662826162935844327
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64931992288649068921536201102656567138
+Heart size within normal limits. No definite heart failure. Bilateral pleural effusions again noted with patchy bilateral lower lobe atelectasis or atelectatic pneumonia. No significant interval change. No new findings.,No significant change.,1.2.826.0.1.3680043.8.498.27664829544055757594477098502320638034
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52718870464468575694937865761039799354
+"Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, consolidation, or confluent airspace opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.48379004738699874291608208003558135310
+"Since the prior study, there is less pneumomediastinum seen. The lungs remain clear. The heart size is normal. The visualized bony thorax appears intact.",1. Less pneumomediastinum. 2. No active disease.,1.2.826.0.1.3680043.8.498.16062011516715176699912509026869321752
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92218237315377080385386064173674621558
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41292827358258885557987054902312426953
+"Portable AP upright view at 3735 hrs. Large lung volumes. Normal cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion. Osteopenia. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44244569885392087186996289460649075252
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.15131616402543990799872392409337767040
+The heart size and mediastinal contours are within normal limits. Previously seen opacity in the right lower lobe has resolved since previous study. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65968810633314541275190433296163508658
+Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. Mild diffuse prominence of the central interstitial markings with peribronchial cuffing. No significant lung hyperinflation. Visualized osseous structures appear intact.,"1. No acute consolidative airspace disease to suggest a pneumonia. 2. Mild diffuse prominence of the central interstitial markings with peribronchial cuffing, suggesting viral bronchiolitis and/or reactive airways disease. No significant lung hyperinflation.",1.2.826.0.1.3680043.8.498.74943269520369691736131101192446767144
+There is cardiomegaly. The patient is status post median sternotomy. A left pleural effusion is noted with left lower lobe atelectasis or pneumonia. A small right effusion is suspected. There is mild vascular congestion. No acute CHF or definite pneumonia. No pneumothorax. Degenerative changes of the spine.,1. Cardiomegaly with small pleural effusions and basilar atelectasis. 2. Left lower lobe retrocardiac consolidation versus atelectasis. 3. Status post median sternotomy.,1.2.826.0.1.3680043.8.498.28593049476336466244700156424812055311
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83602168648197645872500092692231649032
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.53363880165112324713312051348982652438
+"Two right chest tubes are in place. No pneumothorax. Right central line is unchanged. Consolidation in the right lower lobe and right mid lung again noted, unchanged. Left base atelectasis.",No significant change.,1.2.826.0.1.3680043.8.498.16671709296231712587456326329781878099
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. There is prominence of interstitial markings at the lung bases, possibly chronic but new since the prior chest x-ray on 09/05/2005. I do not see any definite infiltrates, edema or effusions. Bony structures are grossly normal.",1. COPD and chronic interstitial changes. 2. No definite acute pulmonary findings.,1.2.826.0.1.3680043.8.498.85410198309916384185089633954598383064
+There is airspace consolidation in the posterior segment of the right upper lobe. Lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior segment right upper lobe.,1.2.826.0.1.3680043.8.498.20492887806625451526140902460039003583
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. Bony structures are intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.59817879640090217960909158358605182357
+There is focal airspace disease in the left upper lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left upper lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.12910588695709104825589089778186520122
+"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. A right-sided PICC line is seen with its tip at the cavoatrial junction. No significant osseous abnormality is appreciated.",PICC line in place.,1.2.826.0.1.3680043.8.498.70180754867540119517188813993610141409
+"The heart appears normal in size. The lungs are hyperinflated. No focal airspace consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.18988834128737530640529701644556444516
+PA and lateral views of the chest are made and are compared to a previous study of 11/01/07 and show stable scarring of the left base. The heart is within the limits of normal. The mediastinal contour is normal. The lungs are free of active infiltrate. No pneumothorax or pleural effusion is seen. The bones of the thoracic spine appear normal.,Stable scarring left base. No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54514545753901714892902813222024386942
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23466208415989094330888412132854135181
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.84122174336253518092484675622740981424
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.25731689204741492354858331930844904535
+Endotracheal tube is 3.5 cm above the carina. There is a right jugular central line with the tip in the SVC. There is no pneumothorax. The lungs are clear. Heart size is normal. There is a nasogastric tube in the stomach.,Central line tip in the SVC. No pneumothorax. Endotracheal tube and nasogastric tube are in place.,1.2.826.0.1.3680043.8.498.90065645656123908957611410922944249068
+Right chest tube is been placed. Right pleural effusion and atelectasis remain. No pneumothorax. Left lung is clear. Normal heart size.,Right chest tube placed. No pneumothorax. Residual right pleural effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.31065247720693164850038814193381705695
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72813834379599744088812316352022122458
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94882703849377639749254023335086147452
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91440965275530318759239449920784821940
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23512191889195320220541011363201117684
+There is central airway thickening. Consolidative changes noted in the right upper lobe compatible with pneumonia. Left lung is clear. No effusions. No acute bony abnormality. Cardiothymic silhouette is within normal limits.,Central airway thickening. Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.91140107492127653453913033622385782656
+"There is extensive bilateral airspace disease, increased since prior study. Heart is normal size. No definite effusions.",Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.25852261517170852613092993644423010196
+There is consolidation in the left upper lobe. The right lung is clear. There is no pleural effusion. There is no pneumothorax. There is stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,Left upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.67761994775263526777190044439619492154
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.52484512209991220952761788297410533128
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75440414767887130363794552082319828033
+"Stable enlarged cardiac silhouette and left subclavian pacemaker lead. Small left pleural effusion, decreased laterally. Stable mild prominence of the interstitial markings and mild hyperexpansion of the lungs. Stable linear density at the left lung base. Diffuse osteopenia.","1. Small left pleural effusion, decreased laterally. 2. Stable cardiomegaly and mild changes of COPD and chronic bronchitis. 3. Stable left basilar linear atelectasis or scarring.",1.2.826.0.1.3680043.8.498.59727674831856507422056290929744370146
+Heart size is normal. Both lungs are clear. No evidence of pleural effusion. Right-sided dialysis catheter is seen in place.,No active disease.,1.2.826.0.1.3680043.8.498.40906605318852917832853384266671460001
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Low lung volumes with bibasilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Spur formation thoracic spine.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47687974786933645296672706488977638357
+There is chronic scarring in the left lower lobe. The heart is normal size. The lungs are otherwise clear. No pleural effusion. No acute bony abnormality. Evidence of previous CABG.,Left lower lobe scarring. No acute findings.,1.2.826.0.1.3680043.8.498.51068668664152805736139659358649893039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95074861312809944793102725773478642149
+"Sternotomy wires are intact. The heart is normal in size. Aorta is tortuous. The lungs are well expanded. There is linear atelectasis at the left base. The lungs are otherwise clear. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.46304333232410742964380919627740791322
+There is mild pulmonary vascular congestion present with probable small right pleural effusion. Mild cardiomegaly is stable. Median sternotomy sutures are noted.,Cardiomegaly and mild pulmonary vascular congestion with small right effusion.,1.2.826.0.1.3680043.8.498.60651480419850578753076753037353908880
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88403028946704521855906288009133619789
+The heart size and mediastinal contours are within normal limits. Endotracheal tube is in grossly good position. Nasogastric tube is seen entering stomach. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Endotracheal and nasogastric tubes in grossly good position. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.53624282701533722929424205233932350019
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67041608880377215612549260663937673533
+Cardiomegaly with bilateral pulmonary vascular prominence and bilateral pleural effusions noted. Bilateral atelectasis and/or infiltrates present. Similar findings noted on prior exam. Port-A-Cath noted in good anatomic position. Surgical clips noted over the right chest.,1. Cardiomegaly with bilateral pulmonary venous congestion bilateral pleural effusions. Findings consistent with congestive heart failure. 2. Bilateral atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.60435817972612932627235039154662880353
+There is central airway thickening but no focal airspace disease. No pleural effusion. Heart size is normal. No focal bony abnormality.,Central airway thickening without focal process.,1.2.826.0.1.3680043.8.498.34965184841210884701116593410382374109
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42574133077232953903392741735295152072
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60967763688317281914612418951648389570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76108897727639325415940651686551799884
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78877774776341981213181816980233867854
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89568913641835630419404959989902556862
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect bronchitis.,1.2.826.0.1.3680043.8.498.37824233075517544577035733966981799797
+The endotracheal tube has been removed. The heart is enlarged but stable. There is tortuosity and calcification of the thoracic aorta. Persistent small bilateral pleural effusions and overlying bibasilar atelectasis. No pulmonary edema.,1. Removal of ET tube. 2. Persistent small effusions and overlying atelectasis.,1.2.826.0.1.3680043.8.498.12882870056637297118731078013503740180
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. Mild thoracic degenerative disk disease is noted.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.87251838026957690723942493270210183052
+"There is no focal consolidation, pleural effusion, or pneumothorax. Diffuse peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.55413334566663276279540333322082492328
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71292949322210116092534686583277319057
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small left pleural effusion, stable. No right pleural effusion. Patchy left lung base opacity, similar. No pulmonary edema.","1. Stable small left pleural effusion with patchy left lung base opacity, which could represent atelectasis or pneumonia. Continued chest radiograph follow-up advised. 2. No new findings.",1.2.826.0.1.3680043.8.498.27700163415935887925692380396032700806
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76329923537606247195688741821827083774
+"There is chronic elevation of the right hemidiaphragm. There is no evidence of edema, infiltrate, effusion or pneumothorax. The heart is mildly enlarged.",Stable chest x-ray with chronic elevation of the right hemidiaphragm. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.86485709562250531246714542289705756622
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87519143088988364447841950202296318824
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60724145785098307280225707700320320950
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.69426751960825710065756928928457688973
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28954118139502533087025763593244384084
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42098504660337097366005202006753538809
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86242830216044817259432092828724099806
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.71821764160494858517538874971820374721
+"Endotracheal tube and orogastric tube remain in appropriate position. Diffuse coarse granular pulmonary opacity is again seen bilaterally, without significant change. No evidence of pulmonary consolidation or pleural effusion. Heart size is normal.","RDS pattern, without significant change.",1.2.826.0.1.3680043.8.498.69366802001662513879583280929370457497
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27616573408295150502779320495712536512
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79613682540095678179674956967941208258
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70074051667318733111748251538705280488
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57742800570431504951958781146889436997
+There is a chest tube on the left with the tip at the left apex. There is no pneumothorax. There is atelectatic change in the left base. The right lung is clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Chest tube on the left with no pneumothorax. Left base atelectasis. Right lung clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.92426671709134886215030791585299541161
+The cardiothymic silhouette is within normal limits. The lung volumes are normal. No pleural effusions or pneumothorax. The lung fields demonstrate mild hazy lung opacities bilaterally. The abdominal bowel gas pattern is unremarkable. No bony abnormalities.,Normal lung volumes with mild bilateral hazy lung opacities. Considerations include early RDS and/or retained fetal fluid.,1.2.826.0.1.3680043.8.498.63992135881251116551157803951982198082
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86441869928428674306710836095383725107
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33199759354535953234884148235198720332
+The lungs are hyperaerated consistent with COPD. No pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine. A left shoulder replacement is noted.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.16150783385506606720707951296591133565
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16005309796419706912744223461012556250
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79410821911674435658513924346722041496
+The heart and mediastinum are within normal limits. The lung volumes are slightly diminished. No focal pulmonary opacities. Mild gaseous distention of the stomach is noted.,1. No acute cardiopulmonary disease. 2. Mild gaseous distention of the stomach.,1.2.826.0.1.3680043.8.498.14421799692237806591131450964996036589
+Large left pleural effusion with left lung atelectasis. The right lung is clear. No pneumothorax. Heart size is obscured by the large pleural effusion.,Large left pleural effusion with left lung atelectasis.,1.2.826.0.1.3680043.8.498.18727859856460294784071743027952259417
+There is improvement in the previously noted diffuse bilateral interstitial and alveolar infiltrative changes. Resolution as yet is not totally complete. No new infiltrates are seen. No pleural effusion is noted. The heart size is normal. The chest is hyperexpanded compatible with a history of COPD.,1. There is noted improvement in the previously noted bilateral pulmonary infiltrates or edema. 2. No new infiltrates are seen. 3. COPD.,1.2.826.0.1.3680043.8.498.98195593748912040143595489645479938873
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.44857836070623336317543862921018232310
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90151557252714999001595087318753452652
+The heart is normal in size. The aorta is tortuous and calcific. The tracheostomy tube is above the carina. There is progression of bilateral infiltrates in the upper lobes and left midlung. There is no definite effusion or pneumothorax.,Progressive bilateral infiltrates.,1.2.826.0.1.3680043.8.498.46794279942947869492163550604121184745
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35955516999633151504614348320209100496
+Heart size is normal. There is no heart failure. The lungs are clear and there is no infiltrate or mass lesion. There is blunting of the left costophrenic angle which may be due to pleural scarring or a small effusion. No acute bony abnormalities.,"Small left pleural effusion or pleural scarring. Otherwise, negative.",1.2.826.0.1.3680043.8.498.96244272296108444297161574438458870250
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87585279906054488446669606987574443185
+Midline trachea. Heart size upper limits of normal. Mediastinal contours otherwise within normal limits. No pleural effusion or pneumothorax. Lung volumes are mildly low. Clear lungs.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20748586975739834721777602036260117021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26150264615451819935997475077599911849
+Patchy bilateral airspace disease has significantly worsened. Small bilateral pleural effusions are suspected. No pneumothorax. Normal heart size.,Significant worsening of bilateral airspace disease.,1.2.826.0.1.3680043.8.498.84502012013825495935362374981094428116
+There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.98704917532267148491661561970827770201
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86446524194197400079886132954431600668
+The lungs are hyperinflated with hemidiaphragm flattening. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,COPD. No pneumonia nor CHF. No suspicious pulmonary parenchymal masses. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.27615920815853200275756880263011174743
+"Tracheostomy tube is in place. Right IJ central line tip overlies the level of the superior vena cava. The heart is enlarged. There is left base opacity, consistent with a combination of pleural fluid and atelectasis/consolidation. No evidence for pulmonary edema.",1. Left base opacity consistent with a combination of pleural fluid and atelectasis/consolidation. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.64523710254709309727185896260068549246
+The lungs are mildly hyperinflated. There is thickening of the interstitial markings. No focal regions of consolidation are appreciated. The cardiac silhouette is enlarged. The visualized bony skeleton is osteopenic.,COPD with findings likely representing a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.96613254805847839530438427741535261488
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34250344619787388669126987166501869025
+"Endotracheal tube, left IJ Swan-Ganz catheter, and nasogastric tube are unchanged. There is cardiomegaly. Diffuse pulmonary edema pattern has increased. Bilateral effusions are noted. Increasing bilateral lower lobe opacities, likely atelectasis.","Increasing edema pattern, bilateral effusions, and bilateral lower lobe atelectasis.",1.2.826.0.1.3680043.8.498.99117929604548528195080000845364800721
+Lung volumes are low. The heart is at the upper limits of normal. The lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36912340224977763630379315351571767716
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75915508912057009906700948906041479664
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post aortic valve replacement. No bone lesions. No pneumothorax.,Status post aortic valve replacement. No edema or consolidation.,1.2.826.0.1.3680043.8.498.61280333118280469362303093468073491450
+The heart is enlarged but stable. Diffuse interstitial and airspace opacities are again noted and have worsened. No significant pleural effusions are identified. The right arm PICC has been removed.,Worsening pneumonia versus asymmetric edema.,1.2.826.0.1.3680043.8.498.47314196070270208125206549072018194180
+Endotracheal tube is 2.2 cm above the carina. Right central venous catheter tip is in the right atrium. No pneumothorax. There is diffuse airspace disease throughout the lungs bilaterally. Low lung volumes. Heart is mildly enlarged.,Endotracheal tube 2.2 cm above the carina. Diffuse airspace disease and atelectasis. Low lung volumes.,1.2.826.0.1.3680043.8.498.61386221937217552184570634336106235030
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71394033801032149930122882433400857693
+The heart size and mediastinal contours are within normal limits. Emphysematous changes are noted. The lungs are hyperinflated. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,1. Emphysema. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.91886190956208786824671293062071253255
+The lungs are clear. There is no pleural effusion. The cardiothymic silhouette is normal. The chest is hyperexpanded.,Hyperexpansion of the chest is suggestive of reactive airways disease. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.52195012067806462926280735951620379753
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63839719298371910367907073555259330139
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24660170502918992024204175073089134879
+"Low lung volumes. Streaky opacities at the left lung base, increased from prior exam. Unchanged heart size and mediastinal contours. No pulmonary edema. No pneumothorax or pleural effusion. Stable osseous structures.",Low lung volumes with increased left basilar atelectasis.,1.2.826.0.1.3680043.8.498.49662350437775124964761775703848215336
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38983140698071690463570338417602161701
+A small bore right-sided chest tube is in place with tip and side port projecting over the right lung apex. Trace residual right apical pneumothorax (less than 5% of the volume of the right hemithorax). Opacity at the right base likely reflects resolving atelectasis. Left lung is clear. No left pleural effusion. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.,"1. Small bore right-sided chest tube in place with tip and side port projecting over the right lung apex. Trace right-sided pneumothorax (less than 5% of the volume of the right hemithorax), similar to slightly decreased compared to the prior examination. 2. Resolving right lower lobe postoperative atelectasis.",1.2.826.0.1.3680043.8.498.34354329719020265845529789990916979663
+Heart: Heart size normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40925510174357567307179575432131717695
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.40989523065310483945780384777739126020
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41910014480472782983562292207938061380
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17111424323470304789082570194776491484
+"Small (5% or so) left apical pneumothorax after left chest tube removal. Linear atelectasis in the left lower lobe and lingula, unchanged. Lungs otherwise clear. No pleural effusions. Cardiomediastinal silhouette unremarkable and unchanged.",Small left apical pneumothorax after left chest tube removal. Stable linear atelectasis in the left lower lobe and lingula. No new abnormalities.,1.2.826.0.1.3680043.8.498.30682308868137902874577387078290961716
+The lungs are clear. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine.,No active lung disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.57000601164440868091675502256236097081
+Right jugular catheter tip in the SVC. No pneumothorax. Improvement in bilateral airspace disease. No pleural effusion.,Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.31200854475434999270452227565328289185
+Cardiomegaly with bilateral pulmonary alveolar infiltrates are noted consistent with pulmonary edema. Bilateral pleural effusions are present. These findings are consistent with congestive heart failure.,Findings consistent with congestive heart failure with bilateral pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.62446388949442563060344828204375785231
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15019887257213629592336837384730725789
+Sternal sutures and mediastinal clips are noted. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.95131311429359163794539063142255959161
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52594304033853609290588156105164315393
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31926625282444376935999353140056308039
+The lungs are better inflated today. The interstitial markings are mildly increased. The left hemidiaphragm is better demonstrated. The cardiac silhouette is enlarged. The pulmonary vascularity is mildly prominent centrally.,There are findings consistent with low-grade CHF. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.99508995293091958950262055444430503967
+The lungs are adequately inflated. There is no focal infiltrate. There is stable scarring in the lingula. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is mild tortuosity of the descending thoracic aorta. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19359666036491992457654184942177232841
+The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.79045429459561190060112371549626495934
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.90727523372804178388597656477601199213
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84745770469166881750991930400282760589
+An orogastric tube is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a very mild granular pattern with some basilar air bronchogram formation compatible with mild to moderate RDS. No areas of focal atelectasis or infiltrate are seen. No pleural effusions are noted. The visualized portion of the bowel gas pattern is unremarkable. Bony structures appear intact.,Findings compatible with mild to moderate RDS.,1.2.826.0.1.3680043.8.498.83083179904235736252352133240498114047
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24528576107708873275213275629675286202
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right pulmonary artery. There is mild left lower lobe atelectasis. The lungs are otherwise clear. No pneumothorax.,Mild left lower lobe atelectasis. Tubes and lines well positioned.,1.2.826.0.1.3680043.8.498.58475424176470457705681194041670199706
+There is focal airspace disease in the anterior right upper lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.26606826720483849571406186827286643685
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.70160205586622563755438014428888722934
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79730793929664202922199313321181995786
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.19490140547154083740793965729671280491
+Low lung volumes. No focal opacity or pleural effusion. Heart size upper normal. No pneumothorax.,No active cardiopulmonary disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.92096781903032021351883985137740557350
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.37375270139632039653799566213123054289
+"Low lung volumes. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.40403462534078757499830406131073666537
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.25770304281565855817653479179910555027
+The patient is rotated. The lung volumes are low. Heart size is enlarged. Aorta is tortuous. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78173589047586958222915397195399735062
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67863615395474009464060870328378437269
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28118060199364511668024105981199768978
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66055083641676190414081319849510832050
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91746749678367140951291692493703611354
+Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17373162836504036855076917887463507245
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62828253233312617395494589380959031531
+Patchy bilateral opacities in a predominantly peripheral distribution. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,"Patchy bilateral opacities in a predominantly peripheral distribution, suspicious for multifocal pneumonia, including atypical viral pneumonia.",1.2.826.0.1.3680043.8.498.98048384872368881625411799335306401997
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29331635155763773126167741010332450357
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79193534505913019307234914316648106012
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44575076141269648827185287143015155236
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25691859523825386041505371186364442932
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.68668522376681632651009564871917483545
+"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.26773773864321522574138099277647781720
+"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Right apical pleural thickening remains stable. No evidence of acute infiltrate or edema. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.",Stable COPD and right apical pleural thickening. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95342903873405401471963871598287980113
+There is patchy airspace disease throughout the lungs bilaterally. No pneumothorax is seen. The lungs are not quite as well aerated. The heart is within upper limits of normal.,No pneumothorax. Diffuse patchy airspace disease consistent with known lung metastases.,1.2.826.0.1.3680043.8.498.18504703944783142377419757668076131863
+The lungs are adequately inflated. There is no focal infiltrate. There is stable scarring in the right middle lobe. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The mediastinum is normal in width.,There is no evidence of pneumonia nor definite evidence of other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25617536362402215196231162484648086010
+"Sternotomy wires overlie stable enlarged cardiac silhouette. There is scoliosis of the spine. No effusion, infiltrate, or pneumothorax. There is mild atelectasis at the left lung base.",1. Cardiomegaly. 2. No acute findings.,1.2.826.0.1.3680043.8.498.25492161460620036349627733880974487883
+"The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Heart at the upper limits of normal in size. Otherwise unremarkable radiographs of the chest.,1.2.826.0.1.3680043.8.498.37700113044179247244576829708481010437
+The heart is normal in size. The mediastinal and hilar contours are within normal limits. The lungs are clear of an acute process. No pleural effusions or pulmonary lesions. Thoracic spinal stabilization hardware is noted.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.34800870248978832643254093930412377750
+The heart is mildly enlarged. There is no pulmonary edema. There is opacity at the left lung base which is likely atelectasis. This is similar to the prior exam. No other focal consolidations are identified. There is no pneumothorax.,1. Cardiomegaly. 2. Left lower lobe opacity is favored to represent atelectasis. Early infiltrate is possible.,1.2.826.0.1.3680043.8.498.91698390873309673604007671056252256458
+Cardiomediastinal silhouette within normal limits. Calcifications of the aortic arch. No pneumothorax or pleural effusion. No confluent airspace disease. Coarsened interstitial markings. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.64240975295348969486365175116238279097
+The lungs are hyperinflated. There is persistent increased density in the right middle lobe. The right upper lobe mass has increased in size. It measures 5.6 cm transversely x 3.9 cm AP x 3.9 cm AP. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,COPD. Persistent right middle lobe infiltrate or atelectasis. Enlarging right upper lobe mass. No CHF. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.74599390800383640527807986819052574297
+Endotracheal tube is 5.5 cm above the carina. Right internal jugular central line tip in the mid SVC. No pneumothorax. Cardiomegaly with vascular congestion. Bibasilar atelectasis. No effusions.,"Right central line tip mid SVC. No pneumothorax. Endotracheal tube 5.5 cm above the carina. Cardiomegaly, vascular congestion and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.67961601516980094654324920077707860016
+Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15089288145643900817604811432167816411
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65253852354188309421564762695990250687
+Patchy opacities in the mid lungs bilaterally compatible with pneumonia. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy mid lung airspace opacities compatible with pneumonia.,1.2.826.0.1.3680043.8.498.27102966197155592299940890355593533399
+Endotracheal tube is in place with the tip at the head of the clavicular heads in good position. Right-sided PICC again terminates in the superior vena cava. There is no pneumothorax. Lung volumes are low with some crowding of the bronchovascular structures. No focal airspace disease. Heart size upper normal.,1. Endotracheal tube in good position. 2. Low lung volumes without acute disease.,1.2.826.0.1.3680043.8.498.70081540295658960111209530618960941670
+The lung volumes are low. Heart is normal in size. Aorta is mildly tortuous. Mild linear opacities at the lung bases likely represent atelectasis. There is elevation of the right hemidiaphragm.,1. Low lung volumes with mild basilar opacities that likely represent atelectasis. 2. Elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54118608088375373464895086780058543225
+"There is again noted increased density at the lung bases compatible with fibrosis. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The chest is hyperexpanded compatible with a history of COPD. The patient is status post right mastectomy.",1. Stable appearing chest as compared to the exam of 06/02/2020. 2. Fibrotic changes are again noted at the lung bases. 3. No new infiltrates are seen. 4. COPD.,1.2.826.0.1.3680043.8.498.80670319403077960709856611681806931613
+The heart size and mediastinal contours are within normal limits. Subcutaneous emphysema is noted in the lower neck bilaterally. No pneumothorax or pleural effusion is noted. Mild bibasilar subsegmental atelectasis is noted. The visualized skeletal structures are unremarkable.,Subcutaneous emphysema in the visualized lower neck bilaterally. Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.72573268623349749254191385471861784160
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87016162560327627154483972028639589296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75883907889848522713941796750946222881
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85826005645701453427633762618747824279
+The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60317422005807104861468019105342971231
+There is opacity at the right lung base which appears be due to pneumonia. The left lung is clear. The heart is within upper limits of normal. No bony abnormality is seen.,Right lower lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.67696266766001997949133429460397523395
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61760243958345177758698480099209606209
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No focal consolidation identified.,1.2.826.0.1.3680043.8.498.45369813949688466729881292344976555458
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77552918431617096563214887809671580349
+The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.80133089303278980087887825705526814419
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.12400561461499514395994813547748875208
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13494029088632433587677939505263847501
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16875185030842904876086643144175084547
+The lungs are well-aerated. Mild left basilar opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left basilar opacity could reflect mild pneumonia.,1.2.826.0.1.3680043.8.498.69887238926810392910901851588251797361
+"Left-sided PICC line with tip in the distal SVC. Normal cardiac silhouette. No effusion, infiltrate, or pneumothorax.",1. Left PICC line in good position. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.62620109963754343246225549262674553146
+"The heart size and mediastinal contours are within normal limits. Lung volumes are low. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.45431990078466806833195280642584644420
+The heart size and mediastinal contours are within normal limits. Low lung volumes. The lungs are clear. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46442938790358654434729995978842759611
+The heart is enlarged. There is diffuse interstitial and airspace pulmonary edema. No pleural effusions are seen. The bony thorax is intact.,Cardiac enlargement and moderate to severe CHF.,1.2.826.0.1.3680043.8.498.48977382465069248604718891597130655153
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22844696841954428192131410993831201248
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53871473346454626801338442981916310688
+"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92622278444265873357554166964544395548
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29983542138381615504302055629240807942
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50615218879266044756392330833675877059
+There is extensive airspace disease in the right lung. The left lung appears clear. No pneumothorax or pleural effusion. Heart size is normal.,Extensive right lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.13010578754532061312428168589502698108
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18783360610265135752091900744109082921
+Heart: Normal. Lungs: There is some patchy atelectasis versus infiltrate in the left lung base. The lungs are otherwise clear. Mediastinum: Normal. Pleural effusions: There is a small left effusion. Bones: There are old right rib fractures. Visualized upper abdomen: Normal.,Patchy left basilar atelectasis and small effusion.,1.2.826.0.1.3680043.8.498.13685220372398438446213053450683842472
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Postsurgical changes left hemithorax with blunting of the left costophrenic angle. Minimal scarring left base. Emphysematous changes. No acute infiltrate, pleural effusion or pneumothorax. Bones appear demineralized. Old left rib fractures. BB placed at site of symptoms lower left chest. No definite acute rib fracture or bone destruction.",Postsurgical changes left hemithorax. Old left rib fractures. No acute abnormalities.,1.2.826.0.1.3680043.8.498.33861551419368975647010490727776577330
+The heart is normal in size. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94770500977248421625944863073956316789
+"Central catheter tip is in the superior vena cava. Endotracheal tube tip is 6.1 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is interstitial thickening throughout the lungs bilaterally, stable. There is no new opacity. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.",Tube and catheter positions as described without pneumothorax. Widespread interstitial thickening consistent with a degree of chronic bronchitis. No new opacity. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.88689997053850404104573330454621154210
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61606018035126642029430334090092742899
+The heart size and mediastinal contours are within normal limits. The aorta is tortuous. The lungs are hyperinflated. There is a focal opacity in the right upper lobe. There is no pulmonary edema or pleural effusion. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.71084715991272101435712524767155382998
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95463992997576870646583282654950162128
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. There are mild degenerative changes throughout the thoracic spine.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27649113461248780644321281747277891652
+There is a 2.2 cm mass in the right mid lung. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,1. No acute cardiopulmonary disease. 2. 2.2 cm mass in the right mid lung. Recommend further evaluation with CT of the chest.,1.2.826.0.1.3680043.8.498.11957090108100726154272020957393320501
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of sternal fracture. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83923841564416389459608973884187582932
+Left subclavian Port-a-cath is in place. The tip is in the SVC. No pneumothorax. Left upper lobe lesion is again seen. Scarring at the left lung base is noted.,1. Port-a-cath placement without complicating feature. 2. Left upper lobe nodule.,1.2.826.0.1.3680043.8.498.76060134307429493533092743718001427901
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.17003721179033984038346012704727333695
+Heart size is exaggerated by low lung volumes. Left basilar airspace disease is again noted. The visualized soft tissues and bony thorax are unremarkable.,1. Stable left basilar airspace disease. This is likely atelectasis. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.19656392630016517589959656284368150404
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39526590042777799981060214265997046129
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.33865504209082147013569034833819844336
+"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.81083918759020199268674884226219397466
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76311006186745314442247162284040629512
+The heart size and mediastinal contours are within normal limits. There is patchy consolidation of the right mid and lower lung. Mild left perihilar infiltrate is identified as well. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Bilateral infiltrates in the right greater than left lungs suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.33897281321062383462223217976129927302
+There is mild peribronchial thickening and hyperinflation. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.45815613240095614449329016853577300095
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.67621240158294898027718049323677131036
+There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.60731587957009017542625314067722893388
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.36088251786240339184652977574462883881
+"The cardiac silhouette is enlarged. Mediastinal contours appear normal. No focal airspace consolidation, pleural effusion or pneumothorax is identified. There is no evidence of pulmonary edema. No acute osseous abnormality is seen.",Cardiomegaly. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93501432597367240144973439448034349968
+Lungs are essentially clear. No focal consolidation or hyperinflation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78043787239230977931482660451869636827
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. No pneumothorax. No gross fractures are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56029474939481904371779259576720383094
+The heart size and mediastinal contours are within normal limits. There is a 2.2 cm nodule in the right lower lung. The left lung is clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,2.2 cm right lower lung nodule suspicious for neoplasm. Recommend CT for further evaluation.,1.2.826.0.1.3680043.8.498.44105800831056095349575958086598060764
+"Heart size is normal. Atherosclerotic calcification of the aortic knob. Mild prominence of the interstitial markings, similar to prior study. No consolidation. No pleural effusion or pneumothorax. Degenerative changes of the spine and shoulders.",No acute process in the chest.,1.2.826.0.1.3680043.8.498.28741829226950851998198084248536921424
+There is airspace consolidation throughout the left mid and lower lung zones as well as in the right base. There is a small left pleural effusion. There is cardiomegaly with pulmonary venous hypertension. There is atherosclerotic calcification in the aorta. No adenopathy. Bones are osteoporotic. There is advanced arthropathy in the left shoulder.,Persistent airspace consolidation in the left mid lower lung zones as well as in the right base. Small left pleural effusion. Stable cardiomegaly with pulmonary vascular congestion. There is aortic atherosclerosis. Bones osteoporotic.,1.2.826.0.1.3680043.8.498.61547373189922488750238159417501316072
+There is peribronchial thickening. Patchy opacity noted in the lingula compatible with pneumonia. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular pneumonia. Central airway thickening compatible with reactive airways disease.,1.2.826.0.1.3680043.8.498.84687038517532330460721821406789056755
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95595305163057699864920004436215759566
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.82470951006596618708034923649864118876
+The heart size is normal. There is no pneumothorax. Diffuse interstitial lung opacities are identified bilaterally. A small left pleural effusion is noted.,1. No pneumothorax status post bronchoscopy. 2. Suspect mild to moderate pulmonary edema. 3. Suspect small left pleural effusion. 4. Bilateral pulmonary nodules.,1.2.826.0.1.3680043.8.498.82508156611855293368980477414042426546
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.17021477541854937826212254117160642756
+"Patchy bilateral airspace disease again noted, similar to prior study. No pneumothorax. Heart is normal size. No effusions.","Patchy bilateral airspace opacities, unchanged.",1.2.826.0.1.3680043.8.498.83965768284980297515128617394664261995
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95639004979227554739492268571785980741
+Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Diffuse infiltrates likely representing a combination of pulmonary edema and pneumonia. Small bibasilar effusions and basilar atelectasis. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette. Pulmonary vascular congestion with probable pulmonary edema and small bibasilar effusions. Cannot exclude underlying pneumonia.,1.2.826.0.1.3680043.8.498.23595543467105783827568232678672414370
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.46759655140409290213873420164274572553
+"The tip of the endotracheal tube is 2.2 cm above the carina. A nasogastric tube is present. The tip lies inferior to the diaphragm, presumably within the stomach. Stable cardiac and mediastinal contours. Low inspiratory volumes with bibasilar atelectasis. Atherosclerotic calcifications present in the transverse aorta. No pulmonary edema, pleural effusion or pneumothorax. No acute osseous abnormality.",1. Stable position of support apparatus. 2. Low inspiratory volumes with bibasilar atelectasis. 3. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.94068631270999577837400266355699566087
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11071323788839246267571342421382221190
+"There is airspace disease bilaterally, particularly in the left mid and lower lung zones. This is most compatible with pneumonia. There is no evidence of pleural effusion. Mild cardiomegaly is stable.","Bilateral airspace disease, left side greater than right. Pneumonia is suspected.",1.2.826.0.1.3680043.8.498.76162647836125151675310244889041236451
+"There is airspace infiltrate in the right lower lobe compatible with pneumonia. The left lung is clear. Heart size and configuration are normal. Mediastinum, hila, pleura and osseous structures appear normal.",Right lower lobe pneumonia. Recommend follow-up chest x-ray after therapy to ensure clearing.,1.2.826.0.1.3680043.8.498.13475528293382092928675110022943710106
+The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.36349002907859543890150031462663620207
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33346790071617803267019347732524185423
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Surgical clips in the upper abdomen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53440512024260314004653702716288005418
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32052927919171835738314672783161031420
+The lungs are mildly hyperinflated. There is increased density at the right lung base. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The mediastinum is not widened.,There are findings consistent with COPD. There is likely subsegmental atelectasis or developing infiltrate at the right lung base. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.86232829429572097587358419085649406455
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85534589586813636122028093947758490185
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43826269273224137406992917480565213130
+Endotracheal tube is noted with its tip above the carina. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.30934951894607504378922789261874291374
+Normal heart size and mediastinal contours. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.64884592283457588300512958292796701386
+There is a large right pleural effusion with significant atelectasis of the right lung. I cannot exclude a component of consolidation. The left lung is clear. No evidence for pneumothorax.,Large right pleural effusion with significant atelectasis of the right lung. Cannot exclude a component of consolidation.,1.2.826.0.1.3680043.8.498.73794755554953202629352662102987439396
+LUNGS: NO consolidations or significant effusions. PLEURAL SPACE: NO pneumothorax. HEART: The heart is normal in size and position. MEDIASTINUM: No gross mass or adenopathy. BONES/JOINTS: NO definite fracture or dislocation.,- NO evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67683414817250141719097991385123327765
+There is perihilar peribronchial thickening. No focal consolidation is present. There is no effusion or pneumothorax. The cardiac silhouette appears normal. The bony structures appear intact.,Findings suggest bronchitis or reactive airway disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.56693861975216535629029971354604285193
+Cardiomediastinal silhouette is normal. There is central bronchial thickening. There is patchy pneumonia in the right upper lobe and left lower lobe. No dense consolidation or lobar collapse. No effusions. No bone abnormality.,Bronchitis and patchy pneumonia in the right upper lobe and left lower lobe consistent with pneumonia.,1.2.826.0.1.3680043.8.498.97917713582594505283274628136295406239
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11684992858579270183181109395454782554
+Endotracheal tube is in stable position. Nasogastric tube is in place with the tip not visualized. There is cardiomegaly. Bilateral perihilar airspace disease is again seen and has worsened since prior study. Small bilateral pleural effusions are noted.,"Worsening bilateral airspace disease, likely representing pulmonary edema.",1.2.826.0.1.3680043.8.498.32335550246053603261480088940494700099
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45416998869843541224839814201567872917
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No evidence of pulmonary infiltrate or hyperinflation.,1.2.826.0.1.3680043.8.498.59698296348825441043206938196191511317
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13828502565822815565554584345645835258
+The heart is enlarged. The aorta is tortuous and calcific. The lungs are well expanded. Diffuse congestive changes appear similar. Bilateral pleural effusions appear similar. Degenerative changes are seen in the spine.,Similar appearance of the chest.,1.2.826.0.1.3680043.8.498.46417903383503813375315244826921656617
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98447293272636662335793572279811230385
+A right upper extremity PICC has been placed with its tip in the superior aspect of the right atrium. Bibasilar atelectasis has improved slightly. A nasogastric tube is unchanged. There is no evidence of pneumothorax.,1. Right upper extremity PICC tip in the superior aspect of the right atrium. 2. Slight improvement in bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47037398832302040700814486172185769052
+Shallow inspiration. Mild cardiac enlargement. No pulmonary vascular congestion. Perihilar infiltrates may represent pneumonia or early edema. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration with mild linear perihilar infiltrates.,1.2.826.0.1.3680043.8.498.14452485975296227376732978045433271353
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32056515408748382654728091475894305312
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47784446793981896335720067796798274537
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98838001505433486254210147357554436024
+There is diffuse patchy increase in density in the right lung compatible with pneumonia. There is also observed minimal infiltrate in the left upper lobe. No pleural effusion is seen. The heart is mildly enlarged. No acute bony abnormalities are identified.,1. There is diffuse patchy increase in density in the right lung compatible with pneumonia. 2. Minimal infiltrate is also noted in the left upper lobe. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.36512840072972014874356895921262585767
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.83532379288905646436269707121334258392
+Left-sided PICC line has been repositioned with the tip now in the superior vena cava. Nasogastric tube is in place. Both lungs are clear. Heart size is normal.,PICC line tip now in superior vena cava. No active lung disease.,1.2.826.0.1.3680043.8.498.88129562551284616524792630650997748692
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Radiopaque foreign body projecting over the region of the left scapula is compatible with a bullet. Right clavicle fracture again noted.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.40218857203929428354396992929310421709
+There is bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47076991676766337366273377630403887821
+"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. A moderate to large hiatal hernia is present.",1. No acute cardiopulmonary abnormality. 2. Moderate to large hiatal hernia.,1.2.826.0.1.3680043.8.498.79796321653193032975096500156545140381
+The left PICC line tip is in good position in the distal SVC near the cavoatrial junction. Chronic lung changes with possible overlying mild edema.,1. Left PICC line tip in distal SVC. 2. Stable appearance of the heart and lungs.,1.2.826.0.1.3680043.8.498.22702693513311024850539051699892545873
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86655227666495146071841341564718718021
+Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.14926013575534661923431932264755597150
+The endotracheal tube is stable. The right IJ catheter tip is in the SVC. The nasogastric tube is coiled in the stomach. There is a left chest tube. No pneumothorax is seen. The left lung is nearly completely opacified. The right lung is under-inflated and grossly clear. The stomach is markedly distended.,1. Interval placement of a left chest tube. 2. No pneumothorax. 3. Marked gastric distention. 4. Almost complete opacification of the left lung.,1.2.826.0.1.3680043.8.498.46308796789429497203983376200788285879
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84935890555999010433246173084097202862
+Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the lung bases consistent with atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56397490646287772778720747079827044585
+The heart size and pulmonary vascularity are normal. The lungs appear clear and expanded without focal air space disease or consolidation. No blunting of the costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Visualized ribs appear grossly intact.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.20854764552290812121953208255954859658
+The lungs are clear. No lung nodules are seen and there is no pleural effusion. The heart size is normal and no focal bony abnormality is seen.,No active disease.,1.2.826.0.1.3680043.8.498.95059034113402399387180422785938646222
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60473442218909279590564223599664275851
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Right upper lobe infiltrate is again seen but significantly improved when compared with the prior exam. No new focal infiltrate is seen. No sizable effusion is noted. No bony abnormality is seen.,Significant improvement in right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.27442410777349417573480318005741061957
+"Endotracheal tube, nasogastric tube, and right internal jugular central line are unchanged. Increased consolidation in the right upper lobe. Left lung is clear. No pleural effusion or pneumothorax. Stable heart size.",Worsening right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.93092106851723153342735438557088068724
+The heart is enlarged. There is pulmonary vascular congestion with mild edema. No focal consolidations. No pleural effusions. No pneumothorax. Surgical clips overlie the right axilla. Degenerative changes are seen in the spine.,Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.74835122021039570237926734474210060187
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.46700506312374578168855677760011498135
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75390672665780001870313405238270942083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85776492919670299962031059171828340384
+The heart is mildly enlarged. Patchy bilateral pulmonary infiltrates are present. There is no evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Patchy bilateral pulmonary infiltrates compatible with pneumonia.,1.2.826.0.1.3680043.8.498.93827744908639006140558140598856151109
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26777468339136686014915967042498224814
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65258630743726307382163177865455070475
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26609581211743264427259814591482942070
+The lungs are hypoinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. No pneumothorax is evident. The mediastinum is normal in width. The observed portions of the bony thorax exhibit no acute abnormalities.,I do not see evidence of acute thoracic trauma. There is bilateral pulmonary hypoinflation. I cannot exclude acute bronchospasm in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.62076871350912716973054529701985301794
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.15243509905447361489289657070219001112
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56895022253526205137178038402476231406
+Cardiac shadow is stable. Aortic calcifications are again seen. Bilateral pleural effusions are again noted and stable. Mild bibasilar atelectasis is seen. No acute bony abnormality is noted.,Stable appearance of the chest with bilateral effusions.,1.2.826.0.1.3680043.8.498.29003499660918597198562299911611049369
+No active infiltrate or effusion is seen. Linear atelectasis or scarring is noted in the right middle lobe. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease. Linear scarring or atelectasis in the right middle lobe.,1.2.826.0.1.3680043.8.498.98077011285765666882543441044472263711
+"There is cardiomegaly. Linear densities are noted in the lingula and left base, unchanged. No effusions. No acute bony abnormality.",Stable lingular and left lower lobe scarring. No acute findings. Cardiomegaly.,1.2.826.0.1.3680043.8.498.48247672766464202648794348149858573862
+Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.55116790894020235283204987511985876791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26843438218839891747104381150945276223
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.97550348456006853326693323790533069656
+There is central airway thickening. No focal airspace opacities. Cardiothymic silhouette within normal limits. No effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.79873570533556551260673550581092399642
+"Endotracheal tube 4.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm. The heart size and mediastinal contours are unchanged. Small right pleural effusion with associated atelectasis. Minimal left basilar atelectasis. No pneumothorax. No pulmonary edema. The bones appear unchanged.","1. Endotracheal tube 4.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm. 2. Small right pleural effusion with associated atelectasis.",1.2.826.0.1.3680043.8.498.44931001949176842877451861108733240966
+The umbilical venous catheter tip is 1.5 cm inferior to the inferior vena cava-right atrium junction. The umbilical arterial catheter tip is at the T7 level. Orogastric tube tip and side port are in the stomach. The lungs are borderline hyperexpanded with mild reticular interstitial prominence. There is no airspace consolidation. Cardiothymic silhouette is normal. No adenopathy. No pneumothorax. No bowel dilatation or bowel wall thickening. No pneumatosis. No free air or portal venous air.,Tube and catheter positions as described without pneumothorax. Evidence of a degree of respiratory distress syndrome. No bowel consolidation. Cardiothymic silhouette within normal limits. Bowel gas pattern unremarkable.,1.2.826.0.1.3680043.8.498.11036038236830727343891121483276095924
+"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is evidence of prior aortic valve replacement. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83743224598643996238480256687816564800
+Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.35839853350599297433181188683669803391
+"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The patient is rotated.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25611229812003128659982731350381619957
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58642091076943376451515575408057014222
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67972104977933743260717458449564241729
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64007764929145442013706588079421604134
+No pneumothorax or effusion. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Detailed views show no displaced fracture or other focal lesion.,Negative,1.2.826.0.1.3680043.8.498.74843966106374004669126260297203395820
+Cardiac shadow is enlarged. A pacing device is again seen. Feeding catheter is noted extending into the stomach. The lungs are well aerated with evidence of bilateral pleural effusions and mild interstitial edema. No focal confluent infiltrate is seen. No bony abnormality is noted.,Changes consistent with CHF and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.71247023752046341760809802152765809396
+The lungs are clear and hyperaerated consistent with COPD. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.57118392437098130257053962682261885946
+Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,No active disease.,1.2.826.0.1.3680043.8.498.35890116326285937637109648869670099296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24301110786486734647960096806781219563
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87315299254196614830272286827098434007
+There is mild chronic interstitial coarsening. The lungs are otherwise clear. Pulmonary vasculature is normal. No pleural effusion. Hilar and mediastinal contours are unremarkable and unchanged. Prior cardiac surgery with a leadless pacemaker.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71965021783372914227693899493281658786
+"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.60346738925322569090022097146048808190
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27958581176309133156534984019797352089
+"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.29544046116456575968559584274001192587
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.55673018486352289282906173598792176051
+"The enteric tube is unchanged. The cardiac silhouette remains mildly enlarged. Lung volumes are low. No confluent airspace opacity, edema, sizable pleural effusion, or pneumothorax is identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40245173638695036055776793955277748186
+Heart size is normal. No pleural effusion or edema. Bilateral airspace consolidation is identified which appears increased in the left lung base when compared to the previous exam. The visualized osseous structures are unremarkable.,Increasing bilateral airspace consolidation.,1.2.826.0.1.3680043.8.498.83701267397800787640152303798050932708
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93544359757396708086381244486310972744
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73203426978214663817532657603524953221
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44543337762462922093495970643627499808
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40018674195328059254556284900910295319
+There is marked cardiomegaly. There is vascular congestion with interstitial pulmonary edema. No definite pleural effusion. No pneumothorax. The mediastinal contours are normal. There is atherosclerosis of the aorta. No acute osseous findings are seen.,Marked cardiomegaly with vascular congestion and pulmonary edema. Findings consistent with CHF.,1.2.826.0.1.3680043.8.498.62154678660541913454158041717816314923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99905404176165924801367432205181007272
+New LEFT chest wall pacemaker/ICD apparatus in place. No pneumothorax seen. Heart size and mediastinal contours are within normal limits. Lungs are clear. Osseous structures about the chest are unremarkable.,New pacemaker/defibrillator. No acute findings.,1.2.826.0.1.3680043.8.498.54126062797016553828793943661567634816
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96685676531081019381352683181772780416
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.36514493778292818364409602130581627129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10887028264098753915070448225233638241
+"Endotracheal tube, central line and NG tube is noted in good anatomic position. Diffuse bilateral pulmonary infiltrates are noted. These are dense particularly on the left. These could represent pneumonia or asymmetric pulmonary edema. No other focal abnormalities are identified.",1. Good line and tube position. 2. Diffuse bilateral pulmonary infiltrates particularly on the left.,1.2.826.0.1.3680043.8.498.37110526507331907008967544749363797213
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43927397273853815255527769753608651799
+Tracheostomy tube is in place. The heart is enlarged. There is dense opacity in the retrocardiac left lower lobe. The right lung is clear. No pneumothorax is present.,1. Asymmetric left basilar airspace disease is present. This may represent atelectasis or infection. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.42093452358381786566682947275532379885
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. No pneumothorax. Degenerative changes and scoliosis thoracic spine.,1. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. 2. Cardiomegaly. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.44931479196568946650065506349173168769
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Hiatal hernia again noted. Degenerative changes thoracic spine. No evidence of displaced rib fracture or focal bony abnormality.,1. No acute cardiopulmonary disease. 2. Hiatal hernia again noted.,1.2.826.0.1.3680043.8.498.68376142340136718119880255402749401012
+"Heart size and pulmonary vasculature are within normal limits. There are multifocal bilateral patchy and ground-glass pulmonary opacities, not significantly changed since the prior study. No pleural effusions or pneumothorax. Dual lead pacemaker again seen.","Stable multifocal bilateral pulmonary opacities, likely related to the patient's history of COVID.",1.2.826.0.1.3680043.8.498.82514211935767549655228172771405648248
+The heart size is normal. Atherosclerotic calcifications are present at the aortic arch. Previously seen pulmonary edema has resolved. Emphysematous changes are again noted. No focal airspace disease is evident. Mild degenerative changes are present in the thoracic spine.,1. Interval resolution of pulmonary edema. 2. Emphysema. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68816748022971267808530995301530258752
+The cardiopericardial silhouette is within normal limits for size. There is elevation of the right hemidiaphragm slightly more pronounced than on the prior exam. Atelectasis is noted at the left lung base. No focal consolidation or evidence for pulmonary edema.,1. Minimal left base atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25231564566434756545678652606322230636
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25881277280017988477653962047461024630
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58380631251829098977293654783467208306
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is upper limits for normal in size or slightly enlarged. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. The heart is upper limits for normal in size or slightly enlarged.,1.2.826.0.1.3680043.8.498.87811172276096821942520157591250755410
+Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15726771118106486476954238422077476043
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96035407885924743416889393531928626996
+The lungs are adequately inflated. There is no focal infiltrate. There is a small amount of pleural fluid on the right posteriorly. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.34514950512128357731767574933115788302
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. End plate spur formation thoracic spine.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67067222383516428614518033982424467625
+The heart is enlarged. There is no heart failure. The aorta is tortuous and calcified. There is no infiltrate or edema.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36970923682401240670711729977082500624
+AP chest at [DATE] hours shows stable pulmonary edema pattern. The heart is enlarged. The right jugular central line is in the SVC. No pneumothorax.,Stable pulmonary edema.,1.2.826.0.1.3680043.8.498.56742191197130847893531897280285302907
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95874353182101798301513239656925649782
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28867252372981524796233468611178957344
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90074531691852411739275209993675076356
+The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. Left rib detail films show no acute left rib fracture.,1. No active lung disease. 2. Negative left rib detail.,1.2.826.0.1.3680043.8.498.63487855626638459773686189795532340950
+"The endotracheal tube, NG tube, and right IJ central venous catheter are stable. The heart remains enlarged. The lung volumes remain low. There is slight improvement in the bilateral airspace disease particularly at the right lung base. Left upper lobe and right upper lobe airspace disease is stable. No effusions or pneumothorax.",1. Stable support apparatus. 2. Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.72254118166995306112134021665824487635
+Mild cardiomegaly is stable. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified. Prior CABG again noted.,Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.81815853890705681847027856478328385255
+Cardiac silhouette is mildly enlarged. Changes from CABG surgery are stable. No mediastinal or hilar masses. No evidence of adenopathy. Mild basilar atelectasis. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Skeletal structures are grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80478296156289115122485251156093191317
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35961149655400278079015853204654992962
+"There is no focal consolidation, effusion or pneumothorax. Cardiac silhouette is mildly enlarged. The bony structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22103858670781857548578236484467148392
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.66668137763521212299956881963155001481
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95161493746610678845892007296729775080
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.20369417686944660265156943699083782695
+The heart size is normal. Mild pulmonary vascular congestion is present. There is no edema or effusion. No focal airspace disease is present. A left-sided PICC line is stable in position. A new left subclavian line terminates in the mid SVC. There is no pneumothorax. The visualized soft tissues and bony thorax are unremarkable.,1. New left subclavian line terminates in the mid SVC. 2. Stable left-sided PICC line. 3. Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.89181223373522004889391312292167634241
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98524432574026447272762561623307056221
+"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.26831169044424087588111497850066652831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90080551867031627195996775217573290068
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No significant bony finding.,No active disease,1.2.826.0.1.3680043.8.498.87099959841719571117319087284401298058
+There is focal airspace disease in the right middle lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.88811444653789500368398847346343546549
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82137398923652487253936205514912480563
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66825534662309463457808418661833934037
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89538936854017233011992588423436556137
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.82517550388899667043371457769476331937
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41127423264633540927211844030761305108
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.27611998458418935945741227111661597166
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79450011673631111480791132065484001975
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22199017182597254084852217465197762379
+"Linear densities in the lower lungs, likely atelectasis. Heart is borderline in size. No significant change since prior study. No evidence of effusions. Degenerative changes in the shoulders.",Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.39608480629728183388193181666442926956
+EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. Vascular congestion is present. Bilateral infiltrates present in the mid to lower lung fields along with bilateral pleural effusions. Trachea is midline.,Bilateral infiltrates and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.37653245125671387065678805509470949471
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 9/15/2014.,1.2.826.0.1.3680043.8.498.74479552452952145919992248002537186270
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68347814096406328121035270410242947201
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84688181462161644680612895507751698323
+Heart and mediastinal contours normal. COPD. Right apical lung mass has decreased in size. No new findings. No pleural fluid or osseous lesions.,1. Decrease in size of right upper lobe mass. 2. COPD. 3. No new findings.,1.2.826.0.1.3680043.8.498.16563091466021471888690004685193865125
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.75342318855507290926927486297733962704
+"There is diffuse haziness over the mid and lower lung fields. There is prominence of the pulmonary vasculature. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Pulmonary edema.,1.2.826.0.1.3680043.8.498.17910857627943118887298224765137784163
+There is patchy infiltrate in the posterior left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Patchy infiltrate posterior left base.,1.2.826.0.1.3680043.8.498.11856747982903849064202513826569227262
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is mild tortuosity of the thoracic aorta. There is mild eventration of the left hemidiaphragm with overlying vascular crowding and atelectasis. No infiltrates, edema or effusions. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.15504094155541110014603388258427787209
+"The heart is enlarged. The aorta is tortuous and ectatic. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a mild dextroscoliosis of the thoracic spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.91600579320199035516171705680348746958
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40896757313780200719327894021317531786
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are hyperinflated consistent with emphysema. There is peribronchial thickening and bronchial calcification which can be seen with bronchitis. No focal infiltrates or pleural effusion. The bony thorax is intact.,Emphysematous changes and bronchitic changes. No focal infiltrates.,1.2.826.0.1.3680043.8.498.79570012626356376214963461864929248893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22493149154217806420478100166962290966
+The heart is moderately enlarged. The pulmonary vasculature is within normal limits. The aorta is tortuous and calcified. Linear atelectasis is seen at the lung bases. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.55723172433219527268211243338027930561
+The lungs are hyperaerated consistent with COPD. Linear scarring is noted at the lung bases. No active infiltrate or effusion is seen. Heart size is stable. No bony abnormality is noted.,COPD and basilar linear scarring. No active lung disease.,1.2.826.0.1.3680043.8.498.73203593070108514882419331079944947383
+Patchy airspace opacities are seen bilaterally in the upper lobes and right mid lung. There is no evidence of pleural effusion. Heart size and mediastinal contours are normal.,Bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.75753233279371163137389047081842605548
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,No acute cardiopulmonary changes.,1.2.826.0.1.3680043.8.498.25135639450646045422305502553750586656
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31524294024959302702658422497592997942
+Stable mediastinum and cardiac silhouette. There is a large amount of free air beneath the right and left hemidiaphragms which is increased compared to prior. There is a left lower lobe opacity which is also increased. No evidence of pulmonary edema. No pneumothorax.,1. Increasing amount of pneumoperitoneum suggest perforation. 2. Increasing left lower lobe density suggests atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.43176851687910927980062302601678062488
+Heart size is normal and the vascularity is normal. The lungs are hyperinflated with flattening of the diaphragm consistent with COPD. There is no infiltrate or mass.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76972502232318977451924149995332551446
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Right clavicular fracture with fixation. Multiple right rib fractures again noted.,1. No acute cardiopulmonary disease. 2. Right clavicular fracture with fixation. Multiple right rib fractures again noted. No pneumothorax.,1.2.826.0.1.3680043.8.498.39808177445359576132185612499229804994
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69762585669774100093163522709633810846
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84830211534754313945225112056821701006
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54576411406437938425034284722236287906
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23529418565325615412809965578710599036
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.68057084475049770562993084017199503714
+Endotracheal tube is seen in appropriate position. Nasogastric tube is seen entering the stomach. A right arm PICC line is seen with the tip in the distal SVC. There is increased left lower lobe atelectasis or consolidation since prior exam. There is no evidence of pneumothorax. A small left pleural effusion cannot definitely be excluded on this exam. Heart size is normal.,Increased left lower lobe atelectasis versus consolidation. Small left pleural effusion cannot definitely be excluded on this exam. Support lines and tubes in appropriate position.,1.2.826.0.1.3680043.8.498.10614431340368495092794679205003636115
+Right PICC line with tip projecting in the region of the cavoatrial junction. Patient is rotated to the left. Cardiomediastinal silhouette is enlarged. Mediastinal contours appear intact. There is no evidence of pneumothorax. Left lower lobe airspace consolidation versus atelectasis. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,Right PICC line with tip projecting at the cavoatrial junction. Enlarged cardiac silhouette. Left lower lobe airspace consolidation versus atelectasis.,1.2.826.0.1.3680043.8.498.28767496415323060544644787832288037160
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Thoracic aortic atherosclerosis.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27798457014926542614181570983008493560
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12882996246993965140703246314390969385
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.53711227774663179328913325536368587068
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98518342202375660062034746317293770848
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no acute changes.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.23308195172408301132263395456127594763
+Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: There are some mild right basilar pulmonary airspace opacities visualized. The left lung base is clear. No definite dense consolidation is seen. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Grossly unchanged. Visualized upper abdomen: Grossly unremarkable.,Findings suggestive of some minimal right basilar atelectasis/airspace disease. No definite consolidation.,1.2.826.0.1.3680043.8.498.92440540202993946517164634679666740174
+The lung volumes are low. The heart size is at the upper limits of normal. Atherosclerotic calcifications are present at the aortic arch. Mild atelectasis is present at the lung bases. There is no edema or confluent airspace opacity. There is no pleural effusion.,Low lung volumes with mild bibasilar atelectasis. No definite acute findings.,1.2.826.0.1.3680043.8.498.45331576486416839197156457902795003960
+The heart is enlarged. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Cardiomegaly with no evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.68580775210731784738493482698453858741
+Low lung volumes. Elevated left diaphragm with left lower lobe atelectasis. No pleural effusion or pneumothorax. Stable cardiomediastinal contours.,Low lung volumes with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.13220614159773129132584200225742587800
+The lungs are mildly hypoinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74097386238280046758751081218842519929
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39053141424276868837602966770798767582
+EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Bilateral infiltrates present in the mid to lower lung fields. Small left pleural effusion is seen. Hilar structures are grossly unremarkable. Trachea is midline.,Bilateral infiltrates mid to lower lung fields. Left pleural effusion.,1.2.826.0.1.3680043.8.498.34588189771983773194116872270140930628
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47000774206237714186483939967107245127
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97911769170869821090095796346273971435
+"The trachea is midline. The cardiac, mediastinal and pulmonary vascular shadows are normal. There is no infiltrate or effusion. The osseous structures are intact.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.70489538784981249055608362230010362019
+There is extensive airspace consolidation throughout the left mid and lower lung zone consistent with pneumonia. Patchy airspace opacity is noted in the right upper lobe. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Extensive airspace consolidation throughout the left mid and lower lung zones consistent with pneumonia. Patchy infiltrate right upper lobe. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.44936501285779626564431670271645710103
+Single frontal view of the chest was obtained. Patient is status post intubation. The tip of the ET tube is 1.2 cm above the carina. The heart is not enlarged. The pulmonary vascularity is within normal limits. Calcific atherosclerotic changes are present. No lobar areas of consolidation are seen. No pleural effusion or pneumothorax. No acute osseous abnormality is identified.,1. Tip of the ET tube is 1.2 cm above the carina. 2. No lobar areas of consolidation.,1.2.826.0.1.3680043.8.498.46613044933894879987485312599102142284
+Low lung volumes. New patchy airspace disease in the left mid lung. Mild cardiomegaly. No effusions or pneumothorax. No acute bony abnormality.,Low lung volumes. New patchy airspace disease in the left mid lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.94343707523792685699080923223333368393
+There is a small left pleural effusion with atelectatic change in the left base. There is mild atelectatic change in the right base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. Patient is status post coronary artery bypass grafting. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Small left pleural effusion with left base atelectasis. Mild right base atelectasis. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.37225577305295852721258536816114407875
+"Endotracheal tube is 1.2 cm above the carina. Orogastric tube extends into the abdomen. Coarse lung markings are noted bilaterally, particularly at the lung bases. No focal airspace consolidation. No pneumothorax. No large effusion. Heart size is normal.","Satisfactorily positioned endotracheal tube. Coarse lung markings, particularly at the bases.",1.2.826.0.1.3680043.8.498.31845128139831748131994941888060441939
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86800008818833001009193545458108183820
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98087047519741814909589663386359326005
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49686776432943892508590439896943992487
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.90298638316657932516582925807935609391
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.11905952047943851922584610943901746612
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82760307005289001965953052323270587477
+There is a new patchy airspace disease in the right lower lobe. The left lung is clear. No pneumothorax or pleural effusion. Heart size is normal. Remote left rib fractures are noted. No acute fracture is identified.,New patchy airspace disease in the right lower lobe could be due to atelectasis or infection. No acute fracture is identified. Remote left rib fractures noted.,1.2.826.0.1.3680043.8.498.90969505055514241909892580414867758867
+"Endotracheal tube, NG tube, and right chest tube are unchanged. No pneumothorax. Bibasilar airspace opacities are again noted. Small left effusion.",Stable. No pneumothorax. Bibasilar airspace disease and small left effusion.,1.2.826.0.1.3680043.8.498.68770478641008908364890199889447328813
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21174761380635958033556354984722058773
+The lungs are clear but hyperaerated consistent with COPD. Mediastinal contours appear normal. The heart is mildly enlarged. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.16590876234699882821807912958640970790
+The heart is mildly enlarged. The lungs are clear. No consolidation is identified. There is no evidence of pulmonary edema or pleural effusion. No pneumothorax is seen. No acute osseous abnormalities are identified.,Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45975057110583110287857139878243248437
+There is the mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.78611092075155496962161198438362593916
+There is consolidation in the left upper lobe. Patchy airspace opacities are seen in the left lower lobe and right upper lobe as well. There is a small left pleural effusion. No pneumothorax. Heart is top-normal in size.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.59768906672584717829625461612680619607
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.68286343952522585935911460972271410042
+There is cardiomegaly with congestive heart failure and bilateral pleural effusions. The CHF pattern has worsened slightly since the prior study.,Worsening CHF.,1.2.826.0.1.3680043.8.498.26907224245081665995525853614862132034
+"Single portable AP chest radiograph is provided. There is elevation of the left diaphragm. There is right lower lobe airspace disease which may represent atelectasis versus developing infiltrate. There is no other focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.90063331227629603466610019037447286106
+"Cardiac silhouette is upper limits of normal in size, mediastinal silhouette is nonsuspicious. No pleural effusion or focal consolidation. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious. Mild degenerative change of thoracic spine. Chronic appearing compression fractures.","Borderline cardiomegaly, no acute pulmonary process.",1.2.826.0.1.3680043.8.498.62612553290869740546239372841524331966
+"Tip of endotracheal tube projects 4.2 cm above carina. Nasogastric tube extends into stomach. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93011462417345964578766795051462793759
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56897812479600449909232467608721401354
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91408188423009577110988547138916098729
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged scarring in the right upper lobe. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.41469008569409072069060338953836376493
+Lung volumes are normal. There is central airway thickening. No focal airspace disease or consolidation. Heart and mediastinum are within normal limits. No large pleural effusions. No acute bone abnormality.,Central airway thickening consistent with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.68878050044886972705795522263042629149
+Right Port-A-Cath in place with the tip in the upper right atrium. No pneumothorax. Low lung volumes. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,Right Port-A-Cath tip in the upper right atrium. No pneumothorax. Low lung volumes. No active disease.,1.2.826.0.1.3680043.8.498.85174409402227013575064841399079842228
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51487789909083896532556185786030619496
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. Interstitial scarring is again noted at the lung bases. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.48799034251129299063834942946277925414
+"The heart is enlarged. The aorta is tortuous. The lungs are hyperinflated consistent with COPD. No sign of active infiltrate, mass, effusion or collapse. Ordinary degenerative changes effect the spine.",Cardiomegaly. COPD. No active disease.,1.2.826.0.1.3680043.8.498.59425193331856671811645208135110554158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55812142894383962659738093421309319609
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Hyperinflation of the lungs with emphysematous changes. Scarring at the left lung base. No acute consolidation. No pleural effusions. No pneumothorax. Degenerative changes of the thoracic spine.,1. Hyperinflation of the lungs with emphysematous changes. 2. Scarring at the left lung base. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67587650512875903370679489882125371985
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69099159135604437257686099962691904246
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 11/05/2010.,1.2.826.0.1.3680043.8.498.93344711701260655683117372705657531347
+Right middle lobe airspace disease seen on the prior study appears improved. The left lung is clear. No pneumothorax or pleural effusion. Heart size normal.,Improved right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.39318834783656969916725666145572945081
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61639891496075314107192477109051097582
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55265233951055372306242069628817615831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72187882342655415696300714132852930997
+"Endotracheal tube terminates 3.5 cm above the carina. Right subclavian venous catheter terminates in the mid SVC. Cardiomegaly with mild pulmonary vascular congestion. Right upper lobe opacity, likely reflecting atelectasis. Underlying mild right upper lobe airspace opacity is possible. Small right pleural effusion. No pneumothorax.",Endotracheal tube terminates 3.5 cm above the carina. Additional support apparatus as above.,1.2.826.0.1.3680043.8.498.61254438010842297203679790223708093448
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74441557076032179496554698342745635623
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62826512031031781744111208429801061565
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No convincing adenopathy. There is opacity at the right lung base consistent with atelectasis and/or pneumonia. This is similar to the prior exams. There is mild linear atelectasis at the left lung base. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Stable colonic interposition between the right hemidiaphragm and the liver. Skeletal structures are grossly intact.,1. No acute cardiopulmonary disease. 2. Persistent opacity at the right lung base consistent with atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.75984811656612630585890385104277578333
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53120433094344025406738855327411652547
+Stable normal sized heart and right subclavian pacemaker leads. Stable mild scarring at the right lung base. Stable mild diffuse peribronchial thickening. No acute bony abnormality.,Stable mild chronic bronchitic changes and right basilar scarring. No acute abnormality.,1.2.826.0.1.3680043.8.498.39858608453064335695600518656052007074
+Endotracheal tube is present with the tip 3.5 cm from the carina. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bullet fragment is present within the chest. The soft tissues are unremarkable.,1. Endotracheal tube in satisfactory position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45364174232974819527312865330717371392
+"Normal cardiothymic silhouette. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality. Normal bowel gas pattern. No pneumatosis. No free intraperitoneal air.",1. No active cardiopulmonary disease. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.79240913814606810367873128082613348305
+Patchy left lower lobe airspace disease consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.39070401264881286776985567747889061421
+"Portable AP upright view at 3215 hours. Stable lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Negative visible bowel gas pattern. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.43984506384364883571711117195402688278
+There are bilateral peribronchial infiltrates. No pleural abnormality is seen. The heart and mediastinum appear intact. The bony structures appear intact.,Bilateral peribronchial infiltrates.,1.2.826.0.1.3680043.8.498.59508996891140901274451208879270402426
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.97380876136630135536211128198723169708
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61747394410612598001563975210251910956
+The heart is normal. The pulmonary vascularity is normal. The lungs are clear acute process. There is no pneumothorax or effusion. Mediastinal contours are normal. Hilar appearance is normal.,Negative chest,1.2.826.0.1.3680043.8.498.16230553118737981596031146355675228053
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11325799599104859754312073447676407947
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79104614869493138570662604295950464401
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.51015651715027182702036138162982675627
+"Single portable AP chest radiograph is provided. There is a right-sided Port-A-Cath in unchanged position. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.79788771872296680401077400679082810757
+The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15852997802783163938623270810080949596
+Confluent airspace disease is evident in the left lower lobe with extension to the left hilum on the lateral view. The right lung is clear. The heart is normal in size. The visualized soft tissues and bony thorax are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61237413100722177168344939050366577049
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.98585230075830489710473495104601033691
+Extensive opacification of the left lung with volume loss. Patchy opacity at the right base. No visible effusion or pneumothorax. Feeding tube tip is in the stomach.,"1. Extensive left lung opacification with volume loss, suspect combination of pneumonia and atelectasis. 2. Patchy opacity at the right base which is similar to prior.",1.2.826.0.1.3680043.8.498.22251961474839543143529770391676984567
+Left-sided PICC line tip terminates over the right atrium. Orogastric tube is appropriately positioned. Cardiothymic silhouette is normal. Lungs are better aerated with minimal granular pulmonary airspace opacity pattern. No pneumothorax.,Left-sided PICC line tip over right atrium.,1.2.826.0.1.3680043.8.498.36961264719486869922749156309183545087
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48140007653597855558634104112321646959
+Cardiac silhouette is mildly enlarged. No pneumothorax or pleural effusion. No focal consolidation. Mild right infrahilar atelectasis. Osseous structures are without acute finding. Surgical changes in the left clavicle.,1. Mild cardiomegaly. 2. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.48144166299965809750193129795200945044
+The heart is enlarged. There is aortic atherosclerosis. The lungs are clear. No effusions. No acute bony finding.,Cardiomegaly. Aortic atherosclerosis. No active disease.,1.2.826.0.1.3680043.8.498.51725061948314396001200486359926576777
+Interval placement of left-sided pacemaker. Leads are in the right atrium and right ventricle. No pneumothorax. Stable cardiomegaly. No confluent opacities or effusions.,Interval placement of pacemaker without pneumothorax.,1.2.826.0.1.3680043.8.498.54761039278570002379064616201008818988
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95881158867922564669684769311942121664
+Endotracheal tube tip is 6.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.63807736037831921342519610254802868957
+Cardiac and mediastinal silhouettes are within normal limits. Lungs are hypoinflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseous finding.,Shallow lung inflation. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50442682714867436836536589445924041580
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28557369609640408835373049316942342292
+The heart is enlarged but stable. The mediastinal and hilar contours are within normal limits and unchanged. The lungs are clear. No pleural effusion. The bony thorax is intact.,Cardiac enlargement but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.35514802667650010780395738319196973381
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.66546718685988833581092244356049867167
+No fracture or other bone lesions are seen involving the ribs. No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.98242854474505304106520112400366608916
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78551579230571534266484773147041157113
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.60847483231485941578819830634514292715
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33096032954483442128755315553978646260
+The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94606455603394176643206160937441483126
+"Normal cardiothymic silhouette. Prominent pulmonary markings. No consolidation, effusion, or pneumothorax. Bones are unremarkable.",Prominent pulmonary markings probably representing respiratory distress syndrome.,1.2.826.0.1.3680043.8.498.23075503627637264278777274087057992672
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63099722866980238554912623269987221624
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99839462188359303712603339771002330215
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67644314285017262407029140408922031633
+Endotracheal tube is seen in the trachea with the tip approximately 2.5 cm above the carina. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,Endotracheal tube in appropriate position. No active lung disease.,1.2.826.0.1.3680043.8.498.10102315492805874800056157729549380539
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56690681747558503555329361560568208792
+There is extensive fibrotic type change throughout the lungs bilaterally. There is no frank edema or consolidation. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Extensive chronic fibrotic type change. No edema or consolidation. Stable cardiac prominence. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.53045891767466307620918059443817733790
+The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or effusion.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91619647776728112948075769159798668251
+The heart is enlarged. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No bony abnormalities.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.82696940514227166682665299042909577342
+Lung volumes and mediastinal contours are normal. Lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76424135944646037603044739843935272673
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Mild right base infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Mild right base infiltrate. 2. Cardiomegaly. No evidence of overt congestive heart failure.,1.2.826.0.1.3680043.8.498.92664661965775649040823356072312544574
+Tracheostomy tube and right-sided PICC line are unchanged. Diffuse interstitial and airspace opacities throughout both lungs are not significantly changed. No large pleural effusions. No pneumothorax.,No significant change in the bilateral interstitial and airspace disease.,1.2.826.0.1.3680043.8.498.34783512460317799970519372684605660575
+The lungs are adequately inflated. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are mildly increased interstitial markings which may reflect interstitial edema of cardiac or noncardiac cause. I do not see pulmonary vascular congestion. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.61704185806148221451717990238135080037
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31605719261737374358839306557763745339
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86930104364131153478032925209833079430
+Trachea is midline. Heart size is accentuated by a mild pectus deformity. Lungs are somewhat low in volume with bibasilar atelectasis. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.13385985365688344872804091771195905523
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11166599604472271964992159225527729196
+Mediastinum and hilar structures normal. Low lung volumes with mild bibasilar atelectasis. Mild infiltrates in the lung bases cannot be excluded. Small left pleural effusion cannot be excluded. No pneumothorax. Heart size stable. No acute bony abnormality.,Low lung volumes with mild bibasilar atelectasis. Mild infiltrates in the lung bases cannot be excluded. Small left pleural effusion cannot be excluded.,1.2.826.0.1.3680043.8.498.18040845534404969456772852268721976713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94072577619385815559174838898009980663
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95047821810255003470996770270079415492
+"Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes. No pneumothorax. No pleural effusion. Coarsened interstitial markings. Linear opacity in the right mid lung, similar to the comparison. No confluent airspace disease.",Low lung volumes with likely atelectasis and no evidence of acute cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.78156630816622982755354248376336991984
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58720035682694461385201681558809717182
+"Cardiac silhouette is mildly enlarged, mediastinal silhouette is nonsuspicious. Increasing central pulmonary vasculature congestion interstitial prominence with patchy airspace opacities. No pleural effusions. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.",Increasing mild cardiomegaly and interstitial prominence concerning for pulmonary edema.,1.2.826.0.1.3680043.8.498.86709571094044734484792848643995223312
+"Patchy multifocal areas of interstitial prominence and airspace disease noted throughout the lungs bilaterally, asymmetrically distributed, most severe throughout the mid to lower lungs. No definite pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.","1. The appearance of the lungs is concerning for multilobar pneumonia, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.15487080416015886648504393768597060710
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.53332727051836701166721947831125976238
+"Umbilical venous catheter is unchanged in position, tip approximately 5 mm above the inferior cavoatrial junction. Enteric tube is in the stomach. The lungs are clear. The cardiothymic silhouette is within normal limits. No evidence of pneumatosis or pneumoperitoneum.",1. Umbilical venous catheter is unchanged in position. 2. Enteric tube terminates in the stomach.,1.2.826.0.1.3680043.8.498.84749730319713193302268844432174812110
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81533939308163584284601674494933752058
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54127606966611250886481306599426789421
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. No acute osseous findings.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15793295444840675437730889092522738075
+"The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Azygos fissure noted in the right paratracheal region, a normal variant.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95360124352345388824017273082167990498
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77794601588573795176248345309555169980
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.10521200985410727546195449923619164423
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96412610488449125829547793490827511170
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20141888593051710648081600067804565632
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71864253984923168839398894201748077554
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39407129209275339085975299849187189645
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.66880854610904224777541663976959189332
+The right jugular Swan-Ganz catheter has been removed. The sheath remains in place. Stable left chest tube. No pneumothorax. Stable enlarged cardiac silhouette. Mildly increased left basilar airspace opacity. Stable mild right basilar atelectasis. Stable post CABG changes.,1. Mildly increased left basilar atelectasis or pneumonia. 2. Stable mild right basilar atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.60472214656343950557128845991434648507
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55173784199715863392590428793762607898
+Heart size is normal. There is persistent left lower lobe infiltrate. There is been some improvement in aeration at the left lung base when compared prior study. Small left pleural effusion is identified. The right lung is clear.,1. Persistent left lower lobe infiltrate. 2. Improved aeration at the left lung base.,1.2.826.0.1.3680043.8.498.41708973140891547603878087444246275073
+"Cardiac silhouette is mildly enlarged, status post median sternotomy for CABG. Calcified aortic knob. Chronic interstitial changes with patchy airspace opacities in the lung bases, new from prior examination. Pleural thickening. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.",Stable cardiomegaly. New bibasilar patchy airspace opacities concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Stable interstitial changes. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.59254278193617509366245988377511523499
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93215849961713779540143342322036671206
+Linear atelectasis is seen in the lung bases. Lungs otherwise clear. No effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.66371396894701193480288868995965813893
+"There is hyperinflation of the lungs compatible with COPD. Diffuse interstitial prominence again noted, similar to prior study. Patchy opacities in the lung bases are noted. This could represent atelectasis or pneumonia. Heart is borderline in size. No effusions.",COPD/chronic interstitial lung disease. Increasing opacities in the lung bases which could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.95222235452221484869973356356811827310
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57913938274586576122873160649424648932
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.83333152541073290224380874721257108899
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37865308730289553312082121708126145609
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98509410733150258877396248099896420608
+Cardiothymic silhouette is within normal limits for age. Lung volumes are normal. Mild interstitial prominence appears similar to multiple prior examinations. No focal airspace disease is noted. No pleural effusion or pneumothorax. The visualized bowel gas pattern is normal. The osseous structures are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67433245021233744175365416384599276161
+Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.41759244222460918461043855800066484059
+"Since the prior study, there has been worsening aeration with progressive bilateral airspace opacities especially at the right lung base. Small bilateral pleural effusions are seen. Stable cardiomegaly and vascular calcification.",1. Progressive bilateral airspace disease especially at the right lung base consistent with pneumonia. 2. Small bilateral pleural effusions. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.21272163669742382930449869077460481823
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.37526274627068698008196263256655509723
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78975360517274736035558009403169014989
+"Portable AP semi upright view at 1440 hours. Enteric tube courses to the abdomen, tip not included. Stable lung volumes. Mediastinal contours remain normal. Small bilateral pleural effusions are suspected. No pneumothorax or pulmonary edema. No other confluent pulmonary opacity. Negative visible bowel gas pattern. No acute osseous abnormality identified.",1. Small bilateral pleural effusions suspected. 2. Stable ventilation.,1.2.826.0.1.3680043.8.498.39167746066692205863860307592541503050
+There is a patchy infiltrate in the left upper lobe anteriorly. The lungs are otherwise clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,Left upper lobe pneumonia. Follow-up films following therapy are recommended to document clearing.,1.2.826.0.1.3680043.8.498.56677677567364104166074660889385308570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.79230505363169468154873690799148789130
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. There is obscuration of the right heart border. This is increased from prior. No evidence of effusion, pneumothorax, or bony abnormality.",Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.68871768403281095285943738348756691974
+"The cardiomediastinal contours are normal. Subsegmental opacities persist in the left lung base/lingula and may represent atelectasis or scarring. Incidental calcified granuloma in the left upper lobe. Pulmonary vasculature is normal. No confluent consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.43144883846369741023053268993046761204
+The patient has been extubated. Left subclavian central line has been removed. Lung volumes remain decreased with perihilar and lower lobe atelectasis and mild vascular congestion. No large effusion or pneumothorax. Exam is overall stable.,1. Interval extubation and removal of central line. 2. Stable perihilar and lower lobe atelectasis. 3. Low lung volumes.,1.2.826.0.1.3680043.8.498.81118439018375111305410310985043556383
+"The patient has been extubated. The enteric tube has been removed. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.52235496457674760026415211648689158350
+Airspace disease in the right upper lobe is compatible with pneumonia. The left lung is clear. There is no pleural effusion. The heart size is normal.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.17933005752829578939378524240492646073
+Endotracheal tube terminates 4.5 cm above the carina. Enteric tube courses into the stomach. Right IJ venous catheter terminates in the mid SVC. The heart is top-normal in size. Diffuse bilateral airspace opacities are similar to the prior study. No pneumothorax.,Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Otherwise no significant change.,1.2.826.0.1.3680043.8.498.36984028575557869668023594760645088854
+"Surgical hardware from ACDF overlies the lower cervical spine. Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. No pleural effusion. Diffuse patchy hazy opacities throughout both lungs, new.","Stable mild cardiomegaly. New diffuse patchy hazy opacities throughout both lungs, which are nonspecific and could represent pulmonary edema or atypical infection.",1.2.826.0.1.3680043.8.498.31987405260739560715065237917425473981
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86612269131916741417974026155576244624
+"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Lungs mildly hypoinflated. Mild diffuse pulmonary vascular congestion without overt pulmonary edema. No consolidative airspace disease. No pleural effusion. No pneumothorax. No acute osseous finding.",Stable cardiomegaly with mild diffuse pulmonary vascular congestion without overt pulmonary edema. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55689199134783041497217392917764984087
+The heart is enlarged. The aorta is unfolded. The pulmonary vascularity is normal. Lungs are clear. No effusions. Ordinary degenerative changes effect the spine.,Cardiomegaly. No evidence of heart failure.,1.2.826.0.1.3680043.8.498.70217523575688788554031776836182874321
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28057429562513530676695950872936566710
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.16172839069213837112541489369314594113
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66178208678829995062199838473157369759
+There is a small right pleural effusion with some right base air space disease. The left lung is clear. There is cardiomegaly.,1. Small right effusion with patchy right base air space disease which could represent atelectasis or pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.62230306201061431078533620751733656552
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55032850916802491807629737193676937877
+Prior median sternotomy and valve replacement. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80435691942706142761471498649624060200
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.61329656904666546031119371935209146570
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Normal anterior clear space. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.52684677000444854807900769660283369949
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51734104227738235348416703134025337965
+Stable cardiomegaly. Endotracheal and nasogastric tubes are unchanged in position. Left-sided PICC line is unchanged. No pneumothorax is noted. Stable bibasilar atelectasis is noted with associated pleural effusions. Multiple left rib fractures are again noted.,Stable bibasilar atelectasis with associated pleural effusions. Stable support apparatus.,1.2.826.0.1.3680043.8.498.24272645438347912849302024429614989201
+There is airspace disease bilaterally primarily in the perihilar and lower lung fields. This pattern is consistent with edema. Small effusions are present. The heart is mildly enlarged.,Mild to moderate CHF pattern.,1.2.826.0.1.3680043.8.498.75381436404246902868483406962965527959
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Hazy infiltrates in the mid to lower lungs bilaterally consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones demineralized with prior vertebroplasty of L1.",Bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.49582761409696114048216296451266330776
+Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with flattening of the bilateral diaphragms. Grossly unchanged right middle lobe and right lower lung heterogeneous opacities. No new focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. Unchanged bones.,Grossly unchanged findings of lung hyperexpansion and chronic atelectasis/scar without superimposed acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24478686949012109067638383544899690955
+There is parenchymal opacity in the right upper lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.43042266027250193486330207958634816925
+Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No evidence of focal consolidation. No pneumothorax. No pleural fluid. Bony thorax is intact.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.43401460593876862685732266077964213942
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.83990797980811040560970759815501447720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82285526770648083389046350459925342808
+Stable appearance of the dual lead cardiac pacemaker. The right IJ catheter is unchanged. The cardiac silhouette remains enlarged. There is persistent left basilar opacity which is not significantly changed. A left pleural effusion is not excluded. The right lung is clear. No pneumothorax is identified.,Stable left basilar opacity which may reflect atelectasis or infiltrate. A left pleural effusion is not excluded.,1.2.826.0.1.3680043.8.498.68332257702210127457357396814291192354
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47019210121152197517639569917742215251
+The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiothymic silhouette is normal in appearance. I see no pleural effusion or pneumothorax. The mediastinum is not abnormally widened. The bony thorax is grossly normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.20173097037079745668811219243327783382
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15468309074541423905116532206623236750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72656556499662279109115029206810882870
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18912595795359718855773244117280672981
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81629104870597684258262709589067219742
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96050902694577021481647340532985411510
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.40254181585295142412394804638820989126
+There is a right-sided Port-a-cath with tip in the projection of the SVC. The heart size is normal. There is a moderate-sized right pleural effusion which is unchanged from the previous exam. The left effusion has improved from the previous exam. There is no pneumothorax or acute airspace disease.,1. Residual right greater than left pleural effusions. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44801035567294998015061055524568543200
+Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are unchanged in position. Interval placement of right-sided PICC line with distal tip in expected position of the SVC. No pneumothorax is noted. Stable bilateral lung opacities are noted concerning for pneumonia or edema. Bony thorax is unremarkable.,Stable support apparatus. Stable bilateral lung opacities as described above.,1.2.826.0.1.3680043.8.498.19063291129270255373778997136720242676
+There are low lung volumes with bibasilar atelectasis. Heart is upper limits of normal in size. No effusions.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.11443952291258959588678014711426057739
+"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.86728444452632921820274559267700120159
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52360900960289521741782147791632237035
+The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27780758696892491331839976783900763539
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.91099762550465687969185577663586211805
+Lung volumes are low. There is opacity at the left lung base which is likely a combination of pleural fluid and atelectasis. Pneumonia is possible. The right lung is clear. No pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses.,Left lung base opacity consistent with a combination of pleural fluid and atelectasis. Pneumonia is possible.,1.2.826.0.1.3680043.8.498.10823742411312265943497907172847160135
+Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no demonstrable pneumothorax or pleural effusion. There is a healing fracture of the lateral left fifth rib. No other fracture apparent.,Healing fracture lateral left fifth rib. No other fracture demonstrable. Lungs clear.,1.2.826.0.1.3680043.8.498.46259840923643517904907558289412730110
+Cardiac shadow is stable. Tracheostomy tube is again seen. Right-sided PICC line is been removed in the interval. The overall inspiratory effort is poor. Small right-sided pleural effusion is again seen. Right basilar atelectasis is noted. Left lung is clear. No bony abnormality is noted.,Persistent right basilar atelectasis and effusion.,1.2.826.0.1.3680043.8.498.65363067453072347932261775217734610176
+Heart size is normal. The lungs are hyperinflated. There is perihilar peribronchial thickening. Scattered emphysematous changes are identified. No pleural effusions or pulmonary edema.,COPD/emphysema. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.24572636057848931718092308863504125065
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12946771923986851450508298295505960441
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98887431003706899722105169654165586473
+AP view of the chest reveals the heart size to be prominent. There has been interval increase in the previously noted bilateral air space disease in the lung bases. Small effusions are thought to be present.,Increase in the bilateral air space disease.,1.2.826.0.1.3680043.8.498.48640359900031029960852681815462852946
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.20224766649056485207056019644259309130
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93475552911067795472994035323353999578
+The heart size is normal. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,Negative chest.,1.2.826.0.1.3680043.8.498.77090452267883671881284835572686118933
+"Again seen is left lower lobe airspace disease, which appears less dense than on the prior study. Calcified granulomas are seen in the left upper lobe. The right lung is clear. No effusion. Heart size is normal.",1. Improving left lower lobe pneumonia. 2. No new abnormality.,1.2.826.0.1.3680043.8.498.82515655557377722920825035604799017207
+"Chronic hyperinflation. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. Ill-defined opacity in the right middle lobe, new from prior exam. No pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Ill-defined right middle lobe opacity may be atelectasis or pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. 2. Chronic hyperinflation.,1.2.826.0.1.3680043.8.498.24671492670870092199205722102553879368
+"There is extensive bilateral airspace disease, unchanged since prior study. Small bilateral effusions. Heart is borderline in size.",No significant change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.92007873949203710319189812844760369177
+"Right chest tube remains in place, unchanged. Moderate right pleural effusion persists, unchanged. No pneumothorax. Right lower lobe atelectasis, unchanged. Left lung is clear. Heart is normal size.",No significant change.,1.2.826.0.1.3680043.8.498.10143076400022048197504671575619331677
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.58106873817009322285437729351155749772
+Left-sided PICC line is in place with the tip in the superior vena cava. There is left base atelectasis. The lungs are otherwise clear. No pneumothorax. Heart size normal.,1. PICC line in good position. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.46834725698388707186310088253575128882
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98813838070060188812925296826176726964
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46159168058836893259465880023127586810
+There is a moderate right pleural effusion with right lower lobe atelectasis or infiltrate. The left lung is clear. There is no pneumothorax. There is mild stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,Moderate right pleural effusion with right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.59940525245443926593488568699210396415
+There is chronic cardiomegaly. Diffuse interstitial prominence is present which could represent interstitial edema or interstitial pneumonitis. No focal airspace opacities are identified. There is no evidence of pleural effusion or pneumothorax. No acute bony abnormalities are identified.,1. Diffuse interstitial prominence which may represent interstitial edema or interstitial pneumonitis. 2. No focal airspace opacities.,1.2.826.0.1.3680043.8.498.11869801512989389212245065569270612322
+Lungs are clear. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.53929667576185947041001867205626663344
+"There is extensive subcutaneous emphysema in the left chest wall and in the left neck. There is a left pneumothorax, which is estimated at 10-15%. There is atelectasis in the left lung. Heart size and vascularity are normal. The right lung is clear.",Left chest wall and left neck subcutaneous emphysema. Left pneumothorax.,1.2.826.0.1.3680043.8.498.37058857487530043961275028321067558733
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43836742496032344622028504582571582092
+Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.39745406475829603828847428528576169497
+"The lungs are hyperinflated. Heart size is normal. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.81928819746418166691498168015661913238
+There is airspace infiltrate in the lingula compatible with pneumonia. The right lung is clear. Heart and mediastinal structures are normal. No pleural effusion is seen.,Lingular pneumonia.,1.2.826.0.1.3680043.8.498.88217347712796313143299179360622494725
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82249051171249743621491757478278646161
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.13145342614003934181725075414628919318
+There is scarring in the anterior left upper lobe region. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch region. No bone lesions.,Scarring anterior segment left upper lobe. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.66886157626629980431197874458233814040
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59290996598641152385320494414639683283
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. Mild left lingular opacity is noted concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable left lingular pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.15135714049194338646068207727574459384
+There is mild central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway disease suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.11240491943532809160517489980432745262
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.28947226945802659515849308638412958239
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72559239450672836569358320454677421163
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.34019080195566480492434310885914128652
+The heart is enlarged. There are perihilar infiltrates and peribronchial cuffing consistent with pulmonary edema. Bilateral pleural effusions are identified. There is bibasilar atelectasis.,1. Cardiomegaly and perihilar edema consistent with congestive heart failure. 2. Bilateral pleural effusions and overlying atelectasis.,1.2.826.0.1.3680043.8.498.10773973476957736139898008826116187151
+Lung volumes at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. Mild central peribronchial thickening. No osseous abnormality identified.,No focal pneumonia. Mild central peribronchial thickening could reflect viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.25300911423848393892820238171459195085
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 02/06/1990.,1.2.826.0.1.3680043.8.498.14549558271428879627167497800887992678
+There is focal airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.48115860439625093849231361547507614156
+Stable cardiomediastinal silhouette. Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Right internal jugular catheter is noted with distal tip in expected position of the SVC. No pneumothorax is noted. Minimal bibasilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Endotracheal and nasogastric tubes are in good position. Left-sided chest tube is noted without pneumothorax. Minimal bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.83746956784552879315123593508331213021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67622253805054849401765322774140065366
+"The cardiomediastinal contours are normal. Atherosclerosis of the aortic arch. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active disease.,1.2.826.0.1.3680043.8.498.92716681277734728291351172959565802340
+Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14543108856187025127496698969776500344
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17851104283063722212310564596319436101
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32916355167943879700423578803063475489
+PA and lateral views of the chest are compared with the prior study from 6-9-2 and show a Port-A-Cath to be in good position with the tip in the superior vena cava. There is linear atelectasis at the RIGHT lung base. There is also plate-like atelectasis in the LEFT lung base. No pneumonia or pleural effusion is seen. The heart is within the limits of normal. The bony structures show degenerative change.,1) Linear atelectasis at the lung bases. 2) Port-A-Cath in good position. 3) Degenerative bony changes. 4) No pneumonia.,1.2.826.0.1.3680043.8.498.68599443014701246736310813529129154998
+"A right IJ catheter has been placed. The tip is in the SVC. The endotracheal tube, nasogastric tube and left IJ catheter are unchanged. There is atelectasis at both lung bases. No pneumothorax is seen.",Right IJ catheter tip in SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.58824602289413058897577667953881133473
+"Normal heart, mediastinum and hila. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.",No active disease.,1.2.826.0.1.3680043.8.498.60492385754861581819185852964638416368
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Median sternotomy wires are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29827920696948463468679194820061726324
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35292974698168000016270633664308339186
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24814364161634096398766697067432833775
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47339511247188339636881149278505887463
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.66091025591473176684996243258874982080
+"The patient has had a prior CABG. There is shallow inspiration with basilar atelectasis. No evidence of edema, infiltrate, nodule or pneumothorax. The biliary tube is in place.",Shallow inspiration with basilar atelectasis.,1.2.826.0.1.3680043.8.498.27009719104689891054943220107667658728
+Normal cardiothymic silhouette. No pleural effusion or edema. No airspace densities identified. The visualized osseous structures are unremarkable.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.64570897973253635134110932076328974960
+The heart is enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are grossly clear. No pleural effusion or pneumothorax. The bones are demineralized. There are multiple thoracic spine compression fractures which are age indeterminate. Chronic appearing right rib fractures.,1. Cardiac enlargement. 2. No acute pulmonary findings. 3. Age indeterminate thoracic spine compression fractures.,1.2.826.0.1.3680043.8.498.41396375279328465875809672289217747772
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34010814462158166603828888521826337715
+"Endotracheal tube is in place with its tip 2.5 cm above the carina. Enteric tube is in place with the distal portion in the stomach. Right internal jugular Swan-Ganz catheter is in place with its tip in the right main pulmonary artery. Mediastinal drains and left chest tube are in place. No pneumothorax is evident. There is minimal atelectasis in the left midlung. No pulmonary edema, consolidation, or pleural effusion is seen. There is minimal atelectasis in the left base. The heart is mildly enlarged. There has been previous cervical fusion.",There is minimal postoperative change with support devices in place as described. No pneumothorax is evident.,1.2.826.0.1.3680043.8.498.41529078622765648436465754521605392393
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24376386105643987339208568161141918740
+Trachea is midline. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous. No pneumothorax. No pleural fluid.,Emphysema without acute finding.,1.2.826.0.1.3680043.8.498.58749658156112126636901778991867697293
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12956514108432875083410678427298404726
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55190684864811142834648532940023052228
+OG tube is in the stomach. Cardiothymic silhouette is within normal limits. No confluent opacities in the lungs. No effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.25590973028311018802097991569837250826
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.90001846145376082909460488918737014612
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99365460413081849814816707061349944323
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92742108784347653691394073963862361734
+There is a large right pleural effusion. This has increased in size since prior study. There is cardiomegaly. Low lung volumes with vascular congestion and probable mild edema.,"Large right effusion, increasing since prior study. Mild CHF.",1.2.826.0.1.3680043.8.498.50889206308061422734264430726179962874
+Endotracheal tube and orogastric tube remain in appropriate position. Mild improvement in aeration of both lungs is seen since prior exam. Both lungs are clear. Heart size is normal.,Mild improvement in aeration. No acute findings.,1.2.826.0.1.3680043.8.498.71014704009071173789642582775966140311
+Diatek catheter has been placed from the right internal jugular vein. The tips are in the right atrium. No pneumothorax. There is bilateral airspace disease and a left pleural effusion.,1. Right internal jugular Diatek catheter in place with the tips in the right atrium. 2. No pneumothorax. 3. Diffuse bilateral airspace disease and left effusion.,1.2.826.0.1.3680043.8.498.85816597156970258023520519374904079169
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11114027485870967268595960849131129611
+"The cardiac silhouette is mildly enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.65018045547018988839353819599577773513
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. No fracture is evident.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.58745513140347145127597234356743710337
+There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. The cardiac silhouette is moderately enlarged. A right-sided Port-A-Cath is appreciated with the tip projecting in the region of the superior vena cava. The visualized bony skeleton is unremarkable.,1. Interstitial infiltrate likely representing a component of pulmonary edema. 2. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. 3. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.77836324876083528005453577947894710774
+Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusion or focal consolidation. Strandy densities LEFT lung base. No pneumothorax. Soft tissue planes and included osseous structures are non suspicious.,LEFT lung base atelectasis.,1.2.826.0.1.3680043.8.498.17084214459895795715936992077920772892
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.62071428430553552493307114638843679546
+The cardiomediastinal silhouette is stable. Coarse interstitial markings again noted. No definite acute infiltrate. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change.,1.2.826.0.1.3680043.8.498.67621390341351839489366313420513280370
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68576608796191794597440912465435679031
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Increased density is noted in the right lung base consistent with aspiration. No bony abnormality is seen. The stomach is distended with air.,Right basilar infiltrate consistent with aspiration.,1.2.826.0.1.3680043.8.498.77957425878731380315719164340664696367
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23906334816013830803476031313215401409
+There is opacity at the left lung base consistent with pneumonia. There is also opacity in the right mid lung which may also represent pneumonia. No definite pleural effusion is seen. The lungs are hyperaerated consistent with emphysema. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,1. Opacity at the left lung base most consistent with pneumonia. 2. Possible additional focus of pneumonia in the right mid lung. Recommend followup. 3. Emphysema.,1.2.826.0.1.3680043.8.498.71006648029176419981713357118526992956
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32889983803142659088810041514166942767
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.81266407520317697447904310643384971284
+"Mediastinum and hilar structures normal. Stable cardiomegaly. No pulmonary venous congestion. Persistent mild bilateral pulmonary infiltrates, right side greater than left. No pleural effusion or pneumothorax. No acute bony abnormality.",1. Persistent mild bilateral pulmonary infiltrates. 2. Stable cardiomegaly. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.97251220744385541305419809057914461198
+There is a large hiatal hernia. The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is curvature of the thoracolumbar spine convex toward the right.,There is a large hiatal hernia. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19087045107271780266663648273058983232
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95000529926621982704881353684881720838
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Stable right upper lobe airspace opacity is noted consistent with pneumonia. The visualized skeletal structures are unremarkable.,Stable right upper lobe airspace opacity consistent with pneumonia.,1.2.826.0.1.3680043.8.498.21536098305244146314420992545313651854
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33264147549519885806032109006878225616
+There is extensive airspace disease in the left upper lobe and left lower lobe consistent with pneumonia. Patchy airspace disease in the right upper lobe. Heart size and pulmonary vascularity are normal. No pleural effusions. No pneumothorax. The visualized osseous structures are intact. Spinal stimulator in place.,Extensive left lung pneumonia.,1.2.826.0.1.3680043.8.498.22426643804453703834397411337633383491
+Endotracheal tube is unchanged in position. Nasogastric tube is seen entering the stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,No acute findings.,1.2.826.0.1.3680043.8.498.39749789458006069195204243757777402098
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45002325871343863022592210324677250362
+"Left central venous catheter is in place with the distal tip in the superior vena cava. The heart appears normal in size. The lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings. Hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.16961895750952993171379734528018692674
+Umbilical venous catheter is present with the tip in the mid chest at the level of T4. Umbilical arterial catheter is present with the tip at the level of T7. Cardiothymic silhouette appears within normal limits. Pulmonary aeration is mildly improved. Bowel gas pattern is normal. Bowel gas is present in the abdomen to the level of the rectum.,1. Support apparatus as described above. 2. Improved pulmonary aeration.,1.2.826.0.1.3680043.8.498.64396579731943991996168205543598247806
+Right upper extremity PICC tip in the mid SVC. Increasing hazy opacity throughout the right lung consistent with pleural effusion. Hazy opacity at the left lung base likely combination of pleural fluid and atelectasis. Unchanged heart size and mediastinal contours. No visualized pneumothorax.,1. Increasing hazy opacity throughout the right lung consistent with pleural effusion. Small left pleural effusion and basilar atelectasis. 2. Right upper extremity PICC tip in the mid SVC.,1.2.826.0.1.3680043.8.498.14852777141394901031209514676076355238
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54152577280551040579727221538333654035
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59793824544115080402566453479215145449
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.26009825578133667096991326202602710470
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73160532294421836767370315298440286612
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.95340436959428931092752009800124812050
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54659486665868175680720990500979181723
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65428492300990528055766971444349727834
+Patchy areas of increased density are noted in the lung bases and upper lobes. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable. Surgical clips are appreciated within the lower neck.,Findings which may represent an infiltrate versus atelectasis in the upper lobe regions and lung bases. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.24783620009965368024675145899851986357
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30601046468107375977301104254786654400
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.11362493974119691523436901227740704482
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70790426837764595032113106817636035906
+"The cardiac silhouette is normal size and shape. No pleural abnormality is evident. No pulmonary edema, consolidation, or pneumothorax is seen. Bones appear average for age.",No acute or active cardiopulmonary or pleural abnormalities are identified.,1.2.826.0.1.3680043.8.498.91288336543203860748994806560758253949
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80156616472654993271680062178578760214
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93015483495695541596194281159574361305
+Endotracheal tube tip is 1.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. There is no evident pneumothorax. There is no edema or consolidation. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.14376844177827924789840712659551567162
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46666460546339497664490091741249859187
+PA and lateral chest radiographs are provided. There is left lower lobe airspace disease. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24266405828499989675191864572048080224
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are stable.,No acute left-sided rib fracture. Stable examination.,1.2.826.0.1.3680043.8.498.32215740937123031423281777194817343941
+Grossly unchanged cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities with special attention paid to the right clavicular/chest wall region.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10046834859282959785447216358066486359
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66053138768425718226807316897695155944
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27841458236160573931379337408530949716
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21105428524287681019962842649578942247
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post aortic valve replacement. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54183016197332747527651329431698410857
+Seated AP and lateral views of the chest. Confluent bilateral perihilar opacity. No pleural effusion. No pneumothorax. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,"Bilateral pulmonary opacity, suspicious for bilateral pneumonia. No pleural effusion. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.82902674551242281475201917909718373865
+"There is a left-sided pacemaker/AICD generator noted with the tip of the electrode wire in right ventricle. The heart is enlarged. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.24250285905333646336385795816657959193
+There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.49670653148291171688631198693740083066
+Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No significant bony finding.,Normal chest.,1.2.826.0.1.3680043.8.498.80094717434804873310980930272853635568
+There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the perihilar regions. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,Findings consistent with pulmonary edema. Asymmetric edema versus infiltrate left hemithorax. Surveillance evaluation recommended.,1.2.826.0.1.3680043.8.498.24877180086680431190407832402575194302
+The patient has a right PICC line with the tip in the superior vena cava. No pneumothorax. Lungs clear. Heart size normal. No pleural effusion or focal bony abnormality.,Right PICC line in good position. No acute disease.,1.2.826.0.1.3680043.8.498.62288896189240603168004103331313645606
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.86923836069912835279379769402958651227
+The interstitial markings of both lungs remain increased. There is increased density at both lung bases consistent with atelectasis and infiltrate. Small bilateral pleural effusions are present. The heart is not enlarged.,1. Increased density at both lung bases consistent with atelectasis and infiltrate. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.38803994823355850687866921669613540600
+The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture. Limited evaluation of the thoracic spine.,Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.85141064662247279719347023009723740244
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.13712394683690265284313873182877879227
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70054764344819911304904385487459109667
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97898183793777528998002238739595386713
+Low lung volumes. No focal consolidation or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,Low lung volumes without acute abnormality of the lungs in AP portable projection.,1.2.826.0.1.3680043.8.498.80361850189270827489476549719772013318
+Single portable AP chest radiograph is provided. The endotracheal tube is in unchanged position. There is a nasogastric tube with the tip below the level of the diaphragm. There is a right-sided central venous catheter in unchanged position. There is persistent right upper lobe consolidation. There is increased airspace disease at the right lung base. The left lung is clear. Stable cardiomediastinal silhouette. The osseous structures are unremarkable.,Persistent right upper lobe consolidation with increased airspace disease at the right lung base which may represent atelectasis versus developing infiltrate. Stable support lines and tubing.,1.2.826.0.1.3680043.8.498.69698569058910426524397390223427962039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50354189339948260240888427890755335198
+"An endotracheal tube is in place with tip 2.6 cm above the carina. A right-sided internal jugular central venous catheter with tip terminating in the distal superior vena cava. Lung volumes are low. Bibasilar opacities may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar atelectasis and/or airspace consolidation and small left pleural effusion. 3. Mild cardiomegaly. 4. Atherosclerosis.",1.2.826.0.1.3680043.8.498.79563508026100093307180745621226487732
+Patchy opacity in the left lower lobe concerning for pneumonia. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy left lower lobe airspace opacity compatible with pneumonia.,1.2.826.0.1.3680043.8.498.91802520970846517127525605515972899303
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.28470850682483547792410358432025700634
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76603148176488583189304798998612210830
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15489232446205524036989182692511857839
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Linear atelectasis or scarring in lingula.,No active disease.,1.2.826.0.1.3680043.8.498.21814053206810003662149416901384642733
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18499752188712998312659037312569219740
+"There is elevation of the left hemidiaphragm with atelectasis at the left lung base. Heart size is normal. The right lung is clear. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",Elevation of the left hemidiaphragm with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.41166135653417196697656193683175117234
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48419753974287404929446084551855958175
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.50908726934231589888191567793360884118
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.46553801156568808058578966915296643651
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50346072361391314412895245110569097078
+The heart size is normal. Linear atelectasis is present in the lingula. The lungs are otherwise clear. There is no edema or effusion. The visualized soft tissues and bony thorax are unremarkable.,1. No acute cardiopulmonary disease. 2. Linear atelectasis in the lingula. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75020724657775844318998376089678777167
+Endotracheal tube is seen with the tip approximately 2.5 cm above the carina. Nasogastric tube extends into the stomach. Left chest tube and mediastinal drain are seen in appropriate position. Right jugular Swan-Ganz catheter tip is in the proximal right pulmonary artery. No pneumothorax visualized. Mild atelectasis is seen in the left lung base. No evidence of pulmonary consolidation or edema. Heart size is within normal limits. Prior CABG noted.,Postoperative chest with mild left basilar atelectasis. Support apparatus in appropriate position.,1.2.826.0.1.3680043.8.498.82200948061807722004995160003405869796
+The lungs are mildly hypoinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. There is no pleural effusion. The gas pattern in the upper abdomen is normal.,"There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I cannot exclude croup, however, in the appropriate clinical setting.",1.2.826.0.1.3680043.8.498.92270206238771272518138305110478138085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84165351220313339427058787807921261040
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15026670071725438216603467700937576456
+"There is patchy density at both lung bases, most compatible with atelectasis. Pneumonia cannot be totally excluded. Mild cardiomegaly is stable. The bones are osteopenic.",Patchy basilar atelectasis or pneumonia. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.73000997768370914115670589017091256247
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68942604321869562403441743528476545462
+"There is patchy airspace opacity in the right upper lobe. The left lung is clear. There is no pleural effusion. The pulmonary vasculature is normal. Hilar, mediastinal and cardiac contours are unremarkable.",Right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.92930126622831955817140267609754865250
+The heart is enlarged. There is diffuse interstitial edema with small bilateral effusions. Atherosclerotic calcification is present. There is no pneumothorax.,Cardiomegaly with pulmonary edema and bilateral effusions consistent with congestive failure.,1.2.826.0.1.3680043.8.498.29942445913542446070758715886668112724
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74660260749901340092042922904991298518
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.29734537249319842798374893212007095654
+Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Costophrenic angles are clear. Lungs are clear of any focal mass or consolidation. There is no pneumothorax. There are no osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.13818306529867460134518025458366807090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46028874380487087810575109661742125589
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74371503428305857437598110297555406696
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42298492731969857883815912013265908480
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90523109617033593749674225626233811603
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12856728036209629143536476420311375407
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34594280958647817778831637782995346966
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.96819001450472908378260308535321316933
+Enlargement of cardiac silhouette. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered end plate spur formation thoracic spine.,Enlargement of cardiac silhouette. No acute abnormalities.,1.2.826.0.1.3680043.8.498.37520131356747596025569436642445633757
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56814107702419476110018138099506003676
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65209447543207783985860757506178055306
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80922644549547065986161776136113635323
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is consolidation in the left lower lobe. There is also a patchy infiltrate in the right lower lobe. There is a small left pleural effusion.",Bilateral lower lobe infiltrates compatible with acute pneumonitis.,1.2.826.0.1.3680043.8.498.54533592573638646754707339032293886219
+Linear areas of scarring in the lung bases bilaterally. No consolidation or edema. No pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits for size.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.44703779210822246511237200525143489478
+"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. A left shoulder arthroplasty is partially imaged.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.13945025963417833316230596242418485617
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93802143021981033165037422162399848706
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48398860385123142492215142493765176937
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59940881456210466230780328115679488475
+The cardiomediastinal silhouette is within normal limits. The pulmonary vasculature is within normal limits. There are increased markings in the right mid to lower lung. No pneumothorax or pleural effusion appreciated on this portable examination. Bony thorax is intact.,Suspect right lower lung infiltrate. Followup is recommended.,1.2.826.0.1.3680043.8.498.72376932154199751274556779715256925764
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58381762073133649109327193349001101249
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75295353212200254218323456607802257897
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.61869409300299244309430388004687774776
+Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. Osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.23040809030941905411054708355121449150
+Left-sided central venous port tip over the SVC. No pneumothorax. Mild cardiomegaly. No consolidation or effusion. Minimal atelectasis left base. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.31796878854710363519939436358753654473
+There are bilateral pleural effusions and bibasilar atelectasis. The heart is enlarged. Pulmonary vascular congestion is noted.,Cardiomegaly and congestive heart failure.,1.2.826.0.1.3680043.8.498.50550802203089967437704660765733600867
+Cardiac shadow is within normal limits. The left hemidiaphragm remains elevated. An endotracheal tube is noted in satisfactory position 4.6 cm above the carina. A nasogastric catheter is noted within the stomach. The proximal side port however lies in the distal esophagus. No focal infiltrate is seen. No bony abnormality is noted.,Tubes and lines as described above. This report was called to the floor although the patient had already been transferred to the emergency room.,1.2.826.0.1.3680043.8.498.17663539251515214910515373426604101313
+The lungs are clear. Cardiomegaly is stable. Median sternotomy sutures are noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.33522239373908916931917779155847054857
+The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. There is calcification in the wall of the aortic arch. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality. Left rib detail images reveal no acute displaced or nondisplaced rib fracture.,There is no acute cardiopulmonary abnormality. No acute left rib fracture is observed. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.79319406905571217522294531287922021327
+"Normal mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic bronchitic markings.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48152958888746124944424420354433281248
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75254502234656421100763413705972586552
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.51029778988991262612896942607382174029
+There are persistent patchy airspace opacities in the left lower lobe with an associated small left pleural effusion. There are mildly increased patchy airspace opacities in the right upper lobe. A small right pleural effusion is noted. The heart size and mediastinal contours are stable.,1. Persistent left lower lobe airspace disease with associated left pleural effusion suspicious for pneumonia. 2. Increased patchy airspace opacities in the right upper lobe and small right pleural effusion suggesting superimposed pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.89863210343403081662122584283976226390
+The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.50461021650002079919549371108301258951
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88162017340442975306314333524687583781
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89003288703379727401673966974349360917
+The heart is mildly enlarged. The lung volumes are low. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.20913483012585627814573221304829985194
+PA and lateral chest radiographs are provided. There is mild bilateral interstitial thickening. There small bilateral pleural effusions. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.53404136452430167098260811147252234756
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14995545150558004389729536528440148628
+The lungs are adequately inflated. There is no focal infiltrate. The LEFT hemidiaphragm is mildly elevated as compared to the RIGHT. The cardiopericardial silhouette is mildly enlarged. The pulmonary vascularity is not engorged.,I do not see evidence of pneumonia. I cannot exclude an element of acute bronchitis. There is mild enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.46684882890113907649759277079042307346
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19543074755490306398388001865035694045
+There are low lung volumes. Coarsening of the pulmonary interstitium is again noted and appears unchanged. There is some atelectasis at the left lung base. The patient is status post CABG.,No interval change.,1.2.826.0.1.3680043.8.498.38912548562239217829609001935562461333
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89354746966195640779844678040691945914
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.60194009716092457944445472627275735811
+The cardiomediastinal silhouette is unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.12127232353635332945132572367611194064
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71740620054099353518385169812951626034
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. The bony thorax is intact. Nodular density in the right lower lobe is likely the patient's nipple. A follow-up chest x-ray with nipple markers is recommended.",No acute cardiopulmonary findings. Nodular density in the right lower lung is likely the patient's nipple. A follow-up chest film with nipple markers is recommended.,1.2.826.0.1.3680043.8.498.82304928755253704270971832228414248399
+Nasogastric tube extends beyond the inferior aspect of the film. Left-sided IJ line is new and terminates at the mid SVC. Normal heart size. Possible trace left-sided pleural fluid. No pneumothorax. Low lung volumes with mild left base atelectasis.,Left-sided IJ line without pneumothorax. Suspect trace left-sided pleural fluid with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.81708035011369205387056298654519082636
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. There is a dextro scoliosis of the thoracic spine.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.69503840279268930009339110012734876664
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39040503064705614860868812348264864747
+There is focal airspace disease in the lingula consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Lingular pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.94282780561243531139299141314823218420
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.27765591456431749564072556021382516580
+Right-sided Port-A-Cath is in place. There are bilateral pleural effusions with overlying atelectasis. No evidence for pneumothorax. Heart size is enlarged. There is vascular congestion.,Cardiomegaly with edema and bilateral effusions suggesting CHF.,1.2.826.0.1.3680043.8.498.78914982748467381564916610073201640829
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.77506103068620793243427537048169932501
+Complete opacification of the left hemithorax with calcification of the left hemidiaphragm and postoperative changes in the left chest are stable. The right lung is clear. No definite change.,Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.77174972678559275270321495299490181269
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15483620590252203692929606376918562224
+Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.49968530162588272494036272766759407562
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50945609136434014414702080767870126902
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.22951929346338650627528193974911417110
+No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.22533671376768180008293110317136251338
+Prior CABG. Cardiomegaly with vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. Findings are similar to prior study.,Continued left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. Findings are similar to prior study. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.10111345637208530732581391485606377014
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18088829191954293646548565696057250164
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.31574183971681281811009051176705315343
+Cardiac shadow is enlarged. Right-sided chest wall port is again seen and stable. The lungs are clear bilaterally. No focal infiltrate or effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.72224548818758713770398398737583804145
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38826755604961525104333708760869668995
+There are bilateral pleural effusions. The interstitial markings are increased. The cardiopericardial silhouette is enlarged. The hemidiaphragms are obscured.,There are findings consistent with congestive heart failure and bilateral pleural effusions. There is likely underlying atelectasis or infiltrate in the lower lobes. When compared to the earlier study however this appears to be slightly more conspicuous.,1.2.826.0.1.3680043.8.498.70227899660891938382164788281999910672
+There is elevation of the right hemidiaphragm. The lungs are clear. There is no pleural effusion. Heart size is mildly enlarged. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.56175233201631298035133930341145861629
+Cardiac shadows within normal limits. Aortic calcifications are seen. The lungs are hypoinflated with mild bibasilar atelectasis. No sizable effusion is seen. No bony abnormality is noted.,Mild bibasilar atelectasis in the setting of a poor inspiratory effort.,1.2.826.0.1.3680043.8.498.26310852914228067962702481487508660397
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32959661266821019459562069415698347560
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90031744686626590887227531066994612149
+"The heart size is normal. The lungs are hyperinflated. No mass, consolidation, or effusion. Mild thoracic spondylosis.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.27006659309082576803003792190283782759
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63122854148831309052652063535276324970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99987175730451701855600734462662909232
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32424091834637240339012049876909780538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.12289220896085667973542103748054212848
+Heart is normal size. Linear atelectasis or scarring in the lingula. Right lung is clear. No effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81237683860007488182792340770774788538
+Endotracheal tube is 2.6 cm from the carina. Left IJ central line tip is in the SVC. Right upper lobe mass is unchanged. There is right hilar adenopathy. There is patchy airspace disease in the right upper lobe which is similar to the prior exam. No pneumothorax. No pleural effusion.,1. Endotracheal tube and central line appear in good position. 2. Right upper lobe airspace disease and right upper lobe mass are unchanged.,1.2.826.0.1.3680043.8.498.85743052230391083528318692036694602529
+"A right-sided pacemaker device is present. Two leads are present. The heart is normal in size. The lungs appear to be fully inflated and clear. There is no edema, infiltrate, effusion or pneumothorax. Degenerative changes are noted in the spine.",No acute cardiopulmonary disease evident. Pacemaker present.,1.2.826.0.1.3680043.8.498.17245126522848919759065172741489092659
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.79898167803536614700362546629893924010
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80146232027473802029920576502137407382
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at both lung bases. Heart size and mediastinal contours are within normal limits.,No evidence of left rib fracture. No pneumothorax.,1.2.826.0.1.3680043.8.498.62396166290352475929794880182622752869
+Rotated to left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Emphysematous changes with bibasilar atelectasis. No gross infiltrate or pleural effusion. Bones demineralized.,Enlargement of cardiac silhouette. COPD with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.51053599537519710564817273093888659887
+Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified. Several old left rib fracture deformities are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37420819046144404081746341460609936249
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.86707376183221786451909528156339622218
+There is interval development of bilateral airspace opacities most consistent with multifocal pneumonia. Clinical correlation and follow-up to resolution recommended. No pleural effusion pneumothorax. The cardiac silhouette is within limits. No acute osseous pathology.,Multifocal pneumonia.,1.2.826.0.1.3680043.8.498.16348394723884173541532463045263312483
+Endotracheal tube is 3.5 cm above the carina. Low lung volumes. Bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Endotracheal tube 3.5 cm above the carina. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.95346488476595332682588854296941959903
+"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47554821859343448809300292726852884789
+The lungs are hyperinflated consistent with COPD. There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,COPD with findings likely representing a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.19604136022266373878179776733867805656
+There is a left paratracheal mass with left upper lobe atelectasis. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left paratracheal mass with left upper lobe atelectasis. Advise noncontrast enhanced chest CT to further assess. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.37171961393680873342202327706265081024
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Chronic elevation of right hemidiaphragm is stable. Linear scarring or atelectasis at the right lung base is unchanged. Left lung is clear. Heart size and mediastinal contours are within normal limits.,Stable chronic elevation of right hemidiaphragm. No acute rib fracture nor acute pulmonary abnormality.,1.2.826.0.1.3680043.8.498.50942649184358079685992178388913253124
+There is a well-positioned right-sided Port-A-Cath. There is a small right pleural effusion with adjacent airspace disease. The left lung is clear. There is no pneumothorax. The heart size is normal. The mediastinal contour is stable.,1. Small right pleural effusion with adjacent airspace disease which may reflect atelectasis or developing infiltrate. 2. Well-positioned right-sided Port-A-Cath.,1.2.826.0.1.3680043.8.498.47044853737876917931719526737560547514
+The heart size and mediastinal contours are within normal limits. Consolidation of the right upper lobe. The left lung is clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38855407149900431036095467640737457931
+Hyperinflated lungs. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Asymmetric vague right suprahilar opacity on the frontal view not correlated on the lateral. No confluent pulmonary opacity. Negative visualized bowel gas and osseous structures.,Hyperinflation which can reflect viral or reactive airway disease. Asymmetric right suprahilar opacity on the frontal view not correlated on the lateral could reflect atelectasis or developing bronchopneumonia.,1.2.826.0.1.3680043.8.498.34004259759259878544366338592844505267
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18937837965921347866289113688616207573
+The right-sided chest tube tip projects over the posterior aspect of the fifth rib. There is a persistent approximately 5% right apical pneumothorax. There is no mediastinal shift. There is persistent increased density in the right infrahilar region. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Stable appearance of the right chest tube with a persistent 5% right-sided pneumothorax. Persistent right infrahilar density likely reflects pulmonary contusion.,1.2.826.0.1.3680043.8.498.78237845903270381382122368769695323948
+"There is no evidence of fracture or dislocation. The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute abnormality.,1.2.826.0.1.3680043.8.498.86680864043225192871923028907051802246
+"There is airspace disease in the right lung base, compatible with pneumonia. There is also mild airspace disease in the left mid and lower lung zones. There is vascular congestion. Small bilateral pleural effusions are suspected.","Bibasilar airspace disease, right greater than left. This is compatible with pneumonia.",1.2.826.0.1.3680043.8.498.89726217349207526964655739965731339280
+"There is persistent left-sided volume loss, with a moderate left-sided pleural effusion, perhaps mildly increased from the prior study. Underlying left basilar airspace opacification is again noted. The right lung appears relatively clear. No pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are identified.","Moderate left-sided pleural effusion again noted, perhaps mildly increased from the prior study, with persistent underlying left basilar airspace opacification. Underlying lung cancer again noted.",1.2.826.0.1.3680043.8.498.24093114545223378264621658888575225845
+Trachea is midline. Heart is at the upper limits of normal in size. Lungs are somewhat low in volume with bibasilar atelectasis. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.12356655630728617238505513408613776133
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.65917961039997431193969923778683670807
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73961909787944198324661672763605782775
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16380999703435774608274084208188677977
+The heart is at the upper limits of normal in size. The thoracic aorta is tortuous. The hilar and mediastinal contours are otherwise unremarkable. Linear scarring is present in both lower lobes. The lungs are otherwise clear. There are no pleural effusions. Degenerative changes are present in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29384170695418481608078329956594463879
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Mild scoliosis and degenerative changes in the thoracolumbar spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11239913736324638034471949770783554139
+The lungs are symmetrically inflated and clear. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Clear lungs.,1.2.826.0.1.3680043.8.498.18006686287872903424821625215462517196
+Endotracheal tube is 5 cm above the carina. NG tube enters the stomach. There is mild cardiomegaly. Bibasilar atelectasis present. No effusions. No acute bony abnormality. No pneumothorax.,"Endotracheal tube and NG tube in expected position. Mild cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.41226365291881699053140574144554239029
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24935314039114901910584760983743636665
+The lungs are well-aerated. Mild left lower lobe airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61662701034879018915425388377247791020
+Sternotomy wires are stable in position and appearance. Heart size is normal. The lungs are free of focal consolidations and pleural effusions. No pulmonary edema. No pneumothorax.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.81635459149707885030551828240113754514
+The lungs are well-expanded and clear. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Cardiomegaly may reflect underlying cardiac chamber enlargement.,1.2.826.0.1.3680043.8.498.94281430116037258438138352763227582556
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.47944632716573339184409883547289722062
+Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette is normal. There is a lead over the anterior left chest. There is minimal anterior wedging of the midthoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47626734152649014436827161884503479273
+Extensive right upper lobe consolidation. Left lung is clear. No effusion or air leak. Normal heart size.,1. Unchanged extensive right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.93861783652371178553931135395838705337
+Interval placement of right internal jugular central venous catheter with distal tip projecting over the superior vena cava. Left internal jugular central venous catheter is unchanged. Low lung volumes. Stable cardiac and mediastinal contours. Elevation of the right hemidiaphragm. Bibasilar atelectasis. No pleural effusion or pneumothorax.,Interval placement of right internal jugular central venous catheter. No pneumothorax.,1.2.826.0.1.3680043.8.498.75823021469168381050454556470204556251
+No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No displaced rib fracture.,1.2.826.0.1.3680043.8.498.22998898417165314063266950276722101624
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71863804831545050631986952837482989167
+The lungs are emphysematous. Lung volumes are low. There is some bibasilar atelectasis. Heart size is upper normal. No pleural effusion.,1. Emphysema. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52638806619153142399033433555500720235
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64677575200650432909691805219444113867
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.59548119123335624677852851282834624578
+PA and lateral chest radiographs are provided. There are bilateral small pleural effusions. There is bilateral interstitial thickening. There is no pneumothorax. The heart and mediastinum are unremarkable. There is a right shoulder arthroplasty.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.90436377125482436190760420964024671059
+Right-sided central venous catheter with tip over the distal SVC. A right-sided chest tube is in unchanged position. There is a small right apical pneumothorax. The heart is normal in size. The left lung is free of focal consolidations. There is a small right pleural effusion. Again noted is a mass in the right perihilar region. Again noted is a small nodular opacity in the right upper lung zone.,"1. Small right apical pneumothorax with a right-sided chest tube in place. 2. Small right pleural effusion. 3. Small nodular opacity in the right upper lung zone. Again, recommend follow-up chest x-ray after resolution of acute symptoms.",1.2.826.0.1.3680043.8.498.83516146672309436452938045799671310534
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.56013984251940931267199496849589134103
+There is cardiomegaly. No evidence of edema or focal airspace consolidation. No pleural effusions. No evidence of pneumothorax.,Cardiomegaly without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44161611983774940872988167613223380431
+Normal cardiothymic silhouette. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of significant lung hyperinflation. Visualized osseous structures appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.63947749629919620224966800773401230177
+"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild bibasilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.64957596236396350174461790646725569025
+The heart is normal in size. The aorta is tortuous. The lungs are clear. No pneumothorax. No acute rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10298636900255711780921063154968395914
+Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Left base atelectasis. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.14758419044880240356267922333586786798
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.28262105064740213229799714050037867808
+There is a new focal area of consolidation in the left lower lobe. There is also a new area of increased density at the right lung base. No discrete acute bony abnormality. Heart size is stable. Elevation of left hemidiaphragm is again noted.,1. New left lower lobe consolidation. This could represent an area of atelectasis or airspace disease. 2. New right basilar atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.30991579009713547450252618324880422345
+Dual lead pacemaker has been placed from the left. Leads in the region of the right atrium and right ventricle. Negative for heart failure. Lungs are clear without infiltrate or effusion. No pneumothorax.,Interval pacemaker placement. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.63792681778950558454952478904976346393
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76634164663104715272251545721889365650
+"There is a right-sided peripherally inserted central venous catheter noted with the tip in the superior vena cava. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Atherosclerotic changes are noted in the aorta. There is a small right pleural effusion with blunting of the right costophrenic angle. No lung mass, parenchymal infiltrate or pneumothorax is seen. There is thoracic dextroscoliosis.",Right PICC line in good position. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.21449364727603532916685400104034648177
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. There is a left shoulder replacement.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.97258290136378841902885796352555211398
+The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings may reflect mild interstitial edema. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Vascular congestion noted. Increased interstitial markings may reflect mild interstitial edema.,1.2.826.0.1.3680043.8.498.70974747027403479984497581147964314921
+The heart size and mediastinal contours are stable. There is chronic scarring and volume loss in the left upper lobe with associated pleural thickening. The right lung is clear. There is no pleural effusion or pneumothorax. The bones appear unchanged.,Stable postoperative changes in the left upper hemithorax. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12437681165064198853072367858790300449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58422418666233887701070277682777034442
+The lungs are clear. No pneumothorax is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.56923590361072252220599786629905012999
+Endotracheal tube is 3.5 cm above the carina. Right central venous catheter tip is in the lower SVC. There is no pneumothorax. Linear densities in the left lower lung are suggestive for atelectasis. Heart size is within normal limits and stable. No evidence for a pleural effusion.,Stable chest radiograph findings. No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49328888274005080045383041493401973418
+The lungs are well-expanded. The interstitial markings remain increased bilaterally. Areas of confluent density are slightly less conspicuous today. The cardiac silhouette remains enlarged. The pulmonary vascularity is less engorged and more distinct. The patient has undergone previous CABG. There is no pleural effusion.,Slight interval improvement in the appearance of the pulmonary interstitium consistent with improving interstitial edema and pneumonia.,1.2.826.0.1.3680043.8.498.44923303875747302273402658783316869173
+Linear atelectasis or scarring at the left lung base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50358282629973644361542658477718144408
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82899086099780862528481077114494912558
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64502769297295786366106623743151661175
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88751825001772421835267444350991741122
+The lungs are clear. Mediastinal contours appear normal. The heart is mildly enlarged. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.47512465553483723798842170078954851648
+There is chronic cardiomegaly with slight pulmonary vascular prominence. The pulmonary vascularity is normal. The patient has taken a shallow inspiration. There is slight atelectasis at the right lung base posterior medially. No effusions. No acute osseous abnormality.,No acute abnormalities. Chronic cardiomegaly.,1.2.826.0.1.3680043.8.498.40550044013538450026207043992387270047
+The heart size is normal. The lungs are clear. There is no edema or effusion to suggest failure. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36895016524846130175468248836142093484
+There is peribronchial thickening centrally. No focal consolidation or pleural effusion. Normal heart size. No pneumothorax.,Peribronchial thickening consistent with viral illness. No focal pneumonia.,1.2.826.0.1.3680043.8.498.27186690360350538180754656492414692263
+The heart is mildly enlarged. The pacemaker is grossly normal. The lungs are grossly clear. No pneumothoraces or effusions are seen.,Cardiomegaly. No CHF.,1.2.826.0.1.3680043.8.498.34902437411078492090525249993556208167
+The lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64721582038011430453748691225244782238
+There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.51377942594133284176624788706764212001
+Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16179088828899009098795353095825422028
+"Endotracheal tube is 2.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. The heart is normal in size. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Endotracheal tube 2.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm in the stomach. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.91734676383748039273290403875018270784
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28211492982660503053715088646067761782
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.96912894227226099518461495967499125365
+No displaced left-sided rib fracture is noted. No pneumothorax. Left axillary surgical clips are noted.,No acute findings.,1.2.826.0.1.3680043.8.498.33681605592762174621136452512694533724
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40260733639917945464193121559332924845
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.11377870334481841669942207961914717476
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99929082929880738513262974236315527389
+Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Mild bilateral pleural effusions are noted with associated atelectasis or edema. Bony thorax is unremarkable.,Mild bilateral pleural effusions with associated atelectasis or edema. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.23730604726703790309350938021145508463
+"Low lung volumes. Mild linear scarring or atelectasis at the left lung base. The lungs are otherwise clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58928812426631057818194406833764977468
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.89119144680604722151043105133955854891
+"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Calcified atherosclerosis of the aortic arch. Nodular and interstitial opacity appears stable since 4020. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No acute osseous abnormality identified. Negative visible bowel gas pattern.",Stable since 4020. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44579021226564651666072088216313139900
+Lungs are adequately inflated without focal consolidation or effusion. There is no evidence of a pneumothorax. Stable position of a left-sided dual lead pacemaker. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine. Surgical clips are present over the left axilla.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40982605781613018642218447434936449345
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.58217903217332722706800194684906339917
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99306901245728933693099951019879972846
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20672611071581450940662722134414641226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74400858757386117899246492150674930795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86609078629482892575610222888658431617
+There is elevation of the left diaphragm. There is atelectasis at the left lung base. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.45802144734483533760968305049736492590
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is mildly engorged and indistinct. The heart is enlarged. No significant osseous abnormality is appreciated.",Cardiomegaly with mild interstitial edema.,1.2.826.0.1.3680043.8.498.77897185527291997935893746524712346098
+There is peribronchial thickening. Faint right upper lobe opacity is compatible with pneumonia. The left lung appears clear. No pleural effusion. No significant hyperinflation. Heart size is normal.,Right upper lobe pneumonia. This is compatible with pneumonia.,1.2.826.0.1.3680043.8.498.56429112534216326615488795401750442496
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41137702032178924981105237656038647871
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52421447915112438059918257516721718763
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.57829640875691537012616019096871548816
+The UAC and UVC are stable. The UVC tip is in the left upper abdomen. The UAC is tip at the T7 level. The lungs demonstrate improved aeration with resolving airspace disease. Heart size is normal. Bowel gas is unremarkable.,Improved lung aeration with resolving airspace disease.,1.2.826.0.1.3680043.8.498.75388620977226762619249015291524115834
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28964817190458374482520177401892139391
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.82757706418668239543870185352081588606
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16427907819880956503431213771425823987
+Patchy bilateral airspace disease. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.12178733620597524344807399115505259842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95587927543270430161545999950215476550
+Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. There is mild peribronchial cuffing. No focal consolidation. No pleural fluid. No pneumothorax.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.48180059975445868030513994322019571260
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94547281064759464538791609250831415605
+An endotracheal tube is now present with the tip approximately 2.5 cm above the carina. There is again noted increased density at the right base compatible with atelectasis and effusion. The left lung is clear. The heart is enlarged.,Please see above.,1.2.826.0.1.3680043.8.498.54236198078298845143034475904127663985
+"There is a left-sided pacemaker generator noted with atrial and ventricular leads in place. The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. Atherosclerotic changes are noted in the aorta. The right lung is free of infiltrate. There is a patchy infiltrate at the base of the left lung. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Left basal infiltrate. Cardiomegaly.,1.2.826.0.1.3680043.8.498.53698727618540109151628911851496730966
+"Median sternotomy wires and numerous sternal clips are noted. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is a chronic interstitial pattern to the lung, with superimposed basilar fibrotic changes. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Chronic interstitial lung disease with basilar fibrotic changes. No acute infiltrate.,1.2.826.0.1.3680043.8.498.17104816667813555648051204016093943105
+Cardiac shadow remains enlarged. Aortic calcifications are again seen. Increasing left-sided pleural effusion is noted as well as left basilar atelectasis. The right lung remains clear. No bony abnormality is noted.,Increasing left basilar atelectasis and left-sided pleural effusion.,1.2.826.0.1.3680043.8.498.61321019236972283007859598803607961476
+"Feeding tube with tip at the stomach. Normal heart size and stable mediastinal contours. Low lung volumes with mild interstitial crowding. There is no edema, consolidation, effusion, or pneumothorax.",No acute or focal finding.,1.2.826.0.1.3680043.8.498.87491016229671755130844047113100481059
+The heart is enlarged. The lungs are under aerated with bibasilar atelectasis. No pneumothorax. No pleural effusion.,Cardiomegaly. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.68667331281243389382514135577950288417
+There is airspace consolidation in the left base. There is patchy infiltrate in the right base. There is a small left pleural effusion. There is cardiomegaly with pulmonary vascularity normal. Patient is status post coronary artery bypass grafting. No adenopathy. There is atherosclerotic change in the aorta. No bone lesions.,Airspace consolidation in the left base consistent with pneumonia. Patchy infiltrate right base may represent atelectasis or pneumonia. Small left pleural effusion. Stable cardiomegaly. Postoperative changes noted. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.28541577699225329134156193864666764617
+Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ central line tip projects over the SVC. Heart size is accentuated by AP semi upright technique. Lungs are low in volume with bibasilar atelectasis.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94346957924747810629342029017605915097
+The ETT terminates 2 cm above the carina. The NG tube terminates below today's film. No pneumothorax. Cardiomegaly. The hila and mediastinum are unchanged. Persistent pulmonary edema. Small effusions with underlying atelectasis.,1. The ETT terminates 2 cm above the carina. 2. Persistent pulmonary edema.,1.2.826.0.1.3680043.8.498.17430086728032760692726203440808189829
+There is cardiomegaly with congestive heart failure and bilateral pleural effusions. The left PICC line is unchanged.,Congestive heart failure with bilateral effusions.,1.2.826.0.1.3680043.8.498.73459761869824156075006300675781959210
+The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10106617976503723616941034243946102292
+Postoperative changes in the mediastinum. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. Blunting of the right costophrenic angles suggesting pleural effusion or pleural thickening. No pneumothorax. Mediastinal contours appear intact. Old bilateral rib fractures. Degenerative changes in the spine and shoulders.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96465022210562260108720980584939049033
+The heart is enlarged. There is no heart failure. There is mild atelectasis in the right lung base.,Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.33185001731806347992729955899492396367
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62336806318535808709552539557681033989
+"Stable cardiomegaly and mediastinal contours. Stable lung volumes. No pleural effusion, pulmonary edema, pneumothorax or consolidation. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.96859924870076590596449553756846539121
+"Heart is borderline in size. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.49999779334479765748971142611073128123
+Mild prominence of the cardiac silhouette and hila. Mild peribronchial thickening. No gross pneumothorax. Focal left lower lobe opacity. No acute fracture.,"1. Focal opacity within the left lower lobe, suspicious for pneumonia. 2. Mild peribronchial thickening, which may represent bronchitis.",1.2.826.0.1.3680043.8.498.17504070116610731722329295095865229300
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85422997764394428032566632307904684417
+"Endotracheal tube is now noted, with distal tip 2.8 cm above the carina. There is continued opacification of the left hemithorax, with shift of the mediastinal contents to the left. There is continued hypoventilatory change of the right lung. The cardiomediastinal silhouette is not well seen. The pulmonary vascularity is not well seen. There is no evidence of a pneumothorax. There is no evidence of new consolidation or new pleural effusion.","Endotracheal tube is now noted, with distal tip 2.8 cm above the carina. Continued opacification of the left hemithorax, with mediastinal shift to the left. No evidence of pneumothorax.",1.2.826.0.1.3680043.8.498.67165377737768134651069538720926427107
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.23373585615169241780058397870939151274
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is a linear density in the right upper lobe, consistent with disk atelectasis. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Right upper lobe disk atelectasis. No acute infiltrate.,1.2.826.0.1.3680043.8.498.48323272294888877232012084024675931319
+"Status post excision of the left axilla. The radioactive seed and biopsy marker clip are present, completely intact, and were marked for pathology.",Specimen radiograph of the left axilla.,1.2.826.0.1.3680043.8.498.32861836915477174658243562069444795335
+Postoperative changes in the mediastinum. Normal heart size and pulmonary vascularity. Blunting of the right costophrenic angles suggesting small right pleural effusion. No focal airspace disease or consolidation in the lungs. No pneumothorax. Degenerative changes in the spine and shoulders.,Small right pleural effusion. No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.13997529994273637155520653379163625407
+Cardiac and mediastinal contours are within normal limits given portable AP technique. There is consolidation in the right mid and lower lung. The left lung is clear. No pneumothorax or pleural effusion.,Right mid and lower lung airspace opacities suggesting pneumonia.,1.2.826.0.1.3680043.8.498.28177165542851184368478175065510239210
+Stable large left hilar mass. No pneumothorax. Stable mildly enlarged cardiac silhouette. Diffuse prominence of the interstitial markings with mild progression. Stable mild diffuse peribronchial thickening.,1. Stable large left hilar mass. 2. No pneumothorax. 3. Mildly progressive mild chronic interstitial lung disease and mild chronic bronchitic changes.,1.2.826.0.1.3680043.8.498.22890186254153544181492611516506578569
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47225535162205333486440605865152714672
+Endotracheal tube is 3.5 cm above the carina. There is complete opacification of the left hemithorax with shift of the mediastinum to the left. Appearance is compatible with atelectasis of the left lung. The patient has a known left upper lobe mass. The right lung shows interstitial prominence without focal consolidation. No evidence of pneumothorax.,Endotracheal tube is 3.5 cm above the carina. There is complete opacification of the left hemithorax with left lung atelectasis secondary to the left upper lobe mass.,1.2.826.0.1.3680043.8.498.26533439734017111749030840143197120158
+The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and stable. There is mild tortuosity of the thoracic aorta. The lungs are clear. No pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.61736228688745039552333417079100907024
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.20622770128701984527708237070737686354
+The patient has developed right lower lobe atelectasis or pneumonia. Lung volumes are low. The patient is status post median sternotomy for CABG. Heart size is normal.,1. New right lower lobe atelectasis or pneumonia. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.88408423069651136169367507948783094548
+There is some peribronchial thickening which can be consistent with bronchitis. No focal consolidation is seen. There is no effusion. The heart is normal in size. The lungs are otherwise clear.,Bronchitis. No focal consolidation.,1.2.826.0.1.3680043.8.498.42997524437399915161468032091474739864
+"The umbilical venous catheter tip is in the right atrium, approximately 1.5 cm from the IVC/right atrial junction. The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The stool and bowel gas pattern is within normal limits. There is no gross organomegaly. There is no evidence of pneumothorax or pleural effusion bilaterally.",Umbilical venous catheter tip in the right atrium. Please pull back approximately 1.5 cm.,1.2.826.0.1.3680043.8.498.91748025457047002043534162238915211885
+The heart size is normal. Lung volumes remain low. Subsegmental atelectasis is again noted at the left base. New atelectasis is present at the right base. There is no edema or effusion. No other focal airspace disease is present. The visualized soft tissues and bony thorax are unremarkable.,1. Low lung volumes and bibasilar atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20981032697805973877026675841170612732
+Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42553175163580849565319452157365689266
+"There is increased density at the lung base on the left. The heart is not enlarged. There is no edema, effusion or pneumothorax. The bones are osteopenic. Azygos lobe is incidentally noted.",Left lower lobe pneumonia. Followup is recommended.,1.2.826.0.1.3680043.8.498.29778153889374942828015337328569468507
+The NG tube has been removed. The right subclavian Port-A-Cath is stable. The heart remains enlarged. The right hemidiaphragm remains elevated with overlying atelectasis. Mild left basilar atelectasis is stable. No pneumothorax.,1. Removal of NG tube. 2. Stable bibasilar atelectasis. 3. Elevated right hemidiaphragm.,1.2.826.0.1.3680043.8.498.54185393013640348044663795664473404406
+Right PICC line is in place. The tip is in the SVC. Lungs are clear. Heart is normal size. No effusions. No acute bony abnormality.,Right PICC line tip in the SVC.,1.2.826.0.1.3680043.8.498.34681606026579828449113673448447568591
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16103395766305188897721840717851086409
+There are low lung volumes. Bibasilar atelectasis present. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.,"Low volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.71406285375392739135477618326140411547
+Central catheter tip is in the superior vena cava. Feeding tube tip is in the stomach. There is a small left pleural effusion with left base atelectasis. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax.,Central catheter tip in superior vena cava. No pneumothorax. Small left pleural effusion with left base atelectasis. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.17259982968856997872980888214659746853
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58200177654497146170599087998259623553
+The lungs are unchanged. No pleural abnormality is seen. The heart and mediastinum are unremarkable. The visualized bony structures are unremarkable. Right-sided dialysis catheter is unchanged.,No significant interval change.,1.2.826.0.1.3680043.8.498.16148468979680683532506514634736038368
+Patchy airspace opacity is noted in the left mid lung and left base regions. Right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Patchy airspace opacity consistent with pneumonia left mid lower lung zones. Right lung clear. Stable cardiac silhouette. There is aortic atherosclerosis. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.10472037755980604842299069797122882871
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28901252051553594222901671030129805856
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.76505822879945865323049337525952928121
+"Portable AP supine view at 9385 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Pacer or resuscitation pads continue to project over the chest. Confluent and indistinct opacity throughout the right lung, most confluent in the right upper lobe. Mediastinal contours remain normal. No pneumothorax or pleural effusion evident on this supine view. No displaced rib fracture identified.",1. Endotracheal tube in good position. 2. New confluent and indistinct opacity throughout the right lung compatible with aspiration. Asymmetric pulmonary edema is less likely.,1.2.826.0.1.3680043.8.498.43221893644197668485733317744850661579
+Cardiomegaly. Status post CABG. No CHF or acute lung process. Pulmonary hyperaeration. Bony thorax intact.,Cardiomegaly. Satisfactory COPD.,1.2.826.0.1.3680043.8.498.54193999772748069905338029230611105042
+"The heart is enlarged. Mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No acute chest findings.,1.2.826.0.1.3680043.8.498.54668919508249857993280319476463163975
+Right Port-a-cath tip is in the SVC. Feeding tube is coiled in the stomach. There is increasing left lower lobe consolidation with a left effusion. Right lower lobe aeration is stable. Right upper lobe mass is again noted. No definite edema. No pneumothorax.,1. Increasing left lower lobe consolidation and left effusion concerning for pneumonia. 2. Stable right upper lobe mass.,1.2.826.0.1.3680043.8.498.91648353193328033117147081712752430982
+There is a new patchy infiltrate in the left midzone. The heart size and vascularity are normal. No effusions. No osseous abnormality.,New infiltrate in the left midzone consistent with pneumonia.,1.2.826.0.1.3680043.8.498.17861024397815123813337487017740218238
+Cardiomegaly with pulmonary venous hypertension. Mild interstitial prominence consistent with interstitial edema. Small right pleural effusion. Findings consistent with CHF. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous hypertension and mild bilateral interstitial prominence suggesting interstitial edema. Findings consistent with CHF. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.40977807171041926663721562284326688772
+Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93843990093099757420922674859564160950
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. Degenerative change thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10091267542253791514239866032909257402
+"The cardiac silhouette is moderately enlarged. Postsurgical changes of the mediastinum are noted. The pulmonary vascularity is within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.52622398826959951541901790879866097022
+Right-sided Port-A-Cath with tip at the cavoatrial junction. There is background of emphysema. Bilateral airspace opacities are identified which have progressed since the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. Partially visualized percutaneous gastrostomy tube in the upper abdomen.,1. Progression of bilateral airspace disease. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.46587355462237287592196926772244839848
+"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.95923864249251260776964948341452775563
+There are persistent low lung volumes with diffuse bilateral air space disease and underlying chronic interstitial changes. No significant change is identified. There is no pneumothorax. The heart size and mediastinal contours are stable.,Stable examination with persistent diffuse bilateral air space disease.,1.2.826.0.1.3680043.8.498.53068691348798208061062011976174809800
+There is some mild central airway thickening. No focal airspace disease or effusion. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.34442235590469869162768378742098760821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19533859321128104070539696789840869194
+There is again noted increased density at the right base compatible with a right pleural effusion. The etiology for the effusion is not identified. No definite pulmonary edema is seen. The heart is mildly enlarged but stable as compared to the prior exam. The chest is hyperexpanded compatible with a history of COPD.,1. Persistent right pleural effusion. 2. The etiology for the effusion is not identified. 3. No new pulmonary infiltrates are seen. 4. Stable cardiomegaly. 5. COPD.,1.2.826.0.1.3680043.8.498.35220599258102495953540863247612920863
+"The cardiothymic silhouette is within normal limits. No focal airspace consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.54142972305584960120648085957617148391
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34994454553338310183953493524643464745
+Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Persistent left lower lobe consolidation. Mild atelectasis at right base. Upper lungs clear. No pneumothorax. Bones demineralized.,Persistent left lower lobe consolidation. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.89263058423846091758859574544431039146
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. There is a right chest port with distal tip overlying the region of the superior cavoatrial junction.",Right chest port in satisfactory position. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.50294484463717903123276693133762077058
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15667916615951503859348811479519643633
+The patient is status post median sternotomy. The heart size is normal. The lung volumes are low. The patient is intubated. The tip of the endotracheal tube is 3.5 cm above the carina. The side port of the NG tube is in the stomach. A mediastinal drain and a left-sided chest tube are in place. There is no pneumothorax. Mild left basilar atelectasis is evident.,1. Status post median sternotomy for CABG. 2. Support apparatus is in satisfactory position. 3. Low lung volumes and left basilar atelectasis. 4. No pneumothorax.,1.2.826.0.1.3680043.8.498.10589277987171762539781631384227136779
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.12616394434453842915677614035406521636
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50620902007070972664014002199621888032
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52100264599326108098688928047970463877
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97112865717286030332793295302773109531
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24638977109630055405799729249579291615
+Low lung volumes. Bilateral perihilar airspace opacities are identified. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Bilateral perihilar airspace opacities which may reflect pulmonary edema versus multilobar pneumonia.,1.2.826.0.1.3680043.8.498.19506847454819295432256343740818740952
+Cardiac shadow is stable. Persistent vascular congestion is noted with patchy diffuse edema similar to that seen on the prior exam. Small bilateral pleural effusions are again noted and stable. No new focal infiltrate is seen. No bony abnormality is noted.,Stable CHF with bilateral effusions.,1.2.826.0.1.3680043.8.498.91907591227955687827414648723594080003
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.78033829536424870917768109628321694559
+Mediastinum and hilar structures normal. Persistent infiltrates noted in the left lung base. These are stable from prior exams. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,Persistent infiltrates noted in the left lung base. These are stable from prior exams.,1.2.826.0.1.3680043.8.498.12420541157576853411888691667130702707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44810279000936880532121921212180162300
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29216274741694925003094298303760916863
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42458306555343623740258959511606246850
+The right-sided Port-A-Cath is in place with the tip at the cavoatrial junction. Heart size is normal. There is no pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.32068685461943392914312254468504351906
+EKG leads project over the patient's chest. There are bibasilar infiltrates and small bilateral pleural effusions. A component of underlying atelectasis is present.,Bibasilar infiltrates and bilateral pleural effusions with no significant interval change.,1.2.826.0.1.3680043.8.498.44854653898120590731626500499221374125
+There is peribronchial thickening and vascular congestion similar to the prior study. Left mid lung scarring is stable. No new consolidation is identified. No pleural effusion. Heart size is normal.,Peribronchial thickening and vascular congestion. No acute findings.,1.2.826.0.1.3680043.8.498.47112415700910327031111182524880791399
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71525460073627484039190695749786517183
+Lung volumes are low. Linear opacity at the left lung base most resembles atelectasis. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Nondisplaced lower sternal fracture not well demonstrated radiographically. Other visible osseous structures appear intact. Negative visible bowel gas pattern.,1. Low lung volumes with mild left lung base atelectasis. 2. Nondisplaced sternal fracture visible radiographically. Other visible osseous structures appear intact.,1.2.826.0.1.3680043.8.498.33478509791843967283140660971992310657
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Left axillary surgical clips.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86930801981790543324810294934029953805
+There is cardiomegaly and pulmonary edema. A right pleural effusion is noted. A dual lead pacing device is in place.,1. Cardiomegaly and congestive heart failure. 2. Right effusion and basilar airspace disease likely reflect atelectasis.,1.2.826.0.1.3680043.8.498.62321328154572707913586563270098000363
+Lung volumes are low. There is no infiltrate or effusion. Port-A-Cath remains in place. Heart size is normal.,Low lung volumes. No acute abnormality.,1.2.826.0.1.3680043.8.498.56685697318394713541553367416733554663
+"Interval development of airspace consolidation in the right lower lobe. Baseline changes of COPD and mild diffuse interstitial thickening unchanged. Emphysematous changes in the upper lobes again noted. Cardiac silhouette normal in size, unchanged. Thoracic aorta mildly atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Small right pleural effusion. Mild degenerative changes involving the thoracic spine.",Right lower lobe pneumonia and associated small right pleural effusion superimposed upon COPD/emphysema.,1.2.826.0.1.3680043.8.498.21145348315726457003141557341605123956
+Left subclavian dual lead pacemaker device is present with leads in the right atrium and right ventricle. No pneumothorax is seen. The heart is mildly enlarged. The lungs appear clear.,1. Left-sided pacemaker. 2. No pneumothorax. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.87338159402201352783900535212547389582
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10674943679488044011711871708691900679
+Linear opacity in the left lung base most consistent with atelectasis. There is a small left pleural effusion. The remainder of the lungs are clear. Cardiac and mediastinal contours are within normal limits. No acute osseous abnormality.,1. Linear opacity in the left lung base most consistent with atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.12429164329372207681258969068182214969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.11700574393088267243691115931099429069
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.91367414296679163188694743052113392391
+"LEFT-sided pacemaker again noted. Cardiomegaly is present. There is a small LEFT apical pneumothorax, which appears decreased from the prior study of 4/30/2023. There is no evidence of mediastinal shift. LEFT basilar atelectasis again noted.","Decreased LEFT apical pneumothorax, now small. Continued LEFT basilar atelectasis.",1.2.826.0.1.3680043.8.498.58464679796521000732721241927173416715
+The heart size and mediastinal contours are within normal limits. Emphysematous hyperinflation of the lungs. Airspace opacities within the right mid and lower lung are improved from the previous exam. No new areas of airspace consolidation. No evidence of significant pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,1. Improving aeration of the right mid and lower lung suggesting improving airspace disease from pneumonia. 2. Emphysematous hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.97309892165420712685896981854926596247
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs are hyperinflated consistent with emphysema. No focal airspace consolidation or pulmonary edema. No pleural effusion or pneumothorax. The bony thorax is intact. Stable scoliosis.,No acute cardiopulmonary findings. Emphysema.,1.2.826.0.1.3680043.8.498.38502967800919800176659230729453648228
+Mediastinum and hilar structures normal. Bibasilar infiltrates noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Bibasilar infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.70113642211851269172522571849788092498
+The lungs are adequately inflated. There is no pneumothorax or pneumomediastinum. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormality. The known right anterior second rib fracture is not visible on this study.,There is no acute cardiopulmonary abnormality. The known right anterior second rib fracture is not visible on this study.,1.2.826.0.1.3680043.8.498.13087255467141992858912770670250768547
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62097464353036339307383119613353863922
+The heart is enlarged. There is aortic atherosclerosis. The pulmonary vascularity is normal. No effusions. No acute bone finding.,Cardiomegaly. Aortic atherosclerosis. No active disease.,1.2.826.0.1.3680043.8.498.76442637465897694629336555171148831587
+Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Left internal dialysis catheter is unchanged in position. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40570954017988414531662137096835880447
+The lungs are adequately inflated and clear. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17088474436409825029121913182121899078
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/27/2002.,1.2.826.0.1.3680043.8.498.45031200882757946955387723500331780898
+There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial lung markings compatible with interstitial edema. A trace RIGHT effusion is observed. The heart is enlarged. The general appearance of the chest is compatible with CHF superimposed on COPD. No pneumonia is identified. Postoperative changes of prior CABG are noted.,The chest shows changes consistent with CHF superimposed on COPD.,1.2.826.0.1.3680043.8.498.87093303311046057134402960974158227641
+The orogastric tube is in place with the tip located in the region of the mid body of the stomach. An umbilical venous catheter is in place and the tip is located in the intrahepatic portion of the inferior vena cava. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild granular pattern with no areas of focal atelectasis or infiltrate seen. No pleural effusions are noted. The bowel gas pattern is unremarkable.,1. Support tubes as above. 2. Mild RDS.,1.2.826.0.1.3680043.8.498.39295732568397581047264281665279238993
+Portable AP semi upright view at 3735 hours. Improved lung volumes and bilateral ventilation. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. Comminuted proximal right humerus fracture re-identified. No other acute osseous abnormality identified. Negative visible bowel gas pattern.,1. No acute cardiopulmonary abnormality. 2. Proximal right humerus fracture.,1.2.826.0.1.3680043.8.498.12936063452314617453241484583009557050
+There is slight atelectatic change in the left base. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,Mild left base atelectasis. No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.14515430391141154825624398913784294437
+Endotracheal tube is 3.5 cm above the carina. Lungs are clear. No pneumothorax. Heart is normal size. No effusions. No acute bony abnormality.,Endotracheal tube in the mid trachea. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78222397294030017684310454349813079938
+The heart is upper limits of normal. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.72979626547026988358379676254845572411
+Cardiac shadow is within normal limits. The lungs are hyperinflated consistent with COPD. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,COPD without acute abnormality.,1.2.826.0.1.3680043.8.498.60472215343716688584882487692203587791
+No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.95614628915624954016479230036071333483
+There is a right lower lobe infiltrate which is slightly more prominent than on the prior study. The left lung is clear. There is no pleural effusion. The heart is normal in size.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58921004542554155765662272829587700997
+Heart size is normal. There is a large hiatal hernia. The left lung is hyperinflated. There is scarring identified at the lung bases. The right lower lobe lung mass appears decreased in size from previous exam. No pleural effusions or interstitial edema.,1. Decrease in size of right lower lobe lung mass. 2. COPD.,1.2.826.0.1.3680043.8.498.30067553253061840864456102047942598815
+"Heart size is upper normal, stable. Overall cardiomediastinal silhouette is stable in size and configuration. Atherosclerotic changes again noted at the aortic arch. Lungs are clear. No evidence of pneumonia. No pleural effusion. No pneumothorax seen. No osseous fracture or dislocation seen.",No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.54161943243622193220196837251895637155
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20670880831623093447324972724725631991
+There is a mid inspiration. There is mild chronic-appearing prominence of the bronchovascular markings of the mid lung fields. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.59527846915264806517251199250581507930
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73677874632078859209675685474625684182
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.35515142786952971229908920503104819200
+The lungs are hypoexpanded. Right basilar airspace opacity may reflect atelectasis or pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Lungs hypoexpanded. Right basilar airspace opacity may reflect atelectasis or pneumonia. Would correlate with the patient's symptoms.,1.2.826.0.1.3680043.8.498.13585394029676638516951447482439570224
+There is opacity at the left lung base which may be due to atelectasis or pneumonia. There is mild atelectasis at the right lung base. Cardiomegaly is noted. Median sternotomy sutures are present.,1. Opacity at left lung base may be due to atelectasis or pneumonia. 2. Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.54688897669667475030004387498772233208
+Right Port-A-Cath is unchanged. Mild cardiac enlargement. Negative for heart failure. Negative for pneumonia or effusion. No mass or lung nodule.,No active disease.,1.2.826.0.1.3680043.8.498.62938945685729301814332668483920814733
+Tracheostomy tube is in place. Left lower lobe atelectasis/consolidation is again noted. There may be a small left effusion. Low lung volumes.,No significant change.,1.2.826.0.1.3680043.8.498.35680855060112279540659646655035979153
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81817080289166649506702730105068207100
+The heart size and mediastinal contours are within normal limits. New atelectasis in the right lower lobe. No pneumothorax. No significant pleural effusion. The visualized skeletal structures are unremarkable.,New right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.97672665096320048402919640594430441790
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81294982199029614902962473273512856940
+Interval extubation. Removal of nasogastric tube. Right-sided Swan-Ganz catheter is unchanged in position. Left-sided chest tube and mediastinal drain remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. No congestive failure. Mild bibasilar atelectasis.,1. Interval extubation and removal of nasogastric tube. 2. No pneumothorax. 3. Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.75728149871575034300478052341311186732
+"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Diffuse peribronchial thickening, which can be seen with reactive airways disease and/or viral pneumonitis. No focal infiltrates to suggest pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.","1. Diffuse peribronchial thickening, which can be seen with viral pneumonitis and/or reactive airways disease. 2. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.43818346383054983060113346721920574249
+There is a patchy infiltrate in the left upper lobe compatible with pneumonia. The right lung field is clear. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is a patchy left upper lobe infiltrate compatible with pneumonia. Follow-up examination until clear is recommended.,1.2.826.0.1.3680043.8.498.40495733019478725252864643924924278484
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There is tortuosity and calcification of the thoracic aorta. There are new bilateral lower lobe infiltrates and small bilateral pleural effusions.",New bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.87460878990512269069837733429933342619
+Cardiac silhouette is mildly enlarged and unchanged. Calcified aortic knob. Mild chronic interstitial changes without pleural effusion or focal consolidation. No pneumothorax. Osteopenia. Soft tissue planes are nonsuspicious.,Stable cardiomegaly. Mild chronic interstitial changes.,1.2.826.0.1.3680043.8.498.16112666309837011618342859851434805885
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.75371943638666169047539251570513989192
+"There is persistent airspace opacity in the right lower lobe, suspicious for pneumonia. There is mild atelectasis at the left lung base. Cardiomegaly is stable. There is no evidence of pneumothorax or pleural effusion.","Stable right lower lobe airspace opacity, suspicious for pneumonia. Stable cardiomegaly.",1.2.826.0.1.3680043.8.498.28747131031536424185732105231826400521
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67882046109481385397934856341232002864
+The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. I see no definite pleural effusion.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.14832866950973966896292328304858666683
+Cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18337812091937807132128005607293384848
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Old rib fractures are noted on the right. No acute rib fractures are noted on the left. No pneumothorax is seen.,No acute rib fracture.,1.2.826.0.1.3680043.8.498.79448553713991858540576398484230741585
+Cardiac silhouette is normal in size. Calcified aortic knob. Similar RIGHT lung base strandy densities. No pleural effusion. No pneumothorax. Redemonstration of RIGHT humerus fracture.,1. No acute cardiopulmonary process. 2. RIGHT humerus fracture.,1.2.826.0.1.3680043.8.498.68829270806731482820788068774794604223
+Postoperative changes in the right hemithorax are again noted. There is volume loss with elevation of the right hemidiaphragm. Scarring in the right upper lung and right base are again noted. Left lung is clear. No effusion. Heart size is normal.,Stable postoperative changes on the right. No acute disease.,1.2.826.0.1.3680043.8.498.42667844079613238597672561598222651081
+Heart size is normal. There is no pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation identified. Chronic interstitial lung changes are identified consistent with COPD.,1. Low lung volumes. 2. COPD.,1.2.826.0.1.3680043.8.498.61884716847375716753492271419966353983
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.48833378339379446509870885567406641188
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.30530968276749602352698734671368746285
+Heart size is normal. There is no pleural effusion. There is improved aeration of the right upper lobe when compared with the previous exam. Persistent atelectasis and airspace consolidation is noted within the right upper lobe. The left lung is clear.,1. Persistent right upper lobe airspace consolidation. 2. Improved aeration of the right upper lobe when compared with the previous exam.,1.2.826.0.1.3680043.8.498.15703960424076011021159241373096575379
+"Right PICC line is in place. The tip is in the mid SVC. Left pacer, tracheostomy tube, and feeding tube are unchanged. Left lower lobe atelectasis and left effusion again noted. No change since prior study.",Right PICC line tip mid SVC. Otherwise no change.,1.2.826.0.1.3680043.8.498.46980053353426127353629820487754235103
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85420101902913771969893310141624609942
+Patient is rotated to the left. There is increased airspace disease in the left mid and lower lung. Cardiomegaly. Right basilar atelectasis. There may be a small left pleural effusion. No pneumothorax. Nasogastric tube is present with the tip not visualized. Severe scoliosis.,1. Interval increase in left lung airspace disease concerning for pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.54049661358893730722449741720117238129
+The lungs are mildly hyperinflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60895074738205721931687629577114930503
+Right arm PICC line is seen with tip overlying the distal SVC. Cardiomegaly. Mild to moderate pulmonary vascular congestion. No evidence of pulmonary consolidation or pleural effusion.,Right arm PICC line in appropriate position. Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.23437900434727018997676828181225179455
+Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are interstitial infiltrates in the mid and lower lungs bilaterally. Osseous structures: Age-appropriate.,Bilateral interstitial infiltrates suggesting chronic fibrotic change. Superimposed pneumonitis cannot be excluded.,1.2.826.0.1.3680043.8.498.66654701829172158923782685257533277078
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.46142292238799732604848195012480224631
+"Heart size is normal. There is a linear density at the right lung base, likely due to platelike atelectasis. A subsegmental infiltrate at this level cannot be excluded. Hilar structures are grossly unremarkable. The costophrenic angles are sharp. Trachea is midline.",Rule out small area of atelectasis or infiltrate at the right lung base.,1.2.826.0.1.3680043.8.498.61404045548433869306233104554947095289
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96457547486408274285783416368502648261
+Low normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No pulmonary edema or confluent pulmonary opacity. Bone mineralization is within normal limits. BB marker at the level of clinical concern projects over the lateral right tenth rib. No displaced rib fracture identified. No acute osseous abnormality identified.,"No acute displaced right rib fracture identified. Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.61692560916709752607355435138902352536
+There is persistent infiltrate at the right base which is improved when compared with the prior study. The lungs are otherwise clear. The heart size and mediastinal contours are normal. There is no pneumothorax.,Improved right basilar infiltrate.,1.2.826.0.1.3680043.8.498.69944067240498899326271035764911301082
+"The heart is enlarged. The lungs are clear. There is no edema, infiltrate, effusion or pneumothorax.",Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.64489138581470750946764445826893281433
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47471760580542017553589623116501304515
+Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.78411743826619297582015892108639214352
+Endotracheal tube is 1 cm above the carina. Diffuse opacities are present throughout the lungs with shift of the mediastinum to the left. The appearance is consistent with diffuse atelectasis of the left lung. The visualized bowel gas pattern is unremarkable.,1. Endotracheal tube 1 cm above the carina. 2. Diffuse left lung atelectasis.,1.2.826.0.1.3680043.8.498.45852720601508831666964085476697455294
+"Stable cardiomegaly. Atherosclerotic calcifications are present in the transverse aorta. Stable mild pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion or focal airspace consolidation. No acute osseous abnormality.",Stable cardiomegaly and mild pulmonary vascular congestion without overt edema. Aortic Atherosclerosis (ICD10-170.0).,1.2.826.0.1.3680043.8.498.61822002540172156926497770713284743099
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.75764237683702961851857714954135797492
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with basilar atelectasis. No pleural effusion or pneumothorax.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with basilar atelectasis.",1.2.826.0.1.3680043.8.498.67611472599969522675384914994134553782
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63222046830563784279998051463838413738
+There is improved aeration of the left lower lobe with residual airspace disease present. There is also a new area of airspace disease in the right lower lobe. The heart is normal in size. A feeding tube is present.,1. Feeding tube in the stomach. 2. Improved left lower lobe airspace disease. 3. New right lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.56653959398140657812189935697642219676
+Interval extubation and removal of NG tube. Left central venous catheter is unchanged. Worsening airspace disease in the right lung. Patchy airspace disease in the left lung is unchanged. Small right pleural effusion. No pneumothorax. Stable cardiomegaly.,Worsening airspace disease throughout the right lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.16168489765447871703720271720727317606
+Endotracheal tube and NG tube are unchanged. Right pleural effusion is decreased following thoracentesis. No pneumothorax. Small left effusion and bilateral lower lobe airspace opacities are unchanged.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.16157217107661615041477104434196740677
+The cardiomediastinal silhouette and pulmonary vascularity are within normal limits. No consolidation or pneumothorax. Visualized bony structures are intact.,No acute pulmonary parenchymal process.,1.2.826.0.1.3680043.8.498.70217381204193202236660754522102850364
+There is airspace consolidation throughout the right mid and lower lung zones as well as in the left base. There are pleural effusions bilaterally. There is interstitial edema throughout the lungs bilaterally. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. Bones are osteoporotic.,Findings felt to be consistent with congestive heart failure. Superimposed airspace consolidation in the bases may represent superimposed pneumonia or alveolar edema. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.10746126165501233070105776913858369243
+"Cardiac silhouette is mildly enlarged. Ectasia and tortuosity of the thoracic aorta is stable. The lungs are well inflated. There is mild central vascular congestion with no evidence of consolidation, edema, pleural effusion, or pneumothorax. There is diffuse osteopenia. Multiple compression fractures are again seen in the thoracic spine. Multiple vertebroplasties are noted.",Stable cardiomegaly and mild vascular congestion. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82855088829088333724780806784676689905
+There is chronic elevation of the right hemidiaphragm. Lungs are clear. No effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.31961891551595294675237826615908775158
+Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax is seen. Osseous structures about the chest are unremarkable.,No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.57139898694719708384878923445457923267
+Endotracheal tube and left central line are unchanged. There is continued left lower lobe atelectasis or infiltrate. No significant change since prior study. Stable cardiomegaly.,No significant change.,1.2.826.0.1.3680043.8.498.73262126996086760881723109728602127839
+"Portable AP semi upright view at 6475 hrs. Stable endotracheal tube tip at the level the clavicles. Stable right IJ central line. Stable enteric tube, side hole projects at the proximal stomach. Continued low lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax or pleural effusion. No pulmonary edema. Mild basilar atelectasis.",1. Stable lines and tubes. 2. Low lung volumes with mild atelectasis.,1.2.826.0.1.3680043.8.498.41329152474049241198908755569843473542
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36118519683316022696212423075049950083
+Low lung volumes are present. The cardiothymic silhouette is prominent and may be related to the low lung volumes. There is bibasilar atelectasis. Mild vascular congestion is suspected but no overt pulmonary edema. No pleural effusions are seen. There is no evidence of pneumothorax. The visualized bony structures appear intact.,Low lung volumes with vascular congestion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.45165951485824954323879210388850216436
+The heart is normal in size. The aorta is tortuous. The lungs are clear. No focal consolidation or mass. No edema or effusions.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10035439625831284027234512759514725328
+Two views of the chest show the lungs to be clear. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.49703587535028892113486608973374253146
+"The cardiomediastinal silhouette is unremarkable. Mild right basilar atelectasis is again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.55125357825229754197926705327875418429
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34212970572274943205961895996620588005
+Endotracheal tube terminates 2.5 cm from the carina. Transesophageal tube tip and side port distal to the GE junction. Right IJ approach central venous catheter tip terminates at the superior cavoatrial junction. Telemetry leads and external support devices overlie the chest. Diffuse bilateral heterogeneous opacities are again seen throughout both lungs with slight interval worsening particularly in the right upper lobe. Suspect layering bilateral pleural effusions. Stable cardiomediastinal contours. No acute osseous abnormality.,Slight interval worsening in bilateral heterogeneous airspace opacities which may reflect pulmonary edema and/or multifocal infection. Lines and tubes as above.,1.2.826.0.1.3680043.8.498.43692046922961810679105895707328233850
+Right internal jugular central venous catheter tip: Right atrium. No pneumothorax. Heart size is at the upper limits of normal. There is pulmonary vascular congestion with diffuse interstitial edema. No definite pleural effusions.,"1. Pulmonary vascular congestion and interstitial edema, suspicious for volume overload. 2. Right internal jugular central venous catheter tip: Right atrium.",1.2.826.0.1.3680043.8.498.78443105880457987349416500084855160215
+"Cardiac silhouette is mildly enlarged. Ectasia and nonaneurysmal calcification of the thoracic aorta are seen. No pulmonary edema, pneumonia, or pleural effusion is seen. There is minimal degenerative spondylosis.",Mild cardiac silhouette enlargement. No acute or active cardiopulmonary or pleural abnormality is evident.,1.2.826.0.1.3680043.8.498.79432625773974360319090090166138234632
+Low lung volumes. Increased opacity at the left lung base. Stable cardiomediastinal contours. Aortic atherosclerosis. No pneumothorax.,Increased left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.35625035077364578938496884182819843031
+Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. No pleural effusions. Degenerative changes throughout the thoracic spine.,No acute cardiopulmonary disease. Stable since the examination 2 months ago.,1.2.826.0.1.3680043.8.498.46805283982525764005921175519547907269
+Endotracheal tube is 1.2 cm above the carina. Umbilical arterial catheter extends to the T7 level. Umbilical venous catheter extends into the right atrium. Normal cardiothymic silhouette. There is diffuse ground-glass opacities throughout the lungs. No consolidation or collapse. No pneumothorax. No effusion. Normal bowel gas pattern.,Ground-glass opacities throughout the lungs consistent with RDS. Satisfactory line and tube placements.,1.2.826.0.1.3680043.8.498.23418078433063792007557904975189918380
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16159483325345070140615280131929043079
+Patchy bilateral airspace disease with mild progression from prior exam. No evidence of pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits.,Patchy bilateral airspace disease with mild progression from prior exam. Findings consistent with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.99741041786881597244708538713451375051
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60110970286248129125516608899367116986
+Right side down decubitus view reveals no evidence for pneumothorax. Nasogastric tube is in place. Endotracheal tube tip is in satisfactory position above the carina. Right jugular central line tip is in the SVC. There is persistent atelectasis at the right lung base with associated right pleural effusion.,No pneumothorax is identified.,1.2.826.0.1.3680043.8.498.93543750320327164161520699628966464655
+The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.41539526326790940493734928239779627651
+"Elevation of the right hemidiaphragm. Low lung volumes. The cardiomediastinal contours are normal. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Elevation of right hemidiaphragm with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.15781602681461673855455950614572743763
+Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild basilar infiltrates cannot be excluded. Small left pleural effusion cannot be excluded. No pneumothorax. Heart size normal. No acute bony abnormality.,1. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion cannot be excluded. 2. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.88368926264516128100957901800494201732
+The lungs are adequately inflated. There is a small amount of pleural fluid on the right. There is no pneumothorax. The cardiac silhouette remains enlarged. The sternal wires are intact. The retrosternal soft tissues are normal. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormalities.,Improving appearance of the sternum. Small right pleural effusion and mild basilar atelectasis. No pulmonary edema.,1.2.826.0.1.3680043.8.498.41801367112874091031088647175808709053
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.60629211793352477281679763608232404437
+"The umbilical vein catheter tip is now in the mid right atrium, approximately 12 mm above the inferior cavoatrial junction. Endotracheal tube and orogastric tube remain in appropriate position. Diffuse granular pulmonary opacity is unchanged consistent with mild RDS. The bowel gas pattern is normal.","1. Umbilical vein catheter tip now in mid right atrium, approximately 12 mm above the inferior cavoatrial junction. 2. Mild RDS, without significant change. Normal bowel gas pattern.",1.2.826.0.1.3680043.8.498.76388700985397583657937052306833282786
+"Single frontal view of the chest demonstrates stable enlargement of the cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.33306714362359020098340284934846211234
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75691671217348060630426063341148267791
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.47461470152368137774185097492783982620
+"An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The bowel gas pattern demonstrates mild diffuse gaseous distention with no areas of focal bowel loop distention, pneumatosis, free intraperitoneal air, or portal gas. Gas is identified to the level of the rectum.",Mild diffuse gaseous distention with no evidence for focal abnormality.,1.2.826.0.1.3680043.8.498.19668429142168753100673229278693254541
+Cardiomediastinal silhouette is enlarged. Mediastinal contours appear intact. Left-sided cardiac pacing device is unchanged. Post CABG changes are again seen. There is a moderate right pleural effusion with associated atelectasis. Underlying airspace consolidation cannot be excluded. There is no evidence of pneumothorax. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,Moderate right pleural effusion with associated atelectasis. Underlying airspace consolidation cannot be excluded. Enlarged cardiac silhouette.,1.2.826.0.1.3680043.8.498.23644418250933489145849200186204868783
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a calcified granuloma at the left lateral base. The bones are normal in appearance.",No acute process.,1.2.826.0.1.3680043.8.498.44461702870943306165331580855288626574
+Interim removal of left chest tube. Right IJ sheath in stable position. Prior CABG. Cardiomegaly. Low lung volumes with basilar atelectasis. Small left pleural effusion cannot be excluded. No pneumothorax.,1. Interim removal of left chest tube. No pneumothorax. 2. Low lung volumes with basilar atelectasis. Small left pleural effusion cannot be excluded. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.58031700487156463043191422810424953984
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91434701742602479411199497062169432739
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. There is improvement in the bilateral infiltrates compared with the prior study.",No acute pathology. Improvement in bilateral infiltrates,1.2.826.0.1.3680043.8.498.24271376957102032595988403445184674685
+"There is a large right pleural effusion, increased since prior study. There is right lower lobe atelectasis. Heart is mildly enlarged. No confluent opacity on the left.",Large right pleural effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.64327617391059638863306946803125029394
+There is a left chest wall pacer with lead in the right ventricle. The heart size is normal. There is no pleural fluid or pulmonary edema. Chronic interstitial change consistent with COPD is noted. There is atelectasis at the left lung base.,1. No evidence for heart failure. 2. COPD.,1.2.826.0.1.3680043.8.498.19113816377706424474126013287401366497
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26842024209783475411810788093561074515
+The cardiomediastinal silhouette is moderately enlarged. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.23045123140429713020541033437262032698
+"Normal heart size and mediastinal contours. Peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.95658473592273224122733780728991439649
+Right upper extremity PICC line is present with tip projecting over the superior vena cava. Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Tortuosity of the thoracic aorta. Minimal heterogeneous opacities right lung base. No pleural effusion or pneumothorax.,Right upper extremity PICC line tip projects over the superior vena cava. Heterogeneous opacities right lung base favored to represent atelectasis.,1.2.826.0.1.3680043.8.498.49073037739958172174110664158405076385
+There is a focal opacity at the left lung base which obscures the left hemidiaphragm. This is consistent with a combination of pleural fluid and atelectasis/consolidation as seen on prior CT. There is a small right pleural effusion. Chronic interstitial coarsening is present. No superimposed edema is identified. There is no pneumothorax. The bones are osteopenic. There is a severe thoracolumbar scoliosis. The heart size is normal.,"1. Small bilateral pleural effusions, left greater than right. 2. Left lower lobe opacity which is likely a combination of pleural fluid and atelectasis/consolidation as seen on prior CT.",1.2.826.0.1.3680043.8.498.23560910416252958069560737192376964700
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.32110843462134275801645122992540152419
+Right IJ central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs are clear. The heart is normal in size.,Right IJ catheter tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.85717023393282855981782198245205580146
+There is linear atelectasis at both lung bases. Linear atelectasis is noted in the right mid lung. No pneumonia or effusion is seen. The heart is within upper limits of normal. Thoracolumbar Harrington rods are present.,Bibasilar linear atelectasis or scarring. No active lung disease.,1.2.826.0.1.3680043.8.498.80617707177825992016461201239883280977
+Trachea is midline. Heart is at the upper limits of normal in size. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.86762348175706194917847173172468757872
+The heart is enlarged. There is elevation of the right hemidiaphragm. There is linear atelectasis at the right lung base. The lungs are otherwise clear. The visualized soft tissues and bony thorax are unremarkable.,1. Cardiomegaly without failure. 2. Elevated right hemidiaphragm and right basilar atelectasis.,1.2.826.0.1.3680043.8.498.17665290096193273486582037563279283478
+There is diffuse interstitial prominence throughout both lungs. Patchy airspace opacities are noted most pronounced in the right upper lobe and left base. There are probable small bilateral effusions. Heart is normal size.,Worsening bilateral airspace disease. Probable interstitial edema. Cannot exclude pneumonia.,1.2.826.0.1.3680043.8.498.97494478821852257560163421634149601804
+Right arm PICC line is seen with the tip in the proximal right atrium. Low lung volumes are noted. Both lungs are clear. Heart size is normal.,1. Low lung volumes. No acute findings. 2. Right arm PICC line tip in proximal right atrium.,1.2.826.0.1.3680043.8.498.67642196763060209633138224670737245319
+The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.96015154228307117055760997612628235909
+Lung volumes at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Evidence of central peribronchial thickening. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,Hyperinflation and central peribronchial thickening most compatible with viral airway disease in this setting.,1.2.826.0.1.3680043.8.498.34316637285664280699122377296267047426
+Cardiomegaly is present as seen on the previous study of 11/4/4. There is no definite interstitial edema. No effusion is present. Vertebroplasty changes are noted.,1. Stable cardiomegaly. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52489145977415138343300551077651078135
+There is scarring in the right upper lobe and left base which is stable. No acute infiltrate or pleural effusion. Heart size is normal. No edema.,Stable scarring bilaterally. No acute findings.,1.2.826.0.1.3680043.8.498.65654681330323824200926164212889180032
+Right chest tube has been removed. There is no pneumothorax. Linear atelectasis in the right mid and lower lung is present. There is also atelectasis at the left lung base. No significant pleural effusion.,Removal of right chest tube. No pneumothorax. Bilateral atelectasis.,1.2.826.0.1.3680043.8.498.30192767375622093121637395800414975869
+"Portable semi upright AP view 6609 hours. Extubated. Enteric tube removed. Swan-Ganz catheter remains in place, tip at the level of the main pulmonary artery. Left chest tube and mediastinal drain remain in place. No pneumothorax. Stable cardiac size and mediastinal contours. Mild atelectasis at the lung bases. No pulmonary edema or pleural effusion.","1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. Mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.13766127030677841449620513574146647453
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bullet fragment.,No acute disease.,1.2.826.0.1.3680043.8.498.84400934157149784489776984123870107046
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. An endotracheal tube is noted in satisfactory position. A nasogastric catheter is noted extending into the stomach. The visualized upper abdomen is otherwise within normal limits. No bony abnormality is seen.,Tubes and lines as described above. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.73914665732056521605936101165664893026
+Endotracheal tube is 2.5 cm above the carina. Right central venous catheter is unchanged in position. Shallow inspiration. Heart size and pulmonary vascularity are normal. Increasing consolidation in the right lung since previous study. This is likely due to atelectasis. No pneumothorax. No blunting of costophrenic angles.,Increasing consolidation in the right lung since previous study likely due to atelectasis.,1.2.826.0.1.3680043.8.498.39835627922466433152944556400853271369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97886763683045106306019837157604815198
+"The umbilical venous catheter tip is in the inferior vena cava. The umbilical arterial catheter tip is at the T7 level. The orogastric tube has been removed. The interstitium is mildly prominent, but appears stable. No consolidation or volume loss. The cardiothymic silhouette is normal. No pneumothorax. No adenopathy. No bone lesions.",Suspect mild RDS. No consolidation. No pneumothorax. No change in catheter positions.,1.2.826.0.1.3680043.8.498.42518712889192747804711621545785874391
+PA and lateral chest radiographs are provided. There is a small right pleural effusion. There is no pneumothorax. There is right lower lobe airspace disease which may represent atelectasis versus infiltrate. The left lung is clear. There is a left-sided Port-A-Cath in unchanged position. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,No right pneumothorax status post right thoracentesis.,1.2.826.0.1.3680043.8.498.95114215553586766779632291061953588850
+UVC tip is at the IVC right atrial junction. Normal bowel gas pattern. No pneumatosis or portal venous gas.,UVC at the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.67899423199445934963893432710689523270
+Tracheostomy appears appropriately positioned in the mid trachea. Left upper extremity PICC tip terminates in the mid SVC. Heart size is normal. Patchy airspace opacities are present in the right lung base. Small right pleural effusion is suspected. No pneumothorax.,1. Tracheostomy appears appropriately positioned. 2. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.40281501171139945925813408206365343785
+Artifact overlies the chest. The heart is enlarged. There is calcification of the aorta. There appears to be emphysema. There is abnormal density in both lung bases that could be due to atelectasis and/or pneumonia. The upper lungs are clear. No evidence of heart failure.,Cardiomegaly. Atelectasis and/or pneumonia in the lower lungs.,1.2.826.0.1.3680043.8.498.64805469776928443929078236729114023195
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.87675260079571461815788021640817892666
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35659705555891189987944271831715360058
+Right jugular CVP catheter tip is in the SVC. No pneumothorax. Query mild to moderate vascular congestion.,"Specifically, the CVP catheter is in the SVC.",1.2.826.0.1.3680043.8.498.10908832807990871091492898400744986618
+There is increased density at the left base compatible with pneumonia or atelectasis. There is blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The heart is mildly enlarged. No pulmonary edema is seen. A cardiac pacemaker is present. Postoperative changes of prior CABG are noted.,1. There is increased density at the left base compatible with atelectasis or pneumonia. 2. There are small bibasilar pleural effusions. 3. No pulmonary edema is seen. 4. The heart is mildly enlarged. 5. A cardiac pacemaker is present.,1.2.826.0.1.3680043.8.498.99761781363265700999972820958128911805
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.88354184437926007463781431535748527229
+There are small to moderate bilateral pleural effusions. The interstitial edema seen on the prior exam has improved. There is no pneumothorax. Hazy airspace opacities at both lung bases likely reflect atelectasis. There is no acute osseous abnormality. The heart size is normal.,1. Persistent small to moderate bilateral pleural effusions with adjacent atelectasis. 2. Decreasing pulmonary edema since prior exam.,1.2.826.0.1.3680043.8.498.21585497187346725671894445303368939931
+The lungs are hyperinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.45953479062477953058799145406667862810
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.93758269812559089289069685963375028587
+"The umbilical venous catheter tip is at the T7-8 level, approximately 1.5 cm above the inferior cavoatrial junction. The orogastric tube is stable. The heart and lungs are unchanged.",1. UVC position as above. 2. Stable heart and lungs.,1.2.826.0.1.3680043.8.498.98562285471396177745464404270275745781
+There is linear atelectasis or scarring at the right lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.51765641684698167778516520061103769145
+There is thickening of the interstitial markings as well as peribronchial cuffing. An area of increased density projects within the LEFT lung base. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,"1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate, LEFT lung base. 3. Repeat surveillance evaluation is recommended if clinically warranted.",1.2.826.0.1.3680043.8.498.55527318602179294975633404855871728894
+The heart is enlarged. There is a left pleural effusion and left lower lobe opacity which may represent atelectasis or infiltrate. The right lung is relatively clear. There is a possible 1 cm nodule at the right lung base. I would recommend a follow-up 2-view chest when possible.,"1. Cardiomegaly. 2. Left lower lobe process likely a combination of effusion, atelectasis and infiltrate. 3. Possible right lower lobe nodule. Recommend follow-up 2-view chest when possible.",1.2.826.0.1.3680043.8.498.66889198710608147118080303289234363083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58577030149736389363964143191715255638
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69613226067284446491252155018838527244
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.33884694559198174166270216269574120410
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.22205025904289807320753384033800097876
+Patchy airspace disease is seen in the right upper lobe and left lower lobe. No evidence of pleural effusion. Heart size is normal.,"Bilateral airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.76539185478648532033401095745154039776
+Two views of the chest demonstrate small bilateral pleural effusions. No evidence for pulmonary edema. Heart size is stable. Prior CABG changes. No evidence for a pneumothorax. Degenerative changes in the thoracic spine.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.17776388832901145351694011965396916857
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28984253437156041973527981143742864203
+Trachea is midline. Heart size normal. There is mild interstitial prominence with slight improvement from 9/11/2017. No pleural fluid.,"Improving mixed interstitial and airspace disease, likely representing a viral process.",1.2.826.0.1.3680043.8.498.17986217945554418500195777712104047921
+No pneumothorax post thoracentesis. Right pleural effusion has improved. Small left effusion persists. There is left upper lobe atelectasis. There is also some atelectasis in the right upper lobe.,1. No pneumothorax post thoracentesis. 2. Improved right effusion.,1.2.826.0.1.3680043.8.498.39513135437430325829006196016537686496
+The cardiac silhouette remains mildly enlarged. Small bilateral pleural effusions are present with associated bibasilar airspace opacities. No pneumothorax is evident. No acute osseous abnormality is seen.,1. Small bilateral pleural effusions with associated bibasilar atelectasis. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.38855217639635175997924542398515124562
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48513300101075371387240751796795699199
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84275163729166082604740965154277149613
+"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is normal. Orogastric tube is seen with tip in the mid stomach.",Umbilical vein catheter and orogastric tube in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.85387755497765803065587972955693353590
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61752538832506480872290028719531149773
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48175678569459235644928088168520306150
+There is cardiomegaly. The pulmonary vascularity is normal. There is a focal density in the right midzone which probably represents a focal infiltrate. There is no pleural effusion. No significant bony abnormality.,"Cardiomegaly. Small focal density in the right midzone, probably a focal infiltrate. Follow-up chest x-ray is recommended to ensure clearing.",1.2.826.0.1.3680043.8.498.23789593860615300706539201543933932998
+There is cardiomegaly. Bilateral pleural effusions are noted. There is vascular congestion with mild interstitial edema. Atelectasis is noted in the lung bases. There is no acute bony abnormality. Multiple surgical clips are seen in the right axilla.,Cardiomegaly with bilateral effusions and bibasilar atelectasis. Findings are most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.36334963901599301738486520145126485404
+Left-sided pacemaker overlies normal cardiac silhouette. Aorta is ectatic and calcified. Moderate cardiomegaly is unchanged. Lungs are clear. No pneumothorax. No evidence of fracture.,1. No acute cardiopulmonary process. 2. Stable cardiomegaly. 3. No acute findings.,1.2.826.0.1.3680043.8.498.12828966024565300798996471710139629232
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. No bony abnormality is seen.",No acute process.,1.2.826.0.1.3680043.8.498.29790920716082079227658845492242895711
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Degenerative changes of the visualized thoracolumbar spine.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37275492972956012345891951837432475881
+Heart and mediastinal contours are within normal limits. There is mild hyperinflation. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17355629869560454782852731429663566980
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81352811874821856216852872451209139537
+The lungs are well-aerated. Mild right basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.,Mild right basilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.77222611534662873109264203965470245118
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38647853755974050357364523169362746866
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63719590681268999828345924020197990487
+There is dense airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.93907098502048828524580260805753634744
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77334918552297083058275210614184444742
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30282534902081267691905585877646663722
+Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.48404376424714641293865081394218825577
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56521005179595136483659058234366672915
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.50989596046743376098468080801043577287
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.41321630414697723450248003947928788007
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44464637600888974351978583564318029036
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50454913776891686894315896448957170646
+"Endotracheal tube, OG tube, UVC, and UAC are unchanged. Lungs are clear. No effusions. Cardiothymic silhouette is within normal limits.",No change. No focal opacities.,1.2.826.0.1.3680043.8.498.52362211988420742048722249070414570074
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53074292160209933229163368493594185190
+There is subsegmental atelectasis at both lung bases. No evidence of pulmonary edema or consolidation. No evidence of pleural effusion. Heart size is within normal limits.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84356310983413201767814825335010459802
+There is opacity within the right middle lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right middle lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.15945856456473221216470384413629492158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88113641306730624300759168397791538485
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94155028350718025246034598944656762172
+"The lungs are adequately inflated and clear. There is no pneumothorax, pneumomediastinum, or pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.",There is no active cardiopulmonary disease. The observed portions of the manubrium and bony thorax are normal.,1.2.826.0.1.3680043.8.498.87419806897921107177789631888283753723
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45765150094408404363489484142517245877
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.81013381741439995424223437859538299107
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No definite pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.68925949285917322458332414144249952401
+There is a small right pleural effusion with associated partial compressive atelectasis of the right lower lobe. Pneumonia is not excluded. Clinical correlation is recommended. The left lung is clear. There is no pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Small right pleural effusion with right lung base atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.23707632251150319550745577990528705806
+The heart is enlarged. The lungs are underexpanded. There is linear atelectasis at the right base. There is a small right effusion. No pneumothorax is seen. Right subclavian portacatheter is new.,1. Cardiomegaly. 2. Under expanded lungs. 3. Small right effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.33383494877774307883043624743999219609
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.92049969095473203888322843798611699986
+The patient is on a trauma backboard. The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No fracture.,No acute finding.,1.2.826.0.1.3680043.8.498.70373132380084049166089345013378164013
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88623863225174343058434417501954795467
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.26937542621177550749055737354941394128
+Heart size is normal. There is no pleural fluid or pulmonary edema. Left lung is clear. There is scar at the right lung apex. No cavitary lesions are identified.,Scar at right lung apex. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27747643274283460905315749455107466194
+Tracheostomy tube and feeding tube are unchanged. Stable cardiomegaly. Low lung volumes. No pneumothorax. Mild right basilar atelectasis.,Stable support apparatus. Low lung volumes with mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.13178022033530200313395487144560314720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35723681492026341537291738115547985073
+Cardiothymic silhouette is within normal limits. There is central airway thickening. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88653234986473854495377174248121649030
+Heart is upper limits of normal in size. Mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.99349399215890943391081936674892328429
+Right subclavian Port-A-Cath is in place with the tip in the SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Right Port-A-Cath in place with the tip in the SVC. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35420815886330148780859400070637241728
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41773772851564422865609273379357773096
+Large left upper lobe mass again noted. Left lung atelectasis/consolidation. Right lung is clear. No pleural effusion or pneumothorax. Heart is normal size.,Continued large left upper lobe mass with left lung atelectasis/consolidation. No significant change.,1.2.826.0.1.3680043.8.498.39069967866998442051814720533779689043
+Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.71844054697713610308248272224631709857
+Endotracheal tube is 2.5 cm above the carina. There are 2 left-sided pacemakers. Left internal jugular central venous catheter is in place. The lungs are clear. No pleural abnormality is seen. The heart is enlarged.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.38785043869099089923028669933246880075
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47161090319634728704192002178188792969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.26440791675925397507107399431068447583
+PA and lateral chest radiographs are provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There bilateral small pleural effusions. There is no pneumothorax. The heart and mediastinum are stable. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.50496227346137564874461519158867525243
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37043108677555889988355424541493898963
+"Extensive bilateral interstitial opacities, compatible with interstitial lung disease. No definite superimposed focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Extensive bilateral interstitial opacities, compatible with interstitial lung disease.",1.2.826.0.1.3680043.8.498.87117040070606503656565057865943876124
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92634943632274203337033807785757945628
+There is atelectatic change in the left base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Atelectasis left base. Lungs elsewhere clear. Cardiac silhouette within normal limits.,1.2.826.0.1.3680043.8.498.81811347506699795386972081884908939077
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.73267886551426683275595785104616955950
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87690335422004899474189735761489883909
+"Right-sided central venous port tip over the SVC. Emphysematous disease. Small right pleural effusion. Patchy opacity in the right upper lobe, suspicious for pneumonia. No pneumothorax. Normal heart size. Atherosclerotic aortic arch.",Patchy right upper lobe opacity suspicious for pneumonia. Small right pleural effusion. Emphysematous disease.,1.2.826.0.1.3680043.8.498.36805853151645356487180269932740247764
+The right-sided chest tube has been removed. There is a small right apical pneumothorax. Atelectasis at the right base has worsened. A small right effusion is suspected. Multiple right-sided rib fractures are again noted. The left lung remains clear. The heart is normal in size.,1. Small right apical pneumothorax after removal of the chest tube. 2. Increased atelectasis at the right base. 3. Small right effusion.,1.2.826.0.1.3680043.8.498.76852154268304075813541813188876007451
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98677333340965608661604088242264417136
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; calcification is noted within the aortic arch. No acute osseous abnormalities are seen. A left upper lobe calcified granuloma is stable in appearance.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.22008292986194559098594289341284186449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64290949436187895369571935008841680313
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61864141227570960533043232870010582665
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65992686660091119948435535264538433111
+The lungs are clear without infiltrate or edema. There is no pleural effusion. Heart size is normal. The patient is status post CABG.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53127576653720363976481097568485122575
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28149595768301219264159060371429173649
+Cardiothymic silhouette is within normal limits. Patent airway. No pneumothorax. No pleural effusion. No consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40102407778080519524243995914876300121
+Decreasing right effusion following thoracentesis. No pneumothorax. Right lower lobe atelectasis or infiltrate remains. Mild cardiomegaly.,Decreasing right effusion following thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.59192575417864415250536180631211255280
+Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94608932877654436983754958994091740820
+Mediastinum and hilar structures normal. Minimal left base subsegmental atelectasis and/or scarring. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23228966829930262650625581388970329228
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.70259923913561766945748935793726028313
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60585954550525775682154229289924476198
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74906258434597429164706435532036491714
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15428920821245090721161681707568602093
+Right Port-A-Cath is in place with tip in superior vena cava. Left subclavian central venous catheter is in place with tip in superior vena cava. No pneumothorax is evident. The cardiac silhouette is normal size and shape. The lungs are free of infiltrates. There is a rounded mass in the right upper lobe laterally. This measures 3 x 3.5 cm. This appears larger than on previous study. No pleural effusion is seen. Bones appear average for age.,The left PICC terminates in the superior vena cava. No pneumothorax is evident. Right upper lobe mass appears larger than on previous study.,1.2.826.0.1.3680043.8.498.24077553409205162348960575873152900430
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16387584941396194763237416811292759857
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63737956839775112525494295027767109607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65867033875955515675184249152088997376
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15681084478414690114293089918446124138
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52227457557172106801306303691771609427
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.46822597801577071289306807214689815525
+There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.41780378063890364292083196259446687416
+The heart size and mediastinal contours are stable status post CABG. There is a persistent left pleural effusion with associated left basilar airspace disease. The right lung is clear. There is no edema or pneumothorax.,No significant change in left lower lobe pneumonia and left pleural effusion compared with recent prior studies.,1.2.826.0.1.3680043.8.498.62193907413792554107425427242837431006
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15246334704662265767553388543955981234
+Linear atelectasis or scarring in the right base. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25348556285960996845302716076216497233
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80553964375634067753235633965050072009
+The lungs are hyperinflated consistent with COPD. There is no acute infiltrate or effusion. There is no heart failure. The aorta is tortuous. The bones are osteopenic. There is a lower anterior cervical spine fusion plate.,COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.75861707983897952370837193840097001008
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62839250340727728848226700396765800635
+Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.11175574777394514820213554565549473511
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20715879538458673558651332092187892762
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance. There is a right PICC line with the tip in the right subclavian vein.",No acute process. Right PICC line is normal in appearance.,1.2.826.0.1.3680043.8.498.15156469585675717403819465458453180196
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84259509148612135408293086543212008473
+PA and lateral views of the chest are made and are compared to previous studies of 11/18/11 and show diffuse peribronchial thickening with an area of atelectasis and/or scarring in the region of the left lingula. The heart is not significantly enlarged. The aorta and mediastinum are normal. The bony thorax is within the limits of normal.,Diffuse peribronchial thickening and atelectasis or scarring stable in the region of the left lingula. No evidence of acute consolidation.,1.2.826.0.1.3680043.8.498.73657464655904880893079708400297851303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29286801038548833786250756435241912111
+The lungs are significant for central peribronchial thickening. No consolidative changes are seen. No pleural abnormality is noted. The heart size is normal. The mediastinum appears intact.,No evidence of focal consolidation.,1.2.826.0.1.3680043.8.498.74888641713627447131767899979365859613
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42145518170474836163915386793995373972
+Endotracheal tube is 3.5 cm above the carina. Large hiatal hernia. Heart is normal size. Lungs are clear. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube 3.5 cm above the carina. No acute cardiopulmonary disease. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.14322048871387693804038535115237435189
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63108569646006391721048797065054781068
+Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation.,1. No acute cardiopulmonary abnormalities. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.51667687756305959086081656188682128179
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. Persistent bibasilar consolidation and effusion, right greater than left, unchanged. No pneumothorax. No acute bony abnormalities.",Stable bibasilar consolidation and bilateral effusions.,1.2.826.0.1.3680043.8.498.27040578148075780848965557805885836493
+"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Negative visible bowel gas and osseous structures. No rib fracture identified.",Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.35495715395990792805503216391052833908
+Lung volumes are low. The heart size is at the upper limits of normal. Mild bibasilar atelectasis is present. No consolidation is evident. The visualized soft tissues and bony thorax are unremarkable.,1. Low lung volumes. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25638571462930210279317866545634250992
+The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. Osseous structures intact.,Mild cardiomegaly and tortuous aorta. No active disease.,1.2.826.0.1.3680043.8.498.16966475801975550915919249203392254470
+Tracheostomy tube noted in good anatomic position. Right subclavian line noted with tip over SVC. Heart size normal. Low lung volumes with bibasilar atelectasis and/or infiltrates. No pleural effusion or pneumothorax.,1. Tracheostomy tube and right subclavian line in good anatomic position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.83631164629528566276917992506306722098
+There is a persistent large mass in the left upper lobe. There is a new moderate-sized left pleural effusion. The right lung is clear. There is no pneumothorax. There is stable cardiomegaly. There is evidence of prior CABG. The osseous structures are unremarkable.,1. Persistent large left upper lobe mass. 2. New moderate left pleural effusion.,1.2.826.0.1.3680043.8.498.40007596493699708933170003671683156592
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63600340158282368607187951601128336146
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86417169330341343029436739668804862061
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.68701610024141819956048452820137095831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12338604871373009217529891657647371171
+Endotracheal tube is in good position. No pneumothorax is noted. Right lung is clear. Mild left basilar subsegmental atelectasis is noted. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.,Endotracheal tube in good position. Mild left basilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.30600268248479801837163580412481881123
+There is plate-like atelectasis at the left lung base. Mild atelectasis also noted at the right lung base. No definite pneumonia or heart failure. The lungs are hyperaerated consistent with COPD. The heart is enlarged. The stomach is distended with air.,Bibasilar atelectasis. COPD. Cardiomegaly.,1.2.826.0.1.3680043.8.498.37418610314428612734924520095026347001
+PA and lateral views. Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.49890927619267135383674211254308203037
+"Cardiac silhouette moderately enlarged but stable. Thoracic aorta tortuous and atherosclerotic, unchanged. Hilar and mediastinal contours otherwise unremarkable. Emphysematous changes in the upper lobes. Lungs clear. No pleural effusions. Elevation of the right hemidiaphragm.",Stable cardiomegaly. COPD/emphysema. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68782221600003361539937254727490787353
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44284978095839715559546593001231003962
+Supine portable chest exam demonstrates normal heart size and mediastinal contours. No pneumothorax or effusion. Lungs clear. No displaced fractures identified.,No acute findings.,1.2.826.0.1.3680043.8.498.59555390844384400852091498114241350089
+Endotracheal tube and nasogastric tube remain in appropriate position. New right jugular center venous catheter is seen with tip overlying the distal SVC. No evidence of pneumothorax. Mild atelectasis again seen in the left lower lobe. No evidence of pulmonary consolidation or edema. No evidence of pleural effusion. Heart size is normal.,New right jugular center venous catheter in appropriate position. No evidence of pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.73439376336035522692230535165828640032
+Lung volumes are at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative for age visible bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting. No focal pneumonia.,1.2.826.0.1.3680043.8.498.25758808939010864756555765326817976171
+There is airspace consolidation in the right middle lobe with volume loss. There is patchy infiltrate in the right lower lobe as well. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right middle lobe and right lower lobe airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.71098687325531221213957218919894082657
+"There is peribronchial thickening with hyperinflation consistent with reactive airway disease. Normal heart size. No acute consolidation, pneumonia, effusion, or pneumothorax.",1. Stable hyperinflation and peribronchial thickening. 2. No acute airspace disease.,1.2.826.0.1.3680043.8.498.98050781660472861557855692408201521437
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21618522697028432326204315966114861799
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36261497010036123532439352568570045103
+Low lung volumes. Hazy atelectasis at the left base. No pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,Low lung volumes with probable atelectasis at the left base.,1.2.826.0.1.3680043.8.498.24021018054721959293028208327997348280
+The lungs are mildly hyperinflated. There is no focal infiltrate. I see no pleural effusion. The cardiac silhouette is normal in size. There is a permanent pacemaker in place. I see no pneumothorax.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF.,1.2.826.0.1.3680043.8.498.53453590460401710819355597687298553985
+"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No acute or focal bony abnormality.",Findings compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.19211817700517986842280605485994769650
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.44645109392267721832561041185780289753
+There is thickening and indistinctness of the pulmonary vascular and interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases left greater than right. There is blunting of the left costophrenic angle. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate left lung base as well as possibly a small left effusion. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.23016506190356951228110940102175013342
+The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Normal chest 2 views.,1.2.826.0.1.3680043.8.498.74910352032809627507356826757796527264
+Right power port in place. Normal cardiac silhouette. There is a moderate left pleural effusion. Left lower lobe atelectasis. No pulmonary edema. No pneumothorax.,1. No acute cardiopulmonary process. 2. Left pleural effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.88549364756852716565809343040206104627
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85931648631724426866196694462402720122
+There are small bilateral pleural effusions with associated bibasilar atelectasis. Pneumonia is not excluded. Clinical correlation is recommended. No focal consolidation or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology. Partially visualized VP shunt.,Small bilateral pleural effusions and bibasilar atelectasis. Pneumonia not excluded.,1.2.826.0.1.3680043.8.498.20034266947717845079681813511394593616
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.36551868321502646929705787631864998510
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Thoracolumbar spinal fusion hardware noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37458161367092400480044886711453987722
+The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14671790300897417486219562927423141806
+"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.","Mild scattered peribronchial thickening,, which can be seen with reactive airways disease and/or viral pneumonitis. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.55662329175881781558425346603424515136
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.53071016076397189157146717045530838678
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47809634414334824345640206819561142716
+The lungs are well-expanded. There is no pneumothorax. Small bilateral pleural effusions are present. The retrocardiac region on the left is dense. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The sternal wires are intact. The mediastinal drain tip projects at the T5 level. The right internal jugular venous catheter tip projects over the proximal SVC.,Postoperative appearance of the chest with small bilateral pleural effusions and left lower lobe atelectasis. No pulmonary edema. No pneumothorax.,1.2.826.0.1.3680043.8.498.65405756865500393595092104630564098862
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38056094549070735785598778877565374995
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.45733694821168001526746956935912595083
+"Endotracheal tube and orogastric tube remain in appropriate position. Left arm PICC line is also in appropriate position. Mild diffuse granular pulmonary opacity is again seen bilaterally, consistent with RDS. No evidence of focal consolidation or pleural effusion. Heart size is normal. The bowel gas pattern is normal.",No significant change in mild RDS pattern. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.84649330700041085654617515036145204528
+"The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. There is no acute bony abnormality.",There is no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.55060035309197240630204994185139737321
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Diffuse osteopenia. No displaced rib fracture identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27639639455035478097539311950397527088
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.79324381618492478832031609309838938186
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69205059448344932854638409937139354488
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Postsurgical changes in the left hemithorax with blunting of the left lateral costophrenic angle and pleural thickening identified. Remaining lungs clear. No pneumothorax. No acute osseous findings.",Postsurgical changes in the left hemithorax. Small left pleural effusion and pleural thickening.,1.2.826.0.1.3680043.8.498.30445377453230242641690199567277088029
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.68103850628651526918508367351860960230
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.14311739923498285213081286899918720155
+"There is opacity at the lung bases, left greater than right. Although some of this opacity may be due to atelectasis, pneumonia particularly at the left lung base is a consideration. The heart is within normal limits in size. No bony abnormality is seen.","Basilar opacities, left greater than right. Atelectasis versus pneumonia.",1.2.826.0.1.3680043.8.498.23161090671632897606181685798297484129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27978345089338189581960621886603347941
+There is a mid inspiration. There is mild-to-moderate dextroscoliosis of the dorsal spine. There is a posterior fusion of the upper thoracic spine. There is mild prominence of the central bronchovascular markings without thickening of softening on the AP view. There is a mild pectus excavatum. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.13617725415361270714110630832597269480
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93629696404750962804795420605393375898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98526399583591527375378831552440326020
+Mediastinum and hilar structures normal. Heart size normal. Left lower lobe atelectasis. Left pleural effusion. No pneumothorax. Old left rib fractures again noted.,1. Left lower lobe atelectasis. Left pleural effusion again noted. No pneumothorax. 2. No pulmonary venous congestion.,1.2.826.0.1.3680043.8.498.58597841981498022947004055862537412058
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.40064588157598985597317864290413206573
+Elevation of the right hemidiaphragm. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Calcification of the aorta.,No active disease.,1.2.826.0.1.3680043.8.498.83823291498592862094597112491865756836
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92129601983635315452202837257103997616
+Endotracheal tube with tip approximately 3 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Interval placement of a right IJ central venous line with tip over central SVC. No pneumothorax. There is shallow inspiration with bibasilar atelectasis. No focal consolidation or pleural effusion. Stable cardiomegaly. No acute osseous pathology.,1. Interval placement of a right IJ central venous line with tip over central SVC. No pneumothorax. 2. Shallow inspiration with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71405119918687194219292124033938834704
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53809729835264456250292953670665216460
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47733348281465028700985093572696263228
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47271695270024020228861633480762703510
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.96742541623135951858001449377042676253
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95697871693905507478876015592212160525
+Cardiomegaly and pulmonary edema again noted. There has been no significant interval change since the prior study. Bilateral airspace opacities are again noted and may have slightly increased in the right upper lung. Small bilateral pleural effusions are again noted. There is no evidence of pneumothorax.,Slightly increased pulmonary edema and airspace disease/edema.,1.2.826.0.1.3680043.8.498.11995250899562455140373855946590797242
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74074693744600990984416290963477121731
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64411664209312622049323909706720464271
+"Linear opacity is seen in the right mid lung, which may be due to scarring or atelectasis. No evidence of pulmonary air space disease or edema. No evidence of pleural effusion. Heart size is within normal limits. No mass or lymphadenopathy identified.",Mild scarring versus atelectasis in right mid lung. No evidence of pulmonary consolidation or edema.,1.2.826.0.1.3680043.8.498.64932585875446622986928023862747285383
+Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch. Tracheostomy catheter is no longer appreciable.,Central catheter tip in superior vena cava. No pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.85830677925093579043380311063389682258
+The heart and mediastinum are stable. The lung volumes are low. There are bilateral interstitial opacities which are similar to prior. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71754432307005565860957718141426609769
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34116997841000265179104541547559165742
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.54520109338694286596812359903730449903
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65975151122064687721950743471316649961
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Right anterior chest wall sequential pacemaker is well positioned. The lungs are clear. No pleural effusion or pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.26533370964495147340175742614481615114
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69087990158259219827546628507436400407
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76657735898588903010698862903688504305
+Portable AP semi upright view at 9EF0F-10 hours. Tracheostomy tube remains in place. Right chest Port-A-Cath is stable. Lower lung volumes. Patchy and indistinct bilateral pulmonary opacity appears increased in the right lung. No pneumothorax or pleural effusion. Stable cardiomegaly and mediastinal contours. Negative visible bowel gas pattern.,1. Lower lung volumes with bilateral patchy and indistinct pulmonary opacity compatible with COVID-19 pneumonia. 2. No pneumothorax or pleural effusion.,1.2.826.0.1.3680043.8.498.63227713754304642280698530392188399024
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41575591462509737422136076282787994425
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56465456809928853150765190219415528904
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23624668210164204379585072494310798801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65455853499562598625572553674917766188
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75251560608290461316863735346953416656
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49572850667778874786014181552358597192
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.94072564093470194757721272888962513834
+"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Right-sided chest tube has been removed. A possible small right pleural effusion is suspected, unchanged. Right lung atelectasis has improved. No residual pneumothorax identified. Left lung remains clear. No pulmonary edema. Osseous structures are unchanged.","1. Interval removal of right-sided chest tube. No residual pneumothorax identified. 2. Suspected small right pleural effusion, unchanged. 3. Decreasing right lung atelectasis.",1.2.826.0.1.3680043.8.498.32239295766438911993703145416260719774
+Heart: Normal. Lungs: There is persistent appearance of mild hyperinflated lungs. The lung fields are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.,"1. No acute cardiopulmonary process. 2. Stable appearance of mild hyperinflated lungs, which can be seen with obstructive small airway disease.",1.2.826.0.1.3680043.8.498.42850577776433259398706766379926471009
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.43538360973308345853462584608762554833
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70891851362210730833181459264502611217
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Mild biconvex thoracolumbar scoliosis. No definite rib abnormalities identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.56867283475800768160636150850124521994
+Heart: Normal. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Unremarkable two-view chest.,1.2.826.0.1.3680043.8.498.55652137479471775503360141909554808649
+"AP portable semi upright view 7917 hours. Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Allowing for portable technique, the lungs are clear.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.87208027453574972393528340687715358946
+The heart size and mediastinal contours are within normal limits. Right internal jugular dialysis catheter is unchanged. Stable bilateral patchy airspace opacities are noted. The visualized skeletal structures are unremarkable.,Stable bilateral patchy airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.14474640975714120367211198658305922020
+Cardiac silhouette is mildly enlarged. There is vascular congestion with patchy bilateral airspace disease consistent with pulmonary edema. This is increased in the interval. Small left effusion is present. No pneumothorax.,Findings consistent with pulmonary edema. This is increased in the interval.,1.2.826.0.1.3680043.8.498.90547876202361099027233152964750107399
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93766279957077763781083857037804583032
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.42592230463241539727477217846774049434
+The heart is moderately enlarged. There is vascular congestion without overt pulmonary edema. No pleural effusions are identified. No focal airspace opacities are seen. No pneumothorax. The visualized osseous structures are unremarkable.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.86179349741937115594827650011876764758
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active disease.,1.2.826.0.1.3680043.8.498.25162053617937327378748975428899737912
+The heart is upper limits of normal. The lungs are clear. No pneumothorax or pleural effusion.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32761775532332632260836432731951478890
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.91478786865803530006225869055903193262
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59868914059883486745051557664763694783
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31888389696878819492006558152556564382
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.65421774899884751861821768544712014626
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96895181932357479635372680004207319655
+Both lungs are well aerated and are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,Negative. No active disease.,1.2.826.0.1.3680043.8.498.71621737691354214413439042855313638622
+Endotracheal tube has been removed. Swan-Ganz catheter remains in place with the tip in the right main pulmonary artery. Bibasilar atelectasis is again seen and has worsened. No pneumothorax.,Worsening bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.50502175845961508313630261286446758375
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52991018000014315472971063989260215327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60084216648861368945455885880653967695
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27253249864590464817022518635485567889
+Right PICC line noted with tip over cavoatrial junction. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Right PICC line noted with tip over cavoatrial junction. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47802631830195817017278400132478138610
+Mediastinum and hilar structures are normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality. Surgical clips right upper quadrant.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17221698680367866275093715885593029143
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.16245545657544526335301307296140064824
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43124892072170452441525721439840668960
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67972659697546080104037591271095428768
+"The heart size and mediastinal contours are within normal limits. Both lungs are clear. Pulmonary hyperinflation again seen, consistent with COPD. Prior CABG again noted. No evidence of pleural effusion. No mass or adenopathy identified.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.15935858768163397657779455532718412896
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.17310346609722126812541986529269938042
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.18925139826674282712746945366527818625
+There is prominence of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,"Interstitial prominence, mild. This may represent a component of pulmonary vascular congestion. A component of the patient's shallow inspiration also of diagnostic consideration. Repeat evaluation is recommended.",1.2.826.0.1.3680043.8.498.74528215365899048683174080229274044066
+The tip of the PICC line appears to lie in the region of the midportion of the SVC. I do not see evidence of a post procedure complication. The lungs are clear. The cardiopericardial silhouette is top normal in size.,I do not see evidence of a post procedure complication following PICC line placement.,1.2.826.0.1.3680043.8.498.62694176086169919388723979544023826257
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54201012295870781364092665343598202597
+The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.52720304544125342248906373330126413023
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.85429836643943801002581318919315188663
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20812112993889313172218177765606569926
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23974870752324216334104215287739517367
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48000022458122691249995931680084886503
+Tracheostomy tube is in place. The heart is enlarged. Lung volumes are low. There is mild pulmonary vascular congestion. Streaky opacities at the lung bases likely reflect atelectasis. No pneumothorax is present. No significant pleural effusion is present.,1. Cardiomegaly and mild pulmonary vascular congestion. 2. Low lung volumes and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23460380738779660114975256227977928152
+"The cardiac silhouette is enlarged. The lungs appear to be clear without edema, infiltrate, effusion or mass. There is no pneumothorax. Degenerative changes are present in the spine.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.19140372646078325631830767395469639578
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62196725409760698336318487092156653700
+The heart size and mediastinal contours are within normal limits. The lungs are hyperinflated but clear. Biapical scarring is stable. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60944181339725239908445104011868828966
+"There are extensive bilateral airspace opacities, increased since prior study. There are moderate to large bilateral pleural effusions. Heart is normal size. No acute bony abnormality.",Worsening bilateral airspace disease and bilateral effusions. This could reflect worsening edema or infection.,1.2.826.0.1.3680043.8.498.82869393667536305416614676211036341764
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64282800205831397674224406767269283088
+Lung volumes are low. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.16676888626980803029959635613326343036
+Eventration of the right hemidiaphragm. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Degenerative changes of the spine. Left shoulder arthroplasty.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73925671205218441795521191459195981776
+There is no fracture or dislocation. There are no significant arthritic changes. The soft tissues appear normal.,Normal right shoulder.,1.2.826.0.1.3680043.8.498.22466294797365929333039786768579137255
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56365047596582928605422718960020459535
+The heart size is normal. Atherosclerotic changes are noted at the aortic arch. Tracheostomy tube is in place. The lungs are hyperinflated. New right lower lobe airspace disease is present. The left lung is clear. There is no edema or effusion. The visualized soft tissues and bony thorax are unremarkable.,1. New right lower lobe airspace disease concerning for infection. 2. Emphysema. 3. Tracheostomy tube is in place.,1.2.826.0.1.3680043.8.498.45742518566026384851471403081521761878
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69828728111988979408466794767413608107
+Endotracheal tube tip is 3.5 cm above the carina. Right internal jugular central venous catheter is in place with tip at the level of the right atrium. The heart is enlarged. There is pulmonary vascular congestion. Aeration at the right lung base has improved. No pneumothorax.,1. Improved aeration. 2. Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.15388894748445041262712679568908253562
+"The lungs are hyperexpanded and there is mild interstitial prominence. No confluent airspace opacities are identified. The heart is normal in size. The upper extremity PICC is in place. The tip is in the mid SVC, well above the cavoatrial junction. The upper abdomen and osseous structures are normal.",Emphysematous changes without interval change. No acute findings.,1.2.826.0.1.3680043.8.498.58163989331286408562160001822072461478
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. There is no pneumothorax. There is no pleural effusion. There is a moderate S-shaped thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49637253216882007969793407900174808092
+The heart is normal in size. Aorta is mildly tortuous. The lung volumes are slightly diminished. There is elevation of the right hemidiaphragm. Mild linear opacities at the right lung likely represent atelectasis. No pneumothorax. No pulmonary edema.,1. Mild right basilar opacities likely represent atelectasis. Early infection is not excluded. Followup PA and lateral chest radiograph is recommended. 2. Mild elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.35493162211949592531615832417536063579
+Low lung volumes. Cardiac silhouette is enlarged. Aorta is tortuous and ectatic containing atherosclerotic calcifications. The lungs are clear. Mild degenerative changes within the thoracic spine. No acute osseous abnormalities.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73317489288187505565438483541546851420
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active disease.,1.2.826.0.1.3680043.8.498.99507173730648211172509112268899835348
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Left lung is clear. Mild ill-defined opacity is seen in the right lung base which may represent early pneumonia. The visualized skeletal structures are unremarkable.,Possible early pneumonia in right lung base. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.92233790282487726785761627117928494246
+The patient has now been intubated. The endotracheal tube terminates in the right mainstem bronchus. Diffuse interstitial and airspace disease is again seen. The lung volumes are low.,1. Endotracheal tube in the right mainstem bronchus. 2. No change in diffuse pulmonary edema.,1.2.826.0.1.3680043.8.498.91482808039613025748772283053877300923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21628208509125919521034044467946796258
+Heart size is normal. No pleural effusion or edema. Lung volumes are low. Plate-like atelectasis is noted in the right base. No airspace consolidation.,1. Low lung volumes and right base atelectasis.,1.2.826.0.1.3680043.8.498.55444330303585933072581464523390891772
+"The heart size and mediastinal contours are within normal limits. New opacity at the left lung base, suspicious for pneumonia. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.44411427757166935885813946817690749489
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.75461284783009120451328869466031633436
+The heart is enlarged. Pulmonary vascular congestion is present. Interstitial coarsening is likely chronic. There may be superimposed interstitial edema. Small bilateral pleural effusions are suspected. There is no pneumothorax. No acute osseous abnormalities are seen.,Cardiomegaly with vascular congestion and possible mild interstitial edema. Suspect small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.78437632405760138438071300981465613127
+The lungs are adequately inflated. The interstitial markings are increased. The retrocardiac region on the left is dense. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. There is likely pleural fluid at both lung bases.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. There is likely left lower lobe atelectasis and possibly developing infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.93771416529193711289797056892333998002
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Mild central peribronchial thickening. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Airway thickening suggests viral process or reactive airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.31455665946630752801955823825060034113
+The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.87085146189234061518199405650358998284
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73417909554148109732950933798734292912
+Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.67572000921908290011440934659320407753
+The heart size and mediastinal contours are unchanged. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.49191242377708640080779089938361084078
+Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.90176000961255730144199671526610809830
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.60370938828241706597325846598286312188
+Left arm PICC line tip is in the SVC. Heart size is normal. There is a small left pleural effusion. No airspace consolidation identified.,1. No change in the appearance of the lungs. 2. Small left effusion.,1.2.826.0.1.3680043.8.498.35100876014222517263230659288874924753
+Right lower lobe airspace disease unchanged. This may be atelectasis or pneumonia. Negative for pleural effusion. Left lung is clear.,No significant interval change.,1.2.826.0.1.3680043.8.498.89705594547821587737729900158715343033
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.36920717389760420569527501664321798210
+There is moderate improvement in pulmonary edema. There remains some right upper lobe and right lower lobe airspace disease which may be due to asymmetric edema or atelectasis. There is a small right effusion. There is mild left lower lobe atelectasis.,Moderate improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.35059690604619857941825266901581801655
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70942012639707821592761843221587030706
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84009919282820482933908292133024159377
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17055782296315876910096265994966085649
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84827796470234312182623878289561982755
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16735675570404752511294361362253350227
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.65711363012279733869048363640719361126
+The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.86437445897551174010653012728671543360
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86789148408041952944335921848056865643
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25166136621071759342356780325980940028
+Tracheostomy tube and NG tube in good anatomic position. Right PICC line noted with tip over SVC. Heart size normal. Low lung volumes. Diffuse bilateral pulmonary infiltrates and atelectasis. Small right pleural effusion. No pneumothorax.,1. Tracheostomy tube NG tube and right PICC line in good anatomic position. 2. Low lung volumes with diffuse bilateral pulmonary infiltrates and atelectasis. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.94660880877188350012750920122953789055
+Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are below the diaphragm. No pneumothorax. There is underlying emphysematous change. There is no edema or consolidation. The heart size is normal. The pulmonary vascularity reflects underlying emphysema. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Underlying emphysema. No edema or consolidation.,1.2.826.0.1.3680043.8.498.83771682916457640334921432659113346217
+The heart is enlarged. There is vascular congestion and mild edema. Small pleural effusions are present. There is bibasilar atelectasis.,Mild CHF with small effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63592907992534330547775813826671498830
+Cardiac and mediastinal contours appear normal. The lungs appear clear. No pleural effusion is identified.,No significant abnormality identified.,1.2.826.0.1.3680043.8.498.48172720601417986131828845472295194842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17608553826366978936495914077128676108
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.55045520630286490548549984503786218332
+"Multiple bilateral pulmonary nodules/masses as seen on the prior CT. No new consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. Multiple pulmonary metastatic lesions.,1.2.826.0.1.3680043.8.498.59515670411571645890965467842401037427
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71649447132057611446184395194584675369
+The left subclavian Port-A-Cath is stable. The tip is in the SVC. No pneumothorax is seen. The heart is normal in size. The lungs are under inflated with stable areas of linear atelectasis.,1. Stable Port-A-Cath. 2. Underlying emphysematous changes with stable areas of linear atelectasis.,1.2.826.0.1.3680043.8.498.63986134824404222786659236017586006329
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60478262910720475564727280401899394530
+"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.64039134840343480281716285951648243840
+The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.49720017400095138101043622474153785785
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90034314697142436027414390257608542729
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73674388220122333409957916499232170177
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10091998372113738361149414092185011127
+"The lungs are symmetrically well expanded. There are superimposed diffuse interstitial pulmonary infiltrates, which may reflect changes of atypical infection or asymmetric pulmonary edema. Small bilateral pleural effusions are present. No pneumothorax. Cardiac size within normal limits. No acute bone abnormality.","1. Diffuse pulmonary infiltrates, possibly infectious in the appropriate clinical setting, or asymmetric pulmonary edema. 2. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.28395847743936261606016337103013666318
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.98636706690252950544478509419051193291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.98294240461950507472803925628043525628
+The heart is enlarged. There is mild vascular congestion. There are bilateral lower lobe infiltrates. There is no pneumothorax.,Findings most consistent with congestive heart failure superimposed on underlying chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.84042507485855199225115620474406997411
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77530642551098359275064427862501285288
+"Lungs are symmetrically inflated. Normal cardiothymic silhouette. Normal pulmonary vasculature. No focal consolidation, pleural effusion, or pneumothorax. No osseous abnormalities. Normal bowel gas pattern in the included upper abdomen.",Clear lungs.,1.2.826.0.1.3680043.8.498.67889372731295027738784620997710416308
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64339586217224852537035988263018095930
+Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34382722652373306777795767675198221373
+The heart size is normal. The lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures demonstrate degenerative osteophytosis of the mid and lower thoracic spine and are otherwise intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.57250842875170888702512548134999925184
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18962415440898501694932330954415471088
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42041304299354836922579706435111193459
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97954977930374446593139673690552262568
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86813860441182509726491672028940768802
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27789981984312339587087578930082198993
+Stable heart size that is normal for technique. Stable aortic tortuosity. Small left pleural effusion with stable mild left base opacity. No pneumothorax. Diminished volume of the right lung with mild hazy density at the base.,1. No pneumothorax. 2. Stable small left effusion with left base opacity. 3. Decreased right lung volume.,1.2.826.0.1.3680043.8.498.75872111056315047002562869199494787104
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22701459668472484248594759114534130636
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52102237961942430411229438346492177652
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.35482495934583994559804557375736482501
+The left PICC tip is in the right atrium. The heart is mildly enlarged. The lung volumes are low. Diffuse interstitial pattern is again noted compatible with pulmonary edema. Bilateral pleural effusions are again noted and appear stable. No pneumothorax is evident.,1. Left PICC tip in right atrium. 2. Stable pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.37952947198574587118265170037808251627
+There is hazy airspace disease in the left upper lobe most consistent with pneumonia. The right lung is clear. No pleural effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,Left upper lobe airspace disease most consistent with pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.84194160026916908939973286872546862938
+Tracheostomy tube is noted in satisfactory position. The overall inspiratory effort is poor. The cardiac shadow is stable. Increasing right-sided infiltrate is noted with persistent left basilar atelectasis. No bony abnormality is seen.,Increasing right basilar infiltrate.,1.2.826.0.1.3680043.8.498.48946926473990057736588248031738188815
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Thoracic spine posterior fixation rods are noted.,No active disease.,1.2.826.0.1.3680043.8.498.45406191328652780944351176551363962646
+There is stable enlargement of the cardiac silhouette. Interstitial edema pattern is again noted throughout both lungs. No significant change. No evidence of pneumothorax.,Stable interstitial edema pattern.,1.2.826.0.1.3680043.8.498.41356878004239284635269840427303861774
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45893878562641189359600000667660813354
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20540561637422980255120514977944203770
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77260671526521990163999773461041889887
+The heart is mildly enlarged. There is no heart failure. The lungs are clear without infiltrate or edema.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64172785058647278864959507523150445059
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57640499218046509678749496683769553505
+"There is increased density at the right base compatible with pneumonia or atelectasis. In the lateral view, there is blunting of the posterior gutters compatible with small bibasilar pleural effusions. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",1. There is increased density at the right base compatible with pneumonia or atelectasis. 2. There are small bibasilar pleural effusions. 3. The heart size is normal.,1.2.826.0.1.3680043.8.498.92084547549334035573268605525811754793
+The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There are increasing bilateral interstitial opacities with associated Kerley B-lines. Small bilateral pleural effusions are suspected. There is no pneumothorax. The bones appear unchanged. Telemetry leads overlie the chest.,Worsening pulmonary edema and probable small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.55095060321454590410099050405448402279
+The right upper extremity PICC has been retracted with the tip at the cavoatrial junction. Bibasilar atelectasis is stable. The lungs are otherwise clear. The heart is enlarged.,Right upper extremity PICC retracted. Tip is at the cavoatrial junction.,1.2.826.0.1.3680043.8.498.23189829953976727953002766050513811342
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37524978908169880587907349735139278282
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78594325308635110694326561184453385229
+Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Mild basilar atelectasis. No other confluent pulmonary opacity. Negative visible bowel gas and osseous structures.,"Mild basilar atelectasis, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.18405904968301994682442249312121355668
+"There is no consolidative airspace evidence, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is not enlarged.",No acute cardiopulmonary pathology.,1.2.826.0.1.3680043.8.498.78817817805137764735071792399863615346
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.40825944644274104556227686577881413419
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10142389528885677999192415828044776621
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32827020461926550327828743356420795628
+"Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Heart size is grossly stable. Thoracic aorta is calcified. There is bilateral air space disease, with interval worsening in the right lung base. Small bilateral pleural effusions.",Worsening congestive heart failure.,1.2.826.0.1.3680043.8.498.12230090662545075493040266799107847559
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94720251179495204312399781703810469683
+There is irregular interstitial thickening and hazy airspace opacity in the right upper lobe. The left lung is clear. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. No convincing hilar masses. Status post vertebroplasty of a mid thoracic vertebral body.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.51058674560989740862975604265351320301
+The patient is rotated to the right. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The lung volumes are low.,Low lung volumes. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.90840026340848145986725504799345634399
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54414504320920659210765557547638665489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21272655867463650196933747369100718162
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70638372439279291805783308998860422697
+There is central airway thickening. Lung volumes are low. No consolidative process. No effusion. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.60098782224017689366197796157458220687
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.39163314764012902548779275144569903079
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60479256781102633973679176629120027754
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10059694044686582081081922703474703983
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41255307973029834441375272804450067641
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.44120267121179898205357631967316293921
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No CHF or pneumonia. No effusion or pneumothorax.,1. Support apparatus satisfactory. 2. No acute airspace process.,1.2.826.0.1.3680043.8.498.57092938591527163344048494690903429646
+There is plate and screw fixation of the right mid clavicular fracture. There is increased atelectasis at the right lung base. No pneumothorax is seen. There is minimal atelectasis at the left base. The heart is within normal limits in size.,1. Post ORIF of right clavicular fracture. 2. Increased right basilar atelectasis.,1.2.826.0.1.3680043.8.498.55589975228134580272770471503949905915
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila are prominent. This is unchanged from the prior chest x-ray. There are chronic lung changes with areas of pulmonary fibrosis. No definite acute overlying pulmonary process. No pleural effusion.,Chronic lung changes. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.66165103873451356787661816646018623778
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81055565953751340701249999371285832227
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99733161238555471504905972294006080554
+Stable cardiomediastinal contours with enlarged heart size. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,Cardiomegaly. No evidence of active disease or edema.,1.2.826.0.1.3680043.8.498.39326808596170786465016851765893642427
+The patient was shielded for the examination. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55041740400696399265683102083401356640
+"Heart size is normal. There is patchy infiltrate in the right lower lobe, consistent with infectious process. No pulmonary edema. No pleural effusions.",Right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.43683145400713705963330441510892125987
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90216023490260525141660133331108990438
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen. There is a fracture of the distal right clavicle which was described on the prior CT. No other fractures are seen.,No acute chest findings.,1.2.826.0.1.3680043.8.498.57953178893515123252567718312370302848
+Cardiothymic silhouette is within normal limits. There is peribronchial thickening and abnormal perihilar aeration suggesting viral bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.29012167752069570189590955160645520538
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.64033169308055168294885110083009907080
+"Semi upright AP and lateral views of the chest. Cardiac size at the upper limits of normal. Other mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44119017301742571567304433198632561607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52842800209451335648582551635672482541
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99701619929859534278773162545236652389
+Heart size is mildly enlarged. There is no pleural effusion or edema. Coarsened interstitial markings are noted bilaterally. No airspace consolidation. The bones are osteopenic. There are surgical clips in the right axilla.,1. No acute cardiopulmonary abnormalities. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.47451349283474858160098586344815611739
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47227517933951894268002596205516346203
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96645861376590913768941197054674831090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61121735032740920397887217718738589998
+There is increased density in the RIGHT upper lobe compatible with pneumonia. The LEFT lung field is clear. Heart size is normal.,There is increased density in the RIGHT upper lobe compatible with pneumonia and located in the RIGHT apical posterior segment.,1.2.826.0.1.3680043.8.498.32835947481813991903366042102689055240
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82176007779576718566187371683503136794
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40056985756438716412323790597276579218
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37272410945580303730799572364708381462
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65861605369034435334576650971353144191
+The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19393968029505567596199242816929230615
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.30032934093972734782324884357819202948
+Cardiomegaly with vascular congestion and mild pulmonary edema. Small bilateral pleural effusions with bibasilar atelectasis versus infiltrate. No pneumothorax. Atherosclerotic calcification of the aorta. No acute osseous pathology. Old left rib fractures.,Cardiomegaly with findings of CHF and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.11191978727213010208292751126761948160
+Trachea is midline. Heart size stable. There is a background pattern of interstitial lung disease. No pleural fluid.,Pulmonary fibrosis without acute finding.,1.2.826.0.1.3680043.8.498.59873446283885941131428008446412118656
+There is a moderate cardiac enlargement. Aortic atherosclerosis is noted. The left pleural effusion is identified. The right lung appears clear. The left lower lobe airspace consolidation is unchanged from previous exam.,1. No change and left effusion. 2. Stable aeration to the left base.,1.2.826.0.1.3680043.8.498.53894626406065146305165205081339042155
+The heart is normal in size. There are heterogeneous opacities in the lungs involving the upper and lower lobes. There is no evidence of pneumothorax. There may be small bilateral pleural effusions.,Bilateral airspace disease. This may represent pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.77363611672128518835291556298222487249
+There is persistent interstitial and patchy alveolar edema throughout the lungs. There is cardiomegaly with pulmonary venous hypertension. There is a small left pleural effusion. No adenopathy is appreciable by radiography. No bone lesions.,Findings indicative of a degree of congestive heart failure. Superimposed pneumonia in the bases cannot be excluded radiographically. Both entities may exist concurrently.,1.2.826.0.1.3680043.8.498.37215444642010291831591530560923665779
+"Portable AP upright view at 1360 hours. Large lung volumes, architectural distortion, and cystic change in the right upper lobe. Superimposed 17 mm right upper lung mass suspected. No superimposed pneumothorax, pulmonary edema, pleural effusion or other confluent pulmonary opacity. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Negative visible bowel gas pattern.",1. Right upper lobe lung mass suspected. Chest CT (IV contrast preferred). 2. Chronic lung disease with architectural distortion and suspected superimposed right upper lobe bronchiectasis.,1.2.826.0.1.3680043.8.498.28577818914447846696870867666156549333
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89697260748532943064249893864541045260
+"Tip of endotracheal tube projects 2.2 cm above carina. Nasogastric tube extends into stomach. LEFT jugular central venous catheter with tip projecting over SVC. External pacing leads present. Normal heart size, mediastinal contours, and pulmonary vascularity. Bibasilar atelectasis with small RIGHT pleural effusion. Upper lungs clear. No pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.75245694915306507292912319795045467007
+"AP view at 0336 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. UVC catheter tip is at the level of the diaphragm. UAC catheter tip is at the T7-T8 level. Normal bowel gas pattern. No bowel pneumatosis. No portal venous gas identified. Stable lung volumes. Confluent bilateral perihilar opacity. No pneumothorax or pleural effusion. Mediastinal contours remain normal. No osseous abnormality identified.",1. UVC tip at the level of the diaphragm. UAC tip at T7-T8. 2. Enteric tube and endotracheal tube in good position. 3. Normal bowel gas pattern. 4. Bilateral confluent perihilar opacity. Favor bilateral pneumonia.,1.2.826.0.1.3680043.8.498.28205484354727181631088255668398562442
+"Interval extubation and removal of NG tube. Swan-Ganz catheter and left chest tube remain in place, unchanged. No pneumothorax. Cardiomegaly with vascular congestion. Low lung volumes with bibasilar atelectasis. Small left effusion.",Interval extubation. Low lung volumes with vascular congestion and bibasilar atelectasis. Small left effusion.,1.2.826.0.1.3680043.8.498.10850366938060333960268964933740219911
+Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.25137938465551356025215725363196866888
+"Single view of the chest shows a normal size cardiomediastinal silhouette. An NG tube is seen with its tip in the stomach. A left central venous catheter is seen with its tip in the superior vena cava. No consolidation, mass or pleural effusion is seen.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47980171078843354796516581035558945823
+NG tube is in place with the tip in the stomach. The bowel gas pattern is unremarkable. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,NG tube in good position.,1.2.826.0.1.3680043.8.498.45238776587040011261304087071113236925
+The lungs are clear. There is no pleural effusion. Heart size is normal. Nipple shadows are noted.,No acute disease.,1.2.826.0.1.3680043.8.498.33782592732222288121934308712590234508
+"There is a right internal jugular venous catheter present with the distal tip in the cavoatrial junction. There are multiple bilateral pulmonary nodules and airspace disease. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Extensive metastatic disease to the chest. Central venous catheter present.,1.2.826.0.1.3680043.8.498.12741897265768925087686424470603551167
+Lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58754892819541983643649188244707962034
+"Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the stomach. Left subclavian pacemaker with leads terminating over the right atrium and right ventricle. The heart is enlarged. There is atherosclerosis of the aortic arch. Bilateral pleural effusions are again seen, right greater than left, not significantly changed. There is pulmonary vascular congestion and mild pulmonary edema, also similar. No pneumothorax is identified. No displaced rib fracture is seen.",1. Unchanged findings of CHF and bilateral pleural effusions. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.32304228197212509333672908103715628554
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.88351982664561797013275954705782708178
+There is mild thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is enlarged indicative of cardiomegaly. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,1) COPD with likely superimposed pulmonary fibrosis. 2) Cardiomegaly. 3) No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59602486972635863931185541876064236844
+"PA and lateral chest radiographs are provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.56271209405592255770673253607845533831
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.84883889383441098760673224276852239528
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. Calcification is noted at the aortic arch. A pacemaker/AICD is noted overlying the left chest wall, with leads ending overlying the right atrium and right ventricle. No acute osseous abnormalities are seen. Scattered clips are noted overlying the right chest wall.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45416197635320304641550662824187014908
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54140588332794166955261276094936181424
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27035397426005074915230740351266651292
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.16118563527935420548985926123848695872
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No pneumothorax. No bone lesions.,Lungs clear. Heart size normal. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.26298020616974243713340468716418570544
+Cardiac shadow is within normal limits. Right-sided PICC line is noted with the catheter tip at the cavoatrial junction. The lungs are clear. No bony abnormality is noted.,No active disease. Right-sided PICC line in satisfactory position.,1.2.826.0.1.3680043.8.498.86296230914255590154813579927574731419
+Normal heart size and mediastinal contours. Extensive BILATERAL pulmonary infiltrates increased since previous exam consistent with multifocal pneumonia. No pleural effusion or pneumothorax. Osseous structures unremarkable.,Increased multifocal pulmonary infiltrates consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.76862149675926991491768498593719857874
+The heart size is normal. The thoracic aorta is tortuous. The hilar and mediastinal contours are otherwise unremarkable. The lungs are clear. Degenerative changes are present throughout the thoracic spine. There is no evidence of pleural effusion or pneumothorax. No acute fractures are identified.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61100474409312088017944193008120876431
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24144419515344410339275692122225686072
+There is airspace consolidation in the right upper lobe. There is patchy infiltrate in the right base. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Extensive airspace consolidation on the right, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.69917586346963688443188991329333915261
+There is a focal area of consolidation in the right perihilar region consistent with pneumonia. There is no pleural effusion. The left lung is clear. Lung volume is normal.,Right perihilar pneumonia.,1.2.826.0.1.3680043.8.498.28139943706906120022722830407169572399
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96441892463621443906902854654016014464
+There is patchy infiltrate in the posterior lung bases. Lungs are otherwise clear. No pleural effusion. Heart size is normal. The patient is status post CABG.,"Patchy basilar infiltrates, likely due to pneumonia.",1.2.826.0.1.3680043.8.498.80992910025793929018574572895947780349
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60126897262489860895480477552338462680
+There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.79806299742341817838434343211124023581
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Negative chest x-ray.,1.2.826.0.1.3680043.8.498.72478051509951151840040628533972827158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64117095467562863866415865023335943260
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59836707817941919690950638980159893095
+Endotracheal tube is in place with the tip 2.5 cm above the carina. The lungs are free of a pneumothorax. No pleural effusions are seen. No displaced rib fractures are identified. The heart size is normal.,1. No acute cardiopulmonary abnormality. 2. Endotracheal tube in good position.,1.2.826.0.1.3680043.8.498.66194243578382487499612065602339285538
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes. Interim clearing of left lung infiltrate. Mild residual right base infiltrate. No pleural effusion or pneumothorax. Prior thoracic spine fusion. Thoracic spine scoliosis.,1. Interim clearing of left lung infiltrate. Mild residual right base infiltrate. 2. Prior thoracic spine fusion.,1.2.826.0.1.3680043.8.498.61454496913607450530990294002357749338
+Cardiac shadow remains enlarged. Aortic calcifications are again seen. Small bilateral pleural effusions are noted as well as some patchy infiltrative changes in the right lung base. This is increased from the prior exam. No pneumothorax is seen. Chronic compression deformities are noted throughout the thoracic spine.,Increasing right basilar infiltrate with bilateral effusions.,1.2.826.0.1.3680043.8.498.13809190875049764788309688677242167556
+Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Unremarkable bones.,Mild changes of bronchiolitis.,1.2.826.0.1.3680043.8.498.15519439790307227790254280434995656168
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.40957476786473634936475170426842909663
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Emphysema is present. Bilateral pleural apical scarring. Aortic arch atherosclerosis. Bilateral basilar atelectasis.,Emphysema without acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72929214887630671809188363572071967473
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57624841259297546197599673821836588008
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16276683892974431277174846992846797426
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53811401252040139578049044985934593542
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96202304385383601238499902321205846704
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Mild scoliosis of the thoracic spine is evident.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83196363588683889437785694693364859806
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.41894289851340646894363378110766579051
+The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56557391418656916758639332955207760887
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84626081007089744564182453043811077333
+Trachea is midline. Heart is enlarged. Thoracic aorta is tortuous and calcified. Biapical pleural thickening. Lungs are clear. Small bilateral pleural effusions.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.10956098857619491305002196118756814837
+Swan-Ganz catheter has been removed. Right internal jugular central venous catheter remains in place. There has been interval worsening of diffuse bilateral airspace disease consistent with worsening edema. Small bilateral pleural effusions are noted. Heart size is stable.,Worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.93711542740070924599626936562817699446
+Patchy bilateral airspace opacities are present predominantly in the periphery of the lungs consistent with multifocal pneumonia. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,Patchy bilateral airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.63160101273974005045952566816795681573
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83653850808576193896755024841853772853
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Thoracic spondylosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48564095631633554702281139310853884319
+The lungs are well-aerated. Mild vascular congestion is noted. Mild left basilar atelectasis is seen. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. The patient is status post median sternotomy. No acute osseous abnormalities are seen.,Mild vascular congestion and mild cardiomegaly. Mild left basilar atelectasis noted.,1.2.826.0.1.3680043.8.498.43023249344910699818921341731505741080
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10981485129851701974364999242384785878
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29189645026176977513745817537421207034
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16323037112778561736455018088114674483
+The endotracheal tube has been removed. Aeration of the lungs has improved particularly at the lung bases. There is still opacity at the right lung base and to a lesser degree at the left lung base. A Swan-Ganz catheter is unchanged in position and heart size is stable. A left chest tube remains and no pneumothorax is seen.,Improved aeration with persistent basilar opacities right greater than left. Endotracheal tube has been removed.,1.2.826.0.1.3680043.8.498.29277860010463266493936701463553917548
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85888930309445171014499396812061759948
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99686207602095808051144740107438119409
+The lungs are well-aerated. Minimal left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Minimal left basilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.92828876044086736214352815716738528249
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.54579933417319368663804085825133908946
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13224030248903451114527430205853194032
+No active infiltrate or effusion is seen. There are prominent perihilar markings with peribronchial thickening most consistent with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.95457478638641766664949363519280311949
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Negative chest. No rib fracture.,1.2.826.0.1.3680043.8.498.76922818012148348824438447693019606060
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67527412657949681757055498442148360532
+"The heart size and mediastinal contours are within normal limits. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable. There is scarring in the right upper lobe unchanged from prior exam.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38197517848662181394540298377248642222
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62870295451643216577549341209794354340
+The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions. Stomach is moderately distended with air.,Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.95685615300193548328500434189632169700
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.33121283893962891941205208816904430326
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85301623747684669745764440078140261337
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15925089326113652345307150534072413371
+The heart is enlarged. The pacemaker is in good position. The lungs are clear. No pneumothorax. No pleural effusion.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55797062438341994924461309321407523667
+The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92860971157988704217854565676069942821
+Cardiothymic silhouette is normal. There is no pleural effusion or pneumothorax. Mild bilateral hazy lung opacities are identified. No consolidation or atelectasis. The visualized osseous structures are unremarkable.,Bilateral hazy lung opacities consistent with RDS.,1.2.826.0.1.3680043.8.498.95431101992808487118631232995180782202
+Portable exam is performed at [DATE] a.m. showing right greater than left pleural effusions with right lower lobe atelectasis and infiltrate. No additional lung infiltrates nor edema is seen with stable cardiomegaly.,1. Right lower lobe atelectasis and infiltrate. 2. Right greater than left pleural effusions. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.13506181639407461804733435178671605652
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.74710168944744278234698871980964762318
+The cardiac silhouette is normal size and shape. There is elevation of right hemidiaphragm with minimal atelectasis right base. There is coarsening of the reticular interstitial markings with central peribronchial thickening. No consolidation or pleural effusion is seen. Bones appear average for age.,"There is elevation of right hemidiaphragm with minimal atelectasis right base. There is coarsening of the reticular interstitial markings with central peribronchial thickening. This most commonly is associated with bronchitis, reactive airway disease, or peribronchial pneumonitis.",1.2.826.0.1.3680043.8.498.84001445550744053735585986856479773538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42635611667868709495456623798036420460
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59074611709848486725907818833627553541
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96626551735721924344011001795395662730
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83717525741927333879608796550689635278
+There is mild cardiomegaly. Both lungs are clear. No effusions. Thoracolumbar scoliosis.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.90141599620816902774708183649689700797
+Heart size is difficult to evaluate on the AP projection. Congestion is improved compared to prior study. The costophrenic angles appear sharp. Hilar structures are grossly unremarkable. Trachea is midline.,Interval improvement in congestive changes.,1.2.826.0.1.3680043.8.498.77937258735251294333322290306247327889
+Elevation of the right hemidiaphragm with right basilar atelectasis. Heart is normal size. Left lung is clear. No effusions. No acute bony abnormality.,Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.43499827294971823829941866974060975013
+"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs hypoinflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. No active cardiopulmonary disease. 2. Stable cardiomegaly without pulmonary edema.,1.2.826.0.1.3680043.8.498.51566550722952370811745828546444009057
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67325320125256877828333433415138886558
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45422087521079980492247989151631888234
+The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion. The bones are osteopenic.,There are findings consistent with interstitial edema of cardiac or noncardiac cause. This is likely superimposed upon COPD. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.36588366543107137645576391098953473413
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28157775258708706762889706246332046939
+The cardiopericardial silhouette is within normal limits for size. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66924158178647283091871569299419881152
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55199334658585263462378679037840058751
+Patchy airspace disease in the upper lobes is mildly improved. No new or worsening areas of pulmonary infiltrate are seen. There is no evidence of pleural effusion. Heart size and mediastinal contours are normal.,"Mild improvement in bilateral upper lobe airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.60576788160237141315919397364016911158
+"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.96015606218495323769596035115107146654
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86136581798745752239981023326610994058
+There is increased density at both lung bases consistent with pneumonia. There is also a density in the right midlung zone consistent with pneumonia. There is no evidence for heart failure. The heart is mildly enlarged. A prominent gas shadow is again identified in the region of the right apex. This is unchanged.,Bibasilar pneumonia. Right midlung zone pneumonia.,1.2.826.0.1.3680043.8.498.44568541477893380345829360218638237267
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60416833952302492407885263931825635510
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21241861393696561147605140539164411430
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.59208382814104711174837867196918151204
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69357834411999686288011703786593290244
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49170112825359265608232210488531800686
+The lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22123065784250459469507481836774528338
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Peribronchial thickening question bronchiolitis or reactive airway disease. Retrocardiac left lower lobe infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.14236614709484346285332725581947231556
+"Tip of endotracheal tube 2.2 cm above carina. Nasogastric tube coiled in stomach. Right subclavian central venous catheter, tip SVC. Stable heart size. Bibasilar atelectasis. No gross effusion or pneumothorax.",Persistent bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.97685815489879010275783167863211034577
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25708698932654327016227356814856856418
+The heart size and mediastinal contours are within normal limits. Stable tortuosity of the thoracic aorta. Small bilateral pleural effusions. No pulmonary edema. No consolidation. The visualized skeletal structures are unremarkable.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.56583995035047824498517297529184109404
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.72250534690642958389500938600482106477
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.26742401912249535056330256087748968523
+"The lungs are poorly expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",Low lung volumes with no radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.85986716993117032824722149990687013038
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Lungs clear. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30976912999645845302131906916584907588
+The heart size and mediastinal contours are within normal limits. ASD repair closure device noted within the heart. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92358163165647904562405596539434319470
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.71266906942160961631217752964624472533
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. Subtle opacity LEFT lower lobe suspicious for pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with LEFT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.74882209291862550269462885765141281048
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.52805300846250198231207865691047338494
+Patchy opacities in the left lower lobe and right middle lobe are suspicious for pneumonia. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Patchy left lower lobe and right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.95278199092387166996390359576529070299
+OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is unremarkable. No evidence of free air. No bony abnormality.,OG tube in good position. No acute disease.,1.2.826.0.1.3680043.8.498.41167647715445289452407650557036824740
+The lungs are mildly hyperinflated but clear. The heart and mediastinal structures are normal. There is no pleural effusion. The bony thorax is grossly intact.,I do not see evidence of acute abnormality of the thorax. There is mild hyperinflation which may be voluntary or could reflect underlying COPD.,1.2.826.0.1.3680043.8.498.80472514595677433792255232525043904177
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41340957374264893869611524330085550965
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.98183987884397653697442732902051466202
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.66778120599351957690757037213169835369
+Patchy basilar infiltrate is noted on the left but significantly improved when compared with the prior exam. No significant infiltrate is noted on the right. Heart size is normal. No pulmonary vascular prominence.,Partial clearing of left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.76907427643114639493819651819368241719
+Endotracheal tube is 2.5 cm above the carina. There is mild perihilar atelectasis. Heart is normal size. No effusions.,Endotracheal tube 2.5 cm above the carina. Mild perihilar atelectasis.,1.2.826.0.1.3680043.8.498.35637702182686950370316303644993034089
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48521266020041795824799184668670906858
+Post CABG. The cardiomediastinal silhouette is unchanged. Small left pleural effusion with adjacent atelectasis. The right lung is clear. No pneumothorax. Thoracic spine fixation hardware is unchanged.,Small left pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.34458754653486216621941395202325646582
+"Endotracheal tube terminates 1.5 cm above the carina. Cardiothymic silhouette is within normal limits. Coarse patchy airspace opacities are again seen throughout both lungs, not significantly changed. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.",Endotracheal tube as above. Stable bilateral airspace disease.,1.2.826.0.1.3680043.8.498.76640539846507189362027322839838989887
+"Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. No bony abnormality. No bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.42906846649381675077368465456651015424
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.59010358992934909935256646137923396614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18496236041300017223103785528361832033
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.64150449884368507213037745238816262443
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15918435250363917999411306842759261736
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63628733260025549362307917407646047993
+"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality. Aortic atherosclerosis. Old bilateral rib fractures.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.24165346630978228434674138068447883940
+"Endotracheal tube, NG tube, left subclavian line in stable position. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence with bilateral pleural effusions. Findings consistent with congestive heart failure. No pneumothorax.",1. Lines and tubes in stable position. 2. Persistent changes of congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.54638247476026597523990708320007149923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10977830715873064937794881433024084595
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71953334051735559848771625640000100978
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.93956101125147644174696819000393570493
+There is a mid inspiration. There is mild chronic-appearing prominence of the left basilar bronchovascular markings. The lung fields reveal no active process. The heart and mediastinum are physiologic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.64537623159366701928745796527975507383
+There is increased airspace disease in the right upper lobe consistent with pneumonia. Stable airspace disease also present at the left lung base. No overt edema or pleural fluid identified. Stable heart size. Nasogastric tube extends into the stomach.,Increased right upper lobe airspace disease consistent with pneumonia. Stable left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.19194608471533131563714495551344247865
+An endotracheal tube is in place with tip 3.6 cm above the carina. Left-sided pacemaker/AICD in position with lead tip projecting over the expected location of the right ventricle. Lung volumes are low. No consolidative airspace disease. No pleural effusions. No pneumothorax. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Status post median sternotomy.,"1. Support apparatus, as above. 2. Low lung volumes without radiographic evidence of acute cardiopulmonary disease. 3. Mild cardiomegaly. 4. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.82710337026633963167870381986670394598
+"There is a large right pneumothorax, increased in size from earlier abdominal film. There is collapse of the right lung. There is no mediastinal shift. The heart size is normal. The left lung is clear. No significant pleural effusion is seen.","Large right pneumothorax, increased in size compared with earlier abdominal film. No evidence of tension.",1.2.826.0.1.3680043.8.498.51304154404562222854827655607275266671
+"Single portable AP chest radiograph is provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.76907129258685919782309215015666156961
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86123377978873337549481314384450971135
+The lungs are clear and somewhat hyperaerated. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen. Endotracheal tube and NG tube have been removed.,No active lung disease.,1.2.826.0.1.3680043.8.498.11484744498025482307616951678996967710
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Negative. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76818104650529653435505678515142264463
+"Endotracheal tube with tip approximately 3 cm above the carina. Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. Endotracheal tube above the carina. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.73287104173248258990816348084862666209
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40657288679160387000984666531450222455
+PA and lateral views of the chest show underlying COPD with interstitial changes and old scarring in the RIGHT upper lobe. Airspace opacification is seen in the RIGHT upper lobe consistent with superimposed pneumonia. No associated pleural effusion is seen. The LEFT lung field is clear. No acute changes of the heart or pulmonary vasculature are identified. The osseous structures show no acute changes.,1. RIGHT upper lobe pneumonia superimposed on COPD. 2. LEFT lung field is clear. 3. Follow-up examination is recommended.,1.2.826.0.1.3680043.8.498.90671802014294814017032246242545844785
+Right Port-A-Cath is in place. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.58483822478621784303821439407712679609
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.37407872780256214485054220744241926479
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.31942366245260925870303150145693329757
+Mediastinum and hilar structures normal. Left base infiltrate consistent pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Left lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.63277902945189596930240275174370618637
+"Normal heart size and vascularity. No focal pneumonia, edema, effusion or pneumothorax. Left upper lobe 5 mm nodular density noted versus overlapping shadows. Consider short-term follow-up 3 months versus non emergent noncontrast CT chest for further evaluation. Remaining lungs are clear. Trachea is midline.",Possible left upper lobe 5 mm nodular density. See above comment.,1.2.826.0.1.3680043.8.498.54936265127121971644663513807129638606
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. There are small bilateral pleural effusions. The lungs are hyperinflated. No focal consolidation. Degenerative changes in the spine.,1. Small bilateral pleural effusions. 2. Hyperinflation of the lungs consistent with COPD.,1.2.826.0.1.3680043.8.498.53005910362178095906781892274549650767
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.65817288460327879884749062815682430798
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.35454402312363096437957218996689169376
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12921710294804710954515921280186003622
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91734867222476247546986727847971667531
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67313826329633194718030348022607928898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30487361293534152832092176722310566410
+Endotracheal tube is well positioned with tip approximately 4 cm above the carina. Central line is unchanged in position. Heart size and pulmonary vascularity are normal. Perihilar edema has improved. Small right pleural effusion is stable. No acute bone abnormality.,"1. Endotracheal tube in place, well positioned with tip approximately 4 cm above the carina. 2. Improving perihilar pulmonary edema.",1.2.826.0.1.3680043.8.498.37173061456737309692205341418105164963
+Right jugular central venous catheter tip in the SVC. No evidence of mediastinal hematoma or pneumothorax. Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. No pleural effusions.,1. Right jugular central venous catheter tip in the SVC. No acute complicating features. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17133646195931845156360059143356021303
+There is flattening of the hemidiaphragms. Linear areas of increased density project within the lung bases. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. COPD with likely underlying component of pulmonary fibrosis. 2. Discoid atelectasis versus scarring within the lung bases. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87291347117625137097516599219916574488
+"Unchanged endotracheal and enteric tubes. New right internal jugular central venous catheter with the tip in the proximal SVC. The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged atelectasis in the right mid lung. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",1. New right internal jugular central venous catheter with the tip in the proximal SVC. 2. Unchanged endotracheal and enteric tubes.,1.2.826.0.1.3680043.8.498.81790819642336716888113513735747744259
+Single view of the chest shows an enlarged cardiomediastinal silhouette. Bilateral pulmonary vascular congestion is seen as well as a small right pleural effusion. No focal consolidation is present. No pneumothorax is seen. The osseous structures are unremarkable.,Findings suggestive of congestive heart failure.,1.2.826.0.1.3680043.8.498.39823777340439485959614289988282963893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29509841032131553783326309975835915528
+Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the stomach. The lungs are clear. No pneumothorax. No pleural effusion. Normal cardiomediastinal contours.,Support equipment appears satisfactorily positioned.,1.2.826.0.1.3680043.8.498.47535512522828971255732128029573139685
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.68340866183252104861782912483884651979
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80463063400202547326682803927236313064
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77219278454698942561743357778940057481
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62524156610373432935074044807212392718
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18430203138149319793456031286706290870
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Elevation of right hemidiaphragm is unchanged.,Negative.,1.2.826.0.1.3680043.8.498.90132585054847021682336724491245927653
+"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.29161439387333894883388478621738008514
+There is mild bibasilar atelectasis. The lungs are otherwise clear. Pulmonary vasculature is normal. There is a small left pleural effusion. No pneumothorax. Heart size is normal. No acute osseous abnormalities.,Small left pleural effusion with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.86075715046720732572161296983875151312
+Sternotomy wires are present. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55160163773418110024306451976945047616
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45394508368819635396029875813526682557
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.76068750529814992141010511515550920536
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61421135847865158892034197102623357424
+There has been interval increase in bilateral pleural effusions and airspace disease. Cardiomegaly again noted.,Increasing edema/effusions.,1.2.826.0.1.3680043.8.498.35187762218750723164981426264243399840
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.95199786710221259524031011900433002993
+An enteric tube is again identified extending to the LEFT upper abdomen with tip overlying the mid stomach. LEFT lung opacification is unchanged. Increased opacity within the RIGHT LOWER lung is noted. There is no evidence of pneumothorax. No acute bony abnormalities are identified.,Unchanged appearance of the LEFT lung with LEFT lung collapse. Increased opacity within the RIGHT LOWER lung. Question atelectasis or airspace disease.,1.2.826.0.1.3680043.8.498.16351452681629461622027199192639043070
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44947212909325331189510117897406292034
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30798874624222628148814208163463005074
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.88548914429042150042443026520968805890
+"Stable cardiomegaly and mediastinal contour with tortuous thoracic aorta. Stable biapical pleural scarring. Stable pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion, consolidation, or acute airspace opacity. Stable visualized osseous structures.",Stable cardiomegaly and mild vascular congestion. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.28129098561516687056580736862619345168
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62902302449206901027227343888928393116
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22426732315541199646183161363208859312
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95930342870846033695444985323069318306
+"Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs are hypoinflated. Secondary mild bronchovascular crowding. No pulmonary edema or pleural effusion. No focal infiltrates. No pneumothorax. No acute osseous abnormality.",Shallow lung inflation with secondary mild bronchovascular crowding. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38975876808418296703874770300235004191
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88426249696832898508157648736752064608
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43068417232656982683774091056887452853
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59812462350715162809742226231827191909
+The heart and vascularity are unremarkable. No pneumothorax is visualized. Healed left rib fractures are present. Volume loss is present in the lung bases.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.69495297320467680935220955519197862551
+Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Minimal thoracic spine degenerative changes.,Mild bronchitic changes.,1.2.826.0.1.3680043.8.498.33780562776358996726340900019578787948
+There is a patchy infiltrate in the RIGHT upper lobe compatible with pneumonia. The lung fields otherwise are clear. No pneumonia is seen on the LEFT. No acute changes of the heart or pulmonary vasculature are identified. A cardiac pacemaker is present.,There is a patchy infiltrate in the RIGHT upper lobe compatible with pneumonia.,1.2.826.0.1.3680043.8.498.88930539243825501958464058453095225791
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54774231042996558369392916171035675903
+There is cardiomegaly and pulmonary vascular congestion. No overt pulmonary edema. Nasogastric tube is in place with its tip in the stomach.,Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.86392812657872156633832103896828872431
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36683684634588562553371650840773485026
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45097445420229184817983524630130511827
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87714604173189910668046205530867667291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85618603121431937588737149258103346977
+There is central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.54608776061583273409920428594652801353
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12830795226575271958111396144415104297
+The heart size and mediastinal contours are stable. Endotracheal tube is identified distal tip 5.5 cm from carina. Nasogastric tube is identified distal tip not included on film but is at least in the stomach. A right central venous line is identified with distal tip in the superior vena cava. There is no pneumothorax. There is consolidation of the right lung base. The left lung is clear. The visualized skeletal structures are stable.,"Right central venous line distal tip in the superior vena cava. There is no pneumothorax. Consolidation of right lung base, unchanged.",1.2.826.0.1.3680043.8.498.30571911758155803720736891907285335803
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.50294524145393927089264375910873990526
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69758021461890599405364133589629581920
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25916794215399907153375569889180566465
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.64519873816591855579203121380301302759
+Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious. Faint calcifications projecting in neck are likely vascular.,Stable examination: Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.41273103838855648755742859299820999587
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusion or infiltrate. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31203560130831934643894443032037214546
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. Thoracic spine degenerative changes.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29226770292969045287148095052209676477
+There is scarring in the left base region. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Scarring left base. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.55322445291935892166889209108954016583
+Endotracheal tube is in good position. There is diffuse bilateral airspace disease which is most likely due to pulmonary edema. There is no effusion. There is COPD.,Endotracheal tube in good position. Development of bilateral airspace disease which is probably due to pulmonary edema.,1.2.826.0.1.3680043.8.498.25496273943955575577185531240154189748
+There is focal airspace disease in the left lower lobe consistent with pneumonia. Central airway thickening is noted. The heart size is normal. No pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.12891694581360382189825741416179743450
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27345036702509538206509569233529834976
+There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.95891426364470359082182478895167674918
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73218872320224671040226030471375614355
+Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. No evidence of adenopathy. Mild prominence of the bronchovascular markings diffusely. Mild linear opacity is noted in the left lung base consistent with atelectasis. No evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68561309419810759999340491702257813336
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42307958150667090535015088726605178957
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32217732918409357084641852426458956544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27331742650541630325848911054760305428
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.73476843693971396284100248089977784486
+The lungs are hyperinflated likely secondary to COPD. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43134865397125888629880818416137865242
+The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.85413563934373975921977031483554398614
+Low lung volumes are seen. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35073834085779006888735872838822958944
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Thoracolumbar scoliosis.,Negative.,1.2.826.0.1.3680043.8.498.67531545233595855195311183511178475672
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99221130707227801242218653370226766162
+The lungs are adequately inflated. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11649854648886458137872240301375697255
+There is a focal area of consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size and vascularity are normal. No osseous abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.31817165005674112798323232982687504096
+Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.13492725522220884787984270710297698002
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20841741962834767311244110257046397062
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55997433643157111440500418211010771210
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79653558638399846078429396509822813998
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.60201812819344910998934311683295730791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97017035847064316969782127607369056420
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98187123864017453800254276541902478913
+"The lungs remain severely under inflated. The endotracheal tube, left PICC, and nasogastric tube are stable. Bibasilar atelectasis is again seen. The heart is normal in size. A moderate sized left pleural effusion is again noted. No pneumothorax is seen.",No significant change.,1.2.826.0.1.3680043.8.498.58397750893389912821584674750669118378
+Mediastinum and hilar structures are stable. Prior CABG. Stable cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. Small bilateral pleural effusions again noted. Pleural calcification on the right again noted. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. Small bilateral pleural effusions again noted. Findings suggest chronic interstitial lung disease with superimposed bilateral pneumonia.,1.2.826.0.1.3680043.8.498.92171976852509904720737381874164201950
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable. There are moderate degenerative changes of the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.96595581651252037132309351118752260525
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Ventriculostomy shunt catheter is on the left.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.11781222813895092939434502321328227318
+"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Both lungs are clear. No evidence of pleural effusion. No mass or lymphadenopathy identified.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.49375718396912301147825660222177919359
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67197204428723462345233905345117092225
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73579552080160184031529268231399661237
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39998698513491709644711555567214488039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.93222022590776398327169000229105235644
+There is peribronchial thickening consistent with bronchitis. Heart size and vascularity are normal. Lungs are clear. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.42297326139080434604617731667580302199
+The heart size is normal. There are no effusions or edema. Scar vs atelectasis is identified at the left lung base. No acute air space opacities are identified.,Scar vs atelectasis at left lung base.,1.2.826.0.1.3680043.8.498.24635264093323815434394732742105718062
+"There is cardiomegaly. Patchy bilateral airspace opacities are again noted, with slight improvement since prior study. Low lung volumes. Small bilateral effusions.",Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.50085322486277819389027788587533686939
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.79373206949650763546290498445365128879
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. An endotracheal tube is in place with the tip located in the right mainstem bronchus. This needs to be pulled back approximately 1 cm for positioning of the tip above the level of the carina. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild volume loss in the right upper lobe with increased density in the right upper lung zone. No pleural effusions or pneumothorax are seen. The visualized portion of the bowel gas pattern is unremarkable. Bony structures appear intact.,Endotracheal tube tip in the right mainstem bronchus. This needs to be pulled back approximately 1 cm. Right upper lobe volume loss with mild atelectasis.,1.2.826.0.1.3680043.8.498.74866273473383210924483156393359122871
+Stable cardiomediastinal silhouette. Feeding tube is unchanged in position. No pneumothorax is noted. Stable bibasilar atelectasis or edema is noted with associated pleural effusions. Bony thorax is unremarkable.,Stable bibasilar atelectasis or edema with associated pleural effusions.,1.2.826.0.1.3680043.8.498.95179065325533175005398318552708367143
+The heart size and mediastinal contours are within normal limits. Previously seen lingular pneumonia has resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56839141524761097965049224632037771222
+"Left central line remains in place, unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Old bilateral clavicle fractures.",No active disease.,1.2.826.0.1.3680043.8.498.98080654871066169823430937237670396973
+"Stable obscuration of the right heart border on the frontal view. This is less pronounced than on the prior exam. No consolidation on the lateral view. Lung volumes are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or new airspace opacity. Stable mild scoliosis. Other visualized osseous structures appear normal for age. Cardiac size and mediastinal contours are within normal limits.","Stable obscuration of the right heart border on the frontal view, improved since 10/21/2003. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.22360706980164481566346589844803342398
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52913332273647739039799912111150177692
+"PA and lateral chest radiographs are provided. There is left basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.35354860409218806122608982650094430746
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Surgical clips in the right axilla.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73755173153758847876432563206155376905
+There is peribronchial thickening consistent with asthma. There is a small area of round infiltrate in the right perihilar region which is improved from the prior study. Heart size and vascularity are normal. No bony abnormality.,Improved appearance of the right perihilar pneumonia.,1.2.826.0.1.3680043.8.498.81063596455177190768640753541600715908
+"Single frontal portable radiograph of the chest is submitted. The patient is rotated to the left. Cardiomediastinal silhouette is stable. No airspace consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are noted.",No acute cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.98591999020384891320905518255235132352
+"Stable cardiomegaly. Mild pulmonary vascular congestion without frank edema. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Stable cardiomegaly with mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.67171018745024970069655389230834471517
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20129689945424362794472473431060252541
+Limited exam because of patient positioning. Cardiomegaly. Suspect mild vascular congestion. No confluent airspace opacities or effusions. No acute bony abnormality.,"Limited study due to patient positioning. Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.75809076488304136330237232145943097903
+There is no pacemaker on the left. Pacemaker electrodes are attached to the right atrium and right ventricle. One of the pacemaker leads is attached to the posterior aspect of the right atrium. One of the pacemaker leads appears attached to the posterior aspect of the right heart. The cardiac silhouette is enlarged. The pulmonary vascularity is normal. There is no pneumothorax or pleural effusion. There is no edema. There is mild degenerative disc disease at multiple thoracic levels.,No evidence of pneumothorax following pacemaker placement. Cardiomegaly. No evidence of edema.,1.2.826.0.1.3680043.8.498.46980990917115526716573795080345664268
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. No radiopaque foreign bodies.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81163685920072772374044209173340605989
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.81796178177380008603364515308729807132
+"Small left apical pneumothorax again noted, unchanged. Heart is normal size. Right lung clear. Minimal left base atelectasis. No effusions.",Stable small left apical pneumothorax.,1.2.826.0.1.3680043.8.498.71664488757863986198831448361992799126
+The heart is mildly enlarged. The pulmonary vasculature is within normal limits. The lungs are clear. No pneumothoraces or effusions are seen.,Cardiomegaly without congestive heart failure.,1.2.826.0.1.3680043.8.498.95677660835383805785657136529621598452
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.45058708274371215775842919579013055961
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.50390416737492489289559611455549873887
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.53034833776594761666733842936374074303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33596160154231850404437242270359852091
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.12328845376749880629743760794463846198
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.64633605136530638637096210345978787389
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45945712050407655131274361829786494258
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82290402139522156060245844600370843089
+"Stable mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29656659893198860158554443444296243830
+"A frontal radiograph of the chest shows that the lungs are grossly clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. The catheter tip of a right venous access port resides in the superior vena cava.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74547077294918477735588202413560777538
+The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is not widened. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.80115404499504228275352330640636403781
+"The lungs are clear and hyperaerated consistent with COPD. The hila are somewhat prominent, particularly on the right, which may indicate adenopathy. The heart is within normal limits in size. No bony abnormality is seen.",COPD. Question of mediastinal adenopathy. No active lung disease.,1.2.826.0.1.3680043.8.498.82041931435508845871952273468619420927
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33370176872281568279290504080465827946
+There is a right chest wall dialysis catheter with tips in the right atrium. The heart size appears normal. There are low lung volumes. Diffuse pulmonary venous congestion is identified. A left pleural effusion and interstitial edema is again noted. There is no pneumothorax.,1. Pulmonary edema. 2. Left effusion and edema to the lung base.,1.2.826.0.1.3680043.8.498.14270824472730437527680589471707203867
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37868404120282525905349307078482526631
+There is a left chest wall pacer with leads in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural fluid or pulmonary edema. No airspace opacities are identified.,1. Cardiac enlargement without heart failure. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.11960031770493816154350002401188884302
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67170204657302014913187765686889960242
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21414805214424191866413193124888061432
+There is COPD. There is increased density at both lung bases which is probably due to atelectasis. Early pneumonia cannot be excluded and follow-up chest x-ray is recommended. The heart is mildly enlarged and stable.,COPD. Increasing basilar opacity probably due to atelectasis. Recommend follow-up.,1.2.826.0.1.3680043.8.498.15880225267279895916397095420661116647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37568102132006569408406001004888726708
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15289047715523486092455662078727378214
+There is peribronchial thickening. The lungs are clear. The pulmonary vasculature is normal. There is no pleural effusion. Hilar and mediastinal contours are unremarkable.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.47078108664595260838917935625851765350
+Trachea is midline. Heart size normal. Right subclavian Port-A-Cath tip projects over the SVC. A mass at the right lung apex is again seen. Moderate right pleural effusion and right basilar airspace disease persist. Left lung is clear. No pneumothorax.,1. Moderate right pleural effusion with right basilar airspace disease. 2. Right upper lobe mass.,1.2.826.0.1.3680043.8.498.93538588503717797678040576024309663586
+"Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes with coarsened interstitial markings, similar to the prior. No pneumothorax. Blunting of the right costophrenic angle. No confluent airspace disease. Left upper extremity PICC with the tip appearing to terminate superior cavoatrial junction.",Low lung volumes with likely atelectasis and small right pleural effusion. Left upper extremity PICC appears to terminate superior cavoatrial junction.,1.2.826.0.1.3680043.8.498.42866911160434029989761403495080722649
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26150270630373023074759645071834730776
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26056628192169632944128327131298968320
+There is increased density in the lingula compatible with pneumonia. The right lung field is clear. No pleural effusion or pneumothorax is seen. The heart is mildly enlarged. The chest appears hyperexpanded compatible with COPD.,1. There is increased density in the lingula compatible with pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.70749082077246144255561575126203550661
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76017073145774795616830089818406574035
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94891297541673341065668172917352060101
+Cardiomediastinal silhouette unchanged in size and contour. Calcifications of the aortic arch. Opacity at the left base obscuring the left hemidiaphragm and the left heart border. No pneumothorax. No displaced fracture. Surgical changes of the right axilla.,Persisting left-sided pleural effusion with associated atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.26263183788392096756278895201433975855
+There is hyperinflation of the lungs compatible with COPD. Heart is upper limits normal in size. Lungs are clear. No effusions. Multiple old left rib fractures. No acute bony abnormality. No pneumothorax.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87943881966993787571892534797529951304
+Stable normal cardiac silhouette given projection and technique. Tracheostomy tube noted. Aortic atherosclerosis with calcification. Linear opacity at the right lung base is probably atelectasis. No consolidation. No pneumothorax. No acute osseous abnormality is evident.,Right basilar atelectasis. No acute pulmonary process identified. Tracheostomy tube noted.,1.2.826.0.1.3680043.8.498.71957191674116462400431639770747867065
+"There is hyperinflation of the lungs compatible with COPD. Heart is upper limits normal in size. Nodular density again noted in the left lower lung, unchanged. Increasing density in the right upper lobe adjacent to the minor fissure. No effusions.",COPD/chronic changes. Stable left lower lobe nodule. Increasing density in the right upper lobe which could represent infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.10885955072187591481427118843343621963
+"Linear densities at the lung bases, likely atelectasis. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32847695626273371110198685687649703908
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59122936633781954019926457116291297916
+"The lungs are well-aerated. Mildly increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mildly increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.87324896056443955420898805538602941975
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.51512513617770862618224583503234746755
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.63925455538903593900634017798838098663
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84167604939009134834714117806091615820
+There is central peribronchial thickening. There is no consolidation or volume loss. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Central bronchiolitis. No consolidation.,1.2.826.0.1.3680043.8.498.16849689462165137759159971555955912145
+There is airspace consolidation in the right upper lobe. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,New airspace consolidation right upper lobe consistent with pneumonia. Left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.20900309303181134878794097298715651210
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67589124420236699169713199222180062660
+"Interval removal of the apical right chest tube. Stable configuration of subclavian central venous catheter. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Stable small right pleural effusion. No left pleural effusion. No pulmonary edema. Stable right basilar consolidation, which could represent atelectasis or pneumonia.","1. No pneumothorax status post right chest tube removal. 2. Stable small right pleural effusion. 3. Stable right basilar consolidation, which could represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.21161207628447351095376815335287764980
+"Endotracheal tube has been placed, with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. There is diffuse left-sided volume loss with shift of the mediastinal structures to the left, consistent with atelectasis. The right lung is clear. The cardiac silhouette is largely obscured. No acute osseous abnormality.",1. Tip of the endotracheal tube 2.2 cm above the carina. 2. Diffuse left-sided atelectasis.,1.2.826.0.1.3680043.8.498.63684226568986190335790625050378878982
+The heart is mildly enlarged. The lungs are clear. No edema. No infiltrates or failure. No effusion or pneumothorax. Bones are unremarkable.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.33283570728473502551232094933756242530
+"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42502008967650352378682675685213973588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90208010905788472147778721203314222109
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74563517173206320716000601211151265928
+"There is increased airspace disease in the right lower lobe. Small bilateral pleural effusions are present. Interstitial prominence is seen bilaterally, similar to prior exam. The heart is mildly enlarged. The upper lungs are clear.",1. Increased right lower lobe airspace disease. This may represent pneumonia or atelectasis. 2. Small bilateral pleural effusions. 3. Mild interstitial prominence. Question mild interstitial edema.,1.2.826.0.1.3680043.8.498.98521041551514110840310093984044519294
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28372519694093177236635437703257095257
+Extensive subcutaneous emphysema is seen at the left chest wall and bilateral supraclavicular regions. No pneumothorax is seen. Lungs are emphysematous with right upper lobe mass and superior hilar mass/adenopathy again noted. Lungs are otherwise clear. Heart size is normal.,1. Extensive subcutaneous emphysema. 2. Right upper lobe and superior hilar mass/adenopathy. 3. Emphysema. 4. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.47659540466531121854365362332023468831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52339764737102486618812459348502250188
+"The heart size and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax, or focal consolidation.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.73237311266316402474481676335791059713
+"The lungs are clear. Mild hyperinflation is again noted. There is no evidence of focal airspace disease, pleural effusions, or pneumothorax. The bony thorax and visualized upper abdomen are unremarkable.",Stable chest without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33411924005072838438193761654654487950
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90325951404903528824206598128733620791
+"Normal heart size and mediastinal contours. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.92910237071758645586639072297869430480
+"There is a large hiatal hernia. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25673837765619258783575253634687658611
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21379617337018151884027606860406929934
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24307245044574178352579338128632921768
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.25729743607576330313858724900469722330
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.75216378277236885906661192517871855990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20819652481722599462331556704081540340
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. Previously described nodular density in the right lower lung is not visualized on the current radiographs. The nipple marker corresponds to the nodular density seen on the prior radiographs.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22391061388195514131500749367188967130
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.41123626510264792507464086634549318270
+There is cardiomegaly. Bilateral pleural effusions are present. There is interstitial pulmonary edema. Bilateral basilar airspace disease is noted. A left subclavian dual lead pacemaker is stable in position. There is no evidence for pneumothorax.,1. Cardiomegaly and bilateral basilar airspace disease/edema and bilateral effusions. 2. Overall the appearance of the chest is stable.,1.2.826.0.1.3680043.8.498.18383105459437910500527176943876910754
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.72399551763396910190196338688347016268
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45753906053291458438174009357775203559
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11106513449230058219938382763159727927
+Interim extubation and removal of NG tube. Bilateral chest tubes and mediastinal drainage catheter in stable position. Similar findings noted on prior exam. Prior CABG. Cardiomegaly with normal pulmonary vascularity. Mild basilar atelectasis. No pleural effusion or pneumothorax.,1. Interim extubation and removal of NG tube. Remaining lines and tubes including bilateral chest tubes in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. No pulmonary venous congestion. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.25132394699107204339095092314023464974
+The lungs are well-aerated. Mild left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left basilar atelectasis noted. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.14682976986245305540471569957120780958
+There is a focal opacity at the right lung base which is new from the prior study. This is concerning for pneumonia. There is no evidence of pneumothorax or pleural effusion. The left lung is clear. The heart size is stable.,New opacity at the right lung base which is concerning for pneumonia.,1.2.826.0.1.3680043.8.498.71823606503633728560735676041720973118
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.33250732799179349565848762205416898579
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41839247956316079935154484674624636514
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29517360197244712761934014582831260484
+The lungs remain hypoinflated. There is increased density at the left lung base consistent with atelectasis. There is likely a small amount of pleural fluid on the left as well. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. The Port-A-Cath appliance appears unchanged in position.,There is increased density at the lung bases consistent with atelectasis. I cannot exclude basilar pneumonia. There is likely a small pleural effusion on the left. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.67620589350944624935234720097970058706
+Stable endotracheal tube and NG tube. Stable right central venous catheter. Low lung volumes with basilar atelectasis. No enlarging effusion or pneumothorax.,Stable portable chest exam.,1.2.826.0.1.3680043.8.498.41213485372744595239614457856657200834
+No focal lytic lesions are identified within the skeleton. The scapulae and visualized portions of the right and left proximal humerus are not identified.,No focal lytic lesions identified.,1.2.826.0.1.3680043.8.498.48424987209091078057525051648569609535
+Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.35305271642734564324134615210188145401
+There is central airway thickening. No consolidative process. No pneumothorax or pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.35602759010381493752344392976169274095
+The heart is mildly enlarged. The mediastinal and hilar contours are grossly normal. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.21839778191771630212614553124958496634
+There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.45247402592420039475411860725766083729
+The lungs are not well aerated with mild basilar volume loss. No pneumonia or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.55016806068335728441628708754137163958
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94798063582297782921138400418774862284
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.82268896335247312624931631084701187615
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26742425386372958592284836122391138241
+Tracheostomy tube is in place. There is a right upper extremity PICC with tip in the expected location of the right atrium. The heart size is enlarged. There is a probable left pleural effusion. Airspace consolidation is not excluded. There is no pneumothorax.,1. Cardiomegaly. 2. Left lung base airspace consolidation. 3. Probable small left pleural effusion.,1.2.826.0.1.3680043.8.498.55056325463301309588604485332199492067
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. The patient is status post CABG. Bones are diffusely demineralized.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.92247290097367534534744957830384016552
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99768762712091685012517680378163942873
+The heart is normal in size. The aorta is tortuous and calcified. The lungs are clear. No pneumothoraces or effusions are seen. A mid thoracic spine compression deformity is stable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24629507878208829883954955009706924544
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96485546017923975216890832747601653482
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36208039079910028034221178937161054664
+Endotracheal tube terminates at the thoracic inlet. Umbilical catheter terminates at T7. Cardiothymic silhouette is normal. Lungs are mildly hyperinflated. There are mild streaky perihilar opacities. Bowel gas pattern is nonobstructive.,1. Support apparatus as above. 2. Findings suggestive of retained fetal fluid.,1.2.826.0.1.3680043.8.498.75690478252146134756798751180209870993
+The heart is enlarged. Lung volumes are low. No consolidation or edema. No pleural effusion or pneumothorax. No acute osseous abnormalities are seen.,Stable cardiomegaly. No acute pulmonary process.,1.2.826.0.1.3680043.8.498.55180801105030271578943413336824961458
+There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.33916672893735032657654745556620141254
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90250615995515148136505300779983487955
+Portable semi upright AP view 6061 hours. Moderate to large right pleural effusion with veiling opacity in the right lung compatible with pleural effusion and underlying right lung consolidation. Stable cardiac size and mediastinal contours. The left lung is clear. No pneumothorax. Stable visualized osseous structures.,Moderate to large right pleural effusion with underlying consolidation/atelectasis in the right lung.,1.2.826.0.1.3680043.8.498.82712561909640986124414225455538705589
+"Tip of orogastric tube projects over stomach. Normal cardiac and mediastinal silhouettes. Mild hazy infiltrates of respiratory distress syndrome, unchanged. No gross effusion or pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.19279833077163553069914604193932748391
+Moderate to large left pleural effusion. Small right pleural effusion. Left lower lobe atelectasis and/or consolidation. Left upper lobe atelectasis. No pulmonary edema. Bony thorax intact.,Moderate to large left pleural effusion and small right pleural effusion. Left lower lobe atelectasis and/or consolidation.,1.2.826.0.1.3680043.8.498.63122310555431511079148980041852714292
+"OG tube remains in the stomach. Cardiothymic silhouette is within normal limits. Improved aeration in the lungs. Mild hazy opacities in the lungs, likely RDS. No effusions or pneumothorax.","Improving aeration in the lungs. Continued mild hazy opacities, likely RDS.",1.2.826.0.1.3680043.8.498.63969291865249614614559853089164515677
+Multiple displaced rib fractures are again noted on the left. No pneumothorax. Bibasilar atelectasis slightly increased. No effusion. Heart size and vascularity normal.,No pneumothorax. Multiple left rib fractures. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63092270097081245452915090369951296823
+Cardiothymic silhouette is normal. There is no definite infiltrate. I wonder if there could be mild patchy density in the left lower lobe but this may simply represent vascular shadowing. No effusions. Bony structures unremarkable.,No active disease versus minimal left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.43494773240527059999340610351109314448
+There is increased density at the right lung base consistent with right basilar pneumonia. There is likely some right pleural effusion present as well. The interstitial markings are mildly increased. The heart is not enlarged. A Port-A-Cath appliance is present with the tip of the catheter in the superior vena cava.,1. Developing right basilar infiltrate is a concern. 2. There are findings consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.13645547681760172998484196839025209295
+"Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT basilar atelectasis. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",LEFT basilar atelectasis. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.60566221818232508926116677283758694056
+Endotracheal tube is in place with the tip approximately 3.5 cm above the carina. There is right upper lobe airspace disease compatible with pneumonia. The left lung is clear. No effusion. Heart size normal.,1. Endotracheal tube in good position. 2. Right upper lobe airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.81536698724342032824948980708281119084
+"There is a moderate-sized right pleural effusion and small left pleural effusion. The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. Bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.77869919634904716330304005949821701017
+No pneumothorax post left thoracentesis. Right-sided PICC line with tip in the distal SVC. Small residual left pleural effusion with left basilar atelectasis. Stable cardiomediastinal silhouette.,No pneumothorax post left thoracentesis.,1.2.826.0.1.3680043.8.498.86134790068526363822737845945513605664
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12053862991191804502325207276210977634
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63736129246074454643069831754440260780
+The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The left lower lobe pneumonia has not significantly changed. Patchy airspace opacities at the right lung base are stable. There is no significant pleural effusion. The osseous structures appear unchanged.,Stable left-greater-than-right basilar airspace opacities consistent with pneumonia.,1.2.826.0.1.3680043.8.498.34616322051518056164481240815351325244
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92692975069282540618217109703471947227
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.33817321072731968354732980853282804915
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90943484417610207454167644851749160330
+Cardiac shadow is at the upper limits of normal in size. A moderate-sized hiatal hernia is noted. The lungs are clear bilaterally. No bony abnormality is seen.,Hiatal hernia. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.66341848953169351985468232177913766406
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47665038052244843493438776801167191008
+Chronic interstitial markings. No focal consolidation. No pleural effusion or pneumothorax. Heart is top normal in size. No right rib fracture is seen.,No evidence of acute cardiopulmonary disease. No right rib fracture is seen.,1.2.826.0.1.3680043.8.498.43119251458731651730684804990626410661
+There is new airspace disease at the right lung base. Left lung is clear. No effusion. Heart size normal.,New right basilar airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.24871905114266100806660965431245509277
+"Multifocal airspace opacities in the upper lobes and left mid lung, compatible with pneumonia. Overall appearance is similar to prior. No pleural effusion or pneumothorax. Heart is normal in size. Thoracolumbar spinal stimulator.",Stable multifocal pneumonia.,1.2.826.0.1.3680043.8.498.33027963378712163395189323116811139153
+The left PICC terminates in the SVC. The endotracheal tube is stable. The nasogastric tube terminates below today's film. No pneumothorax. Mild atelectasis at the right lung base is stable.,1. Left PICC placement without complication. 2. Stable right basilar atelectasis.,1.2.826.0.1.3680043.8.498.27828300050719959147552431780553471416
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93081118341699444660508318488645233198
+Cardiomediastinal silhouette is stable and unchanged. Scattered granulomas are seen throughout the lungs unchanged from prior exam. No acute infiltrates are seen. Osseous structures are stable. Left-sided Port-A-Cath is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.94367639620195516145485732163542230932
+Heart size and vascularity are normal and the lungs are clear. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.70087882064380261229025347939296200636
+"Endotracheal tube is seen 6.6 cm above the carina. Nasogastric tube extends into the upper abdomen beyond the margin of examination. Right upper extremity PICC tip noted within the right atrium. The lungs are symmetrically well expanded. Small right pleural effusion is present, with associated right basilar atelectasis or infiltrate. Left lung is clear. No pneumothorax. Cardiac size within normal limits. Pulmonary vascularity is normal.",1. Small right pleural effusion with associated right basilar atelectasis or infiltrate. 2. Endotracheal tube in appropriate position.,1.2.826.0.1.3680043.8.498.36605656871297726802510605075754889374
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85302885925874851982294938643107873125
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37401003295023304126070033910779427828
+Cardiac shadow is enlarged. A right-sided PICC line is noted in satisfactory position. The right lung is clear. Complete opacification of the left hemithorax is noted consistent with a combination of pleural effusion and atelectasis. No acute bony abnormality is noted.,Left-sided pleural effusion and left lung atelectasis.,1.2.826.0.1.3680043.8.498.18006753455305484456331429777983794617
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.90278130454100306856605933882825605737
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96856718085611795786173532751727276620
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56620063927496850962577380713870322719
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83591686382852541502120336730496883346
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61799907145911968780641804445014078967
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.69713296754306029646555511138946037940
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.93520253648422643824188944465081747496
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14771977382466345177309372693689613327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92830792620975685066041524736322831064
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86702465010544566470108020156379315725
+The heart size and mediastinal contours are within normal limits. Tortuous thoracic aorta. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15606891147157450636195398565038647859
+"Portable AP supine view at 5968 hours today. Endotracheal tube tip is 1 cm above the carina. UAC tip at T7-T8. UVC tip at the level of the diaphragm. Enteric tube in the abdomen, side hole at the level of the gastric body. Larger lung volumes. Normal cardiac size and mediastinal contours. No pneumothorax, pleural effusion or confluent pulmonary opacity. Bowel gas pattern remains normal. No osseous abnormality identified.",1. UAC tip at T7-T8. UVC tip at the diaphragm. 2. Larger lung volumes. 3. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.83328425806032862526204010027440451871
+Lung volumes are low. Lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.31030164429215712906713787372982387925
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.40603331661523847532363979444000238445
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Cardiac monitoring lines project over chest. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.56280116745438306889337820333283204777
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.12657968204622291680385392075616023181
+There is patchy airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.87335766434228393469024943394350459201
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54645335300199220572653542184487687512
+The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. There is airspace opacity in the right upper lobe suspicious for pneumonia. The pulmonary vasculature is normal in caliber. The aortic arch is calcified. The costophrenic angles are sharp. The bony structures are adequately mineralized. There is thoracic spondylosis.,Right upper lobe infiltrate is suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.16594299994789167467660726319585453561
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact. Atherosclerotic changes noted at the aortic arch.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35932250757118470969134081626197979978
+Cardiac shadow is within normal limits. A new pacing device is noted. The lungs are clear bilaterally. No pneumothorax is noted. No bony abnormality is seen.,No pneumothorax following pacemaker placement.,1.2.826.0.1.3680043.8.498.71699566425317173324702845930654887219
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. No significant change compared to prior study done on 05/03/2008.,1.2.826.0.1.3680043.8.498.43015596333538955174084378143333508224
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75192731244615860703442238397625518739
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36617701606224955965832616159183232807
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65302814067586067545522066763375279467
+The heart is mildly enlarged. The lungs are clear. The right upper extremity PICC is stable.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30296973279874085571720260411465963764
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40481110865172905250467034774072883258
+Two views of the chest show considerable improvement in the right basilar pneumonia although some infiltrate remains. Changes of COPD are again noted. The heart is within normal limits in size.,1. Some improvement in right basilar pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.26309083437191035991969534334662683670
+The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax or dense consolidation. No acute fracture.,Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.48114608049678146042157918731673627982
+Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26010558719064271637243326962470867141
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.78862254432585171658019149982784255894
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14703470935449766850122534368729879135
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.15766804226852137914915721535876270296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38259502070240887123160182564610154653
+"Portable AP upright view at 7892 hrs. Mildly low lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.81421312971126517801687653642334032636
+"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Right IJ approach central venous catheter in place with tip overlying the distal SVC. Stable cardiomegaly. The mediastinal silhouette is stable. Lung volumes are reduced. Diffuse bilateral pulmonary infiltrates are present, which may reflect pulmonary edema with or without infiltrates. Small bilateral pleural effusions present. No pneumothorax. No acute osseous abnormality.","1. Support apparatus as above. 2. Cardiomegaly with bilateral pulmonary infiltrates, which may reflect pulmonary edema with or without infiltrates. 3. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.33820301374898034068169619275115457664
+Previously seen lingular infiltrate has resolved. Lungs are now clear. No pleural effusion or pneumothorax. Heart size and mediastinal contours are within normal limits. Postsurgical changes in the right clavicle.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13686921662921438935459252632566723159
+"Right internal jugular central venous catheter with tip in the region of the mid SVC. No pneumothorax. Shallow inspiration. Bibasilar opacities, likely atelectasis, with additional patchy opacity in the right lung base. Small left pleural effusion suspected. Stable heart size and mediastinal contours. No pulmonary edema. Surgical clips in the right upper quadrant.","1. Right internal jugular central venous catheter with tip in the mid SVC. No pneumothorax. 2. Bibasilar opacities, likely atelectasis, with additional patchy right basilar opacity. Small left pleural effusion suspected.",1.2.826.0.1.3680043.8.498.82240349148558733321152563406706843769
+Left-sided single chamber ICD/pacer lead overlies the right ventricle. No pneumothorax. Lungs are clear. No pleural effusion. Heart size is mildly enlarged. Pulmonary vascularity is normal. No adenopathy. No bone lesions.,Single chamber ICD/pacer lead overlies the right ventricle. No pneumothorax. Lungs clear. Heart mildly enlarged.,1.2.826.0.1.3680043.8.498.49562049442190015999219592752445508177
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13728713408491979742717915102741550045
+Small left pleural effusion and left lower lobe airspace disease noted. The right lung is clear. Heart size is normal. No pneumothorax.,Small left effusion and left lower lobe airspace disease which could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.45429282614273106459309370674552707424
+Heart is normal size. There is peribronchial thickening and interstitial prominence. No confluent opacities or effusions. No acute bony abnormality.,Stable chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.14456842544664422163788918637577837133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21446570731612791863579577983201112179
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18288468681653653690949268136628356714
+The cardiomediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures appear unremarkable.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.33823731707006775184203205924700182661
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.59618348841096095808515336978278753176
+Upper normal heart size. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.14171869867750811559605621594727964268
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43468495954804410219101503896926314879
+Interim removal of right IJ sheath. Mediastinal drainage catheter and left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small bilateral pleural effusions. No pneumothorax.,1. Interim removal of right IJ sheath. Mediastinal drainage catheter and left chest tube in stable position. No pneumothorax. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small bilateral pleural effusions. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22279634901651291623940951348770064511
+A metallic object consistent with a flat watch type watch type of flat watch on the flat watch film appears to be present at the level of the distal thoracic esophagus. The lungs are mildly hyperinflated. The cardiac silhouette is normal in size. The mediastinum is normal in width. There is no pleural effusion. The bowel gas pattern in the upper abdomen is normal.,The metallic density consistent with a flat watch type watch type of flat watch film can be demonstrated in the distal thoracic esophagus. I do not see evidence of aspiration of this flat watch within the stomach.,1.2.826.0.1.3680043.8.498.83156928842544601735151996909299350838
+The heart is upper normal in size. The lungs are clear. A small left pleural effusion is suspected.,Small left pleural effusion. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.22829851162957900771909868103626542603
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77309481565660087630758971010217472324
+A left upper extremity PICC has been placed. The tip is in the right atrium. Bibasilar atelectasis is stable. The lungs are under-inflated and otherwise clear. No pneumothoraces are seen. The heart is normal in size.,1. Left upper extremity PICC placement. 2. Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.91107901552925109283004552673425896495
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14539541445361676448278499280383395052
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45519117835915051395422686752507103949
+There is again noted increased density in the right upper lobe compatible with pneumonia. There is also observed increased density at both lung bases consistent with atelectasis or pneumonia. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is blunting of both costophrenic angles compatible with small bibasilar pleural effusions. The heart is enlarged. The general appearance of the chest is consistent with CHF superimposed on COPD. No pneumothorax is seen.,1. Persistent right upper lobe infiltrate compatible with pneumonia. 2. There is increased density at both lung bases consistent with atelectasis or pneumonia. 3. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. 4. Cardiomegaly. 5. There are small bibasilar pleural effusions.,1.2.826.0.1.3680043.8.498.25394041706630301671068162551450517805
+"No radiographically apparent pleural effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.84627835895131762932530369443564267718
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.38321338834441069175652576672982492457
+Right IJ dialysis catheter is present with the tip in the right atrium. Linear atelectasis is present in the left lower lobe. The lungs are otherwise clear. No pleural effusion. Heart size is normal. No pneumothorax.,1. Right IJ dialysis catheter tip in the right atrium. 2. Linear atelectasis in the left lung base.,1.2.826.0.1.3680043.8.498.81629142347693716206077816669495906259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78287621535734607771976155548811111066
+Expiratory technique on the frontal view. Hyperinflation of the lungs on the lateral view. Normal cardiothymic silhouette. No consolidation or pleural effusion. Central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Hyperinflation with central peribronchial thickening compatible with viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.67892548509269251776441290714041822546
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17297337540731316807377045592607025658
+Low lung volumes. Lungs are essentially clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43604494410252349730271359255672502721
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15738478220909299197717190848704159294
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70842617423103058701947304445051813979
+An orogastric tube projects over the stomach. The cardiothymic silhouette is normal. Lung volumes are low. There are persistent diffuse hazy opacities throughout both lungs. No areas of atelectasis or significant pleural effusion are seen. There is no pneumothorax.,Stable appearance of the chest with findings of RDS.,1.2.826.0.1.3680043.8.498.40463678126335637415233289458373298497
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29632989947313121178119777898266628886
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.14819310125705385404303119095651650656
+There is some central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.52138742594491369189569119484984034379
+Endotracheal tube tip is 3.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. There is a chest drain on the left as well as a mediastinal drain. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.24712688175272629626366770877334756495
+The heart is normal in size. The left lower lobe infiltrate is again seen. There is a moderate-sized left pleural effusion which has increased in size. The right lung infiltrate in right lower lobe is clear.,Left lower lobe infiltrate with increase in left pleural effusion.,1.2.826.0.1.3680043.8.498.77220240122380277693297685300695952993
+"Cardiac silhouette appears moderately enlarged, similar. Mediastinal silhouette is not suspicious. Similar scarring in left lung base. No pleural effusions or focal consolidations. Elevated left hemidiaphragm. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.",Stable cardiomegaly and left lung base scarring.,1.2.826.0.1.3680043.8.498.40449473259323356270878990563302128287
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.59749438574174553775862290713617571487
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.80651205519620424014535975089616987952
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56772827199528362949787447195657195743
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98373176749067337598382284767331482096
+The cardiomediastinal silhouette is stable. There is persistent infiltrate in the right lower lobe. Left lung grossly clear. No pneumothorax appreciated on this portable examination. There are no acute bony findings.,No significant interval change. Persistent right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.54425828461864088516908559654947938855
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56866325884771003534009788412749491677
+Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. Degenerative changes of the thoracic spine are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75627411628862805799042058573931042031
+"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.59849999903559376675923888658420983449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22816898403370099564865781596093283512
+Cardiac shadow is stable. Right upper lobe mass lesion is again identified and stable. No new focal infiltrate is seen. No sizable effusion is noted. No bony abnormality is noted. Right jugular central line is noted in satisfactory position. No pneumothorax is noted.,Stable right upper lobe mass. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.32329918875980197278713821294795405062
+The cardiopericardial silhouette is enlarged. The lung volumes are low. Moderate bilateral pleural effusions are again noted with bibasilar atelectasis. There is pulmonary vascular congestion without overt pulmonary edema.,Stable exam. Cardiomegaly with bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.14764473664070218452575075839701446706
+Endotracheal tube is 3.5 cm from the carina. Tip and side port of the enteric tube below the diaphragm in the stomach. Volume loss in the left lung with elevation of left hemidiaphragm. Left basilar opacity may represent atelectasis. Right lung is clear. Heart is normal in size. No pneumothorax.,"1. Endotracheal tube in place, 3.5 cm from the carina. Enteric tube in place, tip and side-port below the diaphragm in the stomach. 2. Persistent volume loss in the left lung with elevation of left hemidiaphragm. Left basilar opacity may represent atelectasis.",1.2.826.0.1.3680043.8.498.58043768485539269990385168576609316310
+"The heart is enlarged. There has been prior open heart surgery. There is no heart failure, infiltrate or effusion.",Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.61119827556878666079273702436739226390
+No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. Aortic atherosclerosis. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.18191562534479969137857838454264462996
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68596152339756569847862183436265572157
+Patchy opacities in the left lower lobe and lingula. No pleural effusion. Normal heart size. No pneumothorax.,Patchy left basilar pneumonia.,1.2.826.0.1.3680043.8.498.29393502177223714639947431809833177078
+The patient has a new endotracheal tube in place with the tip in good position at the level of the clavicular heads. NG tube is also seen with the tip in the stomach in good position. Lungs are clear. No effusion. Heart size normal.,Tubes in good position. No acute disease.,1.2.826.0.1.3680043.8.498.73988582042672337895976309619041186826
+Patchy opacity in the left mid and lower lung. Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,Left mid and lower lung pneumonia.,1.2.826.0.1.3680043.8.498.21304764723410626286442659698642831516
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86991171408537754567071103902087843289
+Endotracheal tube is seen in appropriate position. Nasogastric tube is seen entering the stomach. The intra-aortic balloon pump is seen with the tip approximately 1.5 cm below the aortic knob. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is within normal limits.,Tubes and lines in appropriate position. No acute findings.,1.2.826.0.1.3680043.8.498.42041824846286741628721302865971815723
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84005261104957787417276205106409382722
+Heart size is mildly enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No acute findings.,1.2.826.0.1.3680043.8.498.26238698917595907656498033486954684911
+PA and lateral chest radiographs are provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There is no focal consolidation. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Overall findings are most consistent with pulmonary edema.,1.2.826.0.1.3680043.8.498.18226912814645477639335253177253886627
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51926271632543268883643238830375558634
+The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF.,1.2.826.0.1.3680043.8.498.55192979146610199115531369314383844247
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38777549020917797691097447033848238235
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.15299376463791801689783889550138702961
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19913488543582642011018566154533502256
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70543415698087328247144972571488287148
+No definite rib fractures are identified. The lungs appear clear. The visualized bowel gas pattern is unremarkable.,Negative exam.,1.2.826.0.1.3680043.8.498.75550472504985466878121808097755256475
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68539977812223965868853114134612793327
+Endotracheal tube has been repositioned with tip 2.3 cm above carina. Umbilical venous catheter tip is at the level of the inferior vena cava-right atrium junction. Umbilical artery catheter tip is at the level of T7. The lungs are clear. Heart size is normal. Bowel gas pattern is normal. Orogastric tube tip is in the stomach.,Umbilical artery and venous catheter positions as described.,1.2.826.0.1.3680043.8.498.91944667134657964526918288883429935754
+Right PICC line is in place. The tip is at the cavoatrial junction. Left central line has been removed. No pneumothorax. Left lower lobe atelectasis or infiltrate present. Small left effusion.,Right PICC line tip cavoatrial junction. Left lower lobe atelectasis or infiltrate with small left effusion.,1.2.826.0.1.3680043.8.498.28901091343375793855825677217226102752
+The right arm PICC line tip is in the SVC. The heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities. 2. PICC line tip in SVC.,1.2.826.0.1.3680043.8.498.18119737560868612448215655046270404873
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35559057321834304559710350646958305944
+The lungs are not well aerated but no infiltrate or effusion is seen. The heart is mildly enlarged. The left hemidiaphragm remains elevated. The left humeral head prosthesis is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.77637764558755294638391405777794078971
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67989699248222104408990584076648969570
+"Right Port-A-Cath remains in place, unchanged. There is cardiomegaly with vascular congestion. Bibasilar atelectasis and airspace disease present, slightly increased since prior study. Small bilateral effusions.","Cardiomegaly, vascular congestion. Increasing bibasilar atelectasis and airspace disease. Small effusions.",1.2.826.0.1.3680043.8.498.69803983485849280096624469730779557693
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42358094738565696490833688754213453196
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. Negative visible bowel gas and osseous structures.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.66636204281850900743253394810193113967
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.91572265505007911312912196945576178515
+Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.,"Mild scattered peribronchial thickening, which can be seen with viral pneumonitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.19218562660400211342962801598947313437
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.43653233784697406703542335265833165291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.44411521706378703003111672282177110926
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71850972736228409816031849438174917119
+The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.63746982531677030980781009418430049687
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17388135045568407879462288716687177982
+There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions. There is mild peribronchial thickening. No acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.49647441177000560863653911283142962552
+Cardiac shadow is enlarged. Right-sided chest wall port is again seen and stable. The lungs are well aerated with evidence of mild vascular congestion. No focal infiltrate or effusion is seen. No bony abnormality is noted. Postsurgical changes in the left axilla are noted.,Mild vascular congestion.,1.2.826.0.1.3680043.8.498.92184588272119077647786538358641192748
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39017144339490529064068746693209359745
+The lungs are well-expanded. There are bilateral pleural effusions. The retrocardiac region on the left is dense and the left hemidiaphragm is obscured. The pulmonary interstitial markings are mildly prominent. The cardiopericardial silhouette is enlarged.,There are findings consistent with congestive heart failure with bilateral pleural effusions. There has not been dramatic change since yesterday's study though there may have been very slight improvement.,1.2.826.0.1.3680043.8.498.65832039233868368236306470742131235637
+"There is stable elevation of the right hemidiaphragm. The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. There is no acute bony abnormality.",Stable chest x-ray with no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.66531008102893642375464297669267830633
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.37524693182554996700502683753320766674
+The heart is enlarged. Aortic atherosclerosis is noted. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94512364752098316576639582051022049728
+Post sternotomy changes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. Aortic atherosclerosis. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.36475864565628117536399528458643798852
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63105572320844051736296656545265222365
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67797295027062891403070860869983736955
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85032987410133039026848050184697941499
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43799947263714741716685845802179007693
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98906374301431196805486227317455559951
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.83862396837112139697062984887221194933
+The tip of the endotracheal tube is 2.5 cm above the carina. Left IJ central venous catheter remains in unchanged position with the tip in the mid SVC. Right upper lobe cavitary lesion is again noted. There are persistent patchy airspace opacities in the right upper and lower lobes. The right lower lobe opacity appears slightly increased compared to the prior chest x-ray. The cardiac and mediastinal contours remain within normal limits. No pneumothorax. No pleural effusion.,1. Stable and satisfactory support apparatus. 2. Persistent right upper and lower lobe patchy airspace opacities concerning for a multifocal pneumonia. 3. Stable right upper lobe cavitary lesion.,1.2.826.0.1.3680043.8.498.89396814147635879173715131200330676267
+"Lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Negative chest x-ray.,1.2.826.0.1.3680043.8.498.51719992472415075785678274337944104180
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11801440884467728136831034277278262119
+The lungs are well-aerated. Right upper lobe airspace opacity is compatible with pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Right upper lobe pneumonia noted. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.57488823193945846899894142610660899820
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38028185758089496622564774281021761328
+"Left PICC line is in place. The tip is in the mid SVC. No pneumothorax. Bilateral airspace disease again noted, unchanged. There are small bilateral effusions.",Left PICC line tip mid SVC. No pneumothorax. No change in appearance of the lungs.,1.2.826.0.1.3680043.8.498.25459837741014052503656435773659887208
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88946850549248843315304113274264735555
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.50192230679681764706524243381064945873
+There is interstitial prominence throughout the lungs bilaterally. No airspace consolidation or volume loss. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,"Diffuse interstitial prominence, likely due to a degree of underlying fibrosis. No edema or consolidation.",1.2.826.0.1.3680043.8.498.26863582624656492006041448163840473762
+The lungs are hypoinflated. There is no focal infiltrate. The lung markings are coarse at the lung bases greatest on the left. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The endotracheal tube tip lies 2.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The observed bony thorax is unremarkable.,Bibasilar subsegmental atelectasis. No CHF. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.20462668912887507962405609136913376769
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77820815931893747945884924177389320934
+An endotracheal tube is now present with the tip approximately 2.9 cm above the carina. A venous catheter is now present with the tip projected over the upper portion of the superior vena cava. No pneumothorax is seen. The chest is hyperexpanded compatible with COPD. No pneumonia is identified. Heart size is normal.,Please see above.,1.2.826.0.1.3680043.8.498.62236570191131012232393299511637004216
+There is little change in the left upper lobe mass with mediastinal and hilar adenopathy. No pneumothorax is seen. The right lung is clear. Heart size is stable. No bony abnormality is noted.,1. No change in left upper lobe mass with left hilar adenopathy. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.22321578580414167124325859346325402900
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52539862084262896981393494547404268148
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42891017903018844571489066841486721640
+Single portable AP chest radiograph is provided. There is a right-sided chest tube in unchanged position. There is no significant pleural effusion. There is no pneumothorax. There is no focal consolidation. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47137707876269237676609718908796178169
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46170966500411646840032951137975222452
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80236923397432982029597689967444737445
+Patchy airspace opacities are seen in the left mid and lower lung suggesting pneumonia. Right lung is clear. No pneumothorax or pleural effusion. Heart size is normal. No acute or focal bony abnormality.,Patchy airspace disease in the left mid and lower lung suggesting pneumonia.,1.2.826.0.1.3680043.8.498.13056372116100595607360388901224961806
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Hypoinflation of the lungs is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47399507558626482204470949046667597722
+Enlarged cardiac silhouette. Aortic atherosclerosis with calcification. Reticular opacities and peripheral lines compatible with interstitial pulmonary edema. Small right pleural effusion. Bibasilar opacities probably represent associated atelectasis. No acute osseous abnormality is evident.,Cardiomegaly and interstitial pulmonary edema. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.24454096668179320239880544191969596220
+The endotracheal tube is approximately 2.2 cm above the carina. There is little change in volume of the left hemithorax with opacity at the left lung base consistent with mass and effusion. There is opacity in the right mid lung which may represent pneumonia or possibly atelectasis. Mild opacity is present at the right lung base. An NG tube is present. The heart is difficult to assess. There may be mild pulmonary vascular congestion present.,1. Endotracheal tube 2.2 cm above the carina. 2. Opacity at the left lung base consistent with mass and left effusion. 3. Opacity in the right mid lung and right lung base may represent pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.70467965957795852206364159971977987902
+Left IJ central venous catheter tip overlies the SVC. Heart and mediastinum are stable. The lung volumes are slightly diminished. No focal pulmonary opacities.,1. Left IJ central venous catheter tip in the SVC. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.38353769890923116146208840518478782500
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.93878821867372085011410785954155313087
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50938879319638723747483187792569469158
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29640271695206324709030623214747283258
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65554139870842011482046214736957983204
+Right internal jugular temporary venous pacer is present with the tip in the right ventricle. No pneumothorax is seen. There is cardiomegaly present with pulmonary vascular congestion and probable mild interstitial edema. No effusion is seen.,Right internal jugular temporary venous pacer tip in right ventricle. No pneumothorax. Cardiomegaly with probable mild interstitial edema.,1.2.826.0.1.3680043.8.498.21696571005331823414199941599172161518
+Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Right subclavian Port-A-Cath is identified with tip in the projection of the SVC.,1. Mild cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.35449431184780390099007849344376054568
+Endotracheal tube and nasogastric tube have been removed. The heart size is stable. There is a small left pleural effusion. Increased opacity at both lung bases is probably due to atelectasis. There is no evidence for pulmonary edema. No pneumothorax.,1. Increased bibasilar atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.58878371032432951150238925587780065815
+There is little change in the volume of the tiny right apical pneumothorax with the right chest tube remaining. Left basilar atelectasis remains. A left central venous line is unchanged in position. Heart size is stable.,No significant change in tiny right apical pneumothorax with right chest tube remaining.,1.2.826.0.1.3680043.8.498.69385792986872626570151131187886101286
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62442946239521844364886151364241484777
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73440236251652088540059338785214467629
+Cardiac shadow is enlarged. A new right-sided jugular dialysis catheter is noted with the tip in the right atrium. No pneumothorax is noted. The lungs are clear bilaterally. No bony abnormality is seen.,No pneumothorax following dialysis catheter placement.,1.2.826.0.1.3680043.8.498.19601891415876015028057503907868613721
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54653970681147717988214216833776653647
+The heart size and mediastinal contours are within normal limits. Subtle airspace opacities in the right upper lobe. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,Right upper lobe airspace opacities could be due to pneumonia given clinical history.,1.2.826.0.1.3680043.8.498.27405977167264908423056212544382991177
+Patchy bilateral airspace disease is again seen and grossly unchanged. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,"Patchy bilateral airspace disease consistent with pneumonia, unchanged.",1.2.826.0.1.3680043.8.498.57354409512236932116877338048328545281
+Endotracheal tube is noted in satisfactory position. Gastric catheter extends into the stomach. Bilateral jugular central lines are noted and stable. The lungs are again well aerated with elevation of the right hemidiaphragm. No focal confluent infiltrate is seen. No bony abnormality is noted.,Tubes and lines as described above. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.58945677878465897230681137732092090706
+"No rib fracture is identified. No pleural fluid or pneumothorax is seen. No focal rib lesion is seen. The heart is normal in size. The aorta is calcific. The lungs are under expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No rib fracture.,1.2.826.0.1.3680043.8.498.76417514363290749953874606842417877563
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22044232552516715558322651875083119990
+"AP portable semi upright view 7916 hours. Stable right chest dual lead cardiac pacemaker. Stable enteric tube which courses to the abdomen, tip not included. Stable cardiac size and mediastinal contours. Stable lung volumes. No pneumothorax, pulmonary edema, pleural effusion or consolidation. Mild basilar atelectasis.",Stable chest.,1.2.826.0.1.3680043.8.498.62170686990630396216514130467297464776
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.14760003177440297976827867692513498462
+"The heart is normal. Similar prominent interstitial lung markings. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",No acute pulmonary findings. Similar interstitial prominence.,1.2.826.0.1.3680043.8.498.37712894088272989314172494959260733711
+The current exam shows increased density at the right base compatible with a right pleural effusion. The etiology for this effusion is not identified. No definite pneumonia is seen. No pulmonary edema is noted. The heart size is normal. The left shoulder prosthesis is again observed.,1. There is increased density at the right base compatible with a right pleural effusion. 2. The lung fields otherwise are clear. 3. No pulmonary edema is seen.,1.2.826.0.1.3680043.8.498.59019354846745980966573238937413253435
+"There is chronic elevation of the right diaphragm. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96245059975673128069999973329443522485
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30485318669622191884880920514387190413
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12484418499149257155482546327357646205
+Mediastinum and hilar structures normal. Right mid lung field infiltrate noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right mid lung field infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.88060566695827164057328880984806170392
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60834136745580576159820068914418320543
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable. No mass or lymphadenopathy identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75578624448122343123222515979150809722
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Chronic interstitial infiltrates in right upper lobe. No gross infiltrate or effusion. Bones demineralized. No pneumothorax.",Chronic interstitial infiltrate in right upper lobe.,1.2.826.0.1.3680043.8.498.46814652451412151184517135964796159676
+The heart size and mediastinal contours are within normal limits. Calcified granuloma noted within the right lower lobe. No airspace consolidation. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24009828950203343793047906748562466450
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.41665834618298722458296717623109864224
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Scoliosis of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462704955995659761389547662954448952
+Endotracheal tube tip is 2.2 cm above the carina. No pneumothorax. There is mild atelectasis in the lung bases. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Endotracheal tube as described without pneumothorax. Bibasilar atelectasis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.78053286408225065709349386685461327108
+There is mild cardiac enlargement. The vascular pattern is normal. The lungs are clear. There is no pleural effusion. There is thoracic kyphosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30580474930080800477402440182351355066
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.84096891029990122298202479681725656376
+"Mildly lower lung volumes. Stable cardiomegaly and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Calcified atherosclerosis of the aorta. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality. Calcified aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.85551618496286857890379751440924071503
+There is scarring in the left upper lobe. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Scarring left upper lobe. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.32807691568432301166390386178056874320
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. Oblique views of the left ribs show no acute or healing rib fractures.,No active cardiopulmonary disease. No evidence of left rib fracture.,1.2.826.0.1.3680043.8.498.62320279171151986734466722866610145939
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17690149628092710330357333662262096005
+Endotracheal tube has been removed. Right jugular catheter remains in place with tip in the SVC. No pneumothorax. Mild left base atelectasis. The right lung is clear. Heart size and vascularity are normal.,Mild left base atelectasis after extubation.,1.2.826.0.1.3680043.8.498.16639111180773561129689570651201397955
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The patient is rotated to the left and taking this into consideration the cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild increased density of both lung bases and are otherwise clear. No pleural effusions are seen. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,Mild bibasilar volume loss.,1.2.826.0.1.3680043.8.498.76223728477840628766790663954434593666
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13529377008423007359789886359312113240
+The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion or pneumothorax. The mediastinum is normal in width.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.11933259527510931109102614380592678992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63520736369557305356489777305553999126
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91865796295368072427772694442816644519
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77633205431191772302205915707396630756
+Mild cardiac enlargement. Vascular congestion. No consolidation or edema. No pleural effusion or pneumothorax. Cardiac silhouette is enlarged.,Cardiomegaly with vascular congestion. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.36826129593590845847151447328497357186
+Single portable AP view of the chest demonstrates cardiomegaly. The aorta is tortuous and calcified. There is mild pulmonary vascular congestion. Lung volumes are diminished. No focal consolidation or pneumothorax. There is a small left pleural effusion.,"Cardiomegaly, small left pleural effusion, and mild pulmonary vascular congestion.",1.2.826.0.1.3680043.8.498.15462325638932249899027142393736593110
+The heart is mildly enlarged. The aorta is tortuous. Inspiration is suboptimal with mild bibasilar atelectasis. The lungs are otherwise clear. There are no pleural effusions. Degenerative changes are noted in the thoracic spine.,Mild cardiomegaly. Suboptimal inspiration with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.34123756785238833974609260523092101161
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51037910716722123639937662448513998654
+"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Chronic peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Findings of COPD; lungs otherwise grossly clear.,1.2.826.0.1.3680043.8.498.14185841209468104240920917365173085424
+A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. The heart is within upper limits of normal.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.94940361997099573034437724569013486205
+Cardiothymic silhouette is normal. The lungs are clear. No pneumothorax. No bone abnormality. Normal bowel gas pattern.,Normal one view chest.,1.2.826.0.1.3680043.8.498.93439021032734590531930525260220600185
+"There is extensive bilateral airspace disease, with patchy airspace disease in both lower lobes and in the right middle lobe. The appearance is consistent with pneumonia. No pleural effusion identified. Heart size is normal.",Bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.83877257881782294630015795297723789514
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.95823144343429155430553575181764899578
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90097618727682608247570596308089236578
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.45080376818091851343371306860195018724
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57072706869613368071714643099833690869
+"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38052566036295238035172871468440250283
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.61118084714356697223192017664855666409
+Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. There is patchy airspace disease in the right upper lobe. Left lung is clear. No pleural effusion. Heart size normal.,1. Endotracheal tube in good position. 2. Right upper lobe airspace disease could represent asymmetric edema or aspiration.,1.2.826.0.1.3680043.8.498.89859315347513357863778949735165339634
+There is a 2.2 cm masslike opacity in the right lower lobe. Lungs are hyperexpanded. Lungs are otherwise clear. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. Aorta is tortuous and atherosclerotic. No mediastinal or hilar masses. No convincing hilar adenopathy. Bony thorax is demineralized but grossly intact.,1. Masslike opacity in the right lower lobe worrisome for neoplasm. Recommend follow-up CT chest with contrast for further assessment. 2. Hyperexpanded lungs suggests COPD.,1.2.826.0.1.3680043.8.498.33287967106287060435775732966047339649
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine. There is osteopenic appearance of bones.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.52742656725851428890920962645957340958
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45881582354047508853783280050642326323
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.55857328104700626664181376846661593837
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96186585816987806354912769621784197980
+"The major veins of the lower extremities are imaged from the popliteal fossa to the popliteal vein, with imaging of the distal tibial veins antegrade to the level of the common femoral vein. There is normal compressibility of these structures and normal augmented response, based on the appearance of the venous wave forms, on Doppler evaluation.",Patency of the major veins of both lower extremities. No evidence of deep venous thrombosis.,1.2.826.0.1.3680043.8.498.38632569615095153874134396179571651557
+Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.53261892568579936588964815320812817273
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63576412172906953438302242436604912930
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.62538746535577290402362022200583271121
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74264400381879390452640964607652928999
+"There is vascular engorgement the hilum with vascular redistribution to the upper lung fields. There is no pneumothorax. Heart is enlarged, there is no pleural effusion. Visualized osseous structures are without fracture.",Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.62604711153446453299111751527584011660
+The heart size and mediastinal contours are within normal limits. No pneumothorax after right-sided thoracentesis. A small right pleural effusion remains. Patchy consolidations are seen in the right upper lobe and throughout both lungs. The visualized skeletal structures are unremarkable.,"1. No pneumothorax after right-sided thoracentesis. 2. Small right pleural effusion. 3. Patchy consolidations in the right upper lobe and throughout both lungs, suspicious for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.63585322426530867559171072818102189999
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.21216214718833070976271072418413758860
+There is a large mass-like opacity occupying much of the right upper lobe. This is most consistent with lung cancer. CT of the chest is recommended to assess further. The left lung is clear. No effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,Large mass-like opacity in the right upper lobe most consistent with lung cancer. Recommend CT of the chest with IV contrast media.,1.2.826.0.1.3680043.8.498.56706704036491216857725967698046268860
+Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.76698047593962806445586823787744922636
+"Mild hazy pulmonary opacity is again seen bilaterally, without significant change. No evidence of pneumothorax or pleural effusion. Heart size is normal. UAC and UVC are unchanged in position.",Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.51184338692686810828414800924499626722
+Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23028933859285777005277794978846036850
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92588211998424639194514216696617170016
+The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.71631697924622000937726920740762461815
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. A metallic device is noted at the right chest wall, with a lead extending into the right side of the neck.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98595143429124699333615063419071609570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44044348134205783644488351740363843248
+"There is a fracture through the periphery of the right femur, with significant displacement of the fracture components. No additional fractures are seen. The right femur otherwise appears grossly intact. No knee joint effusion is identified.","Significantly displaced fracture through the periphery of the right femur, without significant displacement of fracture components.",1.2.826.0.1.3680043.8.498.18444310991532760752481739374192559017
+NG tube is in place with the side port and tip in the stomach. Patient is rotated. Heart size is normal. There is patchy airspace disease in the right mid and lower lung zones which may be due to pneumonia or atelectasis. Left lung is clear. No evidence of pleural effusion.,Right mid and lower lung zone airspace disease may be due to atelectasis or pneumonia. NG tube in place with tip and side-port in the stomach.,1.2.826.0.1.3680043.8.498.18565843953533578699577196617308506017
+The current exam shows increased density at the RIGHT base compatible with a RIGHT pleural effusion. The etiology for this effusion is not identified. No pulmonary edema is seen. The heart is enlarged. No pneumonia is identified. An endotracheal tube is present with the tip approximately 5.5 cm above the carina.,Please see above.,1.2.826.0.1.3680043.8.498.55560332913350830288895204116768825569
+"Interval removal of the left chest tube. No pneumothorax. There is a small left pleural effusion and bibasilar atelectasis, similar to prior study. Stable heart size.",Interval removal of left chest tube without pneumothorax. Small left effusion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.22012894748793285057005555449351190011
+"Esophageal probe has been repositioned, now over the mid to lower esophagus. OG tube tip is in the stomach. Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.",Esophageal probe tip overlies the mid to lower esophagus.,1.2.826.0.1.3680043.8.498.89443573921485083949848622012249252342
+"Right PICC line remains in place, unchanged. Cardiomegaly. Layering left effusion with left lower lobe atelectasis. Small right effusion. No confluent opacity on the right. No acute bony abnormality.",Cardiomegaly. Stable layering left effusion with left lower lobe atelectasis. Small right effusion.,1.2.826.0.1.3680043.8.498.56937336125530082377352536099432395230
+There is a new right pleural effusion. There is also atelectasis at the right lung base. Mild atelectasis at the left lung base has developed. The heart size is normal. There is no evidence for pulmonary edema.,New right lower lobe atelectasis and right effusion.,1.2.826.0.1.3680043.8.498.14120816800886065033760003224149291750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14543945940526325659101399274653288451
+Feeding tube noted with tip below left hemidiaphragm. Prior CABG. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Small left pleural effusion. Findings consistent with CHF. Low lung volumes. No pneumothorax.,1. Feeding tube noted with tip below left hemidiaphragm. 2. Prior CABG. Stable cardiomegaly. Pulmonary venous congestion and bilateral interstitial prominence with small left pleural effusion. Findings suggest CHF.,1.2.826.0.1.3680043.8.498.97230016152755277105216648012525558966
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65422063235698770393115400558583150517
+There is a dual lead pacemaker in place. The heart size is enlarged. There are findings of pulmonary edema. There are small bilateral pleural effusions. There is no pneumothorax. There is no acute osseous abnormality.,Cardiomegaly with findings of congestive heart failure including small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95284315323990544198342723351072796657
+"The left PICC line is stable. Persistent bilateral airspace process, likely a combination of edema and atelectasis. There are also bilateral pleural effusions, which are probably stable. Low lung volumes.",Stable chest x-ray.,1.2.826.0.1.3680043.8.498.78739913025252887253785432003835644760
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79209079792910553900842613413959334045
+Prior CABG. Small bilateral pleural effusions. Patchy bilateral airspace disease most pronounced in the right mid and lower lung. Findings are concerning for pneumonia. No pneumothorax. Heart is normal size. Degenerative changes in the shoulders.,Patchy bilateral airspace disease most pronounced in the right mid and lower lung concerning for pneumonia. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.37665284962940022204905979195999347986
+Mild pulmonary vascular congestion is again noted. There is no frank edema. Endotracheal tube tip is 3.5 cm above the carina. Nasogastric tube enters the stomach.,Mild pulmonary vascular congestion persists.,1.2.826.0.1.3680043.8.498.69401922221640673320383921913878462901
+"Single frontal view of the chest demonstrates stable right internal jugular catheter. Postsurgical changes from median sternotomy. Cardiac silhouette is stable. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable chest, no acute process.",1.2.826.0.1.3680043.8.498.25040427059027120188239901170516681223
+Cardiac enlargement. No pleural effusion or edema. No airspace consolidation. The bones are diffusely osteopenic.,Cardiac enlargement.,1.2.826.0.1.3680043.8.498.68606962841040959016807607778063027738
+Cardiac shadow is mildly enlarged. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild left basilar atelectasis is seen. No sizable effusion is noted. Old rib fractures are noted on the left.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.97541535073399840660150150733841867693
+Cardiac silhouette is unchanged. No acute infiltrates are seen. Osseous structures are stable.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.44648734101038405385800127325422801183
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41769673725785596520046450222738917843
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12909253134128153666563151301398370076
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42457636888265262198063016959192435301
+"The major veins of the right lower extremity are imaged from the popliteal fossa to the popliteal vein, with imaging of the distal tibial veins antegrade to the level of the common femoral vein. There is normal compressibility of these structures and normal augmented response, based on the appearance of the venous wave forms, on Doppler evaluation. The veins of the right lower extremity appear patent.",Patency of the right lower extremity. No evidence of deep venous thrombosis.,1.2.826.0.1.3680043.8.498.78893712463462713609718660389089408487
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55348266897274773945627232582476678181
+Prior CABG. Small bilateral pleural effusions with adjacent atelectasis. Lower lobe pneumonia not excluded. No pneumothorax. Mild cardiomegaly.,Lower lobe pneumonia and small pleural effusions.,1.2.826.0.1.3680043.8.498.68098866923633833741725288567299565228
+The heart is normal sized. There has been prior midline sternotomy. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. There is a right pleural effusion with right mid and lower lung infiltrate without significant change from prior study. The left lung appears clear.,1. Right mid and lower lung infiltrate with right effusion appears similar. 2. No new findings.,1.2.826.0.1.3680043.8.498.30385910682419293630009379163003421949
+There is a left upper lobe mass measuring approximately 5.5 cm in size. There is COPD. No effusions are seen. The right lung is clear. The bony structures are intact.,1. COPD. 2. Left upper lobe lung lesion.,1.2.826.0.1.3680043.8.498.66934941538786513058598174441789041844
+"Normal heart, mediastinum and hila. Clear lungs. No pleural effusion or pneumothorax. No evidence of pneumomediastinum. Skeletal structures are unremarkable.",Normal chest radiographs.,1.2.826.0.1.3680043.8.498.93076408890805695506000514155049176421
+ET tube is in good position. NG tube tip is in the stomach. The heart is normal in size. The lungs are well expanded. There is infiltrate in the left lower lobe. The right lung is clear. There is no effusion or pneumothorax.,Infiltrate in the left lower lobe.,1.2.826.0.1.3680043.8.498.54365276533233991548639352970803067193
+"There is increased density at the lung bases, particularly on the right. Although this may represent atelectasis, aspiration pneumonia is not excluded. No edema. Stable cardiomegaly.","Increasing basilar densities, particularly on the right. Atelectasis versus aspiration.",1.2.826.0.1.3680043.8.498.39753672413604710932933632964925474635
+Cardiomediastinal silhouette is stable. There is infiltrate/pneumonia in right upper lobe. Follow-up to resolution after appropriate treatment is recommended. Left lung is clear. No pulmonary edema.,Infiltrate/pneumonia in right upper lobe. Follow-up to resolution after appropriate treatment is recommended.,1.2.826.0.1.3680043.8.498.44924694612085771600746174930535638689
+The heart is enlarged. There are bilateral pleural effusions. There is diffuse interstitial edema. Atelectasis and/or infiltrate is noted at the lung bases.,1. Findings consistent with congestive heart failure. 2. Atelectasis and/or mild infiltrate at the lung bases.,1.2.826.0.1.3680043.8.498.26587165771625185610608924865823217155
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.47877103357908125762482543649935160660
+"Umbilical venous catheter tip is in the right atrium, approximately 1.5 cm from the inferior vena cava-right atrium junction. The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. Bowel gas pattern is unremarkable. No free air or portal venous air. No pneumothorax.",Umbilical venous catheter tip is in the right atrium. Bowel gas pattern unremarkable. Lungs clear.,1.2.826.0.1.3680043.8.498.52235340007598269858066706352087182545
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Minimal bronchitic changes.,1.2.826.0.1.3680043.8.498.34399531390002370517751822708014596579
+The heart size and mediastinal contours are within normal limits. Diffuse increased interstitial markings seen throughout both lungs. No pleural effusion. No acute osseous abnormality.,Diffuse increased interstitial markings throughout both lungs which could be due to interstitial edema and/or infectious etiology.,1.2.826.0.1.3680043.8.498.70814525337588643096154787331482733434
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96894659879372961864947275750846417014
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.24806852813084491403352930994580257310
+The heart size and mediastinal contours are within normal limits. The right central venous line is unchanged in position with the tip at the superior vena cava. Both lungs are clear. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease. Right central venous line is unchanged in position.,1.2.826.0.1.3680043.8.498.23776609919024113195449280426387443591
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.16418365616596584619877669395107909036
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an ill-defined airspace opacity in the right upper lobe consistent with pneumonia. The left lung is clear. No pleural effusion. The bony thorax is intact.",Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.60588952395898660002048766516493323387
+There is a mass in the right upper lobe measuring 5.6 x 5.2 cm. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe mass measuring 5.6 x 5.2 cm. No edema or consolidation. No adenopathy evident.,1.2.826.0.1.3680043.8.498.49929307088752419689060799945025174707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89717017725784411013606477953943284098
+"The cardiomediastinal silhouette appears to be stable. Again noted are diffuse bilateral infiltrates, without significant change. The bilateral costophrenic angles appear sharp. The visualized bony thoracic cage appears intact. Again noted is a right-sided central line catheter in place.","Stable diffuse bilateral infiltrates, without significant change. Stable right-sided central line catheter in place. No significant change compared to prior study done on 10/18/2008.",1.2.826.0.1.3680043.8.498.79731908018787380442237022765695306766
+The cardiomediastinal silhouette is unchanged. Aortic atherosclerosis is noted. Widespread airspace opacities throughout both lungs have increased from the prior study. There is no evidence of pneumothorax or large pleural effusion. No acute osseous abnormality is seen.,Worsening bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.97594609540966938085287010551157511086
+The lungs are hypoinflated. There is density at the left lung base consistent with atelectasis. There is no evidence of a pleural effusion. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged.,There is bilateral pulmonary hypoinflation. There is likely atelectasis at the left lung base. I do not see evidence of CHF. Followup films with deep inspiration would be of value.,1.2.826.0.1.3680043.8.498.67326644000077264763263537176175148077
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98513605323580804556396423242219359480
+Endotracheal tube terminates 3.5 cm from the carina. Transesophageal tube tip and side port distal to the GE junction. Telemetry leads overlie the chest. Some persistent mild opacity remains in the right hilar and suprahilar region with overall slight clearing likely related to improved lung volumes. No pneumothorax or effusion. Stable cardiomediastinal contours. No acute osseous or soft tissue abnormality.,"Slight clearing of opacity in the right lung, could reflect improving atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.91185590479725504030122296337555800275
+"Enlargement of cardiac silhouette post CABG. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Emphysematous changes with minimal central peribronchial thickening. No acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Enlargement of cardiac silhouette post CABG and coronary artery stenting. COPD changes with minimal central peribronchial thickening which could reflect bronchitis or asthma. No acute abnormalities.,1.2.826.0.1.3680043.8.498.48663421606390557551191042912378592093
+"The heart is enlarged, stable. The mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings. Stable mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.59724199035753219255305743323863424791
+Two views of the chest show a moderate sized left pleural effusion with left lower lobe atelectasis. The right lung is clear. Cardiomegaly is again noted. The patient is status post midline sternotomy. Degenerative changes are seen in the spine.,Moderate left pleural effusion.,1.2.826.0.1.3680043.8.498.27371725690722754020658261043689883953
+Patchy airspace disease in the right upper lobe has improved. The left lung is clear. Heart is normal size. No effusions. No acute bony abnormality.,Improving patchy right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.26368607666115138522150569363089126841
+Mild cardiomegaly. Large hiatal hernia. Perihilar congestion. No pleural effusion or pneumothorax. No lobar consolidation.,1. Cardiomegaly with large hiatal hernia. 2. Perihilar congestion. No overt evidence of edema.,1.2.826.0.1.3680043.8.498.54555741272393643761153074842118019421
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20204828591131501944192541689098842282
+There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.45368639341175172130187453188856191057
+"The heart is normal in size. There are postsurgical changes of median sternotomy and CABG. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.45098271205166930233373500186741830919
+"The right Port-A-Cath is stable. The cardiomediastinal silhouette is stable. Bilateral pulmonary opacities, left greater than right, are stable. Small bilateral pleural effusions are suspected. No pneumothorax.",Stable bilateral pulmonary infiltrates consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.78189148778533218166473182937860491365
+"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Tracheal air column midline and patent. Lungs normally inflated. Patchy parenchymal infiltrates within the left upper and lower lobes, suspicious for pneumonia. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.","Patchy left upper and lower lobe infiltrates, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.61760683201408689594621192363352064075
+The endotracheal tube is in good position. A feeding tube has been placed. The tip is in the stomach. Diffuse bilateral airspace disease is unchanged. No pneumothorax is seen.,1. Feeding tube placed into the stomach. 2. Endotracheal tube in good position. 3. No change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.99351644837787794984241430013945233581
+There is central airway thickening. No consolidative process. No pleural effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.31314541799915341999234221659429222702
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20915780463192091262863134431314860297
+The lungs are mildly hyperinflated. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The esophagogastric tube tip projects off the film.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.11076559121656947667962936319077751818
+Normal cardiothymic silhouette. Mild hazy opacities in both lungs. Normal appearing bones.,Mild retained fetal lung fluid.,1.2.826.0.1.3680043.8.498.83923671124726505786986118768696825918
+"There is a large gauge double lumen right jugular venous catheter noted with the tip in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.11648643872135575594357307810941549455
+Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Bibasilar pleural effusions and atelectasis. Upper lungs clear. No pneumothorax. Bones demineralized.,"Enlargement of cardiac silhouette with pulmonary vascular congestion. Bibasilar pleural effusions and atelectasis, increased from previous exam.",1.2.826.0.1.3680043.8.498.83909579693340729887799926102017559999
+Stable right chest tube. Stable small right apical pneumothorax. Slight improved lung volumes. Residual right lower lobe atelectasis and small right effusion. The left lung is clear. Stable cardiac size and mediastinal contours. No pulmonary edema. Stable visualized osseous structures.,1. Stable small right apical pneumothorax. 2. Residual right lower lobe atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.45968851432668329216506089705792045572
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73191189964424945430994617333845203730
+"Swan-Ganz catheter has been removed as have mediastinal drains. Right IJ sheath remains. Changes of CABG. Low lung volumes with bibasilar atelectasis, slightly increased. Suspect small effusions. No pneumothorax.",Interval removal of support devices. Increasing bibasilar atelectasis. Suspect small effusions.,1.2.826.0.1.3680043.8.498.84112707478432051046553071229896436824
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74606632078377153451110447751491912265
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30006622496616585743197450394821777041
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64167557907637217182909646463578476281
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48982816024642096273087587145633733531
+There is a nasogastric tube with side port below GE junction. Heart size is normal. No pleural effusion or pulmonary edema. Plate-like atelectasis is noted in both lung bases. No airspace consolidation.,1. Bibasilar atelectasis. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.12968462645033803041122868643324494048
+"Patchy bilateral pulmonary infiltrate which has mildly worsened. Low lung volumes. No edema, effusion, or pneumothorax. Normal heart size.",Patchy bilateral pneumonia which has mildly worsened from 6 days ago.,1.2.826.0.1.3680043.8.498.27823215857670863208309215745364743004
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56623528699912440872422750830328413575
+There is cardiomegaly. Diffuse bilateral airspace disease has developed since prior study. Suspect small bilateral pleural effusions.,Cardiomegaly with development of diffuse bilateral airspace disease and small effusions most compatible with congestive heart failure. Pneumonia cannot be completely excluded.,1.2.826.0.1.3680043.8.498.99622514433548447891904516795054437352
+"Resolution of left apical pneumothorax. There is no edema, consolidation, effusion, or pneumothorax. Normal heart size and mediastinal contours. Spondylosis.",1. Resolved left pneumothorax. 2. No evidence of active disease.,1.2.826.0.1.3680043.8.498.46317562937230893685214035707224201616
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88979122552018679070493820996738742403
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15282881050522058516188337131764470432
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82623251393958874748666045286691136149
+Heart is enlarged. Calcification of the aorta at the arch. No focal infiltrates or signs of acute congestive heart failure. Prominent interstitial markings. Degenerative changes of the spine. No pleural effusion.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68227385216766986506819427387012867528
+There is a small right pleural effusion. There is right basilar atelectasis. There is no pneumothorax. The left lung is clear. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Right basilar atelectasis with a small right pleural effusion.,1.2.826.0.1.3680043.8.498.33776105510192583153200068485473479519
+Right upper extremity PICC has been placed. The tip is in the right atrium. I would recommend it be pulled back 3 cm. Left lower lobe scarring is again noted. There is no acute infiltrate or edema.,"PICC placement into the right atrium, 3 cm below the cavoatrial junction.",1.2.826.0.1.3680043.8.498.58576084947390659203853315953789681897
+Heart size is normal. The mediastinum is unremarkable. There is linear atelectasis at both lung bases. The lungs are otherwise clear. No effusions. No significant bony finding.,Linear atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.46503379668094074786334813473824000026
+"Endotracheal tube is 2.5 cm from the carina. Lung volumes are low. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax on portable supine view. Endotracheal tube in place.,1.2.826.0.1.3680043.8.498.54675622379031018911014923897048834895
+Lungs are essentially clear. No pleural effusion or pneumothorax. Mild elevation of the right hemidiaphragm. The heart is normal in size. No displaced right rib fracture is seen.,No evidence of acute cardiopulmonary disease. No displaced right rib fracture is seen.,1.2.826.0.1.3680043.8.498.38154022008042937254334393500550362597
+There has been some improvement in aeration in the right lung. Cardiomegaly and pulmonary vascular congestion persist. Small bilateral pleural effusions are noted.,Some improvement in right side airspace disease compatible with decreased edema or pneumonia. Small bilateral effusions and marked cardiomegaly noted.,1.2.826.0.1.3680043.8.498.52672399980912651549420024107906366206
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.74573764788360609099225780304605840721
+Low lung volumes are noted. Both lungs are clear. There is no evidence of pleural effusion. Heart size is within normal limits allowing for low lung volumes.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.60707815864906227751204504879481072008
+A cardiac pacemaker lead wire is seen from the LEFT with its tip in the RIGHT ventricle. The lung fields appear clear. No effusions are noted. No pneumothorax is seen.,1. Cardiac pacemaker lead wire is seen. 2. The lung fields are clear.,1.2.826.0.1.3680043.8.498.84064466627540750320941405207392327969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31288915049773839931390085509709949521
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.59811212105791601566106917446301162090
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.65099795481482824548819594745915213525
+"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.99683336160372262858039228485687065118
+Small left apical pneumothorax is stable. Stable cardiomegaly. Stable pacemaker. Mild atelectasis at the left base. Right lung is clear.,Stable small left apical pneumothorax.,1.2.826.0.1.3680043.8.498.97080046283679914974697799832126023160
+A right upper extremity PICC line has been placed. The tip is in the mid SVC. The lungs are clear. No pneumothoraces or effusions are seen. The heart is normal in size.,Right upper extremity PICC line. Tip in the mid SVC.,1.2.826.0.1.3680043.8.498.46705063490313821551190247747339702936
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. There is a hiatal type hernia. There is upper thoracic levoscoliosis. Bones are osteoporotic. There is stable postoperative change in the right.,No edema or consolidation. Stable cardiac silhouette. There is aortic atherosclerosis. Bones osteoporotic.,1.2.826.0.1.3680043.8.498.27394476716265168446629232211079766203
+There is little change in opacity primarily anteriorly in the right upper lobe and in the lingula of the left lung consistent with multifocal pneumonia. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,1. No significant change in multifocal pneumonia. 2. Recommend followup chest x-ray in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.74813011912679346916132398442023498702
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. There is worsening of consolidative infiltrate in both lower lobes consistent with pneumonia. No evidence of effusion. No worsening.,Worsening of bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.63880981691508229049528130545965461739
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45960612642145450508131751438926693406
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59316032819780560801730892515685150502
+The left IJ dialysis catheter is stable. The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. New consolidation in the right upper lobe. No pleural effusion or pneumothorax. No acute osseous abnormality.,New right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.59328155955495399371324126921018544409
+The lungs are adequately inflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66087094903513023936798212886891826401
+"Lung volumes are normal. Diffuse interstitial prominence throughout the lungs bilaterally, similar to prior studies. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.","1. Diffuse interstitial prominence throughout the lungs bilaterally, similar to prior studies, likely chronic. 2. No evidence of acute cardiopulmonary disease. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.93522097770284211187381925048754202313
+Tracheostomy tube noted in stable position. Heart size stable. Bibasilar atelectasis/infiltrates. Small bilateral pleural effusions. No pneumothorax.,1. Tracheostomy tube in stable position. 2. Bibasilar atelectasis/infiltrates. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.20214141679650090141990149636066609068
+Portable AP semi upright view at 9EF0F-10 hours. Confluent opacity at the left lung base appears to be largely related to the left lower lobe. No associated pleural effusion. Elsewhere lung markings appear normal. Mediastinal contours remain normal. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,Left lower lobe pneumonia suspected. No pleural effusion.,1.2.826.0.1.3680043.8.498.42696081216393265074556263896680186266
+Cardiomegaly. No pleural effusion or pneumothorax. Mild vascular congestion. No evidence of edema. No consolidation or mass. No displaced fracture identified.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.65677776359318720365833009167834746411
+"The lungs are well-aerated. Mild peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.43483972242298480885125907269846614451
+Endotracheal tube 3.5 cm above the carina. NG tube in the stomach. Lungs remain clear. No effusion or pneumothorax. Heart size normal. Regional bones unremarkable.,Stable appearance since previous day's exam,1.2.826.0.1.3680043.8.498.46732261129372098206964917214398560158
+The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.20839986093882398591387060873905342738
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. The aorta is slightly calcified. The leads of a left-sided pacemaker terminate in the right atrium and ventricle. Mild spondylosis affects the thoracic spine.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46142917300611734824847524427901337841
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45580472769003364136448234880630456365
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88302484272036586259284733094727679640
+"Again noted is a large hiatal hernia. The cardiac silhouette, mediastinal and hilar contours are stable. The lungs are hyperinflated consistent with COPD. Persistent ill-defined airspace opacity at the right lung base. The left lung is clear. No pleural effusion.",1. Persistent ill-defined airspace opacity at the right lung base. Recommend follow-up chest x-ray in 4-6 weeks to document resolution. 2. Stable COPD and large hiatal hernia.,1.2.826.0.1.3680043.8.498.53244236423338962066195336879112292022
+The heart is enlarged. There is a dual lead pacemaker in place. The lungs are hyperinflated consistent with COPD. There is chronic interstitial lung disease and scarring. Superimposed basilar airspace disease on the right is noted. A small left effusion is suspected. There is no edema.,1. Cardiomegaly and COPD. 2. Suspect left lower lobe pneumonia. 3. Small left effusion.,1.2.826.0.1.3680043.8.498.10715067678987146067011286462768324482
+"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.37617920102450560951156794293525300203
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66487447046376019080719943668737187327
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease. No evidence of pulmonary nodules.,1.2.826.0.1.3680043.8.498.33053645094130963758855737301663667830
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.38336224234402821010315077720557937817
+"Low lung volumes. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Stable small right pleural effusion. No left pleural effusion. Hazy bibasilar lung opacities, slightly increased on the right and similar on the left.","1. Low lung volumes with slightly increased hazy right lung base opacity, which could represent atelectasis or pneumonia. 2. Stable small right pleural effusion.",1.2.826.0.1.3680043.8.498.80547729397684964622415842299484507275
+Portable semi upright AP view 6061 hours. Worsening bibasilar airspace opacity. Stable cardiomegaly and mediastinal contours. Prior CABG. No pneumothorax. Small pleural effusions suspected.,Increasing basilar airspace disease could reflect atelectasis or pneumonia. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.19199767676134744372157513523397111174
+"Right Port-A-Cath remains in place, unchanged. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.28595778628645057961906291502608464205
+"Minimal patchy density in the right upper lung field may represent atelectasis or developing infiltrate. Clinical correlation is recommended. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.41075286087913552941721908213450435152
+Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Aortic atherosclerosis. Interval development of bilateral interstitial pulmonary opacities. Left basilar heterogeneous pulmonary opacities. Probable small left pleural effusion. No pneumothorax.,Left basilar heterogeneous opacities may represent atelectasis. Developing infection not excluded. Interstitial opacities may represent edema or atypical infection.,1.2.826.0.1.3680043.8.498.39443586924764188003258989915571868795
+The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Multilevel degenerative changes in the thoracic spine. Cervical fusion hardware is partially visualized.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78251506915867402972171787389615663868
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.25610253588660548597252088856544031709
+Left chest tube removed. No pneumothorax. Tiny left pleural effusion with bibasilar atelectasis. Negative for edema. The heart is enlarged.,No pneumothorax post chest tube removal.,1.2.826.0.1.3680043.8.498.15639826060207187106150657854030956903
+There is mild peribronchial thickening and hyperinflation. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.71553765789051432213157363193516931186
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22841104113100284238440122481863586890
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.97720082480796669806382532582006649060
+The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.64625542454661439922159710450224085426
+"Lung volumes are stable and within normal limits. Right IJ approach dual lumen dialysis type catheter in place. No pneumothorax. Catheter tips project at the mid to distal superior vena cava. Sequelae of median sternotomy. Stable cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pulmonary edema, pleural effusion or confluent pulmonary opacity.","1. Right IJ dual lumen catheter placed, no pneumothorax. 2. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.20715391251853560116336666640881753483
+"Portable AP semi upright view at 3650 hrs. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Pacer or resuscitation pads continue to project over the chest. Dense consolidation in the right mid and lower lung appears mildly progressed. Suspect superimposed right pleural effusion tracking into the minor fissure. Left lung base ventilation not significantly changed. No pneumothorax. Stable cardiac size and mediastinal contours.","1. ET tube and NG tube in good position. 2. Multilobar right lung pneumonia, mildly progressed. Small right pleural effusion.",1.2.826.0.1.3680043.8.498.50685670931636788694034569500695741830
+The current exam shows a few densities at the lung bases compatible with mild bibasilar atelectasis. No definite pneumonia is seen. No pulmonary edema is noted. The heart is upper limits for normal in size or slightly enlarged but stable as compared to the prior exam.,1. No acute changes are identified. 2. There is slight atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.83557872929723753019819669379487189758
+The lungs are hypoinflated. The hemidiaphragms are obscured. The cardiac silhouette is enlarged. The pulmonary vascularity is indistinct.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I cannot exclude basilar atelectasis or infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.64907303095595297270848877010986447808
+Rotated to the left. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Emphysematous changes with bilateral pleural effusions and basilar atelectasis greater on right. Upper lungs clear. No pneumothorax. Bones demineralized.,COPD changes with bilateral pleural effusions and basilar atelectasis. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.66325277372110725439881801648294908134
+"The lungs are symmetrically well expanded. There is mild left basilar focal pulmonary infiltrate, possibly infectious in the appropriate clinical setting. Tiny left pleural effusion is present. No pneumothorax. Cardiac size is mildly enlarged. Pulmonary vascularity is normal. No acute bone abnormality.","1. Left basilar infiltrate, possibly infectious in the appropriate clinical setting. 2. Tiny left pleural effusion. 3. Cardiomegaly.",1.2.826.0.1.3680043.8.498.44024444393307391011773471675189900024
+AP view of the chest shows increased density at both lung bases. Pneumonia and atelectasis would be the primary consideration. Some of the density seen may be due to fibrosis. Follow-up examination is suggested. The heart size is normal. No pulmonary edema is seen.,There are increased densities at both lung bases consistent with pneumonia and atelectasis. Follow-up examination is recommended.,1.2.826.0.1.3680043.8.498.11388843336843629675292206913473381043
+Lung volumes are low. There is left lower lobe airspace disease consistent with pneumonia. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58752260314668975376153123222901184070
+There is minimal scarring in the left base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.65324916954045837583579373746314088494
+Lung volumes are low. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.33237941745102690570064458136966900384
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.27024591023367137379694320722732913876
+There is near complete opacification of the right hemithorax with some improvement in aeration of the right lung since the prior chest x-ray. There is shift of the mediastinum to the right. The left lung is clear. There is no evidence of pneumothorax.,Improved aeration of the right lung since the prior chest x-ray. No pneumothorax.,1.2.826.0.1.3680043.8.498.81931693349526190119384573049401794965
+"Tracheostomy tube, feeding tube, and pacemaker are unchanged. There is increasing left basilar airspace disease with a probable left effusion. Right basilar atelectasis is unchanged. No other changes are identified.",1. Stable support tubes. 2. Increasing left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.90175241672205205647389100879627342840
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.86384573440265316376240845474095855540
+"Left IJ Mediport is present with the tip in the superior vena cava. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",Left IJ Mediport appears in good position.,1.2.826.0.1.3680043.8.498.41137195311730554777716448864134222323
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88461627096105225380721650972196962341
+Left arm PICC line is noted with tip in the projection of the cavoatrial junction. The heart size is moderately enlarged. There is pulmonary vascular congestion. The lung volumes are low.,1. PICC line tip in the cavoatrial junction. 2. Cardiac enlargement and low lung volumes.,1.2.826.0.1.3680043.8.498.32020614480212244586753332816175152357
+The patient has a new right chest tube. The patient has a right pneumothorax seen at the apex and in the base. The right lung is largely re-expanded. Opacity in the right base is compatible with contusion. The left lung is clear. The patient has multiple right rib fractures. Heart size is normal.,1. New right chest tube in place with a small right pneumothorax. 2. Multiple right rib fractures and right lower lobe contusion noted.,1.2.826.0.1.3680043.8.498.27742008675060148696511323357665381938
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.37169779989660609878417988339276481505
+Ventriculoperitoneal shunt projects over the right side of the chest. Heart size is normal. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. Platelike atelectasis seen at both lung bases.,Bilateral platelike atelectasis.,1.2.826.0.1.3680043.8.498.39819388258102866380368832725970775738
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18650748529097386754600299922327539081
+No pneumothorax. Stable calcified granuloma at the left lung base. The heart is normal in size. Stable mediastinal contours. No consolidation or edema. No pleural effusion.,No pneumothorax.,1.2.826.0.1.3680043.8.498.49604455304110922179252303678821307050
+Endotracheal tube has been removed. Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. Left chest tube is in place. There is no pneumothorax. Bibasilar atelectasis is unchanged. There is no edema.,Status post extubation. Bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.44201644324459088450543256772480301596
+"Right lower lobe opacity, suspicious for pneumonia, grossly unchanged. Left lung is essentially clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",No significant change in right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92494003058138610071958309920812158120
+Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77738524144180855998362677657693209023
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89851884380726819846224609098379724956
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.73966995406981668173293826721663628147
+Endotracheal tube in satisfactory position. Nasogastric tube extending into the stomach. Normal sized heart. Clear lungs. No pneumothorax. Unremarkable bones.,No acute abnormality.,1.2.826.0.1.3680043.8.498.34762989502535077585622402606883152024
+Frontal view of the chest is performed. There has been interval placement of a left sided pectoralis pacing unit. Leads appear to project in the region of the right atrium and right ventricle. The patient has taken a shallow inspiration. There is no evidence of pneumothorax. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27498833294658948391746261080919314976
+Endotracheal tube is 2.5 cm from the carina. The heart size and mediastinal contours are stable. There are low lung volumes with mild increase in bibasilar atelectasis. There is vascular congestion. No pneumothorax or significant pleural effusion. The bones appear unchanged.,1. Endotracheal tube in place. 2. Low lung volumes with mild increase in basilar atelectasis. 3. Vascular congestion.,1.2.826.0.1.3680043.8.498.72733629543230251677310585421713526550
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19986319154519363063606481499797906424
+A right arm PICC line is seen with the tip in the distal SVC. Feeding tube is also seen extending into the stomach. There is mild atelectasis at the left lung base. The lungs are otherwise clear. There is no evidence of pleural effusion. The heart size is normal.,1. Right arm PICC line tip in distal SVC. 2. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.23672894981975636486541931601028888795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58432338854552830271813289507967438579
+Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There are pleural effusions bilaterally with interstitial edema and patchy airspace consolidation in the right mid and lower lung zones. There is atelectatic change in the left base. Heart size is normal. Pulmonary vascularity is within normal limits. No adenopathy.,Tube positions as described without pneumothorax. Evidence a degree of congestive heart failure. There may be superimposed pneumonia in the right mid and lower lung zones. Both alveolar edema and pneumonia may present concurrently.,1.2.826.0.1.3680043.8.498.55509953059824512314658342036440063900
+PA and lateral films. The heart and mediastinum are within normal limits for the film technique. The pulmonary vessels are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Mild degenerative changes in the thoracic spine.,No acute chest disease.,1.2.826.0.1.3680043.8.498.27816761770863776200454367446158474672
+There are bilateral pleural effusions with improved interstitial edema. There is bilateral lower lobe consolidation which is also improved. No pneumothorax. Stable cardiomegaly.,Improved bilateral effusions and bilateral airspace disease.,1.2.826.0.1.3680043.8.498.34971876496839044620356962716485224646
+The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94078873446821697374063645888109894468
+The cardiopericardial silhouette is within normal limits for size. Lungs are clear. There is slight elevation of the right hemidiaphragm. Atherosclerotic calcifications are noted in the aorta.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76084299075033183592096933097287547304
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.97963492983566199681230083709224157565
+The support apparatus is stable. The heart is normal in size. The lungs are stable. Persistent left lower lobe process. No pneumothorax.,Stable chest x-ray.,1.2.826.0.1.3680043.8.498.54002847380102400110980626338453142696
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78597147903476828698642767321064840686
+The lungs are clear. The heart and mediastinal contours are normal. No pleural effusions.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86186695835343210180542236532754305446
+There are low lung volumes with associated bibasilar atelectasis. There are bilateral pleural effusions. There is mild interstitial edema.,1. Stable appearance of the heart and lungs. 2. Low lung volumes with associated atelectasis and effusions.,1.2.826.0.1.3680043.8.498.75490472857577260411530288271831498323
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68173632889609194103635641557549876194
+Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.73556493063128114130072575683099608551
+Cardiomegaly with vascular congestion. Bibasilar atelectasis. No effusions. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.70061596877497690249517064260505047693
+"Normal heart, mediastinum and hila. Clear lungs. No evidence of pneumomediastinum. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.",Normal frontal chest radiograph.,1.2.826.0.1.3680043.8.498.21058614400092180335998295909549293314
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58500988934144630876390509241689995097
+The heart is mildly enlarged. Lung volumes are low. Minimal left basilar atelectasis is present. The lungs are otherwise clear. There is no evidence of pneumothorax. No definite pleural effusions are seen. The visualized soft tissues and bony thorax are unremarkable.,1. Borderline cardiomegaly without failure. 2. Low lung volumes and minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.99734974501138931081741309318949387589
+Right internal jugular Swan-Ganz catheter is present with tip in the right pulmonary artery. Nasogastric tube extends into the stomach. The nasogastric tube tip is in the stomach. The heart is mildly enlarged. The lungs are clear. There is no pneumothorax. No pleural effusion.,Swan-Ganz catheter within the right pulmonary artery. No pneumothorax. Cardiomegaly.,1.2.826.0.1.3680043.8.498.18598361579784981410809895166239630700
+Lungs are clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51857519240462752837595744887148672199
+New left subclavian Port-A-Cath with tip projecting over SVC. Enlargement of cardiac silhouette. Left upper lobe mass unchanged. Remaining lungs clear. No gross pleural effusion or pneumothorax.,No pneumothorax following Port-A-Cath placement. Enlargement of cardiac silhouette. Stable left upper lobe mass.,1.2.826.0.1.3680043.8.498.71302197186506020609399189991476359866
+"Endotracheal tube tip is at the level of the carina. Umbilical arterial catheter tip is at T7. Umbilical venous catheter tip is at T9, over the right atrium. Orogastric tube tip is in the stomach. Normal heart size. No pleural effusion or pneumothorax. Diffuse hazy lung opacities are identified throughout both lungs. No pneumatosis or free intraperitoneal air.",1. Tubes and catheters as described. 2. No change in aeration to the lungs.,1.2.826.0.1.3680043.8.498.10180117535324985899972815242268329906
+The heart size and mediastinal contours are normal. The lungs are clear. There is no evidence of pleural effusion.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.26403377412017365243966642331153516932
+Heart size is normal. No pleural effusion or edema. No airspace consolidation.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55863343469512195996994082042182005939
+"The lungs are hyperinflated. Mild, stable chronic appearing increased lung markings are seen. Mild areas of atelectasis and/or early infiltrate are noted within the mid lung fields, bilaterally. There is no evidence of a pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is mild calcification of the aortic arch. The visualized skeletal structures are unremarkable.",COPD with mild bilateral mid lung field atelectasis and/or early infiltrate.,1.2.826.0.1.3680043.8.498.40848817184122077623196828082662718677
+Heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Lungs are clear. No pleural effusion or pneumothorax seen. No acute or suspicious osseous finding.,No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.23664137018228030666132415573051926847
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.64165947799309995984641405160010168546
+The lung volumes are low. Bibasilar airspace opacities likely reflect atelectasis. Infiltrate is not excluded. Small effusions are suspected. The heart size is exaggerated by low lung volumes.,1. Low lung volumes. 2. Bibasilar airspace disease likely reflects atelectasis. Infiltrate is not excluded. 3. Small bilateral pleural effusions suspected.,1.2.826.0.1.3680043.8.498.73063922254061050614672560411219700075
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62188792372738288818965758608084097303
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The sternal plating is intact. Multiple known rib fractures are not well observed on this study.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46765519772797994482321482103963280052
+Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.24774543787137431538576310426766533172
+Umbilical artery catheter tip remains in the descending thoracic aorta at the T6-7 level. OG tube tip remains in the fundus of the stomach. Improved aeration of both lungs is seen. Mild granular opacity of both lungs persists. No new abnormalities seen.,Support apparatus satisfactory. Improved aeration with mild RDS persisting.,1.2.826.0.1.3680043.8.498.75213766045386884707961895786849919991
+The left upper extremity PICC is stable. Diffuse airspace disease has worsened. No pneumothoraces are seen. The heart is mildly enlarged.,Worsening diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.39406796157643559299706465047585688933
+MediPort catheter noted with tip over the right atrium. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. MediPort catheter noted with tip over the right atrium. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46220988637085315659938041002697160262
+The cardiothymic silhouette is within normal limits. The pulmonary vasculature is normal in caliber. Peribronchial the costophrenic angles are sharp. The aortic arch is left-sided. The bony structures appear unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.56999838460121529948857308393329125146
+Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.56323498600436774409783643351494432294
+No pneumothorax following right thoracentesis. Opacities at the right base. Stable appearance of the left. Pacemaker.,No pneumothorax.,1.2.826.0.1.3680043.8.498.82371545134841209181117802661934913211
+There is airspace consolidation in the posterior right base. There is a lesser degree of airspace consolidation in the left lower lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Extensive airspace consolidation in the right lower lobe and to a lesser extent in the left lower lobe consistent with pneumonia. Followup advised to document clearing.,1.2.826.0.1.3680043.8.498.43446551786343070941583690365832343346
+"The previously seen left apical pneumothorax has resolved. Small bilateral pleural effusions are identified, left greater than right. Mild atelectasis is seen in the left base. The right lung is clear. The heart size and mediastinal contours are stable status post CABG.",1. Resolution of left apical pneumothorax. 2. Small bilateral pleural effusions and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.89853115827048492829199618432107993759
+There is patchy airspace opacity in the mid and lower lung regions bilaterally. No consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,"Patchy airspace opacity bilaterally consistent with multifocal pneumonia, likely of atypical organism etiology. No consolidation. Stable cardiac silhouette. No adenopathy evident. Stable appearance compared to recent study.",1.2.826.0.1.3680043.8.498.31017985124456634017900324990215778299
+Evaluation is limited secondary to patient positioning. The lung volumes are low. The heart size appears enlarged. Aortic calcifications are noted. There is no pneumothorax. No definite pleural effusion or focal infiltrate. No acute osseous abnormality.,1. Limited study secondary to patient positioning. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.41312777730717478828101557051798122247
+The heart size and mediastinal contours are stable with mild tortuosity of the thoracic aorta. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32123623859061665261503672581810089165
+The endotracheal tube has been retracted and now terminates 2.5 cm above the carina. Enteric tube terminates in the gastric fundus. The heart size and mediastinal contours are within normal limits. Hazy opacity in the left lung is unchanged. The right lung is clear. No pleural effusion or pneumothorax.,Interval retraction of the endotracheal tube with the tip now 2.5 cm above the carina. Otherwise unchanged appearance of the chest.,1.2.826.0.1.3680043.8.498.56927979079114987346472142495527608120
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.75456571138574970869253424048664722406
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.72015764033915514233395335034770501845
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The chest appears mildly hyperexpanded consistent with reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.62528747120079828107459295452918394563
+The heart is mildly enlarged. Aortic atherosclerosis is noted. There is no pneumothorax. There is no large pleural effusion. There is a new opacity at the lung base posteriorly which may represent atelectasis or pneumonia. There is no acute osseous abnormality.,1. New left lower lobe opacity which may represent atelectasis or pneumonia. 2. Stable cardiomegaly. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.99953417622985936623027174712636560445
+There is cardiomegaly. Small left pleural effusion and airspace disease have worsened since the most recent examination. Patchy airspace disease in the right base is noted. Severe scoliosis is seen. Remote left rib fractures are noted.,Increased left effusion and basilar airspace disease. Airspace disease could be due to atelectasis or infection. Cardiomegaly.,1.2.826.0.1.3680043.8.498.89316333034816879123809151194727191613
+The nodular density seen in the right lower lung zone does correspond to the patient’s nipple. There is no pulmonary nodule. The lungs are clear. Heart size is normal.,No pulmonary nodule. No acute disease.,1.2.826.0.1.3680043.8.498.18593340981706625431432789153762178570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58607277243447564802814001678266398715
+There is chronic elevation of the right hemidiaphragm. There is linear density at the right lung base consistent with atelectasis or scarring. The left lung is adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is calcification in the wall of the aortic arch. The bony thorax exhibits no acute abnormality.,"Chronic elevation of the right hemidiaphragm. Right basilar atelectasis or scarring. No pneumonia, CHF, nor other acute cardiopulmonary abnormality. Thoracic aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.53866420308124373395575290914413528998
+Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the main pulmonary outflow tract. There is a mediastinal drain and a right chest tube. No pneumothorax. There is atelectatic change in the right base. Lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Right base atelectasis. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.56050985636297532798191738605932432168
+No active infiltrate or effusion is seen. Cardiomegaly is stable. Median sternotomy sutures are noted. There are degenerative changes throughout the thoracic spine.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.46523227066890816124599543117077192928
+"There is a feeding tube with tip in the stomach. The heart size is normal. There are no pleural effusions. Lung volumes are low. Diffuse, reticular interstitial disease is identified throughout both lungs. A more focal area of opacity is identified within the right upper lobe.","1. Diffuse, chronic interstitial lung disease. 2. Focal right upper lobe opacity which may represent atelectasis or developing consolidation.",1.2.826.0.1.3680043.8.498.87886354908722795250349876526193643559
+Cardiomediastinal silhouette is unremarkable. Patchy alveolar airspace opacities in the mid and lower lungs. No pleural effusions. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,Patchy airspace opacities concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.46005341546828893433446630975126554491
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.17152646820524171373789186249555463089
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38175391464148345688338553947755336129
+NG tube has tip in the stomach. Heart is normal in size. The aorta is calcific. Lungs are under expanded. There is left basilar infiltrate or atelectasis. The right lung is clear. There is no pneumothorax. No definite effusion is seen.,1. NG tube has tip in the stomach. 2. Underexpanded lungs with left basilar infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.22513904361680291688438399799564983521
+The heart is mildly enlarged. The aorta is tortuous. Pulmonary vascularity is within normal limits. Scarring in the right upper lobe and left base is stable. No pneumothoraces or effusions are seen. No focal consolidation is seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77064269915653073146475710365185102929
+Mediastinum and hilar structures normal. Heart size normal. No pulmonary venous congestion. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73789652463739138935668699298560761310
+"Lungs are currently clear with resolution of previous tiny left pleural effusion. Heart size is normal with stable post CABG changes. Mediastinum, hila, remaining pleura and osseous structures are stable and unremarkable.",1. Post CABG. 2. Resolution of previous tiny left pleural effusion. 3. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37324313795460193517913043709340452591
+Bullet fragments are again noted in the right chest. The lungs are clear. Heart and bony structures are unremarkable.,No acute chest findings.,1.2.826.0.1.3680043.8.498.39017517568555504066325362583321767024
+Endotracheal tube is 1.2 cm above the carina. Orogastric tube extends into the stomach. There are coarse granular opacities throughout both lungs. No pneumothorax. No large effusion.,Support equipment appears satisfactorily positioned. Mildly increased hazy granular opacities in both lungs.,1.2.826.0.1.3680043.8.498.68505525845778552294557951372220890507
+Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59408406407128335361941315765782217706
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.55173336896669560680091823214623696249
+The endotracheal tube is in satisfactory position. There is increased left lower lobe atelectasis. Right lower lobe atelectasis is about the same. Small bilateral pleural effusions are noted. The heart size is stable.,1. Satisfactory endotracheal tube position. 2. Increased left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.29126055711718605464959160650743617407
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23954171862513330297159169011363852248
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41123687819427669942230995779103186363
+Tracheostomy tube and left PICC line in stable position. Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.69313602112494628635757749952672133019
+There is COPD. There is hyperinflation of the lungs. Patchy airspace disease is seen in the right upper lobe which is similar to prior study and may be due to scarring. No acute infiltrate is identified. There is no pleural effusion. The heart is mildly enlarged.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34376929837642753223110037061408348832
+There is a left-sided chest tube noted in place. There is no definite pneumothorax noted. There is a dual lead left-sided cardiac pacemaker noted in place. The cardiomediastinal silhouette appears to be enlarged. The pulmonary vasculature is within normal limits. There is mild left basilar subsegmental atelectasis noted.,"Left-sided chest tube in place, no pneumothorax. Cardiomegaly. Mild left basilar subsegmental atelectasis.",1.2.826.0.1.3680043.8.498.24308494797230841332770353994661485996
+There is a calcified granuloma in the left base region. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.36982454019383742740138597252598375173
+Endotracheal tube is 2.5 cm above the carina. Swan-Ganz catheter tip is in the right pulmonary artery. There is interval increase in a left pleural effusion which may be creating some mass effect as there is some shift of the mediastinum to the right and there is decreased volume of the right lung. Left chest tube is in place. No pneumothorax. Nasogastric tube enters the stomach.,1. Support tubes and lines appear in satisfactory position. 2. Interval increase in left pleural effusion.,1.2.826.0.1.3680043.8.498.40217439211345811614814010867299752531
+The lungs are mildly hyperinflated. There is blunting of the lateral and posterior costophrenic angles bilaterally. The cardiac silhouette is top normal in size. The patient has undergone prior CABG. There is a permanent pacemaker in place. The bones are osteopenic.,There are findings consistent with small bilateral pleural effusions. There is likely basilar atelectasis as well. I see no discrete focal infiltrate. There is no evidence of a pneumothorax. There is mild hyperinflation consistent with COPD.,1.2.826.0.1.3680043.8.498.12820103487326594257360382915905317697
+Endotracheal tube is 5.5 cm above the carina. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube is in place. No pneumothorax. Nasogastric tube enters the stomach. There is mild basilar atelectasis. No edema. No effusion.,Tube and catheter positions as described without pneumothorax. Mild postoperative atelectasis.,1.2.826.0.1.3680043.8.498.29629870501443139274535272079744019616
+"There are large bilateral pleural effusions, increased since prior study. There is vascular congestion. Diffuse interstitial prominence likely reflects interstitial edema. Bibasilar atelectasis. Heart is enlarged. No acute bony abnormality.",Cardiomegaly with edema and large bilateral effusions. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.29601843310219003681502359240781512073
+Lung volumes are normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,No abnormal pulmonary opacity or other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.32718320874460737934252125698556586620
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21015116687092822377168420973791351429
+Cardiothymic silhouette unremarkable. Lungs clear. Bronchovascular markings normal. No confluent consolidation. No pleural effusions. No pneumothorax. Gas throughout normal caliber small bowel and the stomach.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26744100239590246338390644898454693914
+Sternotomy wires overlie stable enlarged cardiac silhouette. There is interval increase in bibasilar atelectasis and effusions. No evidence of pulmonary edema. No pneumothorax.,1. Increasing atelectasis and effusions. 2. No evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.37049793400096971690844582464943961925
+The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of both lungs. This is likely of cardiac cause. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.13370906982507503859253278878533135192
+There are moderate to large bilateral pleural effusions with compressive atelectasis in the lower lobes. The heart is enlarged. There is vascular congestion. No pneumothorax.,Cardiomegaly with congestive heart failure and bilateral effusions. There is compressive atelectasis in the lower lobes.,1.2.826.0.1.3680043.8.498.33816529738510124670999641210656948753
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19304079327579255482574569022581225734
+"Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.72584401658071092522613559920519532746
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94756987107994745102212073301305487448
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45394802900658356272586254016069827613
+Persistent right upper lobe consolidation. There is also patchy infiltrate in the anterior segment of the left upper lobe. No pleural effusions are evident.,Bilateral pneumonia.,1.2.826.0.1.3680043.8.498.80070320838391386121296564227454530938
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.29176339245142112795285246106836285886
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.83231173738438171639829922832509721222
+Normal cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. Degenerative change of the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26500645872530294638872928978396651817
+"The heart is at the upper limits of normal in size, mediastinal contours are normal. Atherosclerosis of the aortic arch. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54202163296455577424721111009223972960
+"The cardiomediastinal silhouette is within normal limits. Aortic atherosclerosis. There are small bilateral pleural effusions, right greater than left, decreased in size compared to prior exam. Minimal bibasilar opacities are present, favored to represent atelectasis. No focal consolidation. No evidence of edema. Surgical clips are seen in the upper abdomen. No acute osseous abnormality.","1. Small bilateral pleural effusions, right greater than left. 2. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.57617905268416916717081271854425911637
+The heart size and mediastinal contours are within normal limits. There is a large hiatal hernia. Both lungs are clear. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.32414128152983998481097572095171075407
+"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71062316278175275123786801780331347971
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69318641605091989117808176343462701617
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64333262349186016433523611565722066604
+Trachea is midline. Heart size normal. Lungs are clear. No pneumothorax. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.66144390023932437851646705355079580711
+The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.99431768101479230244256887728917337584
+Cardiomegaly with vascular congestion and mild interstitial prominence consistent with interstitial edema again noted. Similar findings noted on prior study. Small bilateral pleural effusions with bibasilar atelectasis. Prior vertebroplasty lower thoracic spine. No pneumothorax.,1. Cardiomegaly with vascular congestion and mild bilateral interstitial prominence consistent with interstitial edema again noted. Similar findings noted on prior study. Small bilateral pleural effusions with bibasilar atelectasis. 2. Prior vertebroplasty lower thoracic spine.,1.2.826.0.1.3680043.8.498.86135086372190647425032716142456934589
+The heart is enlarged. There is a left-sided pacemaker. The aorta is tortuous and calcified. There is no pneumothorax. Small bilateral pleural effusions are noted. There is mild atelectasis at the lung bases.,No evidence of pneumothorax status post right-sided thoracentesis.,1.2.826.0.1.3680043.8.498.19525866841330841229366814510411765968
+Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax or pleural effusion. No rib fracture evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.96410571444476605878138385871859594015
+The patient is status post median sternotomy and CABG. The heart is mildly enlarged. The aorta is tortuous and atherosclerotic. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.66178013435073529093316164118218998055
+"Loop recorder projects over the left chest. Stable cardiomegaly. Unchanged aortic atherosclerosis. No pulmonary edema. No focal airspace disease, pleural effusion, or pneumothorax. Remote right proximal humerus fracture. No acute osseous abnormalities are seen.",1. No acute chest findings. 2. Stable cardiomegaly. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.43257285923708824857087750638396462346
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81540848013236437395260782545406001921
+Grossly unchanged cardiac silhouette and mediastinal contours. Improved aeration of the lungs with persistent minimal bibasilar opacities favored to represent atelectasis. No new focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86583546886017311041174104473010395282
+The heart is moderately enlarged. The thoracic aorta is calcified and tortuous. The lungs are low in volume with mild prominence of interstitial markings. No pleural fluid. Degenerative changes are seen in the spine.,Cardiomegaly and mild interstitial lung disease.,1.2.826.0.1.3680043.8.498.20885916282090302979521634674357376872
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29356474976165644321061990047760703725
+"Since the prior study, left lower lobe pneumonia has cleared. Mild bronchiolitis findings are seen with lungs otherwise clear. Cardiothymic image appears normal with no other significant abnormality noted.",1. Resolution of left lower lobe pneumonia. 2. Mild bronchiolitis. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.27189568700798434917601778206845676059
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24379165091445687826266354317564592115
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85931374331720023706548860289990997788
+"There is a focal opacity in the anterior left upper lobe, which is likely a mass. The heart, hila, mediastinum, lungs, and pleura are otherwise unremarkable.",Probable left upper lobe mass. Recommend CT imaging.,1.2.826.0.1.3680043.8.498.31741345596167839142731112974398160744
+"Low lung volumes. Normal heart size and mediastinal contours. Peribronchial thickening. No definite infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.39801560611566009515227729044601724951
+The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. There is no pleural effusion. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There are increased interstitial densities in both lungs. This may reflect subsegmental atelectasis or early interstitial pneumonia. I do not see pulmonary vascular congestion. Followup films following therapy would be useful to assure clearing.,1.2.826.0.1.3680043.8.498.79897873825006533150475974107347203074
+Right PICC is in place with tip in superior vena cava. No pneumothorax is evident. The patient has undergone previous median sternotomy and coronary artery bypass grafting. There is stable moderate enlargement of the cardiac silhouette. There is atelectasis in the right lung with infiltrative density and atelectasis and infiltrative densities seen in the left lung base. There is a small amount of right pleural effusion.,Right PICC in place with tip in superior vena cava. No pneumothorax is evident. Previous median sternotomy and CABG has been performed. Stable enlargement of the cardiac silhouette. Atelectasis and infiltrative densities are seen in the left lung base. There is a small amount of right pleural effusion.,1.2.826.0.1.3680043.8.498.14418224056438957866303331509777986750
+The heart size and mediastinal contours are within normal limits. Mild central airway thickening without focal consolidation. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,Central airway thickening consistent with reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.65399750973463549938248799922969303127
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68127578780572527782144394062236154320
+Extensive bilateral interstitial and airspace opacities throughout both lungs are increased from comparison radiograph. No pneumothorax. Cardiomegaly. Postsurgical changes related to prior CABG including intact and aligned sternotomy wires and multiple surgical clips projecting over the mediastinum. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,1. Increasing bilateral interstitial and airspace opacities compatible with multifocal pneumonia. 2. Stable cardiomegaly. 3. Prior CABG.,1.2.826.0.1.3680043.8.498.93548016343392562446629363466816433182
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no evidence of acute or old tuberculous infection. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22210213254334923985674937565244703326
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.48294702482458685201744539104205543063
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32290823931827110920227345019297170611
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94170965332870094923048476905583499509
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.66900235944970297200608314577869747833
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23400478729500991661029723693669234831
+Normal sized heart. Diffuse peribronchial thickening. No airspace consolidation. Unremarkable bones.,Mild to moderate changes of bronchiolitis.,1.2.826.0.1.3680043.8.498.67459954241490856030588454238389563291
+There is a large left pleural effusion with associated atelectasis. The right lung is clear. Heart size is normal. No pneumothorax is identified.,Large left pleural effusion with associated atelectasis. Underlying mass is not excluded.,1.2.826.0.1.3680043.8.498.85414232772826525216286541316319141978
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69858176959523529423900625740962060701
+There is little change in the volume of the right pleural effusion with mild right basilar atelectasis remaining. The left lung is clear. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Little change in right pleural effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.97212345307565277246485671037779835905
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.49057378004854990073277785405855762315
+"There are patchy bilateral pulmonary infiltrates, new since the prior study consistent with the patient's history of COVID-19 infection. No pneumothorax or pleural effusion. Heart size and vascularity are normal. No acute bone abnormality.",Patchy bilateral pulmonary infiltrates consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.68707637090249369543443368632321905493
+The lungs are clear. No pneumothorax is seen. The right IJ central venous catheter tip is in the SVC. The heart is within normal limits in size.,No active lung disease. Right IJ central venous catheter tip in SVC.,1.2.826.0.1.3680043.8.498.74665364351153202679338897730069930083
+There is peribronchial thickening. Heart is normal size. No confluent opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.69654915890010530363180763353836908543
+There is cardiomegaly. No confluent airspace opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.96365929098855614642204277216548783910
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. New ill-defined opacity is seen laterally in left upper lobe concerning for pneumonia. The visualized skeletal structures are unremarkable.,New left upper lobe opacity is noted concerning for pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.13796594050412963687733400106788727586
+Trachea is midline. Heart is enlarged. Left upper lobe mass and left perihilar airspace opacification are again seen. Lungs are otherwise clear. No definite pleural fluid.,"Left upper lobe mass and left lung air space opacification, consistent with known pneumonia.",1.2.826.0.1.3680043.8.498.91582765124365046874616829877878509002
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39183184831097649410110208219263460459
+ET tube terminates in the mid trachea. Monitoring leads overlie the patient. Stable cardiomegaly. Pulmonary vascular redistribution and bilateral perihilar interstitial pulmonary opacities. No pleural effusion or pneumothorax.,ET tube terminates in the mid trachea. Cardiomegaly. Pulmonary vascular redistribution and mild interstitial edema.,1.2.826.0.1.3680043.8.498.22285307627507552093058909063735728040
+Heart and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion. No acute bony deformity.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66036727745620537600756415753420830756
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53278062629414147034213012518132058508
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12636206621462737747049663235530432262
+Patchy areas of airspace opacity noted in the right upper lobe and left lower lobe concerning for pneumonia. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,Patchy areas of airspace opacity in the right upper lobe and left lower lobe concerning for pneumonia.,1.2.826.0.1.3680043.8.498.63077681260573375032858815258297815510
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42357863075234916155482635030461928742
+"Endotracheal tube is 5 cm above the carina. Left-sided AICD is unchanged in position. Left IJ central line is unchanged. The cardiac silhouette is mildly enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.31154208316789215181370751117407384882
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12029898572966938667289869156350475130
+The lungs are clear. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.30109204198169858432320411996423884804
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23627321368709206659898475695305879085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74717296342565709770861843353765087255
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.56490811457258980413772992067643951006
+Cardiac shadow is enlarged. A pacing device is again seen. The lungs are well aerated bilaterally. Mild left basilar atelectasis is noted. No sizable effusion is seen. No bony abnormality is noted.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.39431191893645867954980286888503721984
+Small left pleural effusion. Mild atelectasis at the left base. No focal consolidation. Normal heart size. No pneumothorax.,Small left pleural effusion with basilar atelectasis.,1.2.826.0.1.3680043.8.498.25166354281977443090491335541579308891
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25983935595908106311389642031160677879
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.38194476425044718704309647387220789555
+Right Port-A-Cath is stable. Cardiac silhouette is normal in size. There are numerous nodular opacities throughout the lungs bilaterally consistent with known pulmonary metastases. There are small bilateral pleural effusions. No consolidations. No pneumothorax. Stable rightward tracheal deviation due to large intrathoracic thyroid nodule.,1. Small bilateral pleural effusions. 2. Extensive pulmonary metastatic disease.,1.2.826.0.1.3680043.8.498.30920495116520899331962629627981712059
+Left-sided central venous catheter tip over the right atrium. Cardiomegaly. Aortic atherosclerosis. Left basilar atelectasis or pneumonia. Probable small left effusion. Patchy opacity in the right lung base. No acute bony abnormality.,Cardiomegaly. Left basilar atelectasis or pneumonia with probable small left effusion. Patchy right basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.38384397259065756256428022346659211703
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22693838842061961587380761084993268241
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35626183177733158591223681784532506310
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.88915026154260020432838262764753437291
+Cardiothymic silhouette is unremarkable. Bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,"Perihilar peribronchial cuffing may reflect bronchitis, less likely reactive airway disease without focal consolidation.",1.2.826.0.1.3680043.8.498.87269842303834523404001910814451772357
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.28954641743757182958400636594531024555
+The central airway thickening. No pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,Central airway thickening which may reflect lower respiratory tract viral infection or reactive airways disease.,1.2.826.0.1.3680043.8.498.60259996773181499283315222209142336205
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.93224202817121706235962611913357340248
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchiolitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.16096017883256155953332229853407109737
+Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Persistent RIGHT pleural effusion with atelectasis and consolidation of lower RIGHT lung. LEFT lung clear. No pneumothorax following thoracentesis. Osseous structures unremarkable.,No pneumothorax following RIGHT thoracentesis.,1.2.826.0.1.3680043.8.498.65537619661638787253895153467812378061
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.23104037095988668655061221291939493409
+The heart size and mediastinal contours are within normal limits. Hypoinflation of the lungs is noted with mild bibasilar subsegmental atelectasis. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Hypoinflation of the lungs with mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.73743660534452364345874903356587517378
+The lungs are under-inflated with bibasilar atelectasis. The heart is normal in size. No pneumothoraces or effusions are seen.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.41541832576900987960289091254261549298
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.64406153996846459515240525906273381129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62652564129935082533400933216310688796
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20386507234414638264013977844323778063
+"The patient's right-sided chest port is noted ending at the mid SVC. A left-sided PICC line is noted ending about the mid SVC. The lungs are hypoexpanded; mild right basilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified.","1. Left-sided PICC line noted ending about the mid SVC. 2. Hypoexpanded lungs, with mild right basilar atelectasis.",1.2.826.0.1.3680043.8.498.97168256491516726350459989852827136253
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57374490799745683187729524151363974167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24178240695269643062328997099866162083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61847135103921149563441250197962091841
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70879753282258158066482575493245008814
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68466836309881851701355929087790868053
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58316170218260820217469889292560389276
+PA and lateral views of the chest are made and are compared to previous studies of 5/2/1 and show worsening of the peribronchial thickening with a new area of atelectasis and/or infiltrate in the region of the right middle lobe. No definite effusion or pneumothorax is seen. The heart and mediastinum are normal. The bony thorax is normal.,"Worsening bronchitic change with new area of atelectasis and/or infiltrate, right middle lobe.",1.2.826.0.1.3680043.8.498.29812709961783139089578031196117958726
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37108132625006728028104166639124012237
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68280151521930909456803651177536786795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79729317021083450797208701135585442424
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54350245321540234506064257787694968404
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93637828267771026888530117362235848484
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.84508761094312223860358329525758264442
+Endotracheal tube tip 4.5 cm from the carina. Tip and side port of the enteric tube below the diaphragm in the stomach. Cardiomediastinal contours are unchanged. Hilar structures are normal. Stable streaky left lung base opacity. No new focal airspace disease. No pneumothorax.,"1. Endotracheal tube tip 4.5 cm from the carina. Enteric tube in place, tip below the diaphragm not included in the field of view. 2. Stable streaky left lung base opacity, nonspecific.",1.2.826.0.1.3680043.8.498.45858700641199806535961276272462106378
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.52897400762898287955089145828196160957
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28023151415785278649190809318245687093
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80147985953884500997458077593019068682
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76587025775995893644091504805786329169
+Heart size is normal. The mediastinum is unremarkable. There is mild linear atelectasis at both lung bases. The upper lungs are clear. No effusions. No bony abnormalities.,Mild linear atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.98463229392831747395663270672693806944
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36340186643218732738271858274111446971
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91357320450639818657392837538847196308
+There is no pneumothorax after left thoracentesis. Left upper lobe mass is again seen. There is some linear scarring or subsegmental atelectasis in the left lower lobe. Right lung is clear. Heart size is normal.,1. No evidence of pneumothorax after left thoracentesis. 2. Left upper lobe mass.,1.2.826.0.1.3680043.8.498.28882056987433425143162632033030627741
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.33032684644134189290844764789234381185
+"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal airspace disease - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.77046343538653867533153169254908772222
+There is a small right pleural effusion with ill-defined airspace opacity in the right base. There is mild left base atelectasis. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. There is arthropathy in the right shoulder with apparent avascular necrosis in the right humeral head.,"Small right pleural effusion with ill-defined airspace opacity in the right base, likely due to pneumonia. Mild left base atelectasis. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0). Apparent avascular necrosis in the right humeral head.",1.2.826.0.1.3680043.8.498.21283092703216148505462945421977490571
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94987163823934241095552194221343750594
+Right PICC line is in place. The tip is in the right atrium. This can be retracted by approximately 5 cm to be within the superior vena cava. No pneumothorax. Heart size top normal. Mild central pulmonary vascular prominence. No segmental region of consolidation.,Right PICC line tip right atrium. This can be retracted by 5 cm to be within the superior vena cava. Please see above.,1.2.826.0.1.3680043.8.498.85403928913858896434630989174272614595
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60599787835840658930338108028830822138
+Right PICC is in place with the tip projecting in the lower superior vena cava. Tracheostomy tube is in place. Lung volumes are low. There is bibasilar atelectasis. No pneumothorax. Ventricular peritoneal shunt is noted.,"Right PICC projects in good position, unchanged. No other interval change.",1.2.826.0.1.3680043.8.498.27691322618784946662549077496822355890
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83884451164514100070764130620167982974
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16249498056763440213705353509770612056
+There are low lung volumes with bibasilar atelectasis. The heart size is normal. No pleural effusion.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.83540948900741866438578847884625688786
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30525663826745728261326341993593964406
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.90490304998019709031220244724064008057
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pneumothorax is seen. No definite rib fractures are seen.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.23358528009692079204301805962085878443
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.82446992848388828519536891723663689065
+The heart is enlarged. There has been prior open heart surgery. The mediastinal and hilar contours are within normal limits. There is mild vascular congestion but no edema or effusions. No focal infiltrates. The bony thorax is intact.,Cardiac enlargement and vascular congestion. No edema or effusions.,1.2.826.0.1.3680043.8.498.76547219777270456290816201669478329520
+Right chest tube remains in place. No pneumothorax. Multiple right rib fractures are noted. Mild basilar atelectasis. Mild cardiomegaly.,No pneumothorax with right chest tube remaining in place.,1.2.826.0.1.3680043.8.498.65236687488367085906548305351598143809
+Tracheostomy tube is in place. The patient has had median sternotomy and CABG. The heart is normal in size. There is atherosclerotic calcification of the aortic arch. There is patchy density at the right lung base which could represent atelectasis or infiltrate. The left lung is clear. No evidence for pulmonary edema.,Right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.23022201561301974838953301824983257416
+The mediastinal and hilar structures are normal. The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33982846193009342259775056183725449794
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.71632205901855761308774614330857261427
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87296633021736057364800807125010313523
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32685457252275068334001045551456394151
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32275735884739840761765929042219013817
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59658932048632774825179504950990381810
+"The heart appears normal in size. There is mild bilateral hilar prominence. No focal consolidation, pleural effusion or pneumothorax. No acute fracture.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.93683422650929415482171690515233187470
+The cardiomediastinal silhouette is within normal limits. Lung volumes are low. The right lung base airspace consolidation has slightly improved. There is persistent left basilar atelectasis. No sizable pleural effusion or pneumothorax is identified.,Slight improvement of right basilar airspace disease.,1.2.826.0.1.3680043.8.498.87364073793143401848301396873502279776
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34134727605445849572035800933664687070
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41074322010738701426859803150743345469
+Grossly unchanged cardiac silhouette and mediastinal contours. No focal parenchymal opacities. No pleural effusion or pneumothorax. No evidence of edema or shunt vascularity. No acute osseus abnormalities.,"No acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.59191950675934135538932851106694268129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate size hiatal hernia is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53564640751992876109178803093713737976
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21479959017699166113293713897906516646
+Endotracheal tube is 6 cm above the carina. Right Port-A-Cath is unchanged. Continued layering left effusion with left lower lobe atelectasis. No confluent opacity on the right. Heart is normal size. No acute bony abnormality.,Endotracheal tube 6 cm above the carina. Continued layering left effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.26580676876341425206506306432870619385
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78433177800566652317402888850665770981
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable. A right sided Port-A-Cath is appreciated with tip projecting in the region of the superior vena cava. There is no evidence of focal infiltrates effusions or edema.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37208002467284739896862016424828185252
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22110726276900064751045253698058362689
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16381634616870420587076891882525289029
+"The cardiomediastinal contours are normal. Mild interstitial coarsening is similar to prior exam. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.","Stable mild interstitial prominence, can be seen with bronchitis. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.64647242985692045228722227358892411284
+Cardiothymic silhouette is within normal limits. Central airway thickening. No confluent opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.40136600294839873247463645357568302545
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.26434909532610281078495364306439734437
+Heart size within normal limits. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.14736765095096788314399229340243450060
+The lungs are well-expanded and clear. The pleural effusions have resolved. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The sternal wires are intact. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82833619241309437442591276652966602110
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93538097083080070752502625647827340845
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31693138194706358814000605093541474811
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Bronchitic changes with questionable RIGHT upper lobe infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.",Bronchitic changes with questionable RIGHT upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.90035204519634261965009755287190007527
+The cardiomediastinal contours are normal. Patchy opacities are present at both lung bases. There is no consolidation or pleural effusion. No pneumothorax is seen.,Patchy bibasilar opacities may reflect atelectasis or pneumonia. Correlate clinically.,1.2.826.0.1.3680043.8.498.80241053304957028351626749637195995067
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62522518304399913116560956973805946703
+"The heart size is normal. Linear opacities at the lung bases, left greater than right, likely represent atelectasis. No significant airspace consolidation is evident. The visualized soft tissues and bony thorax are unremarkable.",1. Bibasilar linear atelectasis. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89553622225510460046612876827035025465
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15280436991709466072770159391810663159
+Heart size within normal limits. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.26156381627411366538009249997126574792
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62389338958369399472763438881154082850
+"The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. Incidental note is made of an azygos lobe on the right, an anatomic variant.",No edema or consolidation.,1.2.826.0.1.3680043.8.498.47752483161497403959295224277186226181
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.73604807389680602086955555154372531730
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85972272215282721652317890523268920483
+There is mid inspiration. There is mild respiratory motion. There is mild pectus excavatum. There is stable thoracic spine hardware. The heart and mediastinum is physiogic in size and contour. There is no active process.,No active process,1.2.826.0.1.3680043.8.498.22998957144892928978044765548880455455
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11957409014254132065882148987955166885
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44212907943494846487746990469692304229
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97829137865545543202840016804683530034
+"The heart is enlarged. There is aortic atherosclerosis. Widespread chronic interstitial lung markings are again seen with areas of interstitial fibrosis. Patchy areas of airspace opacity are seen in the right mid and lower lung, suspicious for superimposed pneumonia. No pleural effusion or pneumothorax.",1. Patchy right lung airspace opacities suspicious for pneumonia. 2. Chronic interstitial lung disease with areas of interstitial fibrosis.,1.2.826.0.1.3680043.8.498.53236638142248706919892496841444248275
+Portable AP semi upright view at 6065 hours. Continued elevation of the right hemidiaphragm. New patchy and confluent opacity at the right lung base. Increased retrocardiac opacity at the left lung base. Mediastinal contours remain normal. No pneumothorax. No pleural effusion. No pulmonary edema. Visualized tracheal air column is within normal limits. Calcified atherosclerosis of the aorta. Negative visible bowel gas pattern. No acute osseous abnormality identified.,"1. New right lung base opacity suspicious for pneumonia. Suspect superimposed atelectasis. 2. Increased left lung base opacity, favor atelectasis. 3. No pleural effusion.",1.2.826.0.1.3680043.8.498.55028207460868351124596484931252590273
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44858465958168495454247166365402967171
+"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. No acute airspace disease, pleural effusion, or pneumothorax.",Stable support apparatus. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20098013303829669193882719521999861662
+"Sternotomy wires overlie normal cardiac silhouette. Aortic valve replacement noted. Lungs are clear. No effusion, infiltrate, or pneumothorax. No acute bony findings.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.39706053537192856371832998271352774457
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. No pneumothorax or pleural effusion is noted. Mild bibasilar subsegmental atelectasis or infiltrates are noted. The visualized skeletal structures are unremarkable.,Mild bibasilar subsegmental atelectasis or infiltrates. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.65390635899218210147312282503193779623
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59835020719046541637748670333925273655
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82131472083605024563177743779513613017
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76886434176027745263197396842963546944
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14165590258843194155808359491059250748
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60543646324043519036562034413047659562
+Right-sided PICC line with tip over the SVC. Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69222140369579959741299682151646760890
+A left internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear clear. The heart is normal in size. The aorta is tortuous and ectatic.,Please see above.,1.2.826.0.1.3680043.8.498.62407231075392861989517777688512368840
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44942589817983830980091589233069240671
+"Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or edema. No bony abnormality. No pneumothorax.",No active disease.,1.2.826.0.1.3680043.8.498.82263186812448132141159018263897506224
+Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. No definite peribronchial thickening. Negative visualized bowel gas and osseous structures.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.99199238677034138291255114043522823240
+There is patchy airspace opacity in the right upper lobe as well as in both mid and lower lung regions. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Patchy airspace opacity bilaterally consistent with multifocal pneumonia. Appearance consistent with atypical organism pneumonia, particularly given the clinical history. Heart size normal. No adenopathy.",1.2.826.0.1.3680043.8.498.90033821145074259165417538668772789446
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68023504097658300156835660995421398879
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchitis or asthma.,1.2.826.0.1.3680043.8.498.26728520389554351284069698696341960350
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.64565036701022437923996098442348478153
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29374643322262754452886157957946151459
+Portable semi upright AP view 6609 hours. Extubated. Enteric tube removed. Swan-Ganz catheter tip at the level of the right main pulmonary artery. Mediastinal drain and left chest tube remain. Stable lung volumes. No pneumothorax. Stable mild atelectasis. Stable cardiac size and mediastinal contours.,"1. Extubated and enteric tube removed. Otherwise, stable lines and tubes. 2. No pneumothorax or pulmonary edema. 3. Mild atelectasis.",1.2.826.0.1.3680043.8.498.43943022113134772515774885599109744832
+The heart is normal in size. The aortic arch is calcified. The lungs are under inflated. There is no consolidation or pleural effusion. No pneumothorax is seen. Degenerative changes are seen in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59020557179336160384484440411658440500
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62688537975202007095543975714535642647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. Mild scoliosis of the thoracic spine.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.45185601151192932576372003472869466511
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81920657455586155737707998046411828066
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26956667048234136034702324515945457847
+There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.62502883994161632767344648585881091078
+"Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Multiple right rib deformities and right clavicle ORIF. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.32760468467766119672574050454431297473
+Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion. Small right apical pneumothorax again noted. No interim change.,1. Small right apical pneumothorax again noted. No interim change.,1.2.826.0.1.3680043.8.498.64543413439470451687406123585213790680
+There is mild peribronchial thickening. No consolidation. The lungs are symmetrically inflated. Trachea is midline. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.85869539157488493351615073980617917106
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56312121670477957706444007929438901994
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.20645914439578720531790320144157365473
+Right internal jugular Vas-Cath with tip terminating at the superior cavoatrial junction. Lung volumes are low. There is cephalization of the pulmonary vasculature and slight indistinctness of the interstitial markings suggestive of mild pulmonary edema. Small left pleural effusion. Left basilar airspace opacity may reflect atelectasis and/or consolidation. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.56293713147391213982568954383811695641
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.57603230453979359420648183267967203452
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87446496344889335707141099160464570670
+"The heart is enlarged. There are postsurgical changes of median sternotomy. There is a cardiac pacemaker. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.56846040702468474777464591666138954430
+Left-sided pacing device with 2 leads over the right ventricle. Sternotomy wires are present. No focal airspace disease or pleural effusion. Mild cardiomegaly. No pneumothorax.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.67840347232259051933316450619891490906
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.82166273029137176341439298813640335913
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable. No pneumothorax.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.11420070835386092050960273416664905143
+"There is hyperinflation of the lungs compatible with COPD. Heart is normal size. There is tortuosity and ectasia of the thoracic aorta. Linear densities noted at the lung bases, likely atelectasis. No effusions. No acute bony abnormality. No pneumothorax.",COPD. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.71030387691201732216748923961053995754
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84493244830110223255522344546353136745
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.42600641935261973959299930763647888489
+"There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.66288203162230422095917592756025018251
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.71766934134057449971958606907245350612
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.50353315341430175337394322685493957832
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.34198234466160316420389799291117915683
+Cardiac silhouette normal in size. Thoracic aorta minimally tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82320936444278867566587879892262526326
+"The urinary bladder is normal in size and appearance. There was not visualized vesicoureteral reflux, either during bladder filling or voiding phases of the exam. The urethra is normal in appearance. There is no posterior vesicoureteral reflux.",Normal exam. No vesicoureteral reflux.,1.2.826.0.1.3680043.8.498.54530075492329302050188903445128456838
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.65990898563036712266931609056279260928
+"Normal heart size, mediastinal contours, and pulmonary vascularity. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.34146889383880910401463481484117065359
+The left pneumothorax is not significantly changed since the previous study. It amounts to approximately 1-2% of the lung volume. There is no pleural effusion. The right lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Stable approximately 5% left apical pneumothorax.,1.2.826.0.1.3680043.8.498.75583479824491615727646394792746537441
+"The cardiac silhouette is borderline enlarged. The lungs appear clear. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Borderline cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.81374470973908002209995261710119651870
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67434158690014440873350905469500287130
+The lungs are mildly hypoinflated. There is atelectasis at the right lung base. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with atelectasis at the right lung base. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.87541833240063488087144656611461380315
+The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.47818664557229514644964272135551604031
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70226856316451278875354689027839215017
+Heart size within normal limits. The lungs are hyperaerated consistent with COPD. Multiple calcified pleural plaques are again noted. No acute process.,1. Chronic lung changes with no acute process. 2. Multiple calcified pleural plaques.,1.2.826.0.1.3680043.8.498.80172243279070447977297277355422292135
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Patient status post CABG. COPD changes again noted. Biapical pleural thickening is stable.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.72779761091418170937590383245948821724
+No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.68966747254750334948141887742463189474
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85548699768304830557199360589759365216
+The lungs are mildly hyperinflated. There is no focal infiltrate. There is prominence of the hilar structures bilaterally. The cardiac silhouette is normal in size. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia. There is prominence of the hilar structures bilaterally. This is consistent with the patient's known lymphadenopathy.,1.2.826.0.1.3680043.8.498.93695256988717372944023148027295650170
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34945792133382428884654260921098484470
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23287794536809543113418041144211459677
+"There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42937321328065774662938564097241456769
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80865468616773659888733709666954889807
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22557609778492055080253134741633541237
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18161575581796783330312932897446619149
+"Hyperinflation is noted with central airway thickening consistent with reactive airway disease or viral process. Normal heart size and vascularity. No definite focal pneumonia, collapse, consolidation, effusion or pneumothorax. Trachea is midline.",Hyperinflation and airway thickening.,1.2.826.0.1.3680043.8.498.46702655861908806630980555835817550132
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87164036274533515802186163258964332196
+Interval placement of left subclavian dual lead pacemaker with leads terminating over the right atrium and right ventricle. No pneumothorax. Heart size is normal. Lungs are clear. No pleural fluid. Degenerative changes of the thoracic spine.,Interval placement of pacemaker without complicating feature.,1.2.826.0.1.3680043.8.498.47345900543148099248924588890969368925
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25066320073821905621076421720933280198
+Mediastinum and hilar structures normal. Heart size normal. Mild right base atelectasis. No pleural effusion or pneumothorax. No evidence of pneumomediastinum. No acute bony abnormality.,Mild right base atelectasis. No acute cardiopulmonary disease otherwise noted.,1.2.826.0.1.3680043.8.498.20328131587964829093279525441938227971
+Cardiac shadow is stable. Diffuse bilateral infiltrative changes are again identified and stable. Bilateral pleural effusions are again seen and stable. No pneumothorax is noted. No bony abnormality is noted.,Stable appearance of the chest when compared with the prior day.,1.2.826.0.1.3680043.8.498.23236784967674228019242778728380508219
+Endotracheal tube terminates 5.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC. No pneumothorax. Right IJ venous catheter terminates in the mid SVC. Enteric tube terminates in the proximal stomach. The lungs are clear. The heart is normal in size.,Endotracheal tube terminates 5.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC.,1.2.826.0.1.3680043.8.498.71792133771215972377473915409232994902
+The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. Multilevel degenerative changes are noted throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97691812323251526189070478709306662468
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68980334548737282316786168155439535376
+The is anterior dislocation of the glenoid and humeral head. The glenoid is located within the anterior aspect of the shoulder joint. The humeral head is in a somewhat medially position. The AC joint is intact. No fracture is seen. No dislocation is identified.,Dislocation of the glenoid and humeral head.,1.2.826.0.1.3680043.8.498.48776731378511084803817712984624167378
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58156720071407638106240937242108639099
+Portable AP upright view at 2590 hours. Tracheostomy tube appears stable. Stable patchy opacity at the right lung base. Elsewhere the lungs appear stable and clear. Stable cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Stable radiographic appearance of the chest. Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.31192417469366238246912378026872340895
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49112769402256468855481593627822223959
+Heart: Cardiac size is enlarged. There is a CRTD in place. Lungs: There is vascular congestion. There is a probable left pleural effusion. No dense consolidation is seen. Mediastinum: CRTD wires. Calcified atherosclerotic changes in the aorta. Pleural effusions: See above. Bones: Spondylosis is noted in the spine. There are degenerative changes in the shoulders. Visualized upper abdomen: Not well visualized.,Overall findings most consistent with congestive heart failure. Advise clinical correlation.,1.2.826.0.1.3680043.8.498.19326238949333544845118018335465000860
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22286365871830653615189968375898429137
+The small right apical pneumothorax noted previously has resolved. The lungs are clear. The heart is within normal limits in size. There is a mild thoracolumbar scoliosis present.,No active lung disease. No residual right pneumothorax is seen.,1.2.826.0.1.3680043.8.498.37999942905809021762090309828793359703
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.93609172007935297680450182067378958173
+PA and lateral chest radiographs are provided. There is left lower lobe airspace disease concerning for pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Left lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.82723478372071132697878459352127665449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33772352028436941332028447163808436192
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66236280432320538826697080808708576703
+Endotracheal tube is unchanged in position. Diffuse interstitial and airspace disease is again noted and unchanged. No significant change.,No change in the appearance of the lungs.,1.2.826.0.1.3680043.8.498.73118665496917742088804608719970138670
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87479606558870843780317194170311263556
+Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild interstitial changes are again seen and stable. No focal confluent infiltrate is seen. No sizable effusion is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.53660297001010034040778525489079706867
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59484460094037807774106618026614607102
+Endotracheal tube tip is about 2.9 cm superior to the carina. Esophageal tube tip is below the diaphragm but incompletely visualized. Worsening extensive bilateral pulmonary consolidations. No pleural effusion. Normal heart size. No pneumothorax.,1. Endotracheal tube tip about 2.9 cm superior to the carina 2. Worsening extensive bilateral pulmonary consolidations.,1.2.826.0.1.3680043.8.498.12051052686265549651055011839671904278
+There is cardiomegaly with pulmonary venous hypertension. There is slight interstitial edema. No airspace consolidation. No adenopathy. No bone lesions.,"Pulmonary vascular congestion with slight interstitial edema, stable. No new opacity.",1.2.826.0.1.3680043.8.498.33615938286127054474429580032476459580
+The lungs are hyperinflated consistent with COPD. There is no infiltrate. There is no effusion. There is no pneumothorax. The bones are osteopenic. The heart is mildly enlarged. The lung markings are coarse.,COPD. Cardiomegaly. Mitral valve annular calcification appears present.,1.2.826.0.1.3680043.8.498.62259961441318975316839741470833596506
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17504961244480274687935746695675505178
+Lung volumes are low. There is some mild atelectasis at the lung bases. Lungs are otherwise clear. No effusion. Heart size is normal.,No acute disease with mild bibasilar atelectasis noted.,1.2.826.0.1.3680043.8.498.29397919972661244326635985888014913077
+Lung volumes within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening could reflect viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.43305410761818908525837098402122734450
+"Cardiomediastinal silhouette unremarkable. Improved aeration in both lungs, with only minimal haziness of the lung fields at this time. OG tube tip in the fundus of the stomach.",Support apparatus satisfactory. Improved atelectasis in both lungs.,1.2.826.0.1.3680043.8.498.27996427254378987813733573719419189927
+OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Cardiac silhouette appears normal. No bony abnormality.,No acute disease. OG tube in good position.,1.2.826.0.1.3680043.8.498.63622386759966146482594636370246879832
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36755264465919457249261243673384881261
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40225275687890691972010565392894585575
+The left-sided PICC line is stable. The heart is mildly enlarged. There is no evidence of pulmonary edema. Small bilateral pleural effusions are present. No focal airspace disease is seen. The patient has had right mastectomy and right axillary node dissection.,1. Small bilateral pleural effusions. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.88840004401403366528941325990650541132
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted. Lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.57452830307424027305100626251215396931
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.96686658922730962417106756902261715693
+"The right PICC line tip is in the distal SVC near the cavoatrial junction. The heart is enlarged. There is persistent diffuse asymmetric airspace process in the lungs, right greater than left. No pleural effusions. No pneumothorax.",1. Right PICC line tip in distal SVC. 2. Persistent asymmetric airspace process.,1.2.826.0.1.3680043.8.498.24003810719962785949320747736399904338
+The heart is mildly enlarged. The mediastinal contours are normal. The lungs appear clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.30895019556816855760373999579826767972
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.87712627896097677145389157825519993708
+"Shallow inspiration. Normal heart size and pulmonary vascularity. Calcified and tortuous aorta. There is a 2.2 cm nodular opacity in the left mid lung, new since previous study. This is suspicious for neoplasm. CT suggested for further evaluation. No blunting of costophrenic angles. No pneumothorax. Degenerative changes in the spine and shoulders.",Nodular opacity in the left mid lung suggesting neoplasm. CT of the chest is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.46052536014466231954234437983263557461
+"Heart size and pulmonary vessels were normal. No evidence of pneumonia, pneumothorax or pleural effusion was present.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.55369554624671812892809593641096005766
+"The cardiac silhouette is enlarged. There is pulmonary vascular congestion. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Cardiomegaly. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.85309884952797417190945765284197408228
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91190962618413468481367730778050789217
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.82573873868221202740880867107978631362
+Heart size is mildly enlarged. Vascular pattern is normal. No consolidation or effusion. Mild bilateral interstitial opacities likely due to pulmonary edema.,Mild pulmonary edema,1.2.826.0.1.3680043.8.498.21622436952961036416522264717820486494
+"The heart is upper limits of normal. Low lung volumes with vascular crowding and atelectasis. No infiltrates, edema or effusions. No pneumothorax. The bony thorax is intact.",Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.37664698491357653133375215158030767058
+Tracheostomy tube and NG tube in stable position. Right PICC line in stable position. Stable cardiomegaly. Persistent bibasilar atelectasis and/or infiltrates. Small right pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bibasilar atelectasis and/or infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.24780930049510566443834859485468409809
+"Endotracheal tube is 5.5 cm above the carina. Diffuse bilateral airspace disease again noted, unchanged. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax.",Endotracheal tube 5.5 cm above the carina. Stable diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.78513098461059095573046884963862149254
+There is cardiomegaly. There is improved aeration of the lung bases with mild residual atelectasis. Small bilateral pleural effusions are noted. There is no evidence for pulmonary edema.,1. Improved aeration of the lung bases. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.41267160221589515020723420000976378989
+"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. There is no pneumothorax. Diffuse bilateral airspace disease is present, most likely due to pulmonary edema. There may be some basilar atelectasis.",Postoperative changes. Probable pulmonary edema.,1.2.826.0.1.3680043.8.498.54133098238813763378026525264577752742
+The heart is enlarged. The lungs are hyperinflated. The bony structures are unremarkable. No infiltrate is identified.,Cardiomegaly. Hyperinflation. No acute process.,1.2.826.0.1.3680043.8.498.45126880702448299872281508158433743339
+"Frontal and lateral views of the chest demonstrate an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. Lungs are hyperinflated. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.67970727700215305832707275587039782628
+The heart size and mediastinal contours are within normal limits. Diffuse interstitial prominence is identified throughout both lungs. No focal consolidations. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary disease. 2. Diffuse interstitial infiltrates suggestive of chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.44983532460486279833203629485595131324
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.85213364048949561486972347080020972094
+Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear stable and clear. No pneumothorax or pleural effusion. Stable lumbar spine hardware. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Stable. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.73002616714946594203768278211926975305
+"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69284426630930917891782360521207609927
+Endotracheal tube is present with the distal tip at the level of the aortic knob. This appears to be in satisfactory position. Cardiopericardial silhouette is moderately enlarged. Lungs are clear of acute infiltrate or congestion. There is elevation of the right hemidiaphragm.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62747928538555186475248453734189618180
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19258793712715786991024670105990748083
+"The current exam shows increased density at both lung bases, most compatible with atelectasis or pneumonia. The upper lobes are clear. No pleural effusion is seen. The heart size is normal.","There are increased densities at both lung bases, most compatible with pneumonia or atelectasis.",1.2.826.0.1.3680043.8.498.40099907808214110560665961595149567171
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47912311580347173577518449750318207727
+There is dense consolidation of the left upper lobe. The heart size is normal. The right lung is clear. There is no pleural effusion or pneumothorax. The osseous structures are intact.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.15189276186607680887010978197924644425
+There is hyperinflation of the lungs compatible with COPD. Diffuse interstitial prominence throughout the lungs compatible with chronic interstitial lung disease. Scarring at the lung bases. No acute airspace opacities or effusions. Heart is normal size. Aortic atherosclerosis. No acute bony abnormality.,COPD/chronic interstitial lung disease. Bibasilar scarring. No active disease.,1.2.826.0.1.3680043.8.498.46228334065587399946345024469155521635
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58316522749176450762005925702149187933
+The heart size and mediastinal contours are within normal limits. A feeding tube is seen with its distal tip overlying the expected region of the body of the stomach. Moderate layering right pleural effusion is noted. Mild central pulmonary vascular congestion is seen. No evidence of pneumothorax. The visualized skeletal structures are unremarkable.,Moderate layering right pleural effusion and mild central pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.37986956704120635140957578757135350226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97733593927211215398995232736275283508
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65123695722191532638956246531811835905
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. Stable left-sided cardiac pacing device in place. No significant change compared to prior study done on 01/20/2020.,1.2.826.0.1.3680043.8.498.25208387998355386155275974961722446368
+The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for pulmonary edema. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Vascular congestion and borderline cardiomegaly. Increased interstitial markings raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.44655148356668874910835923119774693675
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39088232812332179922334852541570449096
+Left internal jugular catheter is in place with the tip in the upper superior vena cava. No pneumothorax. There is mild basilar atelectasis. Cardiomegaly.,1. Left IJ catheter in good position. No pneumothorax. 2. Cardiomegaly and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.47622598798738740133715362653698145822
+"There is hyperinflation of the lungs compatible with COPD. There is cardiomegaly. Patchy opacities are noted in the lung bases, particularly on the right. This could represent pneumonia. There are small bilateral pleural effusions. No acute bony abnormality.","COPD. Patchy bibasilar airspace opacities, particularly on the right which could reflect pneumonia. Small effusions.",1.2.826.0.1.3680043.8.498.77929359280606640064437087108678150200
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",Trace parahilar peribronchial interstitial opacities without dense consolidation.,1.2.826.0.1.3680043.8.498.14038352807359581223644731489822137902
+There is a comminuted fracture of the left clavicle. There are nondisplaced fractures of the left second and third ribs. There is a fracture of the left scapula. There is no evidence of dislocation. The glenohumeral joint appears normal. No other significant bone abnormalities are identified.,"Fractures of the left clavicle, left second and third ribs, left scapula.",1.2.826.0.1.3680043.8.498.58876876428709925861224087122308430080
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59305312226208588781492643790614970113
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67211342318872988197670698315655013657
+The heart is mildly enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,Mild cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.76403212747782165173165443010574310489
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17617993783652478033727042617638831098
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs emphysematous but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Emphysematous changes. No acute abnormalities.,1.2.826.0.1.3680043.8.498.73399776798994812212264926897856962443
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24357493288372973963012623923412076642
+Normal sized heart. Tortuous and calcified thoracic aorta. Clear lungs. No fracture or pneumothorax seen. Diffuse osteopenia.,No acute abnormality.,1.2.826.0.1.3680043.8.498.71191517061307284154369835401268758375
+Endotracheal tube is in place with the tip 3.5 cm from the carina. Defibrillator pads overlie the chest. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,ETT in good position. Lungs clear.,1.2.826.0.1.3680043.8.498.59107645814304272957797129979057802124
+"Portable semi upright AP view 7269 hours. Continued low lung volumes. Stable tracheostomy tube. Patchy bibasilar opacity, increased on the right. No pneumothorax or pulmonary edema. Small pleural effusions suspected. Stable cardiac size and mediastinal contours.",Low lung volumes with small pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.99055654406585429054953995258388537383
+Heart size is normal. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No abnormal bone finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52168337819355122490503675611191722252
+There is chronic interstitial lung disease with diffuse reticular scarring. No pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. No acute osseous abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32257712024766577855434805716458260410
+Cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96977405676406360977646413434067243659
+There is central airway thickening and perihilar infiltrates. No consolidations are seen. Heart size is normal. No pleural effusions are seen.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.76388623796654306700464110744928301422
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52888370487176165716606429432102336094
+Trachea is midline. Heart is at the upper limits of normal in size. Thoracic aorta is calcified. There are new patchy opacities in the left lower lobe. Tiny bilateral pleural effusions.,New left lower lobe airspace disease may represent pneumonia.,1.2.826.0.1.3680043.8.498.13791646413152230975863469569897018473
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65461723483691444075233004619681989891
+"The heart is at the upper limits of normal in size. The mediastinal contours are normal. Subsegmental atelectasis or scarring at the left lung base. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74845409346396804355228529825525865333
+Bibasilar airspace disease is unchanged. Small left effusion. Heart size mildly enlarged. Vascularity normal.,Stable bibasilar airspace disease. Findings most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.42039911859714942055784399223133003624
+Right-sided PICC line is unchanged. There are small bilateral pleural effusions with bibasilar atelectasis. Lung volumes are low. No focal airspace disease is seen. The heart size is normal.,Small bilateral pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.56248109249076413811419365795042101152
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15299787271692309260995912513252684617
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97945344730278775780695096357120996774
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33896130170648950229992878431009893011
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46159815924442687011110925689967181812
+Cardiothymic silhouette is unremarkable. Bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,"Perihilar peribronchial cuffing may reflect bronchitis, less likely reactive airway disease without focal consolidation.",1.2.826.0.1.3680043.8.498.47173608410355441092880212512806501959
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13608690898320039694886283877226282921
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58859349712274230412094249902988838809
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78760113891864183558407927858589122230
+No displaced rib fracture seen.,No displaced rib fracture seen.,1.2.826.0.1.3680043.8.498.99938748522371083290778662019605862832
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82162625842515151798804560371260021914
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.83693927220227205078629939605573338928
+The lungs are clear. The pulmonary vasculature is normal. Heart size is normal. Hilar and mediastinal contours are unremarkable. There is no pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28577673470829275158671909131731562861
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47381742849204740890858613281372109921
+There is patchy infiltrate in the anterior segment of the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate left upper lobe, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.95471460310198428224192841832555894001
+There is central airway thickening consistent with a viral process or reactive airways disease. No airspace opacity is identified. The heart and mediastinum appear unremarkable.,Central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection.,1.2.826.0.1.3680043.8.498.23486298983252028880375000928403824390
+AP and lateral views of the chest. Lower lung volumes. Mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Coarse bilateral pulmonary interstitial opacity is increased. No pneumothorax. No pleural effusion. No consolidation. Negative visible bowel gas pattern. No acute osseous abnormality identified.,Low lung volumes with bilateral pulmonary interstitial opacity. Favor acute viral/atypical respiratory infection. No pleural effusion.,1.2.826.0.1.3680043.8.498.92781452720816959116321122665431435636
+The heart size is at the upper limits of normal. The mediastinal contours are normal. There is blunting of the right costophrenic angle with pleural thickening. The lungs are clear. There is no edema or pneumothorax. No osseous abnormalities are seen.,1. Small right pleural effusion vs pleural thickening. 2. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.10184810398130705080381623166870361829
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.59136484203519225920007767699800747737
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.95257466842390460358465896490512754757
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38996788815620503174606306403620813436
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23396532431584749615889415152256665028
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68937972001843300668155091098664864613
+"There is complete opacification of the left hemithorax. This is new since prior study. There is shift of the mediastinal contents into the left hemithorax, likely reflecting left lung collapse. Right lung is clear. No effusions.","New complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax, likely related to collapse. Consider mucous plugging or other central obstructing process.",1.2.826.0.1.3680043.8.498.88937295929797681982962565808576475864
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25697381001880759319885803861184551632
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30947742241709334638220958992853132009
+"Normal heart size and vascularity. Mild hyperinflation and basilar atelectasis versus scarring. No focal pneumonia, edema, effusion or pneumothorax. Trachea is midline.",Hyperinflation and basilar atelectasis versus scarring. No acute airspace process.,1.2.826.0.1.3680043.8.498.68092458014488163312729387690684493447
+"An endotracheal tube is in place with tip 4.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. Ill-defined opacities in the lungs bilaterally, most evident in the left mid lung. No definite pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are distorted by patient positioning.","1. Support apparatus, as above. 2. Multilobar pneumonia.",1.2.826.0.1.3680043.8.498.32297870147660562920015999313254073440
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23581910483805200416099635188786652612
+The heart is normal in size. The lungs are well expanded. There is infiltrate in the right middle lobe. The left lung is clear. There is no effusion or pneumothorax.,Right middle lobe infiltrate.,1.2.826.0.1.3680043.8.498.33471344393420853799076880428828904883
+"Multiple right-sided rib fractures are again noted. The cardiac silhouette, mediastinal and hilar contours are stable. Streaky areas of atelectasis are noted. No pneumothorax is seen. The right clavicle and multiple right-sided rib fractures are again noted.",1. Stable right-sided rib fractures. 2. Streaky areas of atelectasis but no pneumothorax.,1.2.826.0.1.3680043.8.498.51082184009817556558702685202885960231
+The lungs are clear. There is no infiltrate or effusion. Lung volume is normal.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37044804625903170026543011416903275165
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87083653609490164793662480238919467582
+Lungs are clear. Heart size is upper normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.17155578303289965495709566818116952115
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50522170789997998006674797632014169575
+The lungs are clear. The heart is mildly enlarged. No bony abnormality is seen.,No active lung disease. Borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.64814187531941015594695402586512739689
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.30518681954004256956217531493527525565
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.93473663141268255211495468927522789023
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78604829631638943346281315432447620925
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98189876971384425058356598750318384284
+The lungs are reasonably well inflated. There is increased density in the right upper lobe which is not entirely new. The interstitial markings are mildly increased. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. A Port-A-Cath appliance is in place. I see no pleural effusion.,There is no evidence of a pleural effusion. There is increased density in the right upper lobe which is not entirely new. This may reflect subsegmental atelectasis or developing infiltrate.,1.2.826.0.1.3680043.8.498.34060472786099885658312408166013564426
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94494940348250278559298539024281804341
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.78701624522092856279514511166031555011
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.56106445391240732752493127789536468395
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89827649829036163748598957271999729721
+The lungs are reasonably well inflated. The interstitial markings are increased. There are bilateral pleural effusions. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The patient has undergone previous CABG. There is calcification in the wall of the aortic arch.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. There are bilateral pleural effusions. There is no focal pneumonia. Followup films following therapy would be useful.,1.2.826.0.1.3680043.8.498.25195947084978426526437038655583747968
+"Two views of the chest show multiple healed right rib fractures. No focal parenchymal consolidation, pulmonary edema, or pleural effusion is identified. The heart size is normal. Mild spondylosis is characterized by end plate sclerosis and endplate spurs.",1. No acute cardiopulmonary abnormality or significant change since 8/2/2009. 2. Multiple healed right rib fractures.,1.2.826.0.1.3680043.8.498.49838855114041591338674387406197721089
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50902238938334398664569040898131016173
+Trachea is midline. Heart size stable. Diffuse interstitial and airspace disease and severe pulmonary fibrosis appear grossly similar to the prior exams. No definite pleural fluid.,Pulmonary fibrosis without acute finding.,1.2.826.0.1.3680043.8.498.45855983081269761834491524300654355262
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41528879078715358617376453757441836112
+"Endotracheal tube, NG tube, left subclavian line in stable position. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.96484854955378110697871302733001271469
+"The heart is enlarged. There has been improvement in the previously seen pulmonary edema, and the pulmonary edema has nearly resolved. Mild atelectasis is identified at the lung bases. There are no focal consolidations or definite pleural effusions. There is no evidence for pneumothorax.",1. Improved appearance of the chest with improved pulmonary edema. 2. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.95717970429146643179194147203720628218
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs demonstrate hyperinflation and emphysematous changes. No infiltrates, edema or effusions. The bony thorax is intact.",Emphysematous changes but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.34548629375579302581124933402773951618
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91109979012370680954095374110800529825
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There is consolidation in the left upper lobe. The right lung appears free of infiltrate. No pneumothorax or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Left upper lobe pneumonia. Follow-up radiographs suggested.,1.2.826.0.1.3680043.8.498.95845085942911872849549112555042782345
+"Lower lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Crowding of lung markings. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.42895863419475842382866532947120776595
+"Single portable AP chest radiograph is provided. There is a right-sided central venous catheter with the tip projecting over the cavoatrial junction. There is left basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.29310295111639760255690267999342217465
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.11496001311608940421838751110491292344
+Cardiothymic silhouette is normal. There is bronchial thickening. There is mild pulmonary hyperinflation. No consolidation or collapse. No effusions. Bony structures are unremarkable.,Bronchitis and bronchiolitis.,1.2.826.0.1.3680043.8.498.62362190685589492623739745086656467381
+"Left arm PICC line tip is in the right atrium, approximately 1.5 cm below the cavoatrial junction. OG tube tip is in the stomach. Cardiothymic silhouette is within normal limits. Low lung volumes. Patchy bilateral airspace disease again noted, similar to prior study. No effusions or pneumothorax.",Left PICC line tip in the right atrium. Recommend pulling back 1.5 cm for optimal placement. Patchy bilateral airspace disease.,1.2.826.0.1.3680043.8.498.47784643125547420343833159728300668491
+Normal sized heart. Diffuse peribronchial thickening. Mild diffuse interstitial changes. No airspace consolidation. Unremarkable bones.,Mild to moderate bronchitic changes and mild chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.84746118711971504816424759008484257099
+EKG leads project over the patient's chest. Right-sided Port-A-Cath in place. Heart size is normal. Calcification of the aortic knob is seen. Bilateral infiltrates present in the mid to lower lung fields. Nodular density seen in the right midlung field. A small right pleural effusion is present. Hilar structures are obscured by peri-inflammatory changes. Trachea is midline.,Bilateral infiltrates mid to lower lung fields. Nodular density right midlung field. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.13874448128515025951661734374948059653
+Trachea is midline. Heart size stable. There is left lower lobe air space consolidation and left pleural effusion. Right basilar atelectasis.,Left lower lobe pneumonia and left parapneumonic effusion.,1.2.826.0.1.3680043.8.498.54712223328151329165246665404496847821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30036285908117002689453321496739844244
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32593630806499348454998529151983913348
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is enlarged but stable as compared to the prior exam. Postoperative changes of prior CABG are noted. There is no interstitial or pulmonary edema.",1. No acute changes are identified. 2. Stable cardiomegaly. 3. The patient is status post CABG.,1.2.826.0.1.3680043.8.498.71904099891367811010140306340302711083
+Single portable AP chest radiograph is provided. There is a focal area of airspace disease in the right upper lobe. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right upper lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.97866166736759758230916224727863295857
+The lungs are mildly hyperinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal. There is no pleural effusion. The trachea is midline. The gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.30631830833671420641588461083329271822
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27572471300880019054684784986523800917
+"Normal heart size, mediastinal contours, and pulmonary vascularity. LEFT lower lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",LEFT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.61836667776800845173476126981398014801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61614392288192251578042695372322307728
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73965772968754251167560699418102517767
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64980331082746767427549452809861509820
+The lungs are mildly hyperinflated but clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Mild hyperinflation may be voluntary or may reflect underlying reactive airway disease. There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.62630627698857733918303342130815083279
+The heart size is normal. There is no pleural effusion or pulmonary edema. Plate-like atelectasis is noted at both lung bases. No airspace consolidation.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.18045128553724382386574594157270214646
+"There are old left-sided rib fractures. There is no evidence of an acute rib fracture. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Old left rib fractures. No acute process.,1.2.826.0.1.3680043.8.498.24891547989200146703150314582315957689
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. There are mild degenerative changes of the thoracic spine.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21940668971198519688328686661932301968
+Lungs clear. Cardiopericardial silhouette within normal limits. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28480079859664641636065727603017671294
+"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.12274949641195018338638904470683595349
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.34259738925704016034347588385164054712
+"Patchy airspace disease is seen at both lung bases, suspicious for pneumonia. No evidence of heart failure or effusion. The patient has had prior CABG.","Mild bibasilar airspace disease, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.39581387798335566208142853638714862259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49806445500675329517265006297937412168
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84735935566644823842314230674407895478
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 09/02/2005.,1.2.826.0.1.3680043.8.498.37781125732730166077638921190256736614
+"The heart size and mediastinal contours are within normal limits. Patchy airspace opacities are seen at the periphery of the mid and lower lungs, suspicious for multifocal pneumonia. No pleural effusion. No acute osseous abnormality.",Patchy bilateral airspace opacities suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.17979403341574776366752293221841562842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76110743832668581766125929324202195893
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73156660520410462769659645461884778106
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33395109895832682292409914588517617479
+Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.17350459548385184433985692461711921611
+The heart size and mediastinal contours are stable. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.33862263606831534774381638192686013900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49205892087943636459168624644895806503
+Low lung volumes are noted. Both lungs are clear. There is no evidence of pleural effusion. Cardiothymic silhouette is within normal limits.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.53035750778683710477855857493460762059
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57782870046181678890364894327526718394
+Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59966398482302367184662346492529840128
+The heart size and mediastinal contours are normal. There is dense right lower lobe airspace disease with an associated right pleural effusion. The left lung appears clear. There is no pneumothorax. No osseous abnormalities are identified.,Right lower lobe pneumonia with associated parapneumonic effusion. This should be followed to radiographic clearing.,1.2.826.0.1.3680043.8.498.42616863772592774986897822897718771229
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21473728864653082781524598205916079164
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94351931388869848810705659362356634276
+"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.33661811011428759022013179886079083473
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.98901533195125154836605135795902790068
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42992501177988769781037607893656888605
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57136713907640608855742551259793484057
+OG tube is in place with the side port in the stomach in good position. There is diffuse hazy opacities throughout the lungs. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. OG tube in good position. 2. Diffuse hazy opacities throughout the lungs which could reflect atelectasis or edema.,1.2.826.0.1.3680043.8.498.69270262124301619217198657500143701661
+"Stable cardiomediastinal contours. Patchy airspace opacities throughout both lungs, similar to prior study. No pleural effusion or pneumothorax.","Stable bilateral patchy airspace opacities, consistent with multifocal pneumonia.",1.2.826.0.1.3680043.8.498.92155152279575082679258195562195359010
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.42524284742588007163498625138706700356
+Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.25735663501704017596578145816248043650
+"Prior CABG. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax. No visible rib fracture. Mild compression fracture in the mid thoracic spine, stable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91750096942349959647631769438143819016
+The heart size is enlarged. A transcatheter aortic valve replacement is noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28566773293752983902695105737039625812
+Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pulmonary opacity or pleural effusion. No evidence of pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52268396946124320818111085433514916429
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.77088688001795480154730003553010806239
+"Two right chest tubes have been removed. There is a tiny right apical pneumothorax, smaller than on the prior exam. Opacity at the right lung base is again noted, slightly improved. There is a small right pleural effusion. The left lung is clear. Heart is normal size.",Interval removal of two right chest tubes. Tiny right apical pneumothorax. Improving aeration in the right lower lobe.,1.2.826.0.1.3680043.8.498.38552521699037838084514803631412323170
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14459684990153445101287797147649636607
+The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. There is tortuosity of the descending thoracic aorta. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84369258933306793220941357649877888123
+The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46260899912679109307703699958138816224
+Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.81608531198384941138042190441374691922
+Low lung volumes. The heart is normal in size. The mediastinal contours are within normal limits. The pulmonary hila appear normal. The lungs are clear. No pneumothorax is identified. No acute fractures seen.,Low lung volumes. No acute findings.,1.2.826.0.1.3680043.8.498.43760463884479484257693111079567898770
+There is central airway thickening. No focal airspace opacities or effusions. Heart is normal size. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.49719023202279331610578017169493789614
+Low lung volumes. Bibasilar atelectasis. Heart is normal size. No effusions or acute bony abnormality. No pneumothorax.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.92098420311629396544932299830911144153
+The heart is mildly enlarged. There is vascular congestion with mild pulmonary edema and small bilateral pleural effusions. No focal consolidation or pneumothorax. Degenerative changes of the spine.,Mild cardiomegaly and vascular congestion with mild interstitial edema and small effusions. Findings suggest mild CHF.,1.2.826.0.1.3680043.8.498.90066892022796206782722555912596476068
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83930188432194915317261459968277656214
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17311119481803998280597269169893031007
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Calcified granuloma right mid lung. Lungs otherwise clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.27307401315722715276738405215248551661
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14968822236077952670540126683809468784
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49922683614574016774284811992185388886
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93500693879257725199107460939152348121
+Left-sided AICD is unchanged. Moderate cardiomegaly persists without evidence of edema. The lungs are hyperinflated. No focal pulmonary opacity is identified. No pleural effusion. No acute osseous finding.,Cardiomegaly with COPD but no focal acute finding.,1.2.826.0.1.3680043.8.498.57218466159202486513516840944947000923
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.84572853344097138726765149391684430728
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40260609555455282312310255859166390732
+The large mediastinal mass is again demonstrated. The large right pleural effusion with associated atelectasis in the right lung is unchanged. The small left pleural effusion is also unchanged. There is no evidence of pulmonary edema. No new abnormalities are detected.,"Stable large mediastinal mass, right pleural effusion, and atelectasis in the right lung since earlier CT. Stable small left pleural effusion.",1.2.826.0.1.3680043.8.498.46978090392863817646309848074994215737
+"The right IJ central venous catheter is unchanged in position. Compared to a chest x-ray from yesterday, no definite pneumothorax is seen. There is no evidence of tension. The lungs are clear. The heart size is normal.",No definite pneumothorax. No active lung disease.,1.2.826.0.1.3680043.8.498.29328497245011962872279115148632247303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89866716290415097659506065907945650071
+"Heart size and pulmonary vessels were normal. No evidence of pneumonia, pneumothorax or pleural effusion was present.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.75314056732381621608655381950149785955
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.84522230331659448272154721599290186096
+Patient is rotated. Heart is normal size. Aortic atherosclerosis. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.89546773197210822989119318709825761543
+Heart and mediastinal contours are within normal limits. Lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures demonstrate degenerative osteophytosis of the mid and lower thoracic spine and are otherwise intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.93780443376135124305233682022664113269
+Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63843715450961325935973947507860483223
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.63008036868494753254622559263042523026
+Elevation of the right hemidiaphragm relative to the left is unchanged. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29386688725155098477401249746015167104
+"The cardiomediastinal contours are normal. Aortic atherosclerosis. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45050722902755225968984092171785318367
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.72793562580067641096685695725690406802
+There is stable cardiomegaly. There is no evidence of pulmonary infiltrate or edema. There is no evidence of pleural effusion. No mass or adenopathy identified.,Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.10971505857773961162023010153828212407
+There is some patchy increased density at the LEFT lung base which could represent atelectasis or infiltrate. The lungs otherwise appear to be relatively clear. There is no pneumothorax. The heart is normal in size. Atherosclerotic calcification is present.,LEFT basilar pneumonia versus atelectasis. Follow-up PA and lateral views are recommended.,1.2.826.0.1.3680043.8.498.37248953044072751676434009307449112284
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25055904923059776322506591399432799763
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88044500114739292193135976145075478764
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93301041953421340997731710225374580614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59158824578500861121359405199169402788
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73950781407822932108728503369610632691
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56614704415106288712069273207851198054
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Mild thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58457852887648936206275757092647907321
+Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No acute displaced fracture.,Negative for acute cardiopulmonary disease. No evidence of acute displaced rib fracture.,1.2.826.0.1.3680043.8.498.37610995685948770802577141044818044740
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48549273621690055738822198332732080841
+The lungs are underinflated. There is bilateral perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Heart size is normal. No pneumothorax. No evidence for steepling of the airway.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.58345263520749781979943699627292632193
+There is central peribronchial thickening. Patchy airspace infiltrate or consolidation in the right lower lobe. No effusion. Heart size normal. Visualized bones unremarkable.,"1. Central peribronchial thickening suggesting asthma, bronchitis, or viral syndrome. 2. Right lower lobe infiltrate suggesting pneumonia.",1.2.826.0.1.3680043.8.498.27006546099233800389419836885005374494
+"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44592433016071333871000170775547660131
+Cardiothymic silhouette is unremarkable. Mild bilateral perihilar peribronchial cuffing without pleural effusions or focal consolidations. Normal lung volumes. No pneumothorax. Soft tissue planes and included osseous structures are normal. Growth plates are open.,Peribronchial cuffing can be seen with reactive airway disease or bronchiolitis without focal consolidation.,1.2.826.0.1.3680043.8.498.52871131436502632470893468357229369514
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29812547238479159161827593066212548263
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98254621009533209384938129085623859228
+Heart is upper limits normal in size. There is tortuosity of the thoracic aorta. There are no focal consolidations or pleural effusions. No pulmonary edema. Degenerative changes are seen in the spine.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57479773918252241097963826052981686950
+Heart size is normal. Aortic atherosclerosis again seen. Patient is partially rotated to the right. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.37195524752000009479954488802049300545
+Cardiac shadow is stable. A pacing device is again noted. The lungs are well aerated bilaterally. Calcified pleural plaques are again seen. No pneumothorax is noted. No bony abnormality is seen.,No evidence of pneumothorax following pacer placement.,1.2.826.0.1.3680043.8.498.36925879478419470077339821227006125621
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No pneumothorax is seen. No acute rib fracture is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.79088738511954151670936563984339708995
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is an old left humeral neck fracture.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 06/07/2012.,1.2.826.0.1.3680043.8.498.87180875378362843129300010163867795087
+There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.89187279157858081233509037827940819098
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23511625936815422523313107439626858078
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.32613680777226005935188278817276056770
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.73761409314870523482730425177845846904
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96749959321817190373208751084054304498
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Central airway inflammation. No pneumonia.,1.2.826.0.1.3680043.8.498.34998879866067937226647224504230477268
+"AP view at 5400 hrs. Enteric tube in place, side hole at the level of the gastric body. Normal cardiac size and mediastinal contours. Mildly increased reticular granular opacity throughout both lungs. No pneumothorax, pleural effusion or confluent pulmonary opacity. Normal visible bowel gas pattern. No osseous abnormality identified.",1. Stable lines and tubes. 2. Normal visible bowel gas pattern. 3. Mildly increased pulmonary granular opacity. Favor RDS.,1.2.826.0.1.3680043.8.498.82293869243383133143900577530889263718
+There is elevation of the LEFT hemidiaphragm. An area of increased density projects within the LEFT lung base. No further focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,"1. Atelectasis versus infiltrate, LEFT lung base, with likely a superimposed component of scarring. 2. Elevated LEFT hemidiaphragm.",1.2.826.0.1.3680043.8.498.23941956427967187003797663717267773070
+"Dual lead pacemaker in place with leads in the region of the right atrium and right ventricle. Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Dual lead pacemaker in place. No active chest disease.,1.2.826.0.1.3680043.8.498.94447469438849529018559364155659581619
+There is airspace infiltrate posteriorly in the right lower lobe consistent with pneumonia. Left lung is clear. No pleural effusion. Heart and mediastinal contours normal.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58177575886952245468502965382462270861
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43677361870039932727073967150239693037
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.20645192098185677842907104952456583842
+There is left lower lobe atelectasis and infiltrate. Small left effusion. Negative for pneumothorax. The right lung is clear.,Left lower lobe atelectasis and infiltrate with a small left effusion.,1.2.826.0.1.3680043.8.498.30209830089140510817540140120291583346
+Endotracheal tube is been pulled back with tip now approximately 1.5 cm above the carina. Orogastric tube remains in appropriate position. Low lung volumes and mild diffuse granular pulmonary opacity are unchanged. No evidence of pulmonary consolidation or pleural effusion. Cardiothymic silhouette is within normal limits. The bowel gas pattern is normal.,Endotracheal tube and orogastric tube in appropriate position. No significant change in low lung volumes and mild diffuse granular pulmonary opacity. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.56084403331631773498654043199098933097
+Low lung volumes. Unchanged heart size and mediastinal contours. Bronchial thickening with mild atelectasis at the lung bases. No confluent airspace disease. No pleural fluid or pneumothorax. No acute osseous abnormalities.,Low lung volumes with bronchial thickening and atelectasis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49726291349512801435915964606598316357
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Central airway inflammation. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.76463559936640327756498458097489884969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31266241836118509727676495810528073309
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57919267782159116060887210601393529870
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77530353535756986835180955724581327284
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38258412860086938486876492637374073908
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.38286457256272147981206923247480417498
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59876982908305090708276331199854468525
+"Normal cardiac silhouette. Lungs are hyperinflated. No effusion, infiltrate, pneumothorax. No acute osseous abnormality.",Hyperinflated lungs. No acute findings.,1.2.826.0.1.3680043.8.498.99861447937557861839281049850041217051
+Interim removal of endotracheal tube and NG tube. Left PICC line in stable position. Mediastinum and hilar structures are normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes both shoulders.,1. Interim extubation and removal of NG tube. Left PICC line in stable position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22186564197917011186176122326467537983
+Cardiothymic shadow is normal. There is bronchial thickening. There is no consolidation or collapse. No effusions. Bony structures are unremarkable.,Bronchitis without evidence of consolidation or collapse.,1.2.826.0.1.3680043.8.498.38655821884343983227772490042714892398
+Heart size is normal. Mild tortuosity of the aorta. The lungs are clear. The vascularity is normal. No effusions. No significant bone finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31998864220131140200661875526047299008
+The lungs are hyperinflated. There is peribronchial thickening. No focal consolidations or pleural effusions are identified. Heart size is normal. No evidence for pneumothorax.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69556310702188042508707328560477234246
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42041850310174870631424041831030047658
+Since prior study nasogastric tube is seen coursing into the abdomen with stable left internal jugular central venous catheter ending within the superior vena cava without pneumothorax. Stable patchy airspace opacities right greater than left with slight left basilar atelectasis seen. Stable slight cardiomegaly noted.,1. Stable patchy airspace opacities right greater than left consistent with pneumonia. 2. Slight left basilar atelectasis. 3. Stable slight cardiomegaly.,1.2.826.0.1.3680043.8.498.25725416706637754353707553584273897080
+The lungs are mildly hypoinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The patient has undergone previous CABG. There is a permanent pacemaker in place. The endotracheal tube has been removed. The esophagogastric tube has been removed.,Congestive heart failure with pulmonary interstitial edema. No significant pleural effusion. No pneumothorax.,1.2.826.0.1.3680043.8.498.70175503151000311061981497803979241087
+ET tube terminates in the mid trachea. Enteric tube courses inferior to the diaphragm. Stable cardiac and mediastinal contours. Low lung volumes. Persistent right basilar opacity. No pleural effusion or pneumothorax.,ET tube mid trachea. Persistent right basilar opacity may represent atelectasis or infection.,1.2.826.0.1.3680043.8.498.43880983831045993245327029328091932741
+"An endotracheal tube is identified with tip 2.5 cm above the carina. COPD/emphysema changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Endotracheal tube with tip 2.5 cm above the carina. COPD/emphysema.,1.2.826.0.1.3680043.8.498.53647303949704048174315964372639905463
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47670205397339063758342206816966674190
+The lungs are symmetrically inflated and clear. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Clear lungs.,1.2.826.0.1.3680043.8.498.16871724877944137594428776911761892076
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.36183166503738053558563800359384984906
+"Endotracheal tube, left IJ line, NG tube in stable position. Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.52360384133280134093642125454378968402
+"The heart is at the upper limits of normal in size. The mediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary nodules, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29578980024169871077299794887719095948
+There is flattening of the hemidiaphragms. Thickening of the interstitial markings is once again appreciated. No focal regions of consolidation are demonstrated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,"COPD with interstitial changes, fibrosis and possibly a component of pulmonary fibrosis. No focal regions of consolidation or focal infiltrates are appreciated.",1.2.826.0.1.3680043.8.498.77948728354026494980162263811373450955
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31614909900405460412250756764323393392
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36772793724370538825412802710327089758
+"Upper limits normal heart size noted. Bilateral airspace opacities within the mid and lower lung zones are identified and suspicious for pneumonia. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. No acute bony abnormalities are identified.",Bilateral airspace opacities within the mid and lower lung zones compatible with pneumonia. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.88142175320049764132998757325545810622
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Chronic scarring is noted in the left lung base. No focal infiltrate or sizable effusion is seen. Degenerative changes of the thoracic spine are noted.,Chronic changes in the left base. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.20394851780563821560123572790278696856
+"The heart size is normal. The mediastinum and pulmonary vascularity are within normal limits. No hilar abnormality is seen. There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. There are no worrisome pulmonary nodules. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.89070139596064227833695444078412761559
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.35652512573212607980569617688794203069
+Low lung volumes. Streaky atelectasis at the bases. No consolidation. Heart size upper normal. No pneumothorax.,Low lung volumes with streaky bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40894288667308771140402915200493530547
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78559623420854603120089466743049559219
+There is complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax. There is extensive pleural calcification on the right. The right lung is hyperexpanded. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,1. Complete opacification of the left hemithorax with shift of the mediastinal contents into the left hemithorax. This is consistent with prior pneumonectomy. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32465117519031783564575854701103774739
+There is interstitial fibrosis throughout the lungs bilaterally. There is no frank edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Diffuse interstitial fibrosis, stable. No edema or consolidation. Stable cardiac silhouette.",1.2.826.0.1.3680043.8.498.23462485544448120034736950542944265557
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93115018868949532748947569692616290870
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56413876546088320309993320430538807198
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29729537407655091253431440764295994590
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51184809905693280235270925545670477915
+"There is again noted increased density at the lung bases bilaterally, essentially unchanged as compared to the prior exam. The densities are most compatible with atelectasis or fibrosis. The upper lobes remain clear. No pulmonary edema is seen. The heart size is normal.",Stable appearing chest as compared to the exam of 11/3/2021. There persists increased density at the lung bases consistent with atelectasis or fibrosis.,1.2.826.0.1.3680043.8.498.14534216924631785818836870010669508826
+Cardiac shadow is stable. A nasogastric catheter is again noted extending into the stomach. Right jugular sheath is again seen kinked at the skin surface. Persistent right basilar atelectasis is noted. The left lung remains clear. No pneumothorax is seen.,Stable right basilar atelectasis. Tubes and lines as described.,1.2.826.0.1.3680043.8.498.15481698132194904028429206054488370241
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No acute disease.,1.2.826.0.1.3680043.8.498.22525542627778981747015582462440384481
+The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.32019202024921262681321676125741203323
+There is parenchymal opacity within the right lower lobe consistent with right lower lobe pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Right lower lobe pneumonia. Recommend follow-up chest x-ray.,1.2.826.0.1.3680043.8.498.43621468627652192518129531989081132872
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36066413658207539553408545462293800401
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.40604383971368618281881490339712753504
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15903449876039263912438049126844805635
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69911578557609753638995377563110163678
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.25633689164070085743159032653403241363
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62298707182846747506582821157750600286
+No pneumonia is seen. There are prominent perihilar markings with peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Prominent perihilar markings.,1.2.826.0.1.3680043.8.498.80075196961524945255125684580367200122
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65299797951339591534009608549140206763
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. There is evidence of prior CABG. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.61760033604246318491946928428934876939
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. Post surgical changes of the chest are appreciated.",No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69885385797950619112122403123180849388
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82784834998730718840227765434572147002
+Heart size and mediastinal contours are stable. Median sternotomy wires appear intact and stable in alignment. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.61754478567742296791123700602159330923
+The right IJ central venous catheter tip is unchanged at the SVC right atrial level. There is no pneumothorax. Diffuse bilateral airspace opacities have worsened. There are bilateral pleural effusions. The heart is enlarged.,"Worsening bilateral airspace opacities, likely reflecting a combination of pulmonary edema and pneumonia. Bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.69360828302727057571551789076351277661
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75311095861082800180927811105678178566
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11331690913953662860896185577879915181
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33538906420862956299125344726606085599
+"Study is hypoinspiratory with crowding of the perihilar and bibasilar bronchovascular markings. Given the low lung volumes, lungs are clear. No confluent airspace opacity to suggest a developing pneumonia. No pleural effusion or pneumothorax seen. Heart size and mediastinal contours are within normal limits. Osseous structures about the chest are unremarkable.",Low lung volumes. No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.48794825005173498963819187621130163162
+There is consolidation in the left lower lobe with associated small left pleural effusion. The right lung is clear. No pneumothorax. Heart is mildly enlarged. No mediastinal or hilar masses. Bony thorax is intact.,Left lower lobe consolidation consistent with pneumonia. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.52278260074708558247644616746486564385
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62103472615369488686808179715299665255
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.10547799901155125554517123734596877755
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80392230477925020399837608302587463971
+The lungs are clear. No pleural fluid or pneumothorax identified. Cardiac silhouette is unremarkable. No focal bony abnormality.,No acute finding.,1.2.826.0.1.3680043.8.498.13252558763420437025292726989236181239
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49335249923530161658968269044196276742
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67823048002293431802588158408180579853
+"The lungs are clear bilaterally. No confluent airspace opacities, pleural effusions or pneumothoracies are seen. The heart is normal in size and contour. The upper abdomen and osseous structures are normal.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37460277482995057992104971866033481173
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31465272717393710270791688905316210866
+The heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.71377311111132816190839235641332254312
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33393318403690296752236307995568448213
+The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is top normal in size. There is a permanent pacemaker in place. There is no pleural effusion.,There are findings which likely reflect an element of low-grade compensated CHF. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.80025307883487573134531494050768938009
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23172080068179332475737386395170159838
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43719059960179380717837898036693144860
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes mid thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27332634089991905769481810949686042402
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66638454181650632134666520758049321147
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80422655753035815003237536785199922462
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18857291483318397908442552888658232272
+Trachea is midline. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous with minimal scarring at the lung bases. No airspace consolidation or pleural fluid.,Emphysema without acute finding.,1.2.826.0.1.3680043.8.498.20058887715222248298511883531426774408
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40559929351659176102358566697056161925
+The patient has been extubated. The NG tube has been removed. The right IJ catheter is stable. The right hemidiaphragm remains elevated. The right lung base opacity has improved. The left lung is clear. There is no pneumothorax. The cardiomediastinal silhouette is stable.,1. Improving right lung base process. 2. No other significant change.,1.2.826.0.1.3680043.8.498.81152260516902231352515827582737946798
+The heart size and mediastinal contours are within normal limits. Right lung is clear. Linear opacity is noted in left upper lobe which may represent residual pneumonia or atelectasis. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,Linear density seen in left upper lobe most consistent with residual pneumonia or atelectasis. Continued radiographic follow-up is recommended to ensure resolution.,1.2.826.0.1.3680043.8.498.74211272957019849905848329498194848029
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70327710337548323798787078685580930481
+"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33336063078263869160768109828825140351
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36484347998373624197853887804264386841
+"Lungs are hyperexpanded, clear. No pneumothorax or pleural effusion. Cardiac size within normal limits. Pulmonary vascularity is normal. No acute bone abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.12060157863565232469328689107329526481
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No definite acute infiltrate.,1.2.826.0.1.3680043.8.498.50600509734696287572388115274459885637
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.34203718319194035667968796125531774680
+Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Endotracheal and nasogastric tubes are unchanged in position. Right internal jugular Swan-Ganz catheter is unchanged. Left-sided chest tube is noted without pneumothorax. Right-sided chest tube is noted without pneumothorax. No significant pleural effusion is noted. Mild bibasilar subsegmental atelectasis is noted. Bony thorax is unremarkable.,Stable support apparatus. No pneumothorax is noted. Mild bibasilar subsegmental atelectasis.,1.2.826.0.1.3680043.8.498.31904764467517189255917910707081044294
+Endotracheal tube remains in satisfactory position below the thoracic inlet. Nasogastric tube courses below the diaphragm into the stomach. Heart mildly enlarged but stable. Pulmonary edema slightly improved since earlier in the day. No new abnormalities.,Slight improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.27727476749161412044805944240892869811
+The right lower lobe pneumonia has cleared. The cardiomediastinal silhouette is unremarkable and is stable. The lungs are clear. There are no pleural effusions. The visualized bony thorax appears intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77046918913794171261671141036274665758
+Heart size is normal. The aorta is tortuous. Negative for heart failure. Lungs are clear without infiltrate or effusion. Colonic dilatation consistent with ileus.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33877422101588539267443747707712073837
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88013434384296942012226448252764889588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58355553167435488057694072215463293171
+"Patchy consolidation at the right greater than left lung base. Upper lungs are clear. Heart is normal in size with normal mediastinal contours. No pulmonary edema, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.","Patchy right greater than left lung base consolidation, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.78740323499075774654361494851226090755
+There is opacity within the left lower lobe consistent with residual pneumonia. The remainder of the lungs are clear. No pleural effusion is seen. Mediastinal contours are stable. The heart is within normal limits in size. No bony abnormality is seen.,Persistent opacity in the left lower lobe consistent with residual pneumonia.,1.2.826.0.1.3680043.8.498.40246967493781489884111796303327635302
+Endotracheal tube is 2.5 cm above the carina. There is cardiomegaly. Low lung volumes. No confluent opacities or effusions. No acute bony abnormality.,"Endotracheal tube 2.5 cm above the carina. Cardiomegaly, low lung volumes.",1.2.826.0.1.3680043.8.498.96528309457202685234879510484119548497
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. No free intra-abdominal air is seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67424844139092934462741553174710319438
+The lungs are well-expanded and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.86703420041198834691538320502782222354
+There is no fracture or dislocation. Glenohumeral joint space is maintained. Soft tissues unremarkable.,Mild degenerative change without acute bony abnormality.,1.2.826.0.1.3680043.8.498.53319194297693737601324454510044613071
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99389184960240150029688344856926088991
+There is extensive consolidation in the right upper lobe and right lower lobe consistent with pneumonia. The left lung is clear. No pleural effusion is seen. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,Extensive right upper and right lower lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.62620698384168917266683726354924178077
+The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is stable moderate dextrocurvature of the mid thoracic spine.,There is no acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.88133643467032116341409418106471316115
+"Cardiac and mediastinal contours are within normal limits. No pneumothorax, pleural effusion, or confluent airspace opacity. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15888106046415897110608588769454842982
+"There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.18540214193535286534847616323951883344
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43800274094257108669927350621815142824
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36902396564842365734845635001126937852
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.83384764057555767774347268157950395819
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusion. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.70674719936502746117963058359058513461
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87048975521550920077083096191127392580
+There is thickening of the interstitial markings as well as peribronchial cuffing. An area of increased density projects within the LEFT lung base. There is blunting of the LEFT costophrenic angle. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,"1. Atelectasis versus infiltrate, LEFT lung base. 2. Findings which appear to be consistent with an element of pulmonary fibrosis. 3. Scar versus small effusion, LEFT lung base.",1.2.826.0.1.3680043.8.498.30262160655404702925040566570675030905
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83379820595836826140800513372203133211
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74451985881477360591577090952564359886
+There is a severe thoracolumbar scoliosis deformity. Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,1. No active cardiopulmonary disease. 2. Scoliosis.,1.2.826.0.1.3680043.8.498.17414472046198634125388822092734167554
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59765942093406716550851875310255265822
+"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.34487219293256503739316915156029860263
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60124528355377861383675311228254762882
+The lung volumes are low. The heart size is stable from prior study. Aortic calcifications are again noted. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.64331796454391396993953342674328981136
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43164365616908218602058569824442493307
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32119176836951912280538587269506279795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72727866098786575908564383651281411642
+Heart is enlarged. Calcification of the aorta at the arch. Mild pulmonary vascular congestion. No focal infiltrates or signs of acute congestive heart failure. No pleural effusion. Degenerative changes of the spine.,Cardiomegaly. Status post median sternotomy. No focal infiltrates.,1.2.826.0.1.3680043.8.498.29278640852319583726303965066493871776
+Upper normal heart size. Bilateral hilar enlargement compatible with adenopathy. Persistent visualization of a right upper lobe mass/nodule. No gross pneumothorax or pleural effusion. No acute bony abnormalities.,No pneumothorax following bronchoscopy. Bilateral hilar enlargement compatible with adenopathy and persistent right upper lobe mass.,1.2.826.0.1.3680043.8.498.88206756958999753682067209003896797189
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69942397001879634240419991439743964062
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32137359486207746656555557064298046101
+"Heart is normal in size. The aorta is tortuous. Lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.28287061667207353041685647397742209188
+Endotracheal tube is 1.5 cm above the carina. Orogastric tube enters the stomach. UVC tip is in the lower right atrium. There is improvement in the upper lobe aeration. Mild hazy pulmonary opacity persists. No consolidation or collapse. No effusions.,Improvement in upper lobe aeration.,1.2.826.0.1.3680043.8.498.35495209145207865837388334956930368841
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.53406107397098255772216089008720190161
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98554032618993899129095836512377333246
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81081003884857152958558071571328363085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28058676179433585732945694608861246658
+Small bilateral pleural effusions. Bibasilar atelectasis. Normal heart size. No pneumothorax. No acute bony deformity.,Small bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.73237151371907237257210374918163352556
+"The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.38306073400040641990375294119904476544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25226869832669808995849477086989623448
+Trachea is midline. Heart size is at the upper limits of normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.55170978145603562730366620517941701555
+"Single portable AP view of the chest was obtained. The lung volumes are low. The heart is enlarged. The pulmonary vascularity is within normal limits. Consolidation is present in the left lung base, increased from the prior CT and new from the prior chest radiograph. There is a small left pleural effusion. The right lung is clear. No pneumothorax is identified. The osseous structures are age-appropriate.","1. Consolidation in the left lung base, new from the prior CT and increased from the prior chest radiograph. This may represent atelectasis or pneumonia. 2. Small left pleural effusion. 3. Cardiomegaly.",1.2.826.0.1.3680043.8.498.79627397912049506322138563446321931205
+Cardiomegaly. Mild vascular congestion. Left lower lobe atelectasis. No visible effusions. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Left base atelectasis.",1.2.826.0.1.3680043.8.498.64837219521780750308482126991624226267
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82074052543643291706562326592262673291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75617116220038370123786543930330297053
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45830484386828126156957925288652325589
+The heart size and mediastinal contours are within normal limits. Patchy opacity of both lung bases are identified. There is no pulmonary edema or pleural effusion. The visualized skeletal structures are unremarkable.,Bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.96223211886465739868170965023499591820
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38954098230974626456307519112508077543
+Low lung volumes are present. There is bibasilar atelectasis. No overt edema. No pleural effusions. Right jugular central line is in the lower SVC. No pneumothorax.,Low lung volumes and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32700751546307314622915058454401290495
+Endotracheal tube tip is 2.2 cm above the carina. No pneumothorax. There is patchy airspace opacity in the left upper lobe. Lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,"Endotracheal tube as described without pneumothorax. Patchy infiltrate left upper lobe, suspicious for pneumonia. Lungs elsewhere clear. Heart is prominent but likely accentuated by portable technique.",1.2.826.0.1.3680043.8.498.54623816285283757112011615290437130446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68181330791724475629161125658925092075
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.16099468805786205417126355362788201522
+The lungs are adequately inflated. The interstitial markings are increased diffusely. The hemidiaphragms are obscured. The cardiopericardial silhouette is enlarged. The pulmonary vascularity is engorged.,There are findings consistent with pulmonary interstitial and alveolar edema. I see no discrete focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.17531285803485527977125000091521174595
+Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT upper lobe consolidation consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.,LEFT upper lobe consolidation consistent with pneumonia. Recommend follow-up radiographs until resolution.,1.2.826.0.1.3680043.8.498.50993317898630352968813214758578616892
+Cardiomegaly. No infiltrate or edema. No effusion or pneumothorax. No osseous findings.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.64492099953346257286162518419594687907
+No pneumonia is seen. There are however prominent perihilar markings with some peribronchial cuffing most consistent with central airway process such as bronchiolitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.91199070150956034437109756218685762549
+Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis and small pleural effusions. Lungs otherwise clear. No pneumothorax.,Bibasilar atelectasis and small pleural effusions.,1.2.826.0.1.3680043.8.498.25808535149339862479674257712730580635
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis are unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93304874318726409808133436808054357643
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97312615755980001608670413867415861061
+The heart size is normal. The lungs show patchy opacities in the right lower lobe that are concerning for pneumonia. No pleural effusion is identified. The left lung is grossly clear. The catheter of an implanted venous access port is located in the superior vena cava. Extensive soft tissue sclerosis around the proximal right humerus is probably due to callus formation from a healing fracture.,Stable right lower lobe pneumonia. No significant change since the prior exam.,1.2.826.0.1.3680043.8.498.17717330613544187036840001104954961767
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52653122861294019476394682098901724225
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59274829622341225940457929176882232246
+Stable cardiomegaly. Patchy airspace disease throughout the right lung is similar to prior study. Left lung is clear. No visible effusions. No acute bony abnormality.,Stable patchy airspace disease throughout the right lung concerning for pneumonia.,1.2.826.0.1.3680043.8.498.65850660806129767580164746573727835206
+There is consolidation in the right upper lobe compatible with pneumonia. Mild central airway thickening. Heart is normal size. No confluent opacity on the left. No effusions or acute bony abnormality.,Right upper lobe consolidation compatible with pneumonia. Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.58081920162217156778726973729385766754
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60397683570076439400019839163395876773
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85590227656081039056176897458277124889
+There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32410806037173424944826361172747263044
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.99008242598662808231759945251202832359
+There has been some increase in left basilar airspace disease. Coarse interstitial opacities are again seen throughout both lungs. No other change.,Some increase in left basilar airspace disease.,1.2.826.0.1.3680043.8.498.52535892590402867947064891290745813456
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.78836796657396164675192879742449052372
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There are chronic lung changes/COPD. No acute pulmonary findings. Stable bilateral rib deformities.",Chronic lung changes/COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.86350642082398728022122157182708706235
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13854263386725602571309530638778576926
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56518270511657899016180988179820975678
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30598144137189625115774288285461539985
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12137799517394133185676341150950265250
+"Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No non-displaced rib fractures are identified. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27597299485175855165592260712315363863
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No evidence of overt congestive heart failure. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.62704132612130661405071327918906094772
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.52230911323640187151802518448140867649
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.51005711910278371793049772591968702383
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65643539808228677847454371481005131687
+Endotracheal tube terminates 3.5 cm above the carina. Left IJ venous catheter terminates in the mid SVC. Enteric tube courses into the stomach. Defibrillator pads overlie the left hemithorax. The heart is normal in size. Atherosclerotic changes are noted. There is mild pulmonary vascular congestion. Increasing opacity at the lung bases likely reflects atelectasis. Small left pleural effusion. No pneumothorax is seen. Old bilateral rib fractures.,1. Support devices as above. 2. Mild vascular congestion and bibasilar atelectasis. 3. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.83687562140568008074093102226574632021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56091843926528549956684305469073145929
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27454209887023473802411647086902676113
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49906836748715816023614720140891422656
+No fracture or dislocation of the axial or appendicular skeleton. Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Negative exam.,1.2.826.0.1.3680043.8.498.84305956453767862238025811638787432372
+There is mild cardiomegaly. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,Mild cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.18424026918251948568522239879380145120
+Heart is normal in size. Aorta is minimally tortuous. No focal infiltrates or signs of acute congestive heart failure. Degenerative changes of the spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94674455097107408589943590811093189973
+Heart is upper limits of normal in size. Mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.79937169201250874156158427135468953116
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39051098732776471771825380752492546047
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71422729688668682302299198012363051294
+Patchy bilateral lower lobe opacities suspicious for pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral lower lobe opacities suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.97663416398849864946430508748403561122
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.78446306929236723226797336722063190431
+The heart size is normal. The patient is status post right lower lobectomy. A right pleural effusion is again noted. The size of the effusion is slightly decreased. Right basilar airspace disease remains. The left lung is clear. There is no pneumothorax. The visualized soft tissues and bony thorax are unremarkable.,"1. Slight decrease in size of right pleural effusion. 2. Persistent right lower lobe airspace disease. While this likely reflects atelectasis, infection is not excluded. 3. No other significant changes.",1.2.826.0.1.3680043.8.498.36904711225641442111294526878633706013
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30541405379494063373082590237464918431
+The lungs are hyperaerated consistent with COPD. Linear atelectasis is noted at the right lung base. The heart is mildly enlarged. The bones are osteopenic and there are degenerative changes throughout the thoracic spine.,COPD. Right basilar linear atelectasis. No active lung disease.,1.2.826.0.1.3680043.8.498.90757321177697910695366903477736689150
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.14959560022891980899179445001704140896
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68299780981425145056179012015020492531
+Lungs are clear. No pleural effusion or pneumothorax. Stable cardiomegaly. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53462266674360756252355699209118156842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45111603949833200871157908434974889977
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55350666142379293163647401854524161571
+The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Diffuse central airway thickening is noted. There is airspace disease within the right upper lobe compatible with pneumonia.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.67676161671206102023457698249793498310
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66080326149393841427631899962209072142
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88196472041503676080379077457340777968
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12610390176085558180489407126814196586
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90773370142642219510670154570088667859
+The lungs are well-expanded. The interstitial markings have improved. The cardiac silhouette remains enlarged. The pulmonary vascularity is less engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Ongoing cardiomegaly with mild pulmonary vascular congestion consistent with low-grade CHF. There has been some interval improvement in the appearance of the pulmonary interstitium since the earlier study.,1.2.826.0.1.3680043.8.498.20186280375087120259767333083653671631
+There is central airway thickening. No consolidative process. No pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.43659892340340644911270559909826713024
+"The lungs are relatively well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; pulmonary vascularity is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.71288114306553220654528753568236053523
+The lungs are clear. The pulmonary vasculature is normal. Heart size is normal. Hilar and mediastinal contours are unremarkable. There is no pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78919504009760346073261389937725467557
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60254353172682947371223334904116550688
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.89323041284685407814380172294762050821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10160405845927543124449637508180692604
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38824271715421860673135905656336098202
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.22489604745475936501698669996340761078
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23559403818170355211044757802639443160
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. A right-sided PICC line is again noted and appears stable.,No active disease.,1.2.826.0.1.3680043.8.498.12571571215708692185044557409467426866
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. There is a nodular density in the right base measures about 2.2 cm. Although this may represent nipple shadow I cannot exclude a lung nodule. Further evaluation with CT scan of the chest is recommended.,No active disease. Nodular density in the right base. Although may represent nipple shadow I cannot exclude a lung nodule. Further evaluation with CT scan of the chest is recommended.,1.2.826.0.1.3680043.8.498.36672213791195647649068417919769551965
+Extensive bilateral upper lobe predominant airspace disease is present. The heart size is normal. There is no pneumothorax. No pleural effusion. The visualized soft tissues and bony thorax are unremarkable.,Extensive bilateral airspace disease compatible with multifocal pneumonia. Underlying chronic lung disease is not excluded.,1.2.826.0.1.3680043.8.498.89176896626103988858042231715835114978
+Interim removal of left chest tube. No pneumothorax. Right IJ sheath in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild basilar atelectasis. Small left pleural effusion cannot be excluded. No pneumothorax.,1. Interim removal of left chest tube. No pneumothorax. 2. Low lung volumes with mild basilar atelectasis. Small left pleural effusion cannot be excluded. 3. Prior CABG. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.14479437679746843205611075086388281695
+"Study is slightly hypoinspiratory. Given the low lung volumes, lungs are clear. Heart size and mediastinal contours are within normal limits. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.",No active disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.78857632369972362479439265824179445710
+"Cardiac silhouette is mildly enlarged, mediastinal silhouette is nonsuspicious. Calcified aortic knob. Chronic interstitial changes. No pleural effusions or focal consolidations. No pneumothorax. Right lower lobe lung mass unchanged since prior imaging. Osteopenia. Soft tissue planes are nonsuspicious.","Stable cardiomegaly, mild chronic interstitial changes.",1.2.826.0.1.3680043.8.498.31680860941492270418819442759240729217
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15030522399594396519636085136643668716
+Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pleural effusion. No significant hyperinflation. No osseous abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.38848813554325337114844499402815812271
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90070431061830288231276542682994213104
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60930815702255166416601357259802032485
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41492131345170969389333078415242626928
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43796459413844347731685797085847088019
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.15518481756848495236634765597017000629
+The lungs are hypoinflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of CHF nor pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.28756555370683941386565350461198033351
+Left internal jugular central line has its tip in the SVC 4 cm above the right atrium. No pneumothorax. Lungs are clear.,Left internal jugular central line to the SVC 4 cm above the right atrium. No pneumothorax.,1.2.826.0.1.3680043.8.498.97952720617506558217781523425925452642
+"The heart is enlarged. There are bilateral pleural effusions. There are interstitial changes and Kerley B lines, consistent with mild edema. No focal consolidations. No pneumothorax.",Cardiomegaly and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.85925521488517796949297238544498804901
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable. No pneumothorax.,No active disease,1.2.826.0.1.3680043.8.498.77803778160415384089745181084005875162
+AP portable supine view 6556 hours. Multiple EKG leads and wires overlie the chest. No pneumothorax or pleural effusion evident on this supine view. Cardiac size and mediastinal contour are within normal limits. No pulmonary contusion. No acute displaced rib fracture identified.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.71111575005139953409041480068838446642
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87519619798978150266648677363406646333
+The current exam shows thickening of the infrahilar lung markings on the right. The findings are compatible with atelectasis or pneumonia. The lung fields otherwise are clear. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is increased density at the right base compatible with atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.85661609699765616092452110280383087336
+Tracheostomy catheter tip is 2.5 cm above the carina. Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the right base. Lungs elsewhere are clear. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is severe mid thoracic dextroscoliosis with lower thoracic levoscoliosis.,Tube and catheter positions as described without pneumothorax. Right base atelectasis. Lungs elsewhere clear. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.80639550590380422702526324775951196233
+"The heart is mildly enlarged. The thoracic aorta is mildly tortuous and atherosclerotic. The hilar and mediastinal contours are otherwise unremarkable. Linear scarring is present in both lungs. The lungs are otherwise clear. No pulmonary nodules, pleural effusions, or pneumothorax. Surgical clips are present in the right axilla. The bony thorax is demineralized but intact.",Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27976875379719561877983096529755200004
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.64397879797052461134600339867478318840
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42941502977083199265529820606651049160
+"Two views of the chest were obtained. There are multi areas of interstitial and alveolar opacity throughout both lungs, greatest in the lung bases. There is no pneumothorax. The heart size and pulmonary vascularity are normal. Endotracheal tube tip is 6.5 centimeters above the carina. NG tube tip is in the stomach.","There are multi areas of interstitial and alveolar opacity bilaterally, greatest in the lung bases. This may represent multi focal pneumonia or pulmonary edema. There is no pneumothorax. Endotracheal tube and NG tube are in satisfactory position.",1.2.826.0.1.3680043.8.498.54449642350164820172460695347170853676
+"AP and lateral chest radiographs are provided. There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology.,1.2.826.0.1.3680043.8.498.37794646867826826596906265121242780071
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86716505367258905455919839831229660661
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.11153816157880612606111563782628996005
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20528876434604773099151493447051882683
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13788437571919992866399291316229663467
+Normal sized heart. Clear lungs with normal vascularity. Mild thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.87393021124026593524476444767811229259
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.51774213212709632359958187699638824106
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74533943118188464445229370704908347643
+The ET tube tip is 1 cm above the carina. The orogastric tube tip overlies the gastric bubble. The umbilical venous catheter tip is at the IVC/right atrial junction. The umbilical artery catheter tip is at the T7 level. The cardiothymic silhouette and pulmonary vasculature are within normal limits. Both lungs are clear. The previously seen right lateral pneumothorax is not visualized.,The previously seen right pneumothorax is not visualized.,1.2.826.0.1.3680043.8.498.59106189908463275360256007821811451214
+Stable cardiomediastinal silhouette. No pneumothorax is noted. Stable bibasilar subsegmental atelectasis is noted with small left pleural effusion. Multiple displaced rib fractures are again noted bilaterally. Stable proximal right humeral fracture is noted.,Stable bibasilar subsegmental atelectasis with small left pleural effusion. Multiple displaced rib fractures are again noted bilaterally.,1.2.826.0.1.3680043.8.498.84930433552241689503658949723001285341
+Lung volumes are normal. No evidence of edema or focal airspace consolidation. No pleural effusions. The cardiopericardial silhouette is within normal limits for size. The visualized bony structures of the thorax are intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.85171701303347354009000308969318621492
+"The cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits. Both lungs are clear. The osseous structures are unremarkable.",There is no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.87188928983432492449365267491304638865
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98059869528180686586512399498945005378
+There is cardiomegaly. No focal airspace opacities or effusions. No edema. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.80199534416723151099609092270481214652
+Heart is enlarged. Moderate right pleural effusion is similar. There is a small left pleural effusion which appears larger than prior study. No definite focal infiltrates are seen. Degenerative changes of the spine and shoulders.,Increasing left pleural effusion.,1.2.826.0.1.3680043.8.498.14073864186039634141058496126631016211
+Continued small left pleural effusion with associated atelectasis. Stable right lung base atelectasis. Stable right PICC line. No pneumothorax. Stable cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.,Stable small left pleural effusion and bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.66269221923729427901471034937754821246
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.39573937835246630257361805687359000114
+The heart size and mediastinal contours are stable. Stable mild to moderate severity patchy infiltrates are seen throughout both lungs. There is no evidence of a pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Stable bilateral infiltrates.,1.2.826.0.1.3680043.8.498.15979535042210893201894242907472717334
+The lungs are well-aerated. Right basilar airspace opacification is compatible with pneumonia. Underlying right basilar lung mass is again noted. Mild left basilar opacity is also seen. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,1. Right lower lobe pneumonia. 2. Underlying right lower lung mass again noted. 3. Mild left basilar airspace opacity also seen.,1.2.826.0.1.3680043.8.498.61349874653246533640200921798183538312
+The heart size is normal. The lungs are clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.25543796434444087483169684598764569932
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54047951605371645304588869171962972267
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80588458680294812677208877301964055230
+Lungs are clear. No pleural effusion or pneumothorax. Heart is top-normal in size. Stable hiatal hernia.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76020857652856599530406924795905719211
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38633326662443502578855912649155834270
+"The heart is enlarged. The aorta is ectatic and unfolded. There is no evidence of pulmonary edema, focal airspace consolidation, pleural effusion or pneumothorax. The bones are demineralized. No acute findings are seen.",Stable cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85396331267705415585608281728877585575
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. There is gaseous distention of the stomach.,No active disease.,1.2.826.0.1.3680043.8.498.19423614285887891144385713717059827717
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57326991045716126637367472882728464692
+There is chronic elevation of the right hemidiaphragm. Heart size and pulmonary vascularity are normal. No infiltrates or effusions. No osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.93263373727015507839368136516127171477
+Lung volumes are slightly lower than on the comparison examination with mild left basilar atelectasis. The lungs are otherwise clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or pleural effusion.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.38789607405145492445163010081617130565
+The heart is normal in size. The lungs are well expanded. There is right middle lobe infiltrate. The left lung is clear. There is no effusion or pneumothorax. The bones are normal in appearance.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.58265796319209928008891569805799345886
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.35907841003768839196003835739122587098
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63146891664684489377283935508428985289
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31778042411129431343964775517609150234
+Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a small right pleural effusion and a small left pleural effusion. The heart size is enlarged. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.20573622148840070004444542515558113197
+Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Right lung is clear. Mild left pleural effusion is noted with associated atelectasis or infiltrate. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC. Right-sided PICC line is unchanged in position. Bony thorax is unremarkable.,Interval placement of right internal jugular catheter with distal tip in expected position of the SVC. Stable left basilar atelectasis or infiltrate is noted with associated pleural effusion.,1.2.826.0.1.3680043.8.498.50578763804626498503988902207660128606
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48768870023422260945082852503822764692
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.47563852589444073741166992084592694402
+Linear scarring or atelectasis in the lingula and right middle lobe. No consolidation or pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93540225003852461825720083829511182915
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42538444922052207955140554502187110809
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. Bones unremarkable. No pneumothorax.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.31401693178981486333151081035087432890
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12385912991234626243349701593145410018
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.81475222648514800600696052062645673498
+There is cardiomegaly with pulmonary venous hypertension. There is interstitial edema with small pleural effusions bilaterally. No airspace consolidation. No pneumothorax. No appreciable adenopathy. Pulmonary vascularity appears normal.,Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.43679255981796589893204660649184294131
+"The heart is borderline enlarged but stable. There is mild tortuosity and calcification of the thoracic aorta. Mediastinal and hilar contours are stable. Low lung volumes with vascular crowding and streaky basilar atelectasis but no infiltrates, edema or effusions.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46071337359855692504564581386357933138
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59896273438238532705914577631848713869
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No acute cardiopulmonary process; normal chest radiograph.,1.2.826.0.1.3680043.8.498.92754163778674235494565846839987206836
+Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. UVC tip is at the right atrium. UAC tip is at the T7-T8 interspace. Mild granular appearance of the lungs correlating with history of RDS. Normal bowel gas. No air leak or effusion.,1. Stable hardware positioning. 2. Mild RDS. 3. Normal bowel gas.,1.2.826.0.1.3680043.8.498.39136358335379887006058598067710091105
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.30001188076917442812409206817356955579
+"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.40177522684588419322511535716824022720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38652727999057664765246035207756950934
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79652936980887032059209876537011965826
+"Endotracheal tube tip projects 4.6 cm above the carina. Nasogastric tube past GE junction, distal tip out of field of view. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology. Pacer pads overlie the heart. Persistent airspace opacities in the left mid and lower lung with increasing airspace opacity in the left upper lobe. No pleural effusion. No pneumothorax. Cardiomediastinal silhouette is normal. Soft tissue planes and included osseous structures are nonsuspicious.",Endotracheal tube tip projects 4.6 cm above the carina. Nasogastric tube past GE junction region. Increasing left upper lobe and persistent left mid lung airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.35498120092715325508341708148551347635
+There is focal airspace consolidation in the posterior right base. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior right base.,1.2.826.0.1.3680043.8.498.80269768756256841271434141398540131446
+The heart is normal. Persistent right upper lobe infiltrate is noted. No pleural effusion or pneumothorax. No aggressive osseous lesions.,Persistent right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.58804149769541439891149679124573029197
+There is increased density in the right upper lobe consistent with pneumonia. The lungs are hyperinflated consistent with COPD. There is no significant effusion. The cardiac silhouette is normal in size. The bony structures are osteopenic.,1. Right upper lobe pneumonia. Followup films following therapy are recommended to assure complete clearing. 2. COPD.,1.2.826.0.1.3680043.8.498.43700373410012147661232813454928136103
+Low lung volumes are noted. Diffuse central peribronchial thickening is seen. No evidence of pulmonary airspace disease or pleural effusion. Heart size is normal.,Central peribronchial thickening. No evidence of pulmonary hyperinflation or pneumonia.,1.2.826.0.1.3680043.8.498.65342000153284869132410745756353365945
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24720329379207971654110922656195104628
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.85647288486189647828777733694096693432
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92763256281965649919564629642842694697
+"No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",No acute cardiopulmonary or traumatic findings in the chest.,1.2.826.0.1.3680043.8.498.52300133186772209191933473394056929381
+There is infiltrate in the left lower lobe compatible with pneumonia. No pleural effusion. The right lung is clear. Heart size is normal and there is no heart failure.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.89380188812027435450731234054674230627
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79982965989706950753080261466005516969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. Mild scoliosis of the thoracolumbar spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73501787981701645956795098402841326285
+The heart is upper normal in size. The lungs are clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27606594705820058934442483664987979335
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80012658256857753713050700127755673952
+"There is no focal consolidation, pleural effusion, or pneumothorax. There is no evidence of pulmonary edema. There is mild cardiomegaly. Atherosclerotic calcification of the aortic arch. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15112022941401344388464420197568970554
+"Tip of endotracheal tube projects 4.2 cm above carina. Nasogastric tube extends into stomach. RIGHT arm PICC line tip projects over SVC. Enlargement of cardiac silhouette with pulmonary vascular congestion. BILATERAL pulmonary infiltrates likely pulmonary edema, little changed. No gross pleural effusion or pneumothorax.",No interval change.,1.2.826.0.1.3680043.8.498.27064493405469754655981010091659972978
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67816058339892769122664848125614354215
+Cardiac shadow is mildly enlarged. Aortic calcifications are again seen. Vascular congestion is noted with increased interstitial changes consistent with pulmonary edema. Small bilateral pleural effusions are noted. No bony abnormality is seen.,Changes consistent with CHF and pulmonary edema.,1.2.826.0.1.3680043.8.498.39974904990209687318386063937045988809
+"Cardiac and mediastinal silhouettes are stable, and remain within normal limits. There is a hazy infiltrate at the left lung base, suspicious for possible possible infiltrate/ pneumonia. No pulmonary edema. No pneumothorax. No acute osseous finding.","Hazy left basilar opacity, suspicious for possible infiltrate/ pneumonia.",1.2.826.0.1.3680043.8.498.79989176564527434629397785500687407611
+"Single frontal view of the chest shows adequate inspiration. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.55202101386108509949081488175901564049
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.62323719304427451307761664329437945745
+Right central venous catheter is unchanged. Lung volumes are lower with persistent bilateral pleural effusions and basilar atelectasis. Mild vascular congestion is unchanged. No evidence of pneumothorax.,1. Persistent pleural effusions and bibasilar atelectasis. 2. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.27418278392497348799941189324205603009
+"Single portable AP chest radiograph is provided. There is bilateral interstitial thickening with prominence of the central pulmonary vasculature. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Overall findings are most concerning for pulmonary edema.,1.2.826.0.1.3680043.8.498.47188235015513640977467771435362896443
+An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.96479663472491172076768083162672985337
+Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax. Improving aeration at the left base with persisting opacity at the left base with blunting of the left costophrenic angle. No displaced fracture. Osteopenia.,"Improving aeration at the left base, with persisting opacity may reflect atelectasis/consolidation and left-sided pleural effusion.",1.2.826.0.1.3680043.8.498.85595533970464258707758087866885659456
+"Normal heart size and mediastinal contours. Atherosclerotic calcification aorta. Emphysematous and bronchitic changes compatible with COPD. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones demineralized.",COPD changes. No acute abnormalities.,1.2.826.0.1.3680043.8.498.41624545429771880253693464704951909285
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild enlargement of the cardiac silhouette without evidence of pulmonary vascular congestion or of pulmonary edema. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.88598758797596076758325849520615742512
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25818013878077740485615215928885370665
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72190501038036020990471972514594496444
+Endotracheal tube is present with the tip 5.5 cm from the carina. The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67678169123988244615622789864394034030
+"There has been no significant interval change. Fractures of the right lateral fifth, sixth, and seventh ribs are again noted. Tiny right pleural effusion. No pneumothorax. Heart size normal. Tortuous aorta.",Stable appearance since previous day's portable exam,1.2.826.0.1.3680043.8.498.44510867387015931045159921999880193407
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48877727217177172911749667031940568609
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.69413231674131644851426815868490330390
+The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. There is no pleural effusion. The trachea is midline. The gas pattern in the upper abdomen appears normal.,There are findings consistent with acute bronchiolitis and likely early subsegmental atelectasis or early infiltrate in the perihilar regions especially on the LEFT. Followup films following therapy are recommended to assure clearing.,1.2.826.0.1.3680043.8.498.39467776594098415626228763372271605316
+"The heart is enlarged. There is a small left effusion. There is a possible nodule in the right mid lung. When the patient is able, PA and lateral chest x-ray is recommended.",1. Cardiomegaly. 2. Small left effusion. 3. Possible right mid lung nodule. Recommend PA and lateral chest x-ray when possible.,1.2.826.0.1.3680043.8.498.95439119383302019797208683848859314816
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10077682982370009298819857911719862941
+Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.47799012894697813396717640406028064164
+There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.70278249097520000765255044065953978514
+The lung volumes are low. The heart is enlarged. There are small bilateral pleural effusions. Mild basilar opacities likely represent atelectasis.,1. Cardiomegaly. 2. Small bilateral pleural effusions. 3. Mild basilar opacities likely represent atelectasis given the low lung volumes. Early infection is not excluded. Followup PA and lateral chest radiograph is recommended.,1.2.826.0.1.3680043.8.498.60503055255266960380572063660996071455
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No acute bony abnormality. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49828689230385605719676083815878406090
+Patchy peripheral airspace opacity in the left upper lobe compatible with pneumonia. Right lung clear. Heart is normal size. No effusions or acute bony abnormality.,Patchy left upper lobe airspace opacity compatible with pneumonia.,1.2.826.0.1.3680043.8.498.96328007906578050749751713815069133990
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58455889180973009290683744410005018016
+The lungs are adequately inflated. The pulmonary interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. I see no definite pleural effusion.,The findings are consistent with congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.82181091020499850461531426549359354865
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64705823740960130055462683056506125931
+There is airspace consolidation in the left lower lobe. There is no evidence of pleural effusion. The cardiac and mediastinal silhouettes are unremarkable.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.10443416179020768152359416762679311908
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74983189208305669842183450752116173311
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92417104655162451716470956465281029555
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63896698424184081228736342147489676156
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.87851617690662680055202844205382591570
+An orogastric tube is stable in position. A right femoral venous catheter is seen with the tip in the expected region of the intrahepatic IVC. Heart size is normal. Mild diffuse granular pulmonary opacity appears stable since prior exam. No evidence of pneumothorax or pleural effusion.,1. Right femoral venous catheter tip in intrahepatic IVC. 2. Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.80103092746720051170848158081827937322
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36990785721205203933952092220232676384
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.45472405355278247744438467630492991118
+Mediastinum and hilar structures normal. Right base infiltrate noted consistent with pneumonia. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.76578663112783258074214899426128287475
+"LEFT thoracostomy tube removed. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Metallic foreign body inferior to the LEFT glenoid is unchanged.",No pneumothorax following LEFT thoracostomy tube removal.,1.2.826.0.1.3680043.8.498.90377950584731188431110879227162908231
+Left-sided chest tube is in place. Left pleural effusion is smaller. There is a small left apical pneumothorax. The right lung is clear. The heart is normal in size. The mediastinal contour is normal.,Left chest tube in place. Small left apical pneumothorax. Left pleural effusion is smaller.,1.2.826.0.1.3680043.8.498.35998037590390478655638167606366740615
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39825826769895608598508389305165542717
+Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39597630797137384138316591394987922985
+The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.90105326328083917594462608502555773571
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27689912894000290513150137483047433466
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90343838727970404212488633696008035369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71001828675366808635488571961197367193
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.67617530746241170174523653766085343238
+Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.24953000092184280069148533668562149821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56213383934171578102214194743548288681
+"Endotracheal tube is 2.6 cm from the carina. Normal cardiac silhouette given projection and technique. Linear opacity in the right mid lung zone may represent atelectasis or scarring. No consolidation, effusion, or pneumothorax identified. Bones are unremarkable.",Endotracheal tube 2.6 cm from carina. No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.58701020043422669540325620252838290509
+"Trachea is midline. Heart size stable. Right IJ central line tip projects over the SVC. Lungs are somewhat low in volume with diffuse mixed interstitial and airspace opacification, similar to minimally worsened from 03/15/2014. No definite pleural fluid. No pneumothorax.","Diffuse mixed interstitial and airspace disease, similar to minimally worsened from 03/15/2014. Findings may be due to pulmonary edema or pneumonia.",1.2.826.0.1.3680043.8.498.79167687514216499957844071248215540875
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23717659604208433774522618458693089823
+The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or edema.,Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71327553921707515219705825680038656057
+"The heart is enlarged. The thoracic aorta is tortuous. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen. Thoracolumbar scoliosis.",Cardiomegaly. No acute pulmonary process.,1.2.826.0.1.3680043.8.498.66586079893346011397282286539596562703
+"No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. Degenerative changes of the spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35123163668471552411287278538740278747
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12572693714732744105838557066190559978
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34646737879407589445000293802397871722
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20900270457876271771110891370631470549
+Improved but persistent opacity in the left lung base. No new consolidation. Normal heart size and mediastinal contours. No pleural fluid or pneumothorax. No pulmonary edema. No acute osseous abnormalities are seen.,Improved left basilar pneumonia. Continued radiographic follow-up is recommended to document resolution.,1.2.826.0.1.3680043.8.498.46827654587495337667262963479740416190
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48426109252105432224399094885743820933
+A right-sided PICC has been placed. The tip is in the superior vena cava. The endotracheal tube and nasogastric tube are in stable position. The lungs are clear. No pneumothorax is seen.,Right-sided PICC in place with the tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.71868442027279192927014950047223124847
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76402764872951980622786846400404289490
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67761865743258245233825309785902187687
+There is increased density at the left base compatible with atelectasis or pneumonia. There is also noted increased density in the right upper lobe consistent with pneumonia or atelectasis. In the lateral view there is blunting of the posterior gutters compatible with small bibasilar pleural effusions. The heart is mildly enlarged but stable as compared to the prior exam. No pulmonary edema is seen.,1. There is increased density at the lung bases and in the right upper lobe consistent with pneumonia or atelectasis. 2. There are small bibasilar pleural effusions. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.71604524544474415582314176972616494189
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93368784752137798775331062252089975885
+"Tracheostomy tube is in place, tip overlying the level of the tracheal air column. The heart is enlarged. There are patchy parenchymal opacities throughout the lungs bilaterally, similar to prior study. No pneumothorax.",Interval placement of tracheostomy tube. Similar appearance of the lungs.,1.2.826.0.1.3680043.8.498.92911553482009515177887680297357319437
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58814796014277374079769669320848666199
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97345699408594328698707771862958368820
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72433004545809441337090914426375616121
+Overlying leads noted. Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: No significant osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.40852070927893157941427622708328592073
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.85567876599853853742022691676413025038
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24662356640238350696710733937411799922
+"Umbilical vein catheter is seen with tip overlying the intrahepatic IVC, approximately 1.5 cm below the inferior cavoatrial junction. The bowel gas pattern is normal. No evidence of pneumatosis or pneumoperitoneum. Orogastric tube is seen with tip in the mid stomach.",Umbilical vein catheter and orogastric tube in appropriate position. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.48140031246878829247368415026900536977
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.23333255083476261764377144174144816855
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33836879741983481866748592630711984231
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69477149309657573940828694162749585516
+A right arm PICC line is seen with the tip in the distal SVC. Low lung volumes are noted. Atelectasis is seen in the left lung base. The lungs are otherwise clear. The heart size is normal.,1. Right arm PICC line tip in distal SVC. 2. Low lung volumes and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.95016738743564976231637867923189435895
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96027608823050589048309385353393179983
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Multiple old right rib fracture deformities are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83334903579454566278729804272494178774
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50201396346814447729693234639318767804
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98974243945386288974653249822048375523
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.61066724874491761363133790344789653309
+Heart is normal size. Tortuosity of the thoracic aorta. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86155044175557766152611790954747342220
+Both lungs are clear. Cardiothymic silhouette is within normal limits. No evidence of pneumothorax or pleural effusion. Visualized upper abdomen is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87752463920339816643262942505262473709
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.37601963466935284350329032312621912979
+Patchy bilateral airspace opacities. No pleural effusion or pneumothorax. Normal cardiomediastinal contours.,Patchy bilateral airspace opacities concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.64665528819716682540777232009800616861
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23527569536204976763177652157413197054
+The lungs are clear. Cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93388772113857114337070169794070624911
+The heart size is normal. There is COPD. Chronic interstitial coarsening is noted. The lungs are otherwise clear. Atherosclerotic calcifications are present at the aortic arch.,1. No acute cardiopulmonary disease. 2. COPD.,1.2.826.0.1.3680043.8.498.94821464506647486984482185019385632617
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49868239614011653213070316534279239694
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44065152779311353738534266889331132820
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74442018912001980036463997971081795516
+The heart is mildly enlarged. There are bilateral pleural effusions. There is mild interstitial edema. There is COPD. There is bilateral lower lobe atelectasis. There is a wedge compression fracture of T12 which is unchanged from the CT scan of 6/15/2.,Congestive heart failure with mild edema and bilateral effusions. Bilateral lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.39178195904041339814622972002972973908
+Post sternotomy changes. Hyperinflation and emphysematous change. Stable cardiomediastinal silhouette with aortic atherosclerosis. No pneumothorax.,Stable emphysematous change and hyperinflation. No acute interval changes.,1.2.826.0.1.3680043.8.498.84979983328735665483146557144598186249
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97102130973484186981071751922726475292
+Post sternotomy changes. Increased moderate right pleural effusion. Probable small left pleural effusion. Associated atelectasis or consolidation. Mild cardiomegaly. Aortic atherosclerosis. No pneumothorax.,1. Increased moderate right pleural effusion with probable small left pleural effusion. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.22832931507989696702339967019862979327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10309734773863629234107623985810442109
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14644636633322173009069107504744713135
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33429303846419493277867503881890610276
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.57716204279976593352956565235654846046
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.81938684589912818721585977890263469948
+The heart size and mediastinal contours are within normal limits. No residual right lower lobe airspace opacity. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Resolution of right lower lobe airspace opacity consistent with resolving infarct.,1.2.826.0.1.3680043.8.498.37241006010497096896950228034545447987
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral pneumonia. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.98452861153347695937886293927824933067
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32119695925297998842074895981324475552
+"Mild enlargement of the cardiopericardial silhouette, stable. No mediastinal or hilar masses. No evidence of adenopathy. Mild interstitial thickening most evident in the lung bases, stable. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are intact.",1. No acute cardiopulmonary disease. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31805510028784630431800473012609487517
+Stable right perihilar opacity consistent with known right hilar mass. Linear atelectasis in the right mid lung zone. Suggestion of increasing streaky opacity at the left lung base. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. No pulmonary edema. No pneumothorax. No large pleural effusion. No acute osseous abnormalities.,"1. Streaky left lung base opacity, may be atelectasis or pneumonia. 2. Stable right hilar mass.",1.2.826.0.1.3680043.8.498.59509167626864194972562734236315249414
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Normal bowel gas pattern. No dilated bowel loops to suggest obstruction. No evidence of free intraperitoneal air. Osseous structures are intact and unremarkable for age.",Negative chest x-ray and unremarkable abdominal radiograph.,1.2.826.0.1.3680043.8.498.43292908170446583607086660291335526705
+Mediastinum and hilar structures normal. Heart size normal. Right base atelectasis and/or infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,Mild right base atelectasis and/or scarring.,1.2.826.0.1.3680043.8.498.78743976903729506488001670962924380835
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21968553616114597707163624141919300446
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.93495851912972625223572444655803348211
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32827923762182337313632032600767098239
+The cardiothymic silhouette is within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16453863302626317376787096433532749818
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.61362320078506075185779802209325041436
+There is again noted increased density at the lung bases bilaterally. The findings are compatible with atelectasis or pneumonia. No definite pulmonary edema is seen. An endotracheal tube remains present with the tip approximately 3.0 cm above the carina. A venous catheter is again observed with the tip projected over the superior vena cava. No new infiltrates are seen. Monitoring electrodes are present.,1. There is increased density at the lung bases consistent with atelectasis or pneumonia. 2. No pulmonary edema or new infiltrates are seen. 3. Support lines are observed as noted above.,1.2.826.0.1.3680043.8.498.93739477204398600817357580918561649140
+There is elevation of the left hemidiaphragm. An area of increased density projects within the left lung base. No further focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,1. Atelectasis versus infiltrate left lung base. 2. Continued elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.59455904899007937773048797309476633097
+Patient status post CABG. There is cardiomegaly. No focal airspace opacities or effusions.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.66550721381165754608562140947966011582
+"Tracheostomy tube and right-sided PICC line are unchanged. Diffuse interstitial and airspace disease is seen bilaterally, suspicious for pulmonary edema. Small bilateral pleural effusions are noted. Cardiomegaly is stable.",Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.39456493404357273354916313407713139278
+Small right pleural effusion. No pneumothorax. Right lower lobe atelectasis. Left lung is clear. Heart is normal size.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.57867037359455634737390663240318300571
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.54183742419387704417624618700772866716
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72160764687888335988348654823987462960
+Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76006203687436067581489347904005164694
+There is no evidence of fracture or dislocation. There is posterior and plantar calcaneal spurring.,There is no evidence of fracture or dislocation.,1.2.826.0.1.3680043.8.498.78527136865272977923749934462862416756
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact. Again noted is biapical pleural-parenchymal scarring.,No evidence of acute pulmonary disease. Stable biapical pleural-parenchymal scarring. No significant change compared to prior study done on 8/26/1991.,1.2.826.0.1.3680043.8.498.14145437216599707731842502138801490194
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.68625307398499295677747279413476777310
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.14383783409487412343221632615699242730
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61612466981473359509855595415544863191
+The lungs are well-expanded. There is increased density in the left mid and lower lung and in the right infrahilar region. The cardiac silhouette is top normal in size. The pulmonary vascularity is mildly prominent. There is a small left pleural effusion and a trace of blunting of the right lateral costophrenic angle. There surgical clips in the left axillary region.,1. There are findings consistent with pneumonia of the left lower lobe and likely the lingula. 2. There is a small left pleural effusion and trace of blunting of the right lateral costophrenic angle. I cannot exclude low-grade CHF in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.65719228057860178626029212242081138888
+Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Diffuse interstitial infiltrates throughout both lungs new since previous exam consistent with pulmonary edema. Small bibasilar effusions. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and new bilateral pulmonary infiltrates likely representing pulmonary edema though infection not excluded. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.87472442510643264348209668566483724838
+The heart is enlarged. There is pulmonary vascular congestion with developing pulmonary edema. A small right pleural effusion is suspected. Patchy airspace opacities in the right greater than left lung base may reflect asymmetric edema or pneumonia. There is no pneumothorax. The bones are unremarkable.,Cardiomegaly with developing pulmonary edema and a right pleural effusion. Asymmetric right greater than left basilar airspace opacities may reflect asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.93407947369569593956017365753684535795
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.80328831056454351846447287981787330320
+A dual lead permanent pacemaker is now present. No pneumothorax is seen. The lungs are clear. Cardiomegaly is stable. A right-sided Port-A-Cath remains with the tip overlying the mid SVC. There are degenerative changes throughout the thoracic spine.,Dual lead permanent pacemaker present. No active lung disease. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.48464021064923618510010241083916580933
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.84557512456479546007869073554222384500
+The heart is mildly enlarged. The lungs are clear. No infiltrate or edema is identified. There is no pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44716982161097927559225342474888845542
+Left-sided pacing device with leads over the right atrium and right ventricle. Cardiomegaly. Diffuse bilateral interstitial and alveolar opacities. Probable small bilateral pleural effusions. No pneumothorax.,1. Cardiomegaly with moderate pulmonary edema and small bilateral pleural effusions. 2. Probable underlying interstitial lung disease.,1.2.826.0.1.3680043.8.498.86010826352897126733546278366233921955
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55657775988814763470349006824619872983
+The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.74577128734636245166755709548716459388
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52759009887598020220577475752626721538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12801832226450356908556061148479298288
+Normal heart size. No pleural effusion or edema. Diffuse bilateral pulmonary opacities are identified which are similar to previous exam. Visualized osseous structures are unremarkable.,Similar appearance of bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.14223201306520918797429752816261193540
+"Endotracheal tube, NG tube, right IJ line stable position. Heart size stable. Bibasilar atelectasis and/or infiltrates. Small right pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.97404328732238961768337994084021380983
+"There is cardiomegaly. No confluent airspace opacities, effusions or edema. Degenerative changes in the thoracic spine.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.63608608650064257785565061586922308515
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26638349887029867051564241316296460601
+There is peribronchial thickening bilaterally consistent with bronchitis. There is perihilar peribronchial thickening. No consolidations or pleural effusions are identified. Heart size and mediastinal contours are normal.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.41019143844166631374862581967120592882
+Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Mild degenerative changes of the visualized thoracolumbar spine. Cervical spine fixation hardware.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39664290255372101796753273893957386266
+The cardiac silhouette is enlarged. The lungs are free of focal consolidations. There is central pulmonary vascular congestion and interstitial edema pattern. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Cardiomegaly with central pulmonary vascular congestion and interstitial edema. Findings are consistent with CHF.,1.2.826.0.1.3680043.8.498.65281745706911261536815568142596494983
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.82735415757724311953941046910757154834
+Heart size is normal. No pleural effusion or edema. Plate-like atelectasis is noted in the left base. There is no airspace consolidation.,Left base atelectasis.,1.2.826.0.1.3680043.8.498.71628431727013626058268708982730530505
+"Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Emphysematous changes with chronic interstitial prominence at the mid to lower lungs bilaterally. No acute infiltrate, pleural effusion or pneumothorax. Bones demineralized.",COPD changes with chronic interstitial lung disease changes at the mid to lower lungs bilaterally. No acute abnormalities.,1.2.826.0.1.3680043.8.498.55463888187854968864463185517594513217
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Dedicated views of the right ribs demonstrate no acute displaced right-sided rib fractures.,1. No radiographic evidence of acute cardiopulmonary disease. 2. No acute displaced right-sided rib fractures.,1.2.826.0.1.3680043.8.498.33456807553853769428370100688910858822
+Mediastinum and hilar structures are normal. Interim near complete clearing of right lower lobe infiltrate. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,Interim near complete clearing of right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.43440142378470392439730815245745108253
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40027559682878833502673472988095176005
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34043160341503434286885047139710725659
+Endotracheal tube is 5.5 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 4 cm above the right atrium. Patchy airspace disease in the right lung is again noted. No pneumothorax.,Tube and central line placement as described. No pneumothorax. Patchy right lung airspace disease.,1.2.826.0.1.3680043.8.498.78915480277560575406281202897710124835
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.77507476872096059231061374744943968387
+"Umbilical artery catheter tip is at the T7 level. The umbilical vein catheter tip is at the T8 level, just below the right atrium. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax.",Umbilical artery and vein catheter tips as described.,1.2.826.0.1.3680043.8.498.16709231603626723239860061342193883205
+"The lungs are hyperinflated consistent with COPD. There is no edema, infiltrate, effusion or pneumothorax. The cardiac silhouette is borderline enlarged. The bony and mediastinal structures appear unremarkable.",COPD. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.84451952746319591285578050197334099533
+Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,1. ET tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14503400976413775294964432280717676778
+"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs are mildly hyperinflated with elevation of the left hemidiaphragm. Streaky bibasilar opacities most consistent with atelectasis. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. No active cardiopulmonary disease. 2. Chronic changes with persistent streaky bibasilar atelectasis and/or scarring.,1.2.826.0.1.3680043.8.498.36546484871886870441665053218339874831
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24249122931088802016508488058963803255
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97352123264780771356323260657592265508
+Normal lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.20500704538209568691633806276963324692
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55283555170767649271608483023189739633
+Endotracheal tube and NG tube are unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.47838212660312792386244256417285453670
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.29568234812315420531513647771767703224
+The cardiothymic silhouette is stable. An orogastric tube has been removed. The tip is in the distal esophagus. The side port is in the mid esophagus. Lung volumes are normal. Mild hazy pulmonary opacities are seen bilaterally. No focal areas of atelectasis are noted. There is no pneumothorax or pleural effusion. The visualized bowel gas pattern is normal.,Mild hazy pulmonary opacities bilaterally. Orogastric tube tip in the distal esophagus.,1.2.826.0.1.3680043.8.498.80252481469294758948772167214370940476
+"Small right pleural effusion with associated atelectasis. Mild patchy right lower lobe opacity, likely atelectasis. No frank interstitial edema. No pneumothorax. The heart is top-normal in size.",Small right pleural effusion with associated atelectasis.,1.2.826.0.1.3680043.8.498.57524570334915654786765771237512660609
+There is no evidence of pneumothorax. The lungs appear to be fully inflated and clear. The cardiac silhouette is normal. Bony structures are unremarkable.,No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.32093182800878917584783000240507116311
+Interval placement of RIGHT internal jugular central venous catheter with distal tip projecting in mid superior vena cava. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology. Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. Bibasilar bandlike densities. No pleural effusion. Trace biapical pleural thickening. No pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,RIGHT internal jugular central venous catheter distal tip projects in mid superior vena cava. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.94701731532826491264950452619755165970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50313124509126260684152496104340195885
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61862770629094756795030718291804832476
+Upper normal heart size. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.36088460347469758319080422519854005570
+Cardiac silhouette is enlarged. The pulmonary vasculature is within normal limits. There is a small amount of pleural fluid at the right lung base. Atelectasis is also noted at the lung bases. The lungs are otherwise clear. There has been no other interval change when compared to the prior study.,Cardiomegaly. Small amount of pleural fluid at the right lung base. Osteopenia. Atelectasis at the lung bases.,1.2.826.0.1.3680043.8.498.57163569043593902281541481276802669173
+Since prior study decreased lung volumes with progressive bibasilar atelectatic infiltrative change seen. Lesser patchy opacities are seen at the right mid and upper lung with the lungs otherwise clear. Heart size is normal with stable slight dextroscoliosis inferior dorsal spine.,1. Progressive bibasilar atelectatic infiltrative change. 2. Patchy opacities right mid and upper lung with submaximal inspiration. Differential diagnosis includes progressive pneumonitis and pulmonary vascular congestion. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.67041561403533256886533901042834247522
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24383481079050691038544220508299740400
+Low lung volumes. No focal consolidation or pleural effusion. Heart size upper normal. No pneumothorax.,No active cardiopulmonary disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.50686368470152174768641721165872159662
+The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation is identified. There are mild chronic interstitial changes.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.83375122199883375435011871100695963864
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40554274528772907972757639629631490614
+"There are patchy bilateral airspace opacities, slightly worse on the left. No pleural effusion is identified. Heart size is normal. No pneumothorax.",Patchy bilateral airspace disease consistent with pneumonia. This has worsened on the left since the prior exams 3 days ago.,1.2.826.0.1.3680043.8.498.90354590967215778816761904602164245572
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.55824856063607540821278168530366546426
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53339655304808214482378750416440501107
+Left subclavian transvenous pacemaker with leads extending into the right atrium and towards the right ventricular apex. Multiple surgical clips in the mediastinum. Cardiomegaly. Atheromatous aortic arch. No effusion. Lungs are clear.,1. No acute disease,1.2.826.0.1.3680043.8.498.83503130777196776486575330236837114315
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.40877457036266908660047260782717778216
+The cardiac silhouette and pulmonary vasculature are within normal limits. The lungs are clear. There has been no interval change from the prior study.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.63619286974283988935019451952132789478
+The heart size and mediastinal contours are stable. There is a small hiatal hernia. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.89277176232672654992402157283656006910
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79280116600452511390348562259919602265
+The heart size and mediastinal contours are within normal limits. Streaky opacities at the bilateral lung bases. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Streaky opacities at the bilateral lung bases, likely atelectasis.",1.2.826.0.1.3680043.8.498.37934336345479002234311626702504859529
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33647099006821405097501296469740020734
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.15584748252328129842549915714586990552
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No active disease.,1.2.826.0.1.3680043.8.498.57804926899160696474900376280739283039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92093598797171750455049100769193193737
+"The heart is enlarged. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.92450002144916346516879211238621474295
+There are low lung volumes with bibasilar atelectasis. Mild cardiomegaly. No pneumothorax. Right lateral rib fractures again noted.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.18165206604017827294085961416802941710
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64107408605562611868219573110546739101
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69104619842411453255158987459930967436
+There is a linear streak-like density within the left mid lung field. Atelectasis versus residual infiltrate. No effusion. Right lung is clear. Stable cardiac silhouette and pulmonary vasculature.,Atelectasis versus residual infiltrate left mid lung. I recommend a follow-up with a PA and lateral view of the chest in 2 to 4 weeks to document resolution.,1.2.826.0.1.3680043.8.498.61745936847394842171865918591863908791
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.89137795683353036762859488903257673258
+Mediastinum and hilar structures are stable. Heart size stable. Dense consolidation and atelectasis in the right upper lobe. Prominent right pleural effusion. No pneumothorax. No acute bony abnormality.,1. Dense consolidation and atelectasis in the right upper lobe. Findings are consistent with right upper lobe pneumonia. 2. Prominent right pleural effusion.,1.2.826.0.1.3680043.8.498.91427338640409326924359794585087626595
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57910000552364855063131994147749517774
+There is opacity in the right upper lobe consistent with the known lung lesion and surrounding atelectasis. The lungs are hyperaerated consistent with emphysema. The heart is within normal limits in size. No bony abnormality is seen.,1. Opacity in the right upper lobe consistent with the known lung lesion. 2. Emphysema.,1.2.826.0.1.3680043.8.498.55890142061396659083180920366031564160
+Linear density in the right mid lung compatible with atelectasis. Left lung clear. Heart is normal size. No effusions or acute bony abnormality.,Right mid lung atelectasis. No confluent airspace opacity.,1.2.826.0.1.3680043.8.498.65727957463465163272439169281531514043
+An endotracheal tube has been placed with its tip 6.5 cm above the carina. An NG tube has been placed with its tip in the stomach. The heart and lungs are unchanged.,1. Endotracheal tube and NG tube placement as described. 2. No change in the lungs.,1.2.826.0.1.3680043.8.498.63804834207079069105688744357841429552
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21320967590184807632274261404700550363
+The right hemidiaphragm is elevated. There is right lower lobe atelectasis which is a new finding. The left lung is clear. No pneumothorax or effusion.,Elevated right hemidiaphragm and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.92586795451251713720524341041762462206
+"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.43070340297707108395029086755240528533
+The cardiomediastinal silhouette is within normal limits. A 5.6 cm right upper lobe lung mass is stable to slightly larger than on the prior PET-CT. The left lung remains clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen.,Stable to slight enlargement of known right upper lobe lung mass.,1.2.826.0.1.3680043.8.498.72261289461173571384309232749050990263
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/4/2008.,1.2.826.0.1.3680043.8.498.53632279738936490971405609260632807059
+The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,Mild cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.29280814597880075844316218177547501223
+There is a feeding tube with tip below the field of view. The heart size is normal. The lung volumes are low. Airspace opacities within the right mid lung and base are again noted. There is a small right pleural effusion. The left lung is clear. There is no pneumothorax.,1. No significant interval change in appearance of right lung airspace opacities. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.82136943440050422009330614354868410678
+The endotracheal tube tip lies at the level of the inferior margin of the clavicular heads. The esophagogastric tube tip projects off the film. There is a RIGHT subclavian venous catheter present with the tip in the region of the mid portion of the SVC. I do not see evidence of a post procedure complication. The cardiac silhouette remains enlarged. The hemidiaphragms remain obscured.,There is no evidence of a post procedure complication following placement of the RIGHT subclavian venous catheter.,1.2.826.0.1.3680043.8.498.18993685408806025175489344142278131312
+"The heart is normal in size. The lungs are clear. No pneumothorax. Small left pleural effusion, decreased.",Small left pleural effusion.,1.2.826.0.1.3680043.8.498.99440547659037210274048759437732164915
+UVC tip is at the IVC right atrial junction. UAC tip is at the T6-7 level. OG tube has been removed. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern.,No acute findings.,1.2.826.0.1.3680043.8.498.37801018206764272617897080741760199838
+"There is central peribronchial thickening. There is patchy airspace opacity in the right upper lobe, suspicious for pneumonia. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Central peribronchial thickening, suggesting viral bronchiolitis or reactive airways disease. Right upper lobe pneumonia.",1.2.826.0.1.3680043.8.498.13777725161621770549518643746249350381
+There has been interval worsening of the right greater than left lower lobe air space disease/consolidation. Small bilateral pleural effusions are again noted. Cardiomegaly is present.,"Interval worsening of bibasilar air space disease, likely representing pneumonia with associated bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.45245347036067553537201889812889370065
+"Patchy opacity in the right mid lung, suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",Suspected right mid lung pneumonia.,1.2.826.0.1.3680043.8.498.78474341493155305762117255429123306378
+"The right PICC line terminates in the central SVC, in satisfactory position. The heart size is enlarged. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate.",1. Right PICC line as above. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.25967437322127888699181103542666101451
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84050023678798388785996651524834379174
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84180740402274522180629247936070157416
+Bilateral airspace disease with pleural effusions about the same. No definite interval improvement. Left-sided PICC line is in place with its tip in the superior vena cava.,No significant change in the appearance of the chest.,1.2.826.0.1.3680043.8.498.56612452994039624269409651844514532137
+Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29028651351950055967965168259553158384
+"Patient is rotated. Prior median sternotomy. The chin overlies the right lung apex. The heart is enlarged. There are bilateral interstitial and airspace opacities, similar to prior. Small right pleural effusion. No pneumothorax.",1. Similar appearance of bilateral interstitial and airspace disease. Findings may represent pulmonary edema or infection. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.84608102250013705782688169190890005775
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62424102094826850428842312440930860625
+There is a small right pleural effusion with atelectatic change in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions. Patient is status post coronary artery bypass grafting. Central catheter tip is in the superior vena cava.,Small right pleural effusion with right base atelectasis. No edema or consolidation. Heart size normal.,1.2.826.0.1.3680043.8.498.37052671775058183218167889770172943589
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.91057129996402982526517754533463122173
+The lungs are clear. Cardiovascular structures are unremarkable. Atherosclerotic calcification is noted.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25929171676793650336609558897999325375
+Rotated to the right. Borderline enlargement of cardiac silhouette. Calcified tortuous aorta. Pulmonary vascularity normal. Bibasilar atelectasis. Upper lungs clear. No gross pleural effusion or pneumothorax. Bones demineralized.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.78409463169265294959051847788362461135
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no evidence of a pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44177519161141116524793877414460451446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77887619122456702000826317436944901846
+"Normal sized heart. Tortuous and ectatic thoracic aorta, increased in size since the prior study. Small amount of linear density at both lung bases. Small amount of linear density in the right mid lung zone. Small amount of pleural fluid or thickening posteriorly on the lateral view. Mildly prominent interstitial markings. Mild thoracic spine degenerative changes.","1. Small amount of bilateral linear atelectasis or scarring. 2. Small amount of pleural fluid or thickening. 3. Tortuous and ectatic thoracic aorta, increased in size.",1.2.826.0.1.3680043.8.498.24143223384016766066047051447251304328
+Right PICC line is in place. The tip is at the cavoatrial junction. Left pacer is unchanged. There is mild cardiomegaly. No focal airspace opacities or effusions.,Right PICC line tip cavoatrial junction.,1.2.826.0.1.3680043.8.498.65277402625690553188112732036973905322
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23209309412722645978355117821253731544
+There is cardiomegaly. Left-sided pacer in place with leads in the right atrium and right ventricle. There is mild vascular congestion. There are small bilateral pleural effusions. There is bibasilar atelectasis or infiltrate. Mild degenerative changes thoracic spine.,Cardiomegaly. Mild vascular congestion. Small effusions. Bilateral lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.70958636377209226875116616214003778261
+Two views of the chest show a small residual right pleural effusion with mild residual right basilar atelectasis versus infiltrate. No pneumothorax is present. The heart size is normal. Prior CABG changes are noted.,1. Near resolved right mid lung pneumonia when compared to 7/2/2001. 2. Small right pleural effusion with mild residual right basilar atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.62831395988819324520762072731399391003
+Normal cardiac silhouette. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. Left chest wall dual lead pacemaker. No acute osseous abnormality is evident.,No active disease.,1.2.826.0.1.3680043.8.498.20154331941219573124563271929556906453
+Two views of the chest show opacity posteriorly at the left lung base consistent with left pleural effusion and left basilar atelectasis. Pneumonia at the left base cannot be excluded. The right lung is clear. The heart is mildly enlarged.,1. Small left pleural effusion with left basilar atelectasis. Cannot exclude pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.62116451148612999470204876308401094688
+ET tube is in good position. NG tube has tip in the stomach. Right-sided central line has tip in the SVC. The heart is normal in size. The lungs are well expanded. There is left basilar infiltrate or atelectasis with obscuration of the left hemidiaphragm. The right lung is clear. No pneumothorax is seen.,Developing infiltrate or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.28340398306231892038639342465808739087
+There is a feeding tube in place with its tip in the stomach. The heart size is normal. There is no pleural effusion or pulmonary edema. There is mild atelectasis at the right lung base.,1. Feeding tube tip is in the stomach. 2. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.46868742397718427384820991052203557649
+The lungs are well-expanded. There is stable biapical pleural scarring. The infiltrate in the right upper lobe has cleared. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,COPD. There is no pneumonia nor other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.15149878025107297108118735486699061666
+There is again noted increased density at both lung bases compatible with bibasilar pleural effusions. The effusions have not changed appreciably since the prior exam. No new pulmonary infiltrates are seen. No pneumothorax is noted. The heart is mildly enlarged but stable as compared to the prior exam.,Stable appearing chest as compared to the exam of 3-1-8. Bibasilar pleural effusions persist. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.73959878799242454699131333816160003900
+The lungs are adequately inflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.18059181539272720458902371354388423722
+The heart size is normal. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. Linear atelectasis is noted at the left lung base. The right lung is clear.,No active disease.,1.2.826.0.1.3680043.8.498.70122739231113475997476805915734468034
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70605596365462560940236552162749859670
+"Patchy bilateral pulmonary opacity that is similar to mildly progressed from yesterday. No edema, effusion, or pneumothorax. Normal heart size.",Stable and similar patchy bronchopneumonia.,1.2.826.0.1.3680043.8.498.83879152088088652191394030220483657440
+"Stable cardiomediastinal contours. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.62077584976547665083710291255686646359
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14799995461819197721080790496639073623
+Right arm PICC line is seen with the tip in the distal SVC. Both lungs are clear. No evidence of pleural effusion. Heart size is normal.,No acute cardiopulmonary disease. Right arm PICC line tip in distal SVC.,1.2.826.0.1.3680043.8.498.58713207570477741356275546408426443018
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46195061226142020751208312859265650293
+"Right upper lobe infiltrate has increased in size and contour. Remainder of the lungs is clear. No pleural effusion or pneumothorax. Heart, mediastinum and hila are unremarkable. Bony thorax is intact.",Increase in the size and contour of the right upper lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.96634538587286696162966840654950173124
+Right upper lobe consolidation with cavitation is similar to prior. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,Stable appearance of the right upper lobe consolidation with cavitary change consistent with the patient's known history of lung cancer.,1.2.826.0.1.3680043.8.498.95113998078915398356743398319813488531
+Endotracheal tube is 4.6 cm above the carina. Swan-Ganz catheter is in the main pulmonary artery. Left chest tube and mediastinal drains are in place. No pneumothorax. Nasogastric tube extends into the stomach. Mild left base atelectasis. No pulmonary edema.,Tube and catheter positions as described. No pneumothorax.,1.2.826.0.1.3680043.8.498.18306270451922487454140360635741733317
+"The cardiomediastinal silhouette is normal. Lungs are well expanded. No consolidation, pleural effusion, or pneumothorax. No displaced fracture.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.79309312946261425219688400351081806661
+"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. Permanent pacemaker is present. No bony abnormality is seen.",Mild CHF with small effusions.,1.2.826.0.1.3680043.8.498.66064597726805669455332893916812832731
+Endotracheal tube is noted in good anatomic position. The lungs are hypoinflated. Basilar atelectasis is present. Mild basilar pneumonia cannot be excluded. The cardiovascular structures are unremarkable.,Good tube position. Hypoinflation with basilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.63984315879188120048818122721908426134
+The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are noted. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66181369542975202119012254736430095746
+There is dense consolidation in the lingula of the left lung consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Lingular consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.88132926073289708737127772449754354701
+"Single portable AP chest radiograph is provided. The endotracheal tube is in satisfactory position. There is a nasogastric tube with the tip below the diaphragm. There is hyperinflation of the lungs likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47624694342331658676779951338927875539
+Heart is borderline in size. Lungs clear. No effusions or edema. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.78500691404627311140335165925191771610
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Atherosclerotic calcification aorta. Bibasilar atelectasis. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",Bibasilar atelectasis. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.87949129981350572184311726123210445115
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63601478354520398477618802721358987264
+There is mild cardiomegaly. There is a large hiatal hernia. There are mild left effusion with likely adjacent atelectasis. The right lung is clear. There is no pneumothorax. The mediastinum is not widened.,Mild cardiomegaly with large hiatal hernia. No acute cardiopulmonary pathology.,1.2.826.0.1.3680043.8.498.58726092704577297933261908930473418679
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16368415080828963549895923085836493636
+"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.74938449689556269550976268712099823138
+Mediastinum and hilar structures normal. Stable cardiomegaly. Diffuse interstitial changes again noted consistent with chronic interstitial lung disease. Similar findings noted on prior exams. No pleural effusion or pneumothorax. No acute bony abnormality.,Stable cardiomegaly. Diffuse chronic interstitial changes consistent with interstitial lung disease. Similar findings noted on prior exams.,1.2.826.0.1.3680043.8.498.39590811916108143689166452331907354960
+Cardiothymic silhouette is within normal limits. Diffuse hazy opacities throughout the lungs. No effusions or pneumothorax. No bony abnormality.,Moderate diffuse hazy opacities throughout the lungs.,1.2.826.0.1.3680043.8.498.29698521623611805838774767360278049340
+Stable normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.51642549434661571429150664193362753940
+There is persistent increased density in the RIGHT upper lobe consistent with pneumonia. The interstitial markings of both lungs are slightly more conspicuous today. The lungs are less inflated. I see no pleural effusion. The cardiothymic silhouette is normal.,There are findings consistent with pneumonia of the RIGHT upper lobe. I do not see evidence of significant atelectasis. There are findings consistent with pneumonia of the LEFT upper lobe as well.,1.2.826.0.1.3680043.8.498.32865822610601820027684662557015873163
+Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.18153700882473292583413368604768192752
+Multiple areas of subcutaneous emphysema are noted over the RIGHT chest. A RIGHT pneumothorax cannot be entirely excluded. No definite rib fracture is seen. No LEFT sided pneumothorax is noted. The heart is normal in size. The lungs are clear.,1) Multiple areas of subcutaneous emphysema on the RIGHT. 2) A RIGHT pneumothorax cannot be entirely excluded. 3) No rib fracture is seen. 4) The heart is normal in size.,1.2.826.0.1.3680043.8.498.99719542600786528392991350624124793369
+Endotracheal tube and NG tube noted in good anatomic position. Basilar atelectasis is present. Basilar pneumonia cannot be excluded.,Good tube positionings. Basilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.11483876753237919755441413965189086743
+"An orogastric tube is seen with tip in the mid stomach. There has been interval clearing of mild diffuse ground-glass pulmonary opacity since prior study. Mild worsening is seen in the right lower lobe, consistent with pneumonia. There is no evidence of pleural effusion. Heart size is normal.","1. Orogastric tube in appropriate position. 2. Interval clearing of diffuse pulmonary opacity since prior exam. 3. Mild worsening of right lower lobe airspace disease, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.51014046051019544516160244030341555237
+There is a large bore right-sided central venous catheter with its tip in the superior vena cava. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.81342280669691506632536246444060859577
+Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. No pneumothorax is noted. Mild central pulmonary vascular congestion is noted. Stable mild bilateral pleural effusions are noted with associated atelectasis. Bony thorax is unremarkable.,Stable cardiomegaly with central pulmonary vascular congestion and bilateral pleural effusions with associated atelectasis.,1.2.826.0.1.3680043.8.498.62353418389433016672004374662652043188
+The right hydropneumothorax is again seen with a tiny apical component of the pneumothorax and a small amount of pleural fluid. There is atelectasis in the right lung base. Surgical clips are seen in the right upper quadrant of the abdomen. The left lung is free of infiltrates. The cardiac silhouette is normal size and shape. There is a osteopenic appearance of the bones.,There is again seen a right hydropneumothorax with a tiny apical component of the pneumothorax and a small amount of right pleural fluid. There is atelectasis in the right lung base.,1.2.826.0.1.3680043.8.498.23654360390679666785825330367586174042
+Right upper extremity catheter tip overlies the proximal right atrium. Mild reticular opacity at the lung bases. No pleural effusion. Normal heart size. No pneumothorax.,Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.69122089332442849622782844757649315576
+"Right IJ vascular sheath removed. Changes of CABG. Low lung volumes with bibasilar atelectasis and small pleural effusions, left greater than right, stable since previous exam. No pneumothorax. No edema. Heart size difficult to assess due to adjacent opacities.",Stable postoperative changes.,1.2.826.0.1.3680043.8.498.10053322466261126834754545863927985188
+Cardiomegaly and pulmonary vascular congestion. Perivascular edema appears somewhat improved compared to the prior study. No consolidative infiltrates or effusions. No acute bone abnormality.,Slight improvement in bilateral perivascular edema.,1.2.826.0.1.3680043.8.498.60488477136893717827289431953140369647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95687121690665695768612283214621943193
+The heart size and mediastinal contours are within normal limits. No evidence of pneumomediastinum or pneumothorax. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88082108263820684190712532614035815011
+The lungs are adequately inflated. There is increased density at the left lung base. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is a small amount of pleural fluid on the left. The bony thorax exhibits no acute abnormality. There is a gastric tube in place.,Left lower lobe atelectasis or pneumonia. Small left pleural effusion. There is no CHF.,1.2.826.0.1.3680043.8.498.36439230756327465381494803321165665422
+Nasogastric tube is seen with tip in the stomach. Low lung volumes are again seen. There is increased left lower lobe atelectasis or consolidation since the prior study. There is no evidence of pulmonary consolidation. Heart size is within normal limits allowing for low lung volumes.,Increased left lower lobe atelectasis versus consolidation.,1.2.826.0.1.3680043.8.498.23496217791856991318205378194252105885
+There is diffuse airspace disease throughout the right lung and at the base of the left lung. There is no pneumothorax. The heart is mildly enlarged. The pulmonary vasculature is unremarkable. The mediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.,Airspace disease consistent with pneumonia in right lung and left lung base.,1.2.826.0.1.3680043.8.498.52537250925587813946658278291483297507
+"Right-sided Port-A-Cath with tip at the cavoatrial junction. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Atherosclerotic calcification of the aorta. Degenerative changes of the spine. No acute osseous pathology. Right upper quadrant cholecystectomy clips.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69770576897449620616121747629648908753
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.72782732122396007497439111444006097051
+"Lungs remain clear. Heart size normal. Mediastinum, hila, pleura and degenerative changes dorsal spine stable and unremarkable.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.11745558607564567632009064354655364270
+The cardiothymic silhouette is within normal limits. The lung fields demonstrate good expansion with no evidence for focal infiltrate or congestive failure. The bowel gas pattern is unremarkable with no evidence for pneumatosis or free intraperitoneal air. Bony structures appear intact.,Unremarkable cardiopulmonary appearance. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.37662071583581968738431933400780977430
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35616238361799844835940332997476947180
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93426956909737453477841706131392642102
+A left-sided permanent pacemaker is noted with dual chamber leads in place. The cardiac silhouette is enlarged. The mediastinal contour and pulmonary vascularity are diffusely engorged and indistinct. Bilateral patchy airspace infiltrates are present. There are small bilateral pleural effusions. No pneumothorax is evident. The osseous structures are unremarkable.,Findings consistent with pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.64682557318925152069743858542432872420
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.37404073203537800796511466755396540881
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78574584564106857195255318893603063149
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31507702171085267231168649918335409171
+The lungs are mildly hypoinflated. There is increased density at the right lung base. A small right pleural effusion is suspected. There is no pneumothorax. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The endotracheal tube and the esophagogastric tube have been removed. The bullet fragments are again demonstrated in the right shoulder.,Interval extubation of the trachea and esophagus. Increased density at the right lung base suggests atelectasis or pneumonia. A small right pleural effusion is suspected.,1.2.826.0.1.3680043.8.498.89287310879988275833320948470841281128
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32597754356780461788258257551289193106
+"Heart and mediastinal contours are within normal limits. There is hyperinflation. Nodular density projecting over the left lower lung, likely the patient's nipple. No focal opacities or effusions. No acute bony abnormality.",Hyperinflation compatible with COPD. No acute findings.,1.2.826.0.1.3680043.8.498.25691685839266183485778891601283572896
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.95868096164395647233388558970118933670
+There has been interval development of bilateral airspace disease most consistent with pneumonia. Heart size is normal. No effusion.,New bilateral airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.23184310366388887788799295559115885584
+LEFT-sided pacemaker lead wires are identified. The previously seen LEFT apical pneumothorax is not identified on today's study. The lung fields are clear. The heart is top normal in size.,1) No pneumothorax identified. 2) Lung fields are clear.,1.2.826.0.1.3680043.8.498.87949936182283927789163404664252983401
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality. Aortic atherosclerosis.",No active disease.,1.2.826.0.1.3680043.8.498.40896929405318800044810980823883927651
+The cardiomediastinal silhouette is within normal limits. The trachea is midline. No pulmonary consolidations or masses. No evidence of pneumothorax. The imaged abdomen is within normal limits. The osseous and soft tissue structures demonstrate no acute abnormality.,No acute chest process.,1.2.826.0.1.3680043.8.498.25089812043269757249362188330604508631
+Right subclavian approach Port-A-Cath is in place with the tip projecting over the mid superior vena cava. No pneumothorax. Lungs are clear. Heart size is normal.,Tip of right subclavian approach Port-A-Cath projects over the mid superior vena cava. Negative for pneumothorax.,1.2.826.0.1.3680043.8.498.94647472885077074782951556858402687844
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51576336287938823721358044777237782272
+"The cardiomediastinal silhouette is within normal limits. Aortic atherosclerosis is noted. There is a chronic right pleural effusion with associated atelectasis. Scattered areas of ill-defined opacity in both lungs are also noted, particularly in the right lung base. No pneumothorax is identified. No acute osseous abnormality is seen.","1. Scattered ill-defined lung opacities, particularly in the right lung base, concerning for pneumonia. 2. Chronic right pleural effusion.",1.2.826.0.1.3680043.8.498.95896876205555460329830080574143296147
+The right-sided PICC line terminates over the high right atrium. The heart size is normal. Lung volumes are low but clear. There is no pleural effusion or pneumothorax.,Right-sided PICC line terminates over the high right atrium. This could be retracted approximately 3 cm to terminate over the SVC/RA junction if desired.,1.2.826.0.1.3680043.8.498.84204049676694648232521951393709498392
+"Post CABG. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.30398415776756727330625550493838442164
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19224512940977529112029510557142486168
+The feeding tube and endotracheal tube are stable. A right IJ central venous catheter is present with its tip in the superior vena cava. Severe emphysematous changes are again noted. Patchy opacities at both lung bases are unchanged. No pneumothorax is seen. The heart is normal in size.,No significant change from earlier today.,1.2.826.0.1.3680043.8.498.16155351669066481063060928414558812998
+The cardiomediastinal silhouette is unremarkable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.56880312230567425929620208365633950494
+"Cardiac shadow is enlarged. Postsurgical changes are again seen. Mediastinal drain, pericardial drain and Swan-Ganz catheter have been removed in the interval. The right jugular sheath is also been removed. No pneumothorax is noted. Small bilateral pleural effusions are noted as well as some mild bibasilar atelectasis. No bony abnormality is seen.",Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.66799772396214882918004928466268072703
+There is infiltrate in the right base. The lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Infiltrate right base consistent with pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.60384986871240265190028845656963838901
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89433768665473393818068673412729451544
+"Stable cardiomegaly. Atherosclerotic calcification of the aortic knob. Chronically coarsened interstitial markings throughout both lungs, similar to prior. No focal airspace consolidation, pleural effusion, or pneumothorax.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64988558496064051430130229540754531283
+Tracheostomy catheter tip is 3.6 cm above the carina. No pneumothorax. There is airspace consolidation throughout the left lower lobe with small left pleural effusion. Right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is postoperative change in the lower cervical spine.,Persistent left lower lobe consolidation. Small left pleural effusion. Right lung clear. Stable cardiac silhouette. Tracheostomy as described without pneumothorax.,1.2.826.0.1.3680043.8.498.96572550614320633047907818959435364106
+Patchy opacity remains in the left lung base. No visible pneumothorax. No visible effusion. No discernible displaced right-sided rib fracture. Cardiomediastinal contours are similar to prior.,1. No visible displaced right rib fracture. No pneumothorax or effusion. 2. Opacity in the left lung base could reflect atelectasis or infection.,1.2.826.0.1.3680043.8.498.18494673614153205274848532618990646526
+Low lung volumes with bibasilar atelectasis. No convincing pneumonia. No effusion or pneumothorax. Stable cardiomegaly with aortic atherosclerosis. No acute osseous abnormality.,Low lung volumes with atelectasis. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.90181261254940793906518049873218351870
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41191421769808043948130940007139302132
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82155545035346468364301207630778994437
+Again noted are numerous bilateral pulmonary metastases and pleural based lesions. The left lower lobe process looks more consolidated than on the prior study but this may be due to the erect PA technique. No definite pleural effusion. No lung lesions are seen. Left subclavian Port-A-Cath is unchanged.,Extensive metastatic disease to the lungs and pleura. Possible consolidation at the left lung base but this is difficult to assess with certainty because of the extensive metastatic disease.,1.2.826.0.1.3680043.8.498.93472427009640989754565775808597575238
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at left lung base. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.96581793197202535508971544485848062725
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30449715777615775877803629112722608523
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55455662265473897386139795149669729115
+The mediastinum and hilar structures are normal. Basilar interstitial prominence is noted. These findings can be consistent with chronic interstitial changes. A component of congestive heart failure cannot be excluded. The cardiovascular structures are unremarkable.,Findings suggestive of chronic interstitial changes. A component of mild congestive heart failure cannot be excluded.,1.2.826.0.1.3680043.8.498.62880028806460484612773284808564135099
+There is cardiomegaly. Pulmonary edema has progressed in the interval. Small bilateral pleural effusions are noted. There is COPD. Dual lead pacemaker is unchanged.,Worsening congestive heart failure with edema and bilateral effusions.,1.2.826.0.1.3680043.8.498.30527313615392313111866560544355812496
+"Mild patchy bilateral opacities, suspicious for multifocal pneumonia. No pleural effusion or pneumothorax. The heart is top-normal in size.","Mild patchy bilateral opacities, suspicious for multifocal pneumonia.",1.2.826.0.1.3680043.8.498.60846584111062384841437557507616739245
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99953186537934460242789888819474324128
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77103472961418247904319788883899514256
+The lungs are well-aerated. Right basilar airspace opacity may reflect atelectasis or pneumonia. A 2.2 cm nodule is noted at the right midlung zone. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,1. Right basilar airspace opacity may reflect atelectasis or pneumonia. 2. 2.2 cm nodule again noted at the right midlung zone.,1.2.826.0.1.3680043.8.498.36869875277538775168415434987987589406
+Lung volumes are within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. No confluent pulmonary opacity. Mild central peribronchial thickening. Negative visualized bowel gas and osseous structures.,Central peribronchial thickening which can be seen with viral or reactive airway disease.,1.2.826.0.1.3680043.8.498.78711878590592245698466687621251745901
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.76173234241698299914248621052608926266
+Low lung volumes are seen. Both lungs are clear. There is no evidence of pleural effusion. Heart size is within normal limits allowing for low lung volumes.,Low lung volumes. No active disease.,1.2.826.0.1.3680043.8.498.39358279543031407049474881115688894774
+"Lung volumes are low. There is cardiomegaly. Mild pulmonary vascular congestion is identified. No consolidative process, pneumothorax or effusion. No acute or focal bony abnormality.",Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.82711307067426808103781394156147909555
+Stable cardiac and mediastinal contours. Atherosclerotic calcifications present in the transverse aorta. Persistent patchy airspace opacity in the left lower lobe. Stable appearance of chronic bronchitic changes and interstitial prominence. No pulmonary edema or pneumothorax. No acute osseous abnormality.,1. Persistent patchy airspace opacity in the left lower lobe concerning for pneumonia. 2. Aortic Atherosclerosis (ICD10-170.0),1.2.826.0.1.3680043.8.498.50397260542010175869526651047906487288
+"Endotracheal tube and nasogastric catheter have been removed in the interval. Left thoracostomy catheter, pericardial drain and mediastinal drain are again seen and stable. No pneumothorax is noted. Minimal left basilar atelectasis is seen. Swan-Ganz catheter is been removed as well.",Minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.76942408049741191652765460298098429663
+The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs appear clear aside from mild atelectasis at the left lung base. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.88969625600861328405071704095668081939
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.40379943948627892612367701443939309719
+Cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.62316451220158054164774752700883404580
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. Calcified granuloma in the left mid lung.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85428815382711023511696188327872147235
+Mediastinum and hilar structures normal. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam. No pleural effusion or pneumothorax.,1. Cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior exam.,1.2.826.0.1.3680043.8.498.54629241621456881307404150305446815054
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84805630555886746252641853562386332479
+Lungs are clear. No pneumothorax or pleural effusion. Heart size is upper normal. The patient is status post CABG. No fracture is identified.,Negative exam.,1.2.826.0.1.3680043.8.498.38201882981342559600234570088754471478
+Cardiomediastinal silhouette is within normal limits. Lungs are clear. Bony thorax is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.99605791584496951142044139745952673271
+"The current exam shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.39904567803904294623498068901685257935
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48865558122130463563843203274342567313
+"The previously noted pulmonary edema has improved slightly. There are bilateral pleural effusions with bilateral lower lobe consolidation, more severe on the left than the right. The heart is enlarged. There is atherosclerotic calcification in the aorta.",There is cardiomegaly with bilateral pleural effusions with areas of atelectasis and/or airspace consolidation in the lung bases. There has been slight improvement in the pulmonary edema.,1.2.826.0.1.3680043.8.498.89339700001249213848173991641727480426
+"The heart is enlarged but appears stable. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila appear normal. The lungs are hyperinflated but clear. No infiltrates, edema or effusions. The bony thorax is intact.",Cardiac enlargement. COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.83960160933494230226214459396797214034
+The lungs are adequately inflated. There is density at both lung bases consistent with atelectasis and infiltrate. The interstitial markings are increased. The cardiopericardial silhouette is mildly enlarged. There is blunting of the posterior costophrenic angles.,There are findings consistent with atelectasis and/or infiltrate at both lung bases. There is likely a small amount of pleural fluid layering posteriorly. I see no discrete alveolar infiltrate. There is mild enlargement of the cardiac silhouette. There is mild prominence of the pulmonary vascularity centrally. Followup films are recommended.,1.2.826.0.1.3680043.8.498.41478052864752846918309212481048227845
+"The cardiomediastinal silhouette is unremarkable. Airspace opacity within the mid and lower left lung is identified compatible with pneumonia. There is no evidence of pleural effusion, pneumothorax or pulmonary edema. No acute bony abnormalities are identified.",Left mid and lower lung airspace disease compatible with pneumonia. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.57561762357976458898506060177325946743
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69515702957008746503521796771130091775
+There are small bilateral free-flowing pleural effusions. No pneumothorax is seen.,Small bilateral free-flowing pleural effusions.,1.2.826.0.1.3680043.8.498.55648872885012715054621051766836188195
+There is chronic elevation of the left hemidiaphragm with associated left basilar atelectasis. There is a small right pleural effusion. The heart size and mediastinal contours are stable. No pneumothorax or pulmonary edema is identified.,Small right pleural effusion with associated basilar atelectasis. Chronic elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.87379206353150673442600527120834643885
+The lungs are adequately inflated. There is increased density at the left lung base. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings which may reflect atelectasis or developing infiltrate at the left lung base. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.78194224189062594000122043939491631035
+Cardiomediastinal silhouette is stable. Elevation of the right hemidiaphragm again noted. Stable chronic interstitial prominence and bilateral fibrotic changes. Atelectasis or scarring in the right base. No definite superimposed infiltrate. Stable small right pleural effusion.,No significant change. Stable fibrotic changes and chronic interstitial prominence. Atelectasis or scarring in the right base.,1.2.826.0.1.3680043.8.498.53723647128810875690855211134439373634
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.51592041764100205446952513792872605288
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided Port-A-Cath catheter in place.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 01/05/2009.,1.2.826.0.1.3680043.8.498.72576614815544801429086374541636263193
+"The cardiomediastinal silhouette is normal in size. A right-sided chest port terminates in the mid SVC, unchanged. There is mild left basilar atelectasis. There is no evidence of acute rib fracture on the right. There is no evidence of pneumothorax or pleural effusion.",No evidence of right-sided rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.76580112513649907346703568147743655775
+Low lung volumes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.99495372585735897164265169465498532563
+AP portable semi upright view 3268 hours. Stable right thoracostomy tube. Small volume right chest wall subcutaneous gas. Stable volume of right pneumothorax. Stable opacity at the right lung base. Left lung remains clear. Stable cardiac size and mediastinal contours.,Stable right thoracostomy tube. Stable small volume right chest wall subcutaneous gas. Stable small right pneumothorax.,1.2.826.0.1.3680043.8.498.88735671075772674191029081959865051389
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.54675391302313887553509536269846070158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98970256685567606179717120327642592003
+The lungs are clear. Heart size is normal. No effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.15619894303159651183345883556175398000
+"Tracheostomy tube is in place with the tip approximately 5.5 cm above the carina. The patient has undergone previous median sternotomy and coronary artery bypass grafting. Dual lead pacemaker is in place. The heart is mildly enlarged. There is atherosclerotic calcification of the aortic arch. There is mild interstitial edema. More confluent airspace opacities are seen in the lung bases, left greater than right. Small bilateral pleural effusions are suspected. No pneumothorax is identified.","1. Suspected mild CHF and small bilateral pleural effusions. 2. Bibasilar airspace disease, left greater than right. While this may reflect atelectasis, infection is also a concern.",1.2.826.0.1.3680043.8.498.87124594713294303938066039834140649275
+The Swan-Ganz catheter has been removed with a sheath remaining in the right internal jugular vein. A left chest tube remains and no pneumothorax is seen. Basilar atelectasis remains and has worsened slightly. Small left effusion remains.,Swan-Ganz catheter removed. Slightly worsened basilar atelectasis.,1.2.826.0.1.3680043.8.498.16452207567277835615545262698191705486
+"Interval improvement in the right lower lobe pneumonia, with only minimal patchy airspace opacities persisting. Stable linear scarring in the lingula and left lower lobe. Lungs otherwise clear. No pleural effusions. Cardiomediastinal silhouette unremarkable and unchanged. Visualized bony thorax intact.","Improved right lower lobe pneumonia, with only minimal patchy airspace opacities persisting.",1.2.826.0.1.3680043.8.498.71118688391606039184388631834781729594
+There is again noted increased density in the right lower lobe compatible with pneumonia and atelectasis. There is also observed minimal infiltrate in the right upper lobe anteriorly. The left lung field is clear. Heart size is normal.,1. Persistent right lower lobe infiltrate compatible with pneumonia and atelectasis. 2. There is also minimal infiltrate in the right upper lobe.,1.2.826.0.1.3680043.8.498.43821407739041495490073428154038799283
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.69534768181911410998429510733698342186
+"Heart size is normal. Patchy infiltrates are seen in the mid and lower lungs bilaterally, suspicious for pneumonia. No evidence of pleural effusion.","Bilateral mid and lower lung infiltrates, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.77857880989262588434504454774750968340
+There is dense opacity at the left lung base consistent with left lower lobe atelectasis and/or pneumonia. The right lung is clear. The right IJ central venous catheter is unchanged. The nasogastric tube has been removed. The stomach is distended.,Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.49555479301631796112070791347129246290
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.29825314814748383485509602111699446976
+The lung volumes are low. The pleural effusions have resolved. The lungs are clear. Heart size is normal. No pneumothorax.,Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63335579029437299253765956872586669213
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,Stable chest. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.71200848272325441173607338579956714065
+The patient has taken a shallow inspiration. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Shallow inspiration. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.56965213773408588825613961543279846239
+Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette is within normal. Bones and soft tissues are normal.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83261297705107481699425389417483134813
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes with mild basilar atelectasis. Mild right base infiltrate cannot be excluded. No pleural effusion or pneumothorax. No acute bony abnormality.,Low lung volumes with mild basilar atelectasis. Mild right base infiltrate cannot be excluded.,1.2.826.0.1.3680043.8.498.57076252423671436061649414589047395723
+No displaced rib fracture is identified. The lungs are clear. There is no evidence of pneumothorax or pleural effusion. Heart size and mediastinal contours are within normal limits.,No displaced rib fracture or acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97228257482477040248961239689021130425
+There is cardiomegaly. Small bilateral pleural effusions are noted. There is mild interstitial prominence without focal airspace opacity. Atherosclerotic calcifications are noted within the aorta.,Cardiomegaly and mild interstitial prominence which may reflect mild edema. Small effusions.,1.2.826.0.1.3680043.8.498.54578868149315701090815871089258731496
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.78652213813336465283696735393656757481
+"Semi-erect AP and lateral views of the chest. Low lung volumes. There is mild cardiomegaly. Other mediastinal contours are within normal limits. No pneumothorax, pulmonary edema, pleural effusion, or consolidation. Streaky opacity at the left lung base, probably atelectasis. No acute osseous abnormality identified.",Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.31113273636951650348286768764754316930
+"Low lung volumes with some streaky opacities in the bases favoring atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.","Low lung volumes with atelectasis, no other acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.72119349381408950869419328277658705124
+The patient has a new right PICC in place with the tip in the superior vena cava. Left central line remains in place. There is new complete opacification of the left hemithorax compatible with atelectasis and possibly a left effusion. Patchy airspace disease in the right lung base noted.,1. Right PICC in place with the tip in the superior vena cava. 2. New complete opacification of the left hemithorax compatible with atelectasis and effusion.,1.2.826.0.1.3680043.8.498.95789001303575422308133945115207631150
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.42597725471875767496662771602471746677
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91338422567199180571210785510219859353
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70609331284756784016200721329888779596
+The heart is within normal limits in size. The lung fields appear clear. Vascularity is within normal limits. No effusions are seen. Degenerative spurs are noted in the thoracic spine.,No acute cardiopulmonary disease noted.,1.2.826.0.1.3680043.8.498.39478781894577537190434293657089006897
+Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No interlobular septal thickening. Coarsened interstitial markings persist. No pneumothorax or pleural effusion. No confluent airspace disease. Surgical changes of the right chest.,Chronic lung changes without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62880550521072930953393591711844279352
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95214917273230551762974518829627839448
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.45012935635863663025517808958076814270
+The lungs are hypoexpanded. Mild bibasilar airspace opacities likely reflect atelectasis. Mild vascular crowding is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; pulmonary vascularity is within normal limits. No acute osseous abnormalities are seen.,1. Hypoexpanded lungs; mild bibasilar airspace opacities likely reflect atelectasis. 2. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.59748126537714020029461929297598446110
+The heart size and mediastinal contours are stable with stable tortuosity of the descending thoracic aorta. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.21801352486366993338830432291881900568
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67995899458104917336330118674673802965
+The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No evidence of active disease.,1.2.826.0.1.3680043.8.498.32846155082536186876925263345634047193
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18545683988408274394673867200543843041
+"Endotracheal tube is 1.2 cm above the carina. Umbilical arterial catheter is at the T6 level. Umbilical venous catheter tip is in the right atrium approximately 1.2 cm above the IVC right atrial junction. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs, slightly improved since prior study. No effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.",Support devices as above. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50445993439455853572675806857511582706
+"Right subclavian Port-A-Cath stable. New right jugular central venous catheter, tip SVC. No pneumothorax. Left upper lobe scarring. Lungs otherwise clear. Heart size upper limits normal.",No pneumothorax following central line insertion.,1.2.826.0.1.3680043.8.498.63732464740080593187156530969391315266
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. No focal infiltrate. No pleural effusion or pneumothorax.,1. Cardiomegaly. No pulmonary venous congestion. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.26591677013883102886686794551142085707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29395107952000333560474661620319199552
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Small bilateral pleural effusions with adjacent atelectasis. No edema. No pneumothorax. The visualized skeletal structures are unremarkable.,Small bilateral pleural effusions with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.21101710571431659541034609471290550644
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. There is elevation of the left hemidiaphragm. There is vascular crowding and atelectasis at the left lung base. The right lung is clear. No pneumothorax. No pleural effusion. The bony thorax is grossly intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.39722318254710257795662099348578976102
+"Endotracheal tube, NG tube, and left subclavian central venous catheter are unchanged. Stable cardiomegaly. Low lung volumes. Bibasilar atelectasis. No pneumothorax.",Stable.,1.2.826.0.1.3680043.8.498.16869690805268090213848348516233533986
+Grossly unchanged cardiac silhouette and mediastinal contours. Stable positioning of support apparatus. No pneumothorax. The pulmonary vasculature is indistinct with cephalization of flow. Interval increase in perihilar and bilateral medial basilar heterogeneous / consolidative opacities. Trace bilateral effusions are not excluded. No pneumothorax. No acute osseous abnormalities.,"Stable positioning of support apparatus. No pneumothorax. Findings most suggestive of pulmonary edema with scattered areas of suspected atelectasis, though note, atypical infection, including COVID-19, could have a similar appearance. A follow-up chest radiograph in 3 to 4 weeks after treatment is recommended to ensure resolution.",1.2.826.0.1.3680043.8.498.39482962420181079544677931346503386430
+Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. A small right pleural effusion is present. No consolidation is seen. Degenerative changes are seen in the spine.,Small right pleural effusion.,1.2.826.0.1.3680043.8.498.44480132090688587676113370279092025471
+There is central peribronchial thickening. Focal opacity in the right middle lobe is consistent with pneumonia. There is no pleural effusion or pneumothorax. Heart size is normal.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.51212092791558287461431733547294906765
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77195119111862526749661937925967678718
+"Endotracheal tube is 2.5 cm above the carina. There is a feeding tube in the stomach. Diffuse airspace disease throughout the lungs again noted, not significantly changed.",Endotracheal tube and feeding tube unchanged. Stable severe diffuse airspace disease.,1.2.826.0.1.3680043.8.498.53752893233025220019479985786125183527
+Left-sided central venous port tip over the SVC. No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.24453186311483574294767994827805254186
+"The lungs are mildly hypoexpanded. There is no consolidation, pleural effusion, or pneumothorax. The cardiothymic silhouette is within normal limits. The bony thorax is grossly intact.",Mild pulmonary hypoinflation. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.94376479470307469518873058839861883530
+"UVC tip is at the T-6 level. Orogastric tube is in the stomach. Normal bowel gas pattern. Lungs are better aerated. No acute airspace process, edema, effusion, or pneumothorax. Normal cardiothymic silhouette.",1. UVC tip at T-6 over the right atrium. 2. Improved lung aeration.,1.2.826.0.1.3680043.8.498.29033937954716202071268514081006944590
+"The heart is enlarged. Patient is post median sternotomy. Left-sided pacemaker is unchanged. A moderate right pleural effusion is similar to the prior study, possibly slightly increased. There is vascular congestion with mild edema. More confluent opacity at the right lung base is consistent with atelectasis or infiltrate. Small left effusion is noted. There is no evidence of pneumothorax.",1. Moderate right pleural effusion with right lower lobe atelectasis or infiltrate. 2. Small left pleural effusion. 3. Cardiomegaly and vascular congestion with mild edema.,1.2.826.0.1.3680043.8.498.17062260462211396534317047480905820848
+There is persistent increased density in the lung bases bilaterally with some patchy density in the upper lobes. Findings are consistent with bilateral pneumonia. Small bilateral effusions are present. The heart is normal in size. The bony structures are intact.,Persistent bilateral pneumonia with small bilateral effusions and some areas of basilar atelectasis.,1.2.826.0.1.3680043.8.498.25125505238570013167760805413345939606
+Patchy airspace disease in the right upper lobe and left base. No pleural effusion. Normal heart size. No pneumothorax.,Patchy right upper lobe and left lower lobe airspace disease concerning for pneumonia.,1.2.826.0.1.3680043.8.498.84628427745933250120584013192078698746
+Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Previously visualized patchy opacities in both lungs have resolved. No pulmonary edema. No acute consolidative airspace disease.,Resolved previously visualized COVID-19 pneumonia. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81205851211708584875473910939562545303
+Endotracheal tube is 2.5 cm above the carina. Left central line tip is in the mid SVC region. There is a large amount of free intraperitoneal air. Basilar atelectasis. Heart size is grossly normal. No evidence for a pneumothorax. Nasogastric tube is coiled in the stomach.,1. Large amount of free intraperitoneal air. 2. Left central line tip in the mid SVC region. 3. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.67236577345794582817118039406683522307
+Swan-Ganz catheter has been inserted and the tip is in the right lower lobe pulmonary artery. This can be retracted by approximately 4 cm. No pneumothorax. Mild basilar atelectasis. Cardiomegaly. Calcified tortuous aorta.,Swan-Ganz catheter tip right lower lobe pulmonary artery.,1.2.826.0.1.3680043.8.498.25746562782946289720799198970684991801
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57403629604278004993285728940746651431
+Heart size is normal and the vascularity is normal. Lungs are clear without infiltrate or mass lesion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99594827142423155414142030872446419221
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88783363407558524147334080561975358716
+The endotracheal tube and nasogastric tube are stable. The lungs are under-inflated and grossly clear. No pneumothoraces or effusions are seen. The heart is normal in size.,No significant interval change.,1.2.826.0.1.3680043.8.498.85604437074770633387908444712641975433
+There is a moderate right pleural effusion with consolidation in the right base. The left lung is clear. Heart is mildly enlarged with pulmonary vascularity normal. Patient is status post coronary artery bypass grafting. No adenopathy. No bone lesions.,Moderate right pleural effusion with right base consolidation. Suspect superimposed pneumonia in the right base. Left lung clear. Heart mildly enlarged. Status post coronary artery bypass grafting.,1.2.826.0.1.3680043.8.498.76877134369111691503439863684608127883
+"The patient is rotated to the left. Diffuse bilateral interstitial and airspace disease is again seen, not significantly changed since prior study. Left pleural effusion also unchanged. No pneumothorax. Cardiomegaly. Thoracic aortic atherosclerosis.",No significant change in diffuse bilateral interstitial and airspace disease and left effusion. Findings are suggestive of pulmonary edema.,1.2.826.0.1.3680043.8.498.37335660380360311411903312365176002866
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.38480090957113809151206484168131932506
+The lungs are clear. No calcified pleural plaques are seen. The heart is normal in size and there is no evidence for mediastinal adenopathy. The pulmonary vasculature is normal. No nodules are detected. No pneumothoraces or effusions are seen.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25122883116948760234533659916285546968
+The lungs are hyperinflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor definite evidence of CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.29266796357899766605677981537398065829
+Sternotomy wires are unchanged. Interval removal of Swan-Ganz catheter. Right IJ sheath remains. Prior aortic valve replacement. Cardiomediastinal silhouette is unchanged. Low lung volumes. Bilateral basilar atelectasis with small bilateral pleural effusions. No evidence of pulmonary edema. No pneumothorax.,Interval removal of Swan-Ganz catheter. Persistent basilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.50674875673616931945457891109932058679
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Calcified pleural plaques are noted.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86746376364619891288717698714746563333
+"The lungs are clear and slightly hyperaerated. However, there is a rounded soft tissue mass in the right infrahilar region which appears to have increased slightly in size compared to the prior chest x-ray. This is worrisome for primary lung carcinoma. CT of the chest with IV contrast media is recommended to assess further. The heart is within normal limits in size. No bony abnormality is seen.",1. Suspect enlarging right infrahilar mass of lung. Recommend CT of the chest with IV contrast media. 2. Hyperaeration.,1.2.826.0.1.3680043.8.498.36138930120883585359612796465570980189
+Heart size is normal. No pleural effusion or edema. Similar appearance of bilateral pulmonary opacities which are worse in the bases. The visualized osseous structures are unremarkable.,Persistent bilateral pulmonary opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.28566953086809058115545110938379272257
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.80618344467561164070554002384903642831
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.71159469363384132459872133839614904185
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44548613285631818645665693761884487793
+"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. No large consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality is seen.","Low lung volumes, no gross focal consolidation. Frontal and lateral views may be helpful when patient is able.",1.2.826.0.1.3680043.8.498.90423585822827946839305784302205002537
+The lungs are hyperinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The observed portions of the bony thorax exhibit no acute abnormalities.,"There are findings consistent with COPD. I do not see evidence of pneumonia currently. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be useful.",1.2.826.0.1.3680043.8.498.52441874894445290112592528942247266740
+There is dense consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right upper lobe pneumonia. Recommend follow-up films to clearing.,1.2.826.0.1.3680043.8.498.68649922887857194068663708531952009918
+There is opacity at the lung bases particularly at the left lung base suspicious for pneumonia. There may be a small left effusion present as well. There is mild cardiomegaly present. No bony abnormality is seen.,1. Suspect patchy left lower lobe pneumonia. 2. There may be a small left effusion and developing infiltrate or pneumonia at the right lung base as well. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.77907696077874147715536065410454457819
+There is prominence of the interstitial markings. No focal regions of consolidation are appreciated. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,Interstitial infiltrate likely representing a component of pulmonary edema. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.33536980314594466195022928402602990422
+"The heart, hila, and mediastinum are normal. No pneumothorax. No nodules or masses. No focal infiltrates. No fractures are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79055620480190511472549816968331188965
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82926758749459622695647907354907737422
+Endotracheal tube and nasogastric tube remain in place. There is some persistent left base atelectasis with interval increase in right base airspace disease. No effusion. Heart size normal.,1. Persistent left base atelectasis. 2. Increasing right base airspace disease.,1.2.826.0.1.3680043.8.498.17369527122035989292236683912791054357
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87237321385508032491896755361082474079
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68078974208024703946800179885710415224
+The heart is enlarged. Tracheostomy tube is in place. Left PICC line is in place with tip in the mid SVC. Bilateral pleural effusions and bibasilar atelectasis is present. There is no edema. No pneumothorax is present.,1. Cardiomegaly. 2. Bilateral pleural effusions and associated atelectasis.,1.2.826.0.1.3680043.8.498.94113633696842438879391717241110054062
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45719383971552635569351809852214815170
+A right-sided chest tube is in place. There is a small right apical pneumothorax. A left-sided pacemaker is in place. The heart is enlarged. The lungs are well expanded. There are bilateral small pleural effusions. There is no focal infiltrate.,1. Small right apical pneumothorax. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.35623734141517342996916744662698938104
+Stable enlarged cardiac silhouette and post CABG changes. Stable left subclavian pacemaker leads. There is patchy airspace opacity at the right lung base on the frontal view. This is not definitely seen on the lateral view. The lungs are mildly hypoinflated. Diffuse peribronchial thickening and accentuation of the interstitial markings are unchanged. Diffuse osteopenia.,1. Right basilar atelectasis or pneumonia. 2. Stable cardiomegaly and mild changes of COPD and chronic bronchitis.,1.2.826.0.1.3680043.8.498.38264124537535936490204809244982223588
+"Since that time, the patient has undergone sternotomy for aortic dissection repair. The heart is mildly enlarged though stable. The left chest tube remains in place with no pneumothorax. The Swan-Ganz catheter tip remains in the right main pulmonary artery. The endotracheal tube remains in satisfactory position below the thoracic inlet. Nasogastric tube courses below the diaphragm into the stomach. There has been improvement in the atelectasis in the left upper lobe. The left pleural effusion and left lower lobe atelectasis are unchanged. The right lung remains clear.",Tubes and lines satisfactory. Stable left pleural effusion and left lower lobe atelectasis. Improved left upper lobe atelectasis.,1.2.826.0.1.3680043.8.498.48225677529047457183929211604479216168
+Cardiac pacer lead tips in right atrium and right ventricle. CABG. Cardiomegaly. Bilateral pleural effusions. Bilateral basilar atelectasis and/or infiltrate.,1. Cardiac pacer with lead tips in right atrium and right ventricle. CABG. Cardiomegaly. 2. Bilateral pleural effusions. 3. Bilateral basilar atelectasis and/or infiltrate. These findings are consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.33651710585501413934722682960744097764
+Cardiac shadow is enlarged but stable. Postsurgical changes are again seen. The overall inspiratory effort is poor. Mild left basilar atelectasis is noted. No pneumothorax is seen. No bony abnormality is noted.,Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.14088823388859869414416938306931470327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53798591599549515012827367001040628229
+The lungs are well-expanded. The perihilar lung markings are coarse. There is no alveolar infiltrate or pleural effusion. The cardiothymic silhouette is normal. The trachea is midline. The bony thorax and observed portions of the upper abdomen are normal.,Acute bronchiolitis. No alveolar pneumonia.,1.2.826.0.1.3680043.8.498.95787836001302397534439554886340674139
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post surgical posterior fusion of thoracic and lumbar spine.,No active disease.,1.2.826.0.1.3680043.8.498.34065675845722054953019221666923679608
+The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No definite acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73940977388044951066849703437541480593
+UVC tip is at the IVC right atrial junction. UAC tip is at the T7 level. Endotracheal tube is 1.8 cm above the carina. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern.,Support devices as above. No acute findings.,1.2.826.0.1.3680043.8.498.58665259685006859629375780546836573390
+Endotracheal tube is 3.2 cm from the carina at the thoracic inlet. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,No acute disease. Endotracheal tube in place.,1.2.826.0.1.3680043.8.498.52132562676839143396108389133662112209
+PA and lateral upright views of the chest were obtained. Left anterior chest wall dual lead pacer is again noted. Postsurgical changes of the mediastinum are stable. The heart is enlarged. Atherosclerotic calcifications are present. The lungs are hyperinflated. There is mild pulmonary venous congestion. Small bilateral pleural effusions are present. No focal areas of consolidation. No pneumothorax. No acute osseous abnormality. Degenerative changes in the spine and shoulder joints are present.,"1. Cardiomegaly and mild pulmonary venous congestion. 2. Small bilateral pleural effusions. 3. Hyperinflated lungs, which can be seen with COPD.",1.2.826.0.1.3680043.8.498.11272351905270225345163769655594307259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or edema. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15974636158282612448753670387089272993
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75451730225161200140810633244155596681
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42860710598057408968951248036882628257
+There is chronic elevation of the right hemidiaphragm. Linear opacity in the right mid lung is compatible with atelectasis or scarring. No focal consolidation is identified. There is no evidence of pulmonary edema. No pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,1. No evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.51450234767081490035455798738451247906
+PICC line has been inserted and the tip is in the superior vena cava at the level of the azygos vein. Patchy pulmonary infiltrates persist throughout both lungs but there appears to be slight improvement. No effusions.,PICC line in good position. Slight improvement in bilateral pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.95242709805192383548006364604404808767
+Lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.98085003032893404674319255109155956788
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43611261202961311049860888560271709687
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.41193577847552744158970668755065006979
+"Cardiomegaly. Low lung volumes. No confluent opacities, effusions or edema. No acute bony abnormality.","Low lung volumes, cardiomegaly. No active disease.",1.2.826.0.1.3680043.8.498.39006994188769865289214728269612486199
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11894755777285380873114727171632905249
+There is infiltrate in the right middle lobe. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,"Infiltrate right middle lobe, likely pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Cardiomegaly. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.70536025119798622260964731907564320741
+Cardiothymic silhouette is within normal limits. Low volume chest film with vascular crowding and atelectasis. There is peribronchial thickening and abnormal perihilar aeration which may suggest viral bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.57799504923452337063366535994985982511
+"Normal cardiothymic silhouette. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.50757045832663783619069951639864996181
+Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75275631772042546128724967447375253990
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.51686977465848440426639768972725875346
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32159074935849381137759565799541046167
+The lungs are well-expanded and clear. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74479195738499575859878903621779553576
+Stable cardiomegaly. Left-sided pacemaker is unchanged in position. No pneumothorax is noted. Minimal right pleural effusion is noted. Stable left pleural effusion is noted with associated atelectasis. Bony thorax is unremarkable.,Stable left-sided pleural effusion with associated atelectasis. Minimal right pleural effusion is noted.,1.2.826.0.1.3680043.8.498.72349814734226837240710576333648605002
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94350364945785583166299485985401569076
+Cardiomediastinal silhouette is stable. Status post median sternotomy. No acute infiltrate or pleural effusion. No pulmonary edema. Stable osteopenia and degenerative changes thoracic spine. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82692025634803601946459081716301365330
+Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. Left anterior chest wall sequential pacemaker is well positioned. There is opacity at the left lung base consistent with atelectasis. Lungs otherwise clear. No convincing pleural effusion and no pneumothorax. Skeletal structures are grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71630434084406618916516530243572715203
+Frontal chest as well as oblique and cone-down lower rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no evident pneumothorax or pleural effusion. No rib fractures are evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.27523260970158717081509274904256893451
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15400211657068991523675171524142899041
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64186880484498345099256055673584240827
+There is flattening of the hemidiaphragms. Thickening of the interstitial markings is appreciated as well as minimal peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Findings consistent with COPD with superimposed pulmonary fibrosis as well as possibly an element of pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.91892227902453459928145468840646095469
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.60805664653389861280428300720760607847
+The lungs are mildly hyperinflated. There is blunting of the left lateral and posterior costophrenic angles. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The bones are osteopenic. There is mild tortuosity of the descending thoracic aorta.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia. There may be a trace of pleural fluid on the left.,1.2.826.0.1.3680043.8.498.15854153990133742318390939542925050598
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89332355968161010932410781361504933051
+Repeat frontal view was obtained with nipple markers in place. The nodular density seen at the left lung base on prior exam appears to correspond to the nipple. No acute abnormality is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.78405510762887481413828771371396934105
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46966894376572247070291405463548787644
+There is increased airspace opacity in the left mid and lower lung. Interstitial opacity is present in the right lung base. The right midlung opacity is stable. The heart size is normal. There is a probable left pleural effusion.,1. Increased left lung airspace opacity compatible with pneumonia. 2. Stable interstitial opacity at the right lung base.,1.2.826.0.1.3680043.8.498.85415760350305697118180614441477613946
+Swan-Ganz catheter has been removed. The right IJ sheath remains in place. Left chest tube has been removed. No pneumothorax. Cardiomegaly. Left base atelectasis. Mild vascular congestion.,Interval removal of Swan-Ganz catheter and left chest tube. No pneumothorax. Continued vascular congestion and left base atelectasis.,1.2.826.0.1.3680043.8.498.12653821883332532779377148984798552495
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96341125007745133755496057237987565457
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73478469584096954586404440949427579049
+"Cardiac silhouette mildly enlarged, unchanged. Prior CABG. Worsening airspace opacities throughout both lungs since the examination 2 days ago, with slight interval worsening of the RIGHT UPPER LOBE. Stable chronic elevation of the RIGHT hemidiaphragm.",Worsening pneumonia/ARDS throughout both lungs since the examination 2 days ago.,1.2.826.0.1.3680043.8.498.62249988644827245945045603928446827843
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Stable scarring is identified in the lateral aspect of the left lung base. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54119360236826866707674359780765356356
+There is consolidation in the right lower lobe compatible with pneumonia. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.15014005203812805291270656277224068329
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.39193057601882901331800218807562881752
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. Emphysema again noted without airspace disease, effusion, or pneumothorax. No acute bony abnormalities.","Stable exam, no acute process.",1.2.826.0.1.3680043.8.498.46327537273744957830654988059330073634
+There is central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.31025711458837484400919878754854857185
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53276251028587860090787407351686213567
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63384458974206408800810966796194743773
+The large left pleural effusion has decreased in size following thoracentesis. There is no evidence of pneumothorax. Left basilar air space opacities are compatible with atelectasis or pneumonia. The right lung is clear. The heart size and mediastinal contours are stable.,Decreased large left pleural effusion following thoracentesis. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.79364682053376012465886607267451125757
+Monitoring leads overlie the patient. Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.93060635670503950690465491576554965116
+Mild atelectasis at the left lung base. Lungs otherwise clear. Heart size upper limits normal for technique. No effusion. Regional bones unremarkable.,1. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.95996328390010328067335151456039231138
+The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiopericardial silhouette is enlarged. There is no evidence of a pleural effusion.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.21799949574472486588793541959752431485
+"Patchy peripheral airspace opacities in the left lung and right mid lung, improved since prior study. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.","Patchy peripheral airspace opacities, left greater than right, improved since prior study. Findings remain concerning for pneumonia.",1.2.826.0.1.3680043.8.498.72952165354291060005703305303952802534
+COPD with pulmonary hyperinflation. Lungs are clear without infiltrate or edema. Negative for pleural effusion. Heart size is normal. CABG.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86198569987872706246184396435307684656
+There is peribronchial thickening. Heart is normal size. Lingular opacity noted previously has improved. No confluent opacities currently. No effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.71752731361591284920878882284845807164
+The heart size and mediastinal contours are within normal limits. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.32604529582015196233013133629693987112
+"The lungs are well-aerated. Mild left basilar opacity could reflect mild pneumonia, depending on the patient's symptoms. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Chronic left-sided rib deformities are noted.","Mild left basilar opacity could reflect mild pneumonia, depending on the patient's symptoms.",1.2.826.0.1.3680043.8.498.63988719516416667725478664819829693893
+Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. LEFT upper lobe mass unchanged. Remaining lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,LEFT upper lobe mass unchanged. No new abnormalities.,1.2.826.0.1.3680043.8.498.58649923363752619770190745924944573948
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27467578472751991897168888371328391286
+Central catheter tip is in the superior vena cava. No pneumothorax. There is interstitial edema throughout both lungs. There is a small right pleural effusion. There is no airspace consolidation. Heart is mildly enlarged with pulmonary venous hypertension. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.74369680828598064609309723695987808790
+The lungs are well-expanded. The interstitial markings are increased bilaterally. The heart is top-normal in size. The pulmonary vascularity is not clearly engorged. The endotracheal tube tip lies 3.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The observed bony thorax is unremarkable.,Bilateral interstitial and early alveolar opacities compatible with pneumonia or pulmonary edema. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.84809950909076185948233401029393303821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50233874741016082275693193841842633723
+Normal cardiac contours. Aortic atherosclerosis. Lungs are hyperinflated. No large area of pulmonary consolidation. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process. Emphysematous change.,1.2.826.0.1.3680043.8.498.43263424257556150747457504020581106296
+Bilateral confluent airspace opacities progressed since the prior radiograph most consistent with progression of pneumonia. Clinical correlation and follow-up recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,Interval progression of bilateral pneumonia.,1.2.826.0.1.3680043.8.498.28090909633274858725699628400469099763
+"Heart is upper limits normal in size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.40637392711238472781099365752476903719
+There is central airway thickening with focal airspace disease in the left lower lobe compatible with pneumonia. No effusion. Heart size normal.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.35232444094968823494446019891550978090
+The heart is at the upper limits of normal in size. There is mild tortuosity of the thoracic aorta. The pulmonary hila appear normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.,No active disease.,1.2.826.0.1.3680043.8.498.67565171507269583069141123975262172422
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10386345832694387762883911742624916542
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98839654845386845497756318247553609750
+"The umbilical venous catheter tip is now in the right atrium, approximately 1.5 cm from the inferior vena cava-right atrium junction. The lungs are clear. The cardiothymic silhouette is normal. No adenopathy. Bowel gas pattern is unremarkable. No free air or portal venous air. No pneumatosis. No bony lesions.",Umbilical venous catheter tip is in the right atrium approximately 1.5 cm distal to the inferior vena cava-right atrium junction. Bowel gas pattern unremarkable. Lungs clear. Cardiothymic silhouette within normal limits.,1.2.826.0.1.3680043.8.498.45442098653961169570075901577786838281
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82932781973111556588926247232577200725
+Left-sided pacemaker overlies normal cardiac silhouette. Cardiomegaly is unchanged. There is increased density posterior to the heart which is new from prior. Small effusions are new. No pneumothorax.,1. New left lower lobe atelectasis versus infiltrate. 2. New small effusions. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.14198012140413804022769728771489219662
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40956997648567427171788722149084751875
+Cardiomediastinal silhouette is within normal limits. No acute infiltrates are seen. Osseous structures are unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.97056218171918136307243165355951509684
+"The ventricular system is normal in size for the patient's age. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen. There is no change compared with the prior exam.",Negative study.,1.2.826.0.1.3680043.8.498.43455476212794226029460600605604082802
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81555470075663187521057190158293181414
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. Interim partial clearing of left base infiltrate. Small left pleural effusion. No pneumothorax. Left IJ central venous catheter with tip over the right atrium.,1. Interim partial clearing of left lower lobe infiltrate. Small left pleural effusion. 2. Low lung volumes with basilar atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.91979967235476091274686646741932519789
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11666946413212570723256166901659795158
+"The heart size and mediastinal contours are within normal limits. There is a rounded masslike opacity in the left upper lobe, likely representing pneumonia. The right lung is clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.","1. Rounded masslike opacity in the left upper lobe, suspicious for pneumonia. However, recommend radiographic follow-up to resolution. 2. Otherwise unremarkable exam.",1.2.826.0.1.3680043.8.498.85347371040303395080477734131165346342
+"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening. There is patchy pneumonia in both lower lobes, right more than left. No effusions. No significant bony finding.",Bronchitis and bilateral pneumonia consistent with pneumonia.,1.2.826.0.1.3680043.8.498.85919035768547544356023114712496950430
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43054272840760433395061594926613162330
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92234662560855210144697257028727863332
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.54861832184474822767350468283089131979
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48844296243321710348332696687246033611
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.21433082318673358860807206027721857061
+Right central line is in place. The tip is in the right atrium. No pneumothorax. NG tube is in the stomach. There is bibasilar atelectasis. Heart is borderline in size. No effusions.,Right central line tip in the right atrium. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.74300986426343997791715112166009332934
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.94352869358152632060031637622022643047
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36149654436693081856645974978372098713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74010751033533817422568600977973821581
+Cardiothymic silhouette is normal. There are hazy pulmonary opacities but no focal areas of consolidation. No pneumothorax. No pleural effusion. Bony structures are intact. Normal bowel gas pattern.,Hazy lung opacities consistent with RDS.,1.2.826.0.1.3680043.8.498.54609941197258466065655187251749704019
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32652343185201176841325963435845001823
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65625223066390523016368746977185671922
+No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with some peribronchial cuffing which may indicate a central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.58043273173643317757759953237388281994
+"Low lung volumes with bibasilar atelectasis. Heart is normal size. No visible pneumothorax. Left rib fractures again noted, unchanged.","Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.80189750852214451739312378152674220597
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73159658989238260837150010402320319216
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.45852118286365621668874548483440858758
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60630463507397347275172749712812575517
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95519759888461694983667295621508483443
+Cardiac and mediastinal contours are within normal limits given portable AP technique. There is mild pulmonary vascular congestion. No focal or consolidative pulmonary opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.27129041686411601859379113422550945020
+Normal heart size and pulmonary vascularity. Diffuse interstitial pattern to the lungs may reflect edema or consolidation. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Diffuse interstitial pattern to the lungs may represent edema or consolidation.,1.2.826.0.1.3680043.8.498.12161973831643124327204675641807350808
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65744735230405932509861889883081164121
+There is a left chest wall AICD with leads in expected position of the right atrial appendage and right ventricle. The heart is enlarged. The patient is status post CABG. The lungs are hyperinflated. There is no focal infiltrate or pulmonary edema. There is no pleural effusion or pneumothorax. The osseous structures are unremarkable.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.88591523438105073296528600125732390865
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94908354876634963874000059785597858614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65901324216048842002329059951116648581
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78245996968448381465202908951442331269
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.22720131473617542172493970871920680036
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38722432965434186884995745042675723283
+Lung volumes are low. Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.68452560733414189125995616045256463142
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33522880302897153195095656035471192796
+There is increased density in the right mid lung field compatible with pneumonia or atelectasis. The left lung field is clear. Heart size is normal. No pulmonary edema is seen.,1. There is increased density in the right mid lung field compatible with pneumonia or atelectasis. 2. Heart size is normal.,1.2.826.0.1.3680043.8.498.58395511940910304754787306770788814570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42528132726043762013020061071322348545
+"Endotracheal tube is 5 cm above the carina. Nasogastric tube enters the stomach. There is cardiomegaly with bilateral upper lobe air space disease, slightly progressed from the prior examination. No effusion.",1. Endotracheal tube and nasogastric tube appear well positioned. 2. Slight progression of bilateral upper lobe air space disease.,1.2.826.0.1.3680043.8.498.23982038575642059117503954402027950654
+Endotracheal tube is in place with the tip in good position at the level of the clavicular heads. NG tube courses into the stomach and below the inferior margin of the film. Lungs are clear. Heart size is normal. No pleural effusion.,1. ET tube and NG tube in good position. 2. No acute disease.,1.2.826.0.1.3680043.8.498.30149348823155398622942858743590033097
+There is a new right upper lobe infiltrate with associated right hilar fullness. This is suspicious for a central obstructing lung cancer with postobstructive atelectasis and/or pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size is normal. The patient is status post median sternotomy and CABG.,New right upper lobe infiltrate with associated right hilar fullness. Findings are suspicious for a central obstructing lung cancer with postobstructive atelectasis and/or pneumonia. A follow-up chest CT with contrast is suggested for further evaluation.,1.2.826.0.1.3680043.8.498.51531009109559709334905905659525331454
+Interval placement of a left chest tube. Small residual left apical pneumothorax. Continued atelectasis in the left upper lobe. Increasing left lower lobe atelectasis. Subcutaneous emphysema on the left. Right lung is clear.,Interval placement of left chest tube with small residual left apical pneumothorax. Increasing left upper lobe and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.12925488336882492592994925944707572345
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.21644230997221771101290260544626466408
+Cardiac shadow is stable. Aortic calcifications are again seen. The lungs are well aerated bilaterally. Mild interstitial changes are again identified and stable. No focal confluent infiltrate is seen. No sizable effusion is noted.,Stable interstitial changes. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.83793202705708795322295819446050695816
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90387732792710898757675524029355798069
+OG tube is in the stomach. Mild gaseous distention of bowel. No evidence of pneumatosis. No free air. Bibasilar atelectasis. Small effusions.,OG tube in the stomach. No evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.56769578342564308829036895994792388911
+The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of both lungs. This is likely of cardiac cause. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.35218895263562014968874756169677482098
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.46849784745131284509370619038138903703
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77259454988150150157823524003850108409
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14570267906326108710019000923761016463
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29011430567308482503408680857566333404
+Left IJ central line tip is in the proximal SVC. Lung volumes remain decreased with basilar atelectasis. Slight increase in lung volumes with improved aeration of the lung bases. No large effusion or pneumothorax. Exam is overall stable.,1. Slight improved lung volumes with residual basilar atelectasis. 2. Stable central line.,1.2.826.0.1.3680043.8.498.12640638121770906847976498161840798701
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58110011266296136264804025111198548867
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88731524746274396820289657006268524089
+The lungs are clear. There is no pneumothorax or infiltrate. Heart size is normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.48536671844910243811827596288931554494
+Right PICC line is unchanged. Prior CABG. Cardiomegaly with vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis. No acute bony abnormality.,"Cardiomegaly, vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion. Minimal right base atelectasis.",1.2.826.0.1.3680043.8.498.28065270550551579316829601184381588848
+Moderate cardiomegaly is present and there is mild pulmonary vascular congestion noted. A central venous catheter is present with the tip in the lower SVC. No pneumothorax is seen. Median sternotomy sutures are noted.,Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.52327030240917589923038554695793780887
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32533120455105547572028713035762285786
+The tracheostomy tube is stable. A right upper extremity PICC has been placed. The tip is in the right atrium. The heart is normal in size. A moderate right effusion is again seen. A right basilar opacity is also noted.,1. Right upper extremity PICC placement. The tip is in the right atrium. 2. Stable right effusion and right lower lobe opacity.,1.2.826.0.1.3680043.8.498.32802825420943147505457111361006731801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21072788045468310748635038893064070191
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16215401944648778748027423496206602838
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.69260575158358692277157573025276862750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41061602872385217108518712793472233359
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.68123228057890692728699465394817918881
+There is airspace consolidation in the lingula and right middle lobe. There is more patchy opacity in the right upper lobe as well. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the lingula. Heart size normal. No adenopathy.",1.2.826.0.1.3680043.8.498.47117118172711072318035932558127403165
+The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear and the costophrenic sulci are sharp. Pulmonary vasculature is normal caliber. No pneumothorax is identified.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51917876556144932052225326574822055076
+Patchy opacity in the lung bases could reflect atelectasis or developing airspace disease. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,"Patchy opacities in the lung bases, atelectasis versus developing airspace disease.",1.2.826.0.1.3680043.8.498.29207087070816647636582354763290300394
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34526863823967329266950180747591919266
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59375406412006444466543992075804505770
+There is peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.66306368556226095702528979725548794875
+The lungs are mildly hyperinflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in size and the trachea is midline. There is no pleural effusion. The bowel gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.47638711512368514974629839257513349366
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73348706884007297971301594116500273364
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.58490197494401971877493436748837975249
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32942282370031109677171822140192528103
+A central venous catheter is present from the RIGHT side. The tip is in the superior vena cava. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43514072847121228417605968895068197917
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78713612951329554409844324477285519466
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.39886386926995029275069157819366845360
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.54465855734665111218452324403551008189
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.30119050929729435817034630247703159715
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.65235042497262076743231619305178531731
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78098249983894788709406976103141561232
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47632075279499270682962134897590404720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81478634719415181293615378446263818786
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.36341278173574844111492755189286317600
+Large mass in the left upper lobe. Prominent airspace disease in the right lower lobe. Moderate right pleural effusion. No pneumothorax. Heart is obscured by the large mass.,1. Large left upper lobe mass is similar to the prior CT allowing for differences in technique. 2. Airspace disease in the right lower lobe may reflect atelectasis or infection. 3. Moderate right pleural effusion.,1.2.826.0.1.3680043.8.498.56645478100803081183546713355152813565
+"The heart is at the upper limits of normal in size. The mediastinal contours are normal. There is no focal consolidation, pleural effusion, or pneumothorax. There is no overt pulmonary edema. The osseous structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.32249891946863798572224236419608777138
+There is elevation of the right hemidiaphragm. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. Atherosclerosis noted.,No acute disease.,1.2.826.0.1.3680043.8.498.62109445106001861165215187853606137185
+There is a right-sided dialysis catheter with the tip in the projection of the right atrium. The heart size is enlarged. There is no pulmonary edema. No pleural effusions or pneumothorax. No focal airspace opacities are identified.,1. Cardiomegaly. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.96740432851678177739417593735787345118
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Right internal jugular Port-A-Cath is unchanged in position. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35954054801871295032597764525576967262
+The lungs are well-aerated. Mild focal left lower lobe airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95180995463362905620896943318499239265
+"The heart is normal in size. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax.",Hyperinflation compatible with COPD without acute process.,1.2.826.0.1.3680043.8.498.91802898977516850344432085155126425256
+The lungs are mildly hyperinflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,"Mild hyperinflation consistent with COPD or reactive airway disease. No pneumonia, CHF, nor other acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.69131015580144889921746547309277620434
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild right basilar atelectasis is seen. Calcified lymph nodes are noted in the right hilum stable from the prior exam. No focal confluent infiltrate is seen. No bony abnormality is noted.,Mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.78992694732000031643029718028315478124
+The lungs are clear. Heart size is mildly enlarged. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.43155139143754047829644227274250500719
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13060334014403049104886854154342186495
+Heart size is normal. The vascularity is normal the lungs are clear. There is no infiltrate or effusion. There are multiple old left rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28855325174090244387477406192177712870
+The endotracheal tube tip is 1.5 cm above the carina. Diffuse bilateral air space disease is present. The heart size is normal. There is no pneumothorax. A nasogastric tube courses off the inferior aspect of the film.,1. Diffuse bilateral air space disease compatible with pneumonia or edema. 2. Low lung volumes. 3. Satisfactory positioning of the endotracheal tube.,1.2.826.0.1.3680043.8.498.75428911913611982893423175123267306158
+Heart is normal size. There is perihilar peribronchial thickening. No confluent airspace opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.84093754880399603903179384483001671474
+There is interstitial fibrosis throughout the lungs bilaterally. There is no frank edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,"Widespread interstitial fibrosis, stable. No edema or consolidation. Stable cardiac prominence.",1.2.826.0.1.3680043.8.498.84203212083676429934785013113609460848
+Cardiac shadow is stable. Aortic calcifications are again seen. Increasing right basilar infiltrate is noted with associated effusion. New left basilar infiltrate is seen as well. No bony abnormality is noted.,Increasing bibasilar infiltrates.,1.2.826.0.1.3680043.8.498.96442822143293791622044945375522431790
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28007190404511450111804613026512102654
+"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. Bibasilar atelectasis with slight improvement since prior. No pneumothorax.",Improving bibasilar atelectasis. Stable support apparatus.,1.2.826.0.1.3680043.8.498.70508795176046667057412932220591464099
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.38655737151243694434971790109257084315
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82067792300907202569496337214754536002
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Left subclavian Port-A-Cath is in place.,No acute findings.,1.2.826.0.1.3680043.8.498.55882005337677334811349187670603182823
+"There are low lung volumes. Bibasilar opacities present, atelectasis versus infiltrates. Small bilateral pleural effusions. Heart is normal size. No acute bony abnormality.",Bibasilar atelectasis or infiltrates and small effusions.,1.2.826.0.1.3680043.8.498.55584938597548675368054814152370238219
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.15115048790066022428364409091939787646
+There is extensive airspace disease in the right lung involving the right upper lobe and right lower lobe. There is a small right pleural effusion. Left lung demonstrates mild airspace disease in the left mid and lower lung. No pneumothorax is identified. Underlying COPD is present. Heart size is normal.,Extensive right lung airspace disease compatible with pneumonia. Mild left lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.30291680811860941568208409707629734818
+Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.91572262699753272867319593304588636738
+Port-A-Cath is in place. The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.83427309592868564666075845151306227936
+There is elevation of the RIGHT hemidiaphragm. A LEFT sided central venous catheter is appreciated with the tip projecting in the region of the superior vena cava. The patient is rotated to the RIGHT. There is no evidence of focal infiltrates effusions or edema. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32803312206605308365552107090815993665
+The cardiopericardial silhouette is within normal limits for size. Lungs are clear. There is no airspace disease or effusion. No pneumothorax. The lateral view demonstrates a nodular density in the anterior mediastinum. This is not well seen on the frontal view. The visualized soft tissues and bony thorax are unremarkable.,1. No acute cardiopulmonary disease. 2. Questionable nodular density in the anterior mediastinum on the lateral view. This is not evident on the frontal view to confirm stability. Consider follow-up CT chest without contrast.,1.2.826.0.1.3680043.8.498.67504571326693129445511249287984135642
+No displaced rib fracture is identified. The bone density is normal. No destructive bony process is appreciated. The lungs are clear. No pleural effusion or pneumothorax is identified.,"No displaced rib fracture, pleural effusion or pneumothorax.",1.2.826.0.1.3680043.8.498.90539277608808490450731733310721910588
+"The heart is normal in size. The aorta is tortuous and calcific. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",COPD without acute process.,1.2.826.0.1.3680043.8.498.71437068072626353445146044200802679661
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Previously seen bilateral airspace disease has resolved since previous study. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44911914155123362893204726678135898635
+Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27517123432371314588423520772578275843
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.82294525330266318326160504890361530400
+The heart size and mediastinal contours are within normal limits. Consolidation of the right upper lobe. No visible pleural effusions or pneumothorax. The visualized skeletal structures are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.23385644082528265829712104853277211762
+The lungs are clear. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.25815101234226812362746299563599364895
+Small bilateral pleural effusions are seen. Left basilar atelectasis is noted. The right lung is clear. There is no pneumothorax. Heart size is upper normal. The patient is status post CABG.,Small bilateral pleural effusions and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.91757660467353677683367242722977551141
+Stable mediastinum and cardiac silhouette. There is blunting of the costophrenic angles bilaterally which is increased compared to prior. There is mild increase in central venous pulmonary congestion. No evidence of pneumothorax.,1. Interval increase in bilateral pleural effusions. 2. Increase in central venous pulmonary congestion.,1.2.826.0.1.3680043.8.498.37516337860653739101348304806341537785
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47446183714927378671309407333569595834
+The heart size and mediastinal contours are within normal limits. The aorta is tortuous. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91853667448624221786397276066022217493
+"The lungs are hypoexpanded but appear grossly clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.97634695735892180273742937096561788474
+Endotracheal tube is 5.5 cm above the carina. Left IJ central line tip is in the SVC. No pneumothorax. Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions.,Left central line tip in the SVC. No pneumothorax. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.87880149292127385560890975311897904499
+PA and lateral views of the chest were obtained. The cardiomediastinal silhouette is within normal limits. The lungs are clear bilaterally. The visualized bones and soft tissues demonstrate no acute findings.,No acute chest disease,1.2.826.0.1.3680043.8.498.97660845301467211473185316636447662539
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39595470588905773224782231774286511300
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.",Mild vascular congestion noted. Lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.62046448301637839062942607181820546277
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25236134789675339184080623351698233657
+The heart is normal in size. Linear atelectasis is seen at the left base. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23121022338178213526294285895811599543
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.61508634839301831560840077556745818234
+"Endotracheal tube is well positioned with tip approximately 2 cm above the carina. Enteric tube passes below the diaphragm. Central line appears stable in position with tip at the cavoatrial junction. Heart size is stable. Central pulmonary vascular congestion and bilateral interstitial edema, stable. Probable atelectasis at the left lung base. Small left pleural effusion. No pneumothorax seen.",1. Endotracheal tube well positioned with tip approximately 2 cm above the carina. Enteric tube passes below the diaphragm. 2. Central pulmonary vascular congestion and bilateral interstitial edema suggesting some degree of congestive heart failure. 3. Probable atelectasis at the left lung base. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.17773915247076709447437390371160369048
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48093053820572528063073206293679603402
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81182274126287033515956600838685807217
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33795758239493937561650995146984879674
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43225656524488545908569029024866478158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58357400910435161311839892732227814306
+The lungs are hyperinflated. There is no evidence of acute infiltrate or pleural effusion. The heart size is normal. No pulmonary edema is seen.,COPD. No acute findings.,1.2.826.0.1.3680043.8.498.79341471358474438386947944369516103234
+There is a moderate right pleural effusion with right lower lobe atelectasis or infiltrate. The left lung is clear. No evidence for heart failure.,Right lower lobe atelectasis/ infiltrate and right pleural effusion.,1.2.826.0.1.3680043.8.498.71307089293325399264129409298364188520
+Left PICC line is in place. The tip is in the mid SVC. Lungs are clear. Heart is normal size. No effusions. No acute bony abnormality.,Left PICC line tip mid SVC.,1.2.826.0.1.3680043.8.498.10690606773755504829056327843029412478
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. There are mild degenerative changes within the thoracic spine.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.82856541077585853849222687084168394967
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61487010827864053777303534537296968158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36397671729026937069219833625280124179
+Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. Osseous structures are unremarkable.,No acute pulmonary process.,1.2.826.0.1.3680043.8.498.80569818833100611925613812827544808536
+There is cardiomegaly. Aortic atherosclerosis. Small bilateral pleural effusions. Pulmonary vascular congestion and diffuse interstitial edema is present. There is no significant airspace consolidation. No acute fractures are present. There is no pneumothorax.,1. Cardiomegaly and mild pulmonary edema suggesting congestive heart failure. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.39692903684836315428885023084217795850
+Cardiomediastinal silhouette is normal. Calcified aortic knob. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious. Mild degenerative change of the thoracic spine.,No acute cardiopulmonary process. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.93592281996047723219085025084699874712
+Heart size is normal. Both lungs are clear. No evidence of pleural effusion. No mass or adenopathy identified.,No active disease.,1.2.826.0.1.3680043.8.498.66778978768119326866498121607080391952
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.34577338964380292123211135399189919789
+Cardiac shadow is stable. Diffuse bilateral airspace opacities are noted consistent with the given clinical history of COVID positivity. No sizable effusion is seen. No bony abnormality is noted.,Bilateral airspace opacities consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.72260977540830886717651647366499670558
+The lung volumes are low. The lung volumes are low. There is bibasilar atelectasis. The lung volumes are low. There is no pneumothorax. No large pleural effusion. The heart size is stable from prior study.,1. Low lung volumes with bibasilar atelectasis. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.86871807376473753933436096043140235804
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Subcentimeter pulmonary nodule in the right upper lobe. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.","1. No active cardiopulmonary disease. 2. Subcentimeter pulmonary nodule in the right upper lobe, better evaluated on prior CT.",1.2.826.0.1.3680043.8.498.20268776746923736130840126670427401213
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84610667017583857264593239254456278841
+The heart is enlarged. The lung volumes are low. The right basilar opacity has decreased. There is a small left pleural effusion. There is no pneumothorax.,1. Improving aeration at the right lung base. 2. Small left pleural effusion. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22019237687954325468481521593356475346
+Two views of the chest show a left-sided pacemaker with a lead overlying the right ventricle. The heart is normal in size. The mediastinal contour is normal. Nodular opacities are seen throughout the lungs. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax.,"1. Nodular opacities throughout the lungs, which could represent metastatic disease. 2. No focal consolidations to suggest pneumonia.",1.2.826.0.1.3680043.8.498.48971369409947915235896441783215896445
+"Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Mild scarring noted at the right lung base, stable. Lungs are otherwise clear. No pleural effusion or pneumothorax. Bony thorax is intact.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41487913653847364519206305689894132210
+Right PICC line is unchanged. Stable cardiac silhouette. There is increased air space disease in the right upper lobe and right lower lobe. Left lower lobe atelectasis is increased. No evidence of pneumothorax.,1. Increasing bilateral pneumonia. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.70845017318917910876941668657400133988
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.71864919981585585160763326523539056534
+No displaced rib fracture is seen. No pneumothorax is present. No abnormal pleural fluid collection is recognized.,No evidence of displaced rib fracture or pneumothorax.,1.2.826.0.1.3680043.8.498.65714734574661293693754828540581279470
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.31963132921902676686436920502932322944
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99934470063165900578519993893697391424
+There is ill-defined airspace opacity in the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Ill-defined airspace opacity consistent with pneumonia left upper lobe. Lungs elsewhere clear. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.64233636564827084907908464204326136082
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81611822671856907037218658301046291592
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18436894440905893139322934417872499426
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.14750295978749566312028848673887669465
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83720775758923860444173499409333184868
+Normal heart size. No effusion or pneumothorax. No evidence of rib fracture.,Negative.,1.2.826.0.1.3680043.8.498.34945061727106120240253092054682225644
+"Normal heart size and mediastinal contours. Peribronchial thickening and hyperinflation. No definite consolidation, pleural effusion or pneumothorax. Bones unremarkable.",Peribronchial thickening and hyperinflation which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.25322153976054660872525526792907424536
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.23203244016410612283124034660792092200
+There is a large hiatal hernia. I do not clearly define the LEFT hemidiaphragm. The lungs are clear. There is no infiltrate. There is no pneumothorax. There is no evidence of a pleural effusion. The heart is mildly enlarged. A permanent pacemaker is identified.,1) No acute cardiopulmonary disease. 2) Hiatal hernia. 3) Cardiomegaly with a permanent pacemaker.,1.2.826.0.1.3680043.8.498.80072299314095517068190582129693990647
+The heart size is normal. There is elevation of the left hemidiaphragm. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,Elevation of the left hemidiaphragm. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22676211899701265031801387415503095849
+"PA and lateral chest radiographs are provided. There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",There is bilateral perihilar interstitial thickening with mild peribronchial cuffing as can be seen with lower airways disease secondary to an infectious or inflammatory etiology.,1.2.826.0.1.3680043.8.498.34336667780334220218090260444463773849
+The heart size and mediastinal contours are normal. The left heart border is partially obscured by confluent airspace opacity in the lingula. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.,Lingular pneumonia. This should be followed to radiographic clearing.,1.2.826.0.1.3680043.8.498.48708527585587641065030323727254777072
+Endotracheal tube is 3.5 cm above the carina. Right IJ central venous catheter tip is in the SVC. No pneumothorax. Lungs are clear. Heart size is normal. No effusion.,Support apparatus in good position. No acute disease.,1.2.826.0.1.3680043.8.498.33640398131026036469639840045943902795
+"Single frontal view of the chest demonstrates stable endotracheal tube and enteric catheter. Cardiac silhouette is unremarkable. There is persistent consolidation within the right mid and lower lung zone, with small right pleural effusion. No pneumothorax is identified. Left chest is unchanged.","Stable support devices. No pneumothorax. Persistent right-sided airspace disease, with small right pleural effusion.",1.2.826.0.1.3680043.8.498.16089694503218212556167106305692506729
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.42337550913027328351066445912251004144
+The cardiac silhouette is normal in size. The mediastinal contour and pulmonary vascularity are within normal limits. There is increased density at the right lung base which may be due to consolidation and/or pleural effusion. The left lung appears free of infiltrate. No pneumothorax is seen.,Right basilar infiltrate and/or pleural effusion.,1.2.826.0.1.3680043.8.498.40990762494844909279390401309275911900
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Monitoring leads are projected over the chest.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82109998501524766370386770608489494034
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85035567242903166048397827249713671178
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76499039711829203399386063894910319669
+"Heart: Similar cardiomegaly. Left chest wall cardiac generator. Lungs: Bilateral central airspace opacities. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. Mediastinum: Calcified atherosclerotic changes in the aorta. Otherwise, unremarkable. Pleural effusions: None. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.",1. Bilateral central airspace opacities. Differential includes edema versus infection. 2. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.80433740798786637903681131683990132972
+"Lung volumes are low with crowding of the bronchovascular structures. Central airway thickening is identified. No consolidative process, pneumothorax or effusion. Heart size is normal. No focal bony abnormality.",Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.90337554566537833494216058780031412290
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.45593377884616574346242596976046580151
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.11386910152634237787889319322768566205
+The lungs are hypoinflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,The study is limited due to hypoinflation. I cannot exclude low-grade CHF in the appropriate clinical setting. A followup PA and lateral chest x-ray with deep inspiration would be of value.,1.2.826.0.1.3680043.8.498.31372964329109886481159426228657659616
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69555955928944927588545322524372524403
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.91264860632420652898645167523551597799
+"Right PICC line is in place. The tip is in the right atrium, approximately 6 cm deep to the cavoatrial junction. Endotracheal tube and NG tube are unchanged. Diffuse airspace disease throughout the lungs again noted, unchanged.","Right PICC line tip in the right atrium, 6 cm deep to the cavoatrial junction. Otherwise no change.",1.2.826.0.1.3680043.8.498.31054214206868447087340707745350474177
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.57947237538419617056277250457739188498
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic interstitial lung disease again demonstrated.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.14777617590963220218215136611518810798
+There is bilateral interstitial thickening and hazy right lower lobe airspace disease. There is no pleural effusion or pneumothorax. There is stable cardiomegaly. The osseous structures are unremarkable.,Bilateral interstitial thickening and hazy right lower lobe airspace disease most concerning for pulmonary edema versus multilobar pneumonia.,1.2.826.0.1.3680043.8.498.99940478219854572279117536732969800194
+"Endotracheal tube, NG tube, left internal jugular central venous catheter are again seen and stable. Diffuse bilateral airspace disease with slight improvement on the right. Cardiomegaly. No pneumothorax. No large effusion.",Stable support apparatus. Slight improvement in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.18062003841329860971053236928608347758
+Progression of airspace disease in the right upper lobe and right lower lobe. Mild airspace disease on the left unchanged. Cardiac enlargement with vascular congestion. Small pleural effusions bilaterally.,Progression of airspace disease on the right suspicious for pneumonia. Mild vascular congestion and interstitial edema bilaterally.,1.2.826.0.1.3680043.8.498.67296633386388799657699996743832368366
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.51155269777538892618533398374807714212
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.70900901454251824115896620662972104007
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.96518327435760108579413393043597663872
+There is chronic interstitial lung disease with peripheral fibrosis. No focal airspace disease or effusion. Heart size is mildly enlarged. No focal bony abnormality.,Chronic interstitial lung disease. No acute disease.,1.2.826.0.1.3680043.8.498.53436778650306712798911057211421366965
+The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal. There is no pleural effusion. The gas pattern in the upper abdomen is normal. The trachea is midline. The bony thorax is unremarkable.,Acute bronchiolitis without evidence of pneumonia.,1.2.826.0.1.3680043.8.498.19522525475459297881487770671036957158
+Shallow inspiration. Heart size and pulmonary vascularity are normal. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42236059296692569951849747873562638511
+Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is a small hiatal hernia. There is degenerative change in the thoracic spine. There is anterior wedging of a midthoracic vertebral body. No pneumothorax.,No edema or consolidation. Small hiatal hernia. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.97934032559243104573691550392085733703
+The heart is mildly enlarged. There is aortic atherosclerosis. There are patchy bilateral airspace opacities in both lungs which are somewhat confluent. No pleural effusion or pneumothorax. The bones are unremarkable.,Patchy bilateral airspace opacities which could reflect asymmetric edema or pneumonia. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.37771853211767068108220573302670191516
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.93609684303581306359566605638430939489
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.26183551598937471266148305568967375023
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10644448424357146364750846566498191943
+There has been interval placement of a right IJ dialysis catheter with tips overlying the right atrium. A pacemaker is in place. Cardiomegaly is again noted. There is no evidence of pneumothorax. Mild pulmonary vascular congestion is stable.,1. New right IJ catheter placement with tips overlying the right atrium. 2. Stable cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.88747585462543145484757768097036414492
+Right jugular dual-lumen central venous catheter with tip projecting over SVC. Enlargement of cardiac silhouette post median sternotomy. Atherosclerotic calcification aorta. Pulmonary vascularity normal. Persistent left lower lobe consolidation with associated left pleural effusion. Minimal atelectasis at right base. No pneumothorax.,Persistent left lower lobe consolidation consistent with pneumonia with associated left pleural effusion. Enlargement of cardiac silhouette post median sternotomy.,1.2.826.0.1.3680043.8.498.85971550323851661325850358233486287519
+No edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is a hiatal hernia. No bone lesions.,Hiatal hernia. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.26837865756660305269328550693746620463
+The lungs are well-aerated. Mild bibasilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Mild bibasilar atelectasis noted. Lungs otherwise clear.,1.2.826.0.1.3680043.8.498.15985119204465771023699826438527689433
+"Single view. No focal pulmonary opacity, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Regional skeleton is normal.",No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.21165325696346651532922030262918122809
+"The current exam shows the lung fields to be clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. A cardiac pacemaker is present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.13881907183873442511407199467121839714
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26265082632368707192752360759218620818
+Mild cardiomegaly. No pleural effusion or focal consolidation. Mild vascular congestion. No pneumothorax.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.46989490080913683245105582785576233205
+"Shallow inspiration. No focal consolidation, pleural effusion, pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17160504695392807985968673525165574707
+There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.14642088524942247627755011467204291693
+There is little change in linear atelectasis at the lung bases. Opacity at the right lung base remains and pneumonia cannot be excluded. Mild volume loss is again noted at the right lung base. Tracheostomy and right central venous line remain. Heart size is stable.,1. No significant change in bibasilar linear atelectasis and possible pneumonia at the right lung base. 2. No change in mild right basilar volume loss.,1.2.826.0.1.3680043.8.498.39380639227604864804450651173541954580
+Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is within normal limits. There is new mild left basilar opacity which may reflect a combination of a small left pleural effusion with associated atelectasis or pneumonia. The right lung is clear. No pneumothorax is identified. No acute osseous abnormality is seen.,1. New left basilar opacity which may reflect a combination of atelectasis or pneumonia. Small left pleural effusion. 2. Support devices as above.,1.2.826.0.1.3680043.8.498.78047535056864298090661822338220205857
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53356482053483847093537929745300277251
+"Interval extubation and removal of nasogastric tube. Right IJ Swan-Ganz catheter unchanged, with tip at main pulmonary artery. Mediastinal drain and left chest tube remain in place. No pneumothorax. Cardiomegaly accentuated by AP portable technique. Probable small left pleural effusion. No pneumothorax. Moderate interstitial edema is not significantly changed. Patchy lower lobe predominant airspace disease is also similar.","1. No change since one day prior. 2. Removal of support apparatus, without pneumothorax. 3. Mild pulmonary edema with bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.46340125368141008356390230616997349733
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16195580241097176638880734549672873092
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48048839327852301552529665813948451382
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60764025197481441123336389839329656720
+"Portable AP semi upright view at 6475 hrs. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, side hole at the level of the gastric body. Stable cardiomegaly and mediastinal contours. Prior aortic valve replacement. Increased pulmonary vascularity. No pneumothorax or pleural effusion. No consolidation.",1. ET tube and enteric tube appear appropriately placed. 2. Increased pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.79768425344052985799752587049037213645
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable. Prior cervical and upper thoracic fusion.,No active disease.,1.2.826.0.1.3680043.8.498.31007742904696435159670182466975699891
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80448743586110098336739247058361022870
+"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is a large mass in the right upper lobe. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Large mass in the right upper lobe worrisome for neoplasm. Recommend CT of the chest for further evaluation.,1.2.826.0.1.3680043.8.498.85296967014069892445174173268028276599
+Patchy bilateral airspace disease consistent with pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Patchy bilateral pneumonia consistent with COVID pneumonia.,1.2.826.0.1.3680043.8.498.32514311738769783389871705093722641596
+"There is again noted increased density bilaterally, more prominent on the RIGHT. Interstitial and pulmonary edema remains the primary consideration as to etiology. The findings are not specific and could be secondary to interstitial or pulmonary edema or could be secondary to pneumonia. Overall, there has been little or no appreciable interval change since the exam of yesterday. The heart size remains normal. No pleural effusion is seen. Monitoring electrodes are present.","There are again noted bilateral interstitial and alveolar densities, more prominent on the RIGHT and consistent with edema or pneumonia.",1.2.826.0.1.3680043.8.498.89741791629476145844752318879711013337
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.83137004039839510251054201511308940039
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49714917672791765622105061826911787269
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.67545694619982061277458029013229303349
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95226638623536536613775174023029937598
+Stable normal cardiac silhouette. Feeding tube extends below the field of view into the abdomen. Decrease in right pleural effusion. Right basilar opacity is likely associated atelectasis. No new consolidation. No pneumothorax. Bones are unremarkable.,Decrease in right pleural effusion and right basilar opacity probably associated atelectasis.,1.2.826.0.1.3680043.8.498.40816837679341368655590525594895596257
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37098440451742278510912084619656681303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81741526876278245030484160357315280443
+Heart size is normal. A cardiac pacemaker is present. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. Pulmonary vascularity is within normal limits. There is no pneumothorax or pleural effusion. Bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69241865818629928766099211592628527472
+Mediastinum and hilar structures normal. Cardiomegaly with mild pulmonary vascular prominence and interstitial prominence noted consistent with congestive heart failure. Mild basilar atelectasis. No prominent alveolar infiltrates. No pleural effusion or pneumothorax. No acute bony abnormality.,Findings consistent with mild congestive heart failure with mild interstitial edema.,1.2.826.0.1.3680043.8.498.98506651057052767127427623564538195600
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.70458345665233417594512819305413163032
+"PA and lateral views of the chest are made and are compared to previous studies of 10/18/10, and 7/22/7 and show the heart to be within the limits of normal. The lungs show mild peribronchial thickening but no active airspace disease. The bony thorax shows mild degenerative hypertrophic spurs of the mid and lower thoracic spine.",No active cardiopulmonary disease. Mild stable scarring in the left lower lung base.,1.2.826.0.1.3680043.8.498.89402680589653800640073017509929069411
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75482151201767605958611528419147671592
+The cardiac and mediastinal contours are unremarkable. Focal opacity within the right middle lobe. No acute fracture.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.65087453081554145411627122946711874085
+The heart is normal in size. The lungs are under expanded. There is left lower lobe infiltrate or atelectasis. A left lateral rib fracture is again seen. There is a small left pleural effusion. There is no pneumothorax.,1. Left lower lobe infiltrate or atelectasis. 2. Left lateral rib fracture with small effusion.,1.2.826.0.1.3680043.8.498.43671261838705120716854716308679438284
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66198059381807470238368645393016501631
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.60491084569752087863556898778845051643
+"Lung volumes are small, but are symmetric. Mild pulmonary vascular congestion, without frank pulmonary edema. No pneumothorax or pleural effusion. Mild cardiomegaly. No mediastinal or hilar masses.","Cardiomegaly and pulmonary vascular congestion, without overt pulmonary edema.",1.2.826.0.1.3680043.8.498.17497317066447947237859102779356201681
+"Cardiovascular: The heart size is mildly enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57344961904187327310529630975898125666
+Endotracheal tube is 5.5 cm above the carina. Left chest tube is in place. No pneumothorax. Minimal right base atelectasis. Heart is normal size. No effusions.,Interval placement of endotracheal tube and left chest tube. No pneumothorax. Minimal right base atelectasis.,1.2.826.0.1.3680043.8.498.71782406980821593929857616188972775538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.28978501229332652134904638413828465980
+"Cardiothymic silhouette is normal. There is bronchial thickening. There is patchy pneumonia in the left lower lobe. No dense consolidation, collapse or effusion.",Bronchitis and left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.54076974951502939578286513068200662414
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37592591213256769863605067162174304729
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24720137446191743914635924035801400803
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77865526201553210876319464631034485343
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84680740373933805793789324700103527234
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96124052151328426272966431209518444378
+There is central airway thickening. No focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.94509781861437949191533331253637882332
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82750175124005622974022871425732284396
+Tracheostomy tube is in place. There is moderate cardiac enlargement. Moderate bilateral pleural effusions and interstitial edema identified. The visualized osseous structures are unremarkable.,1. CHF.,1.2.826.0.1.3680043.8.498.92509226975564363063970777799863659606
+The lungs are mildly hyperinflated. There is no focal infiltrate. The endotracheal tube tip lies approximately 2.0 cm above the carina. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.57364131699021577508020418769423480626
+Endotracheal tube is present with the tip at the level of the aortic arch. A right internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear clear. The heart is borderline enlarged. Monitoring electrodes are present.,Please see above.,1.2.826.0.1.3680043.8.498.96177197033549499888839491668732016829
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39003333582925607778958079639568578202
+The left PICC line tip is in the distal SVC near the cavoatrial junction. Low lung volumes with vascular crowding and atelectasis. There is also vascular congestion which is stable. Small bilateral pleural effusions and bibasilar atelectasis.,"1. Left PICC line tip in distal SVC. 2. Low volume chest film with vascular crowding, atelectasis and small effusions.",1.2.826.0.1.3680043.8.498.90946792057404716116326262117823100890
+The lungs are well-expanded and clear. The heart and mediastinal structures are normal. There is no pleural effusion. Old deformities of the posterior aspects of the left fourth and fifth ribs are demonstrated.,There is no evidence of acute or old tuberculous infection. There is no acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.68473627749682647084467090943890486103
+Endotracheal tube terminates 2.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is unchanged. Lung volumes are lower with bronchovascular crowding and mild atelectasis in the lung bases. No sizable pleural effusion or pneumothorax is identified.,Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54786668986798545232200564824601372378
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.75838965651491180180499410112319883556
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93427044577462834722325370861893478912
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Mediastinal drain and left chest tube are present. Right jugular Swan-Ganz catheter in the proximal right pulmonary artery. No evidence for a pneumothorax. Left basilar densities are suggestive for atelectasis. Post CABG changes. Heart size is enlarged.,Postoperative chest with left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.38218271378811671509343521460723487370
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46036170191488818044358209799322958552
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion or pneumothorax. No acute osseous findings.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89322270689801301417081381792574734422
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84279320288476739044547124213805276001
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No evidence for heart failure.,1.2.826.0.1.3680043.8.498.89484359348185950267016294550158842943
+Cardiothymic silhouette is within normal limits. No pneumothorax. No pleural effusion. No overt pulmonary edema. No acute consolidative airspace disease. Visualized osseous structures appear intact. No evidence of pneumatosis or pneumoperitoneum in the visualized upper abdomen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48528743357184586015303668579467927909
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.47531621651896504583069629063508376602
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76773955811728869853576978796027079575
+Endotracheal tube is in place with the tip approximately 2.5 cm above the carina. The lungs are clear. Heart size is upper normal. No effusion.,1. Endotracheal tube in good position. 2. No acute disease.,1.2.826.0.1.3680043.8.498.72916415769125871644934501800535058082
+"There is cardiomegaly. There are increased interstitial markings within the lung bases, consistent with edema. There are Kerley B-lines also consistent with congestive failure. There are small bilateral effusions. There is no pneumothorax. No acute bony findings.",Findings most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.56337178349387589243829232910182538406
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28490930311844328584320228032124205002
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.,1. Cardiomegaly. No pulmonary venous congestion. 2. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.57972991246754680776065336256497006435
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.94347724958752684603942941784821513293
+"The previously noted infiltrate or atelectasis at the LEFT base has now cleared. There is noted a deformity of the fourth RIGHT posterior rib compatible with residual change from prior fracture or prior surgery. No new pulmonary infiltrates are seen. No pneumonia, pneumothorax or pleural effusion is noted. The heart size is normal.",1. No acute changes are identified. 2. There is deformity of the fourth RIGHT posterior rib compatible with residual change from prior surgery or prior trauma.,1.2.826.0.1.3680043.8.498.72762317357323264020857530772166350251
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.53200051244747850527428257391146300109
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild granular pattern with no areas of focal atelectasis or infiltrate seen. No pleural effusions are noted. Bony structures appear intact.,Findings suggestive of mild RDS.,1.2.826.0.1.3680043.8.498.28337649688947554260336426903420225360
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91728945107705213983620798851464554295
+Port-A-Cath appliance is in place with the tip in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Port-A-Cath appliance tip in superior vena cava. No pneumothorax. No lung edema or consolidation. Heart mildly enlarged.,1.2.826.0.1.3680043.8.498.90934988322345815126288597513190985814
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24793246288978454170689022983353263025
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Feeding tube is seen entering stomach. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68834266626223224800040913838989833548
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50106330569047497222468916698909107846
+There is a calcified granuloma in the right middle lobe. There is a pectus deformity of the sternum. There is mild airspace disease in the left lower lobe which is unchanged and may represent atelectasis or pneumonia. There is no pleural effusion. The lungs are otherwise clear.,1. Mild left lower lobe airspace disease is unchanged and may represent atelectasis or pneumonia. 2. Stable pectus deformity.,1.2.826.0.1.3680043.8.498.33974425361481190919143684120897440142
+Endotracheal tube and nasogastric tube have been removed. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart is enlarged with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Left base atelectasis. No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.13489827690550439380011707943236790197
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56387639124647180394755879596731627940
+"Post CABG. The heart is normal in size. There is a moderate size hiatal hernia. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen. No displaced rib fracture. Surgical clips are noted in the right upper quadrant of the abdomen.",1. No acute findings. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.42203384581981547870130348094163296310
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.79903218762835676126370416579401243144
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.16569977988877153541375864230221498903
+The heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77681327689640256702996192402927911613
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; a pacemaker is noted at the left chest wall, with leads ending at the right atrium and right ventricle. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.16161045221420520681706443793812138062
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78987962021222278783364685931401373267
+Cardiothymic silhouette is normal. Lungs are mildly hyperinflated. There is mild perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.35071391287891603978679938435889139782
+Mediastinum and hilar structures normal. Low lung volumes with mild bibasilar atelectasis and/or infiltrates. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Low lung volumes with mild bibasilar atelectasis and/or infiltrates.,1.2.826.0.1.3680043.8.498.56124811157733629054817279048911535342
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.32035989886838682766692241159653116438
+Cardiac shadow is within normal limits. The lungs are hypoinflated although no pneumothorax or focal confluent infiltrate is seen. No bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.11917065696936023284360043819946329254
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23588579334772933349134466620038842217
+There is elevation of the right hemidiaphragm. There is right-sided pleural thickening and right-sided pleural effusion. There is a right-sided central venous catheter present with the tip in the superior vena cava. The left lung is clear. The heart is normal in size.,Volume loss on the right with elevation of the right hemidiaphragm and pleural thickening and effusion. Underlying infiltrate or mass is not excluded. No significant change.,1.2.826.0.1.3680043.8.498.90665924280950046441704506938936319020
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Right base atelectasis. Tiny right apical pneumothorax again noted. No left pneumothorax. No pleural effusion. No acute bony abnormality.,1. Tiny right apical pneumothorax again noted. No interim change. 2. Right base atelectasis.,1.2.826.0.1.3680043.8.498.49600576437269340224677506982187848086
+"There are low lung volumes. Bibasilar opacities present, likely atelectasis. Heart is normal size. No effusions. No acute bony abnormality.","Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.93732290297537778992474265381778078821
+Cardiac silhouette normal and mediastinal contours unremarkable for the AP technique. Hilar and pleural contours unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55094341920228074637266595796228887239
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84153442469811789843788607006130453595
+There is thickening of the interstitial markings as well as peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is osteopenic.,Findings consistent with improved pulmonary edema. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.71185426687179774966693127305819483686
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected. Mild spondylosis extends through the spine.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.15219277159534316238828104716400875380
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32458680786458310426499402630185368480
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24413909064665079030757344857605306341
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86009516059677215523904116645231507189
+Extensive bilateral airspace disease persists but shows some improvement. Heart size is normal. No pneumothorax.,Some improvement in extensive bilateral airspace disease.,1.2.826.0.1.3680043.8.498.42541764918278869479260718287633435304
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36423049972390633746543951466017637208
+"Right-sided PICC with tip over central SVC. The lungs are hyperinflated with emphysematous changes. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",1. No acute cardiopulmonary process. 2. COPD.,1.2.826.0.1.3680043.8.498.38663115104368265349485744796606214500
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76133380075005989791013504624385498858
+Single frontal view of the chest demonstrates a stable cardiac silhouette. There is left lower lobe consolidation compatible with pneumonia. No pneumothorax. No acute bony abnormalities.,Left lower lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.22812749059721407965999947957854982398
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Chronic thoracic spine degenerative changes noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88394881365790516905499682913577491928
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20462766491676137833812044260517985880
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15748662153236530868469944536496550706
+The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.47279893715817226676745507766064792341
+The cardiomediastinal silhouette is stable and within normal limits. Lungs grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.24883765171460932806199937997224113342
+There is peribronchial thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.26640998161541770738769197828352937574
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97792046549073468251860908656989993555
+Left chest tube remains in place. No pneumothorax. Left lower lobe consolidation and left pleural effusion are stable. There is some increasing infiltrate or atelectasis at the right base. Heart size is normal.,1. No pneumothorax. 2. Stable left lower lobe consolidation and left effusion. 3. Increasing right base atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.32848888364323796648073549757966947884
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.59694101527411323742640854699340317097
+There is marked enlargement of the cardiac silhouette. The pulmonary vascularity is normal and the lungs are clear. No effusions. No bone abnormality.,Enlargement of the cardiac silhouette which could represent true cardiomegaly or a pericardial effusion.,1.2.826.0.1.3680043.8.498.64940448763842164707651502098282067998
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. The patient has undergone prior CABG. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.44852411184068512453254107101163697673
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Right upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.21817563480632182802673656892566920029
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.13788518516068021552009425642908572295
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43290031388155831041163354326706512594
+The heart size is enlarged. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18811565483367806528099948781653601097
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.64445578337878619614820427803787501615
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.86219596238353340495398653058234691244
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45938210402692890515124168524954702160
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.81881294575823925496171784979331876704
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.30084323890005356228540604643673221799
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.79704958227442173020886771782651835183
+"A left internal jugular central venous catheter is present with the tip in the superior vena cava. The heart is mildly enlarged. The lungs appear clear. There is no edema, infiltrate, effusion or pneumothorax.",Please see above.,1.2.826.0.1.3680043.8.498.89167362578613457930443421711948241072
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.64137541894925592246921720045109517479
+There are low lung volumes. Diffuse bilateral airspace disease is present. Heart size is normal. No pneumothorax or pleural effusion.,Diffuse bilateral airspace disease compatible with pneumonia or edema.,1.2.826.0.1.3680043.8.498.18334433142023415384304653013322124109
+Cardiac shadow is mildly enlarged. The lungs are well aerated bilaterally. Mild bibasilar infiltrative changes are seen. Small effusions are noted bilaterally. No bony abnormality is seen.,Bibasilar infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.50248636934966904459636357953979851400
+A VP shunt is in place. The tip is located in the left upper quadrant consistent with location in the stomach. The lungs are clear. Heart size is normal.,VP shunt in place with tip in the stomach.,1.2.826.0.1.3680043.8.498.39667446878864613757433267092730920440
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.95669569969141422769341699207524368781
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41009818064030207587225814245266707450
+The cardiomediastinal silhouette is stable and within normal limits. There is atelectatic change in the right midlung. Lungs otherwise grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.92908511628238401068517996980090461998
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fractures seen; no acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.85938423338317404265194067445457184478
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30619828457355457066979884814003888855
+Grossly unchanged borderline enlarged cardiac silhouette and mediastinal contours. Atherosclerotic plaque within the thoracic aorta. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. Unchanged bones.,"No acute cardiopulmonary disease. Specifically, no evidence of edema.",1.2.826.0.1.3680043.8.498.80127174760645244776720652024098858610
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.47202616151037771689550075230967961188
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31349547849997636192414087617585575409
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93301053295638960199527369888326464524
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.23821783311807051717681378614787890148
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73494948912506191488129987143149421836
+"The patient's enteric tube is noted ending overlying the body of the stomach. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.31406671428204572046622389336937555337
+There is mild elevation of the right hemidiaphragm. The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.96858934622117533707141505416610673884
+There is a moderate right pleural effusion with right lower lobe atelectasis. No pneumothorax after thoracentesis is noted. Left lung is clear.,1. No pneumothorax after right thoracentesis. 2. Right effusion and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.55413100004936445103747440041150385582
+Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.22612523156649642648633418708520853782
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14820568893224782614925432556004165361
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.43973196814699276652325870749200847498
+Portable AP upright view at 5965 hrs. Pacer or resuscitation pads project over the chest. Normal cardiac size and mediastinal contours. No pneumothorax or pleural effusion. Pulmonary vascularity is within normal limits. No acute pulmonary opacity.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.46508752948468938539420853050924856929
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.93310443733972966460361844609335486946
+There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right and left lung bases. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate within the lung bases. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.48538285094718048704713496819266606259
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.25156860236207735274447364678506087200
+"Heart size is normal. The mediastinum is unremarkable. The lungs are hyperinflated consistent with emphysema. No sign of active infiltrate, mass, effusion or collapse. No significant bony finding.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.62560255096971440659916029265318082264
+The lungs are clear. Cardiothymic shadow is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.60609230761868246787727804207245540367
+Cardiac shadow is stable. The left pneumothorax is again identified and stable from the prior exam. Multiple rib fractures are again seen on the right. Chronic scarring is noted bilaterally. No acute bony abnormality is seen.,Stable left pneumothorax. No acute abnormality is noted.,1.2.826.0.1.3680043.8.498.92614031567834307758133713395772767535
+There is atelectatic change in the left base. The lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. Patient is status post coronary artery bypass grafting. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Left base atelectasis. No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.89087127863327953384905335565629576727
+New LEFT chest wall pacemaker/ICD apparatus in place. Heart size and mediastinal contours are stable. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,New pacemaker/defibrillator. No evidence of pneumonia or pulmonary edema. No pneumothorax.,1.2.826.0.1.3680043.8.498.65108488514219689554161987661670174168
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48635638801874541916004446907734462467
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Streaky ill-defined basilar lung opacity on the right suggesting atelectasis or infiltrate. No effusions or edema. Bony structures are intact.",Right lower lobe infiltrate or atelectasis.,1.2.826.0.1.3680043.8.498.25596854028525668460579817099312598006
+Small right pleural effusion and right lower lobe airspace disease are unchanged. There is a tiny left pleural effusion. The tiny left apical pneumothorax is unchanged. The right apical pneumothorax is not identified. The heart is normal in size.,1. Stable appearance of the chest with a small right pleural effusion and right lower lobe airspace disease. 2. The right pneumothorax has resolved. The tiny left apical pneumothorax is stable.,1.2.826.0.1.3680043.8.498.15463587187185799276951058748857524781
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78419921539131331123230877323261357544
+Endotracheal tube is 5.6 cm above the carina. Nasogastric tube extends into the abdomen. Mediastinal drains and left chest tube are present. Right jugular Swan-Ganz catheter in the right pulmonary artery region. No evidence for a pneumothorax. Left basilar densities are suggestive for atelectasis. Heart size is within normal limits.,Expected postoperative changes with left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.32305886222575570975182420446367133812
+Linear atelectasis or scarring at the left base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48487634277314546104309809589164097577
+Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 3 cm above the right atrium. No pneumothorax. Progression of mild atelectasis in the right lower lobe. No edema or effusion.,Endotracheal tube and other lines well positioned. Mild atelectasis in the lower lungs.,1.2.826.0.1.3680043.8.498.15477463832766865652741111365921093324
+Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. There is plate-like atelectasis in the left base. The right posterior rib fractures are again noted. No pneumothorax identified.,1. Low lung volumes and left base atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.43427058432576347341987304209890594052
+The heart is at the upper limits of normal in size. The lung volumes are low. There is patchy opacity at the right lung base. The left lung appears clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,1. Low lung volumes with patchy right basilar airspace disease. This may reflect atelectasis or pneumonia. Correlate clinically. 2. Borderline heart size.,1.2.826.0.1.3680043.8.498.72027988098369595500305018047163163788
+"Chronic interstitial markings. Left lower lobe opacity, likely a combination of atelectasis and pleural effusion. Mild patchy right lower lobe opacity, atelectasis versus pneumonia. No pneumothorax. The heart is top-normal in size.","Left lower lobe opacity, likely a combination of atelectasis and pleural effusion. Mild patchy right lower lobe opacity, atelectasis versus pneumonia.",1.2.826.0.1.3680043.8.498.39013126413489326490367197405697555686
+Enlargement of cardiac silhouette with pulmonary vascular congestion. Atherosclerotic calcification aorta. Perihilar infiltrates likely pulmonary edema and CHF. Small RIGHT pleural effusion. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and probable CHF. Increased RIGHT basilar opacity likely representing a combination of atelectasis and effusion. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.72534863809810405931520761121518181854
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19968998892255386911440769709648545350
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37611525206901146327440222331890176162
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. There are stable calcified granulomas in the right middle lobe. The lungs are otherwise clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.15399209116107047705500605756320048033
+The heart is mildly enlarged. The aorta is calcific. The lungs are well expanded. There are chronic interstitial changes in the lungs. Superimposed infiltrate is seen in the right lower lobe. There is a small right pleural effusion. No pneumothorax is identified.,1. Right lower lobe infiltrate. 2. Small right pleural effusion. 3. Chronic interstitial changes.,1.2.826.0.1.3680043.8.498.52555322440621845230174962357961180564
+The heart is mildly enlarged. Pulmonary vascularity is within normal limits. Chronic interstitial changes are again seen. Patchy opacities are seen at the lung bases bilaterally. No pneumothoraces or effusions are seen.,Cardiomegaly without CHF. Bibasilar patchy opacities either atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.97225574682741737214657931589324486167
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89969588796136115714160983407051839663
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93069653935067615419078129905947182798
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No change.,No active disease,1.2.826.0.1.3680043.8.498.13215424718222272074636416685582510129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16328846570195848718434920475394134336
+Right chest tube remains. No pneumothorax. There is a stable amount of right pleural fluid and associated airspace disease. Left lower lobe atelectasis is also unchanged. No significant change in the right hilar and anterior mediastinal mass.,Stable chest x-ray. No pneumothorax.,1.2.826.0.1.3680043.8.498.87817833302385247231983035101286936368
+Two views of the chest show the lungs to be hyperaerated consistent with COPD. Right-sided central venous catheter remains with the tip in the SVC. Surgical clips are noted in the right upper lung field. Heart size is stable.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.89888848778793729220203353085431689841
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61382458618011356430852898965949809844
+The bowel gas pattern is unremarkable. There is no evidence of bowel obstruction noted. There is no pathologic calcification. There is no evidence of free air noted on the supine view. The visualized osseous structures appear intact. The visualized lung fields demonstrate no acute infiltrate or pleural effusion.,Unremarkable abdominal ultrasound. No evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.74729511882920527226563871943080403697
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.18340239423176646999518719932754283429
+Heart size and mediastinal contours are stable. Atherosclerotic changes again noted at the aortic arch. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable. Scoliosis of the thoracolumbar spine is stable.,No active disease. No evidence of pneumonia or pulmonary edema. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.25446617766268894374027063938110625484
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29793979247488376206433203431215905359
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92885378050401256747949957608425410189
+"The lungs are well-aerated. Mild peribronchial thickening is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.28166649379853521685578017431972544832
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracolumbar scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22966779428596833072080774647678829541
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98633525839479528159171955533786583265
+"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.23438829398629692061586075235204675277
+The right PICC line tip is in the distal SVC. The heart is moderately enlarged. The pulmonary vasculature is congested. A small right effusion is present. Atelectasis is seen at the lung bases. No pneumothoraces are seen.,1. Right PICC line. 2. Cardiomegaly and CHF.,1.2.826.0.1.3680043.8.498.89381945115912944951113233179908425602
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.19165707506134053890496732472404253205
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98080290080725637655821171895448238071
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.63457572874648341707441603324090199767
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10170874645996073638037040314156988009
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52991029942869762931636504605284923202
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.17837555030841754012145479036769330897
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16396156127327861928147670621226336786
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55043080856059406756457342313937133445
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24174401600534361342680304600269358016
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91516183022263491557871755106754969401
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97683660332524943772316403234282841555
+Mediastinum and hilar structures are normal. Heart size stable. Low lung volumes. Reference is made to prior CT report. No pleural effusion or pneumothorax. No acute bony abnormality.,Low lung volumes. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32493046860754238840694059658974410590
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80281896520806189478867598453312581224
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60275344230407670248909833479676323705
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.35060889652256341623245732719442241498
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered end plate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.67469945774322552605183214943089708781
+Moderate cardiomegaly. There is perihilar peribronchial thickening. Small bilateral pleural effusions. No focal consolidation. No pneumothorax. Degenerative changes of the shoulders.,Cardiomegaly and small pleural effusions. Bronchitic change.,1.2.826.0.1.3680043.8.498.82488678129778737347670468699883791840
+No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.26529113425119500498108891927687372031
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.41621669899721963317649574384650704988
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72427607136098626993032446459166101355
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. Again noted are mild bibasilar subsegmental atelectasis. There is no definite focal infiltrate seen. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No significant change. No focal infiltrate or pleural effusion. Stable mild bibasilar subsegmental atelectasis. No significant change compared to prior study done on 3/10/2016.,1.2.826.0.1.3680043.8.498.68601734960391432034387716511478388494
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55737113155850165891338728516297565676
+Heart size is normal. No pleural effusion or pulmonary edema. Lung volumes are low. There is central airway thickening. No airspace consolidation.,1. Central airway thickening which is suspicious for lower respiratory tract viral infection or reactive airways disease. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.81699071057898946602819516466307528652
+Portable AP supine view at 2495 hours. Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion identified on this supine view. No rib fracture identified. No acute osseous abnormality identified. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.27845818063108184975102225206775978452
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17416667004358924355089846019364874802
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen; no displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.41750098918286416484997429779257354948
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55840565135541993195411093058428179887
+"An orogastric tube is again seen with tip in the mid stomach. Umbilical vein catheter and umbilical artery catheter are in appropriate position. Mild granular pulmonary opacity is again seen bilaterally, without significant change. No evidence of pulmonary consolidation or pleural effusion. Heart size is normal.",Stable mild RDS pattern.,1.2.826.0.1.3680043.8.498.38781143812829016854308749567847289791
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61622260408843578288992503201845296222
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.70014620081728886637192337611743158968
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86847039781911686313675632042948555218
+Pulmonary edema has not significantly changed. Small bilateral pleural effusions are again noted. Cardiomegaly is stable.,No significant interval change.,1.2.826.0.1.3680043.8.498.81052785046104469254541408196474662522
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17478330868734194692172677377175203579
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.34042873613456974264219463521905534569
+Endotracheal tube is 1.2 cm above the carina. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern. No pneumatosis or free air.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37157987819922755583684759285639722955
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80049228387772321116680748582777026351
+There is central peribronchial thickening. Patchy infiltrates are seen in the right lung base. There is minimal atelectasis in the left base. No consolidation or pleural effusion is seen. Heart size is normal. No bony lesions are identified.,There is central peribronchial thickening. Patchy infiltrate is seen in the right base. There is minimal atelectasis in the left base.,1.2.826.0.1.3680043.8.498.20591906931007860891553427091119357854
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30406530160745143237974969552619167634
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No pneumothorax. No acute fracture evident.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.37488394460378201821980517541351267438
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28465873484712263430511869932978048046
+Normal heart size and mediastinal contours. Mildly tortuous thoracic aorta. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38576328731284921617017828431201639366
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.96594762270043110135928745735328671214
+Lung volume is normal. Mild bilateral airspace disease may represent pneumonia or atelectasis. No effusion.,Mild bilateral airspace disease.,1.2.826.0.1.3680043.8.498.91443418020093853400851589196884113652
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.28286394507303896989843833439879542416
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87903472655202119095738892208015978402
+"Heart size is normal. Mild central peribronchial thickening is seen, however there is no evidence of pulmonary air space disease or pleural effusion. No significant hyperinflation.",Mild central peribronchial thickening. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.51239989444244634281307386286207852922
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.75569397545830397733912308044048187489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35419965639326952086084759753300767095
+The heart is upper limits of normal. The aorta is tortuous. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,No active disease.,1.2.826.0.1.3680043.8.498.90302056586582777014689921066797225485
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14721900751837722930736165061898478303
+The lungs are mildly hypoinflated. The interstitial markings remain increased bilaterally. Confluent density in the right perihilar region is less conspicuous today. The left hemidiaphragm remains obscured. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. The ICD is in stable position. The patient has undergone previous CABG.,Slight interval improvement in the appearance of the pulmonary interstitium consistent with resolving interstitial edema. Persistent bibasilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.26632526994229325415635257369998784539
+Mediastinum and hilar structures normal. Heart size normal. Low lung volumes. Right base atelectasis and or infiltrate. No pleural effusion or pneumothorax.,Low lung volumes. Right base atelectasis and or infiltrate.,1.2.826.0.1.3680043.8.498.16217661307005858339469954906655776021
+"An endotracheal tube is in place with tip 3.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. No radiographic evidence of acute cardiopulmonary disease. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.51498143745004801206384364320690312084
+The tip of the PICC catheter is in the superior vena cava. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities. PICC catheter tip is in the superior vena cava.,1.2.826.0.1.3680043.8.498.29667554635184714455612090475402464025
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18772685695956431907886280144088361373
+There is atelectasis at the left lung base. The lungs are otherwise clear. No pleural effusion or pneumothorax. The heart is top-normal in size. Postsurgical changes related to prior CABG. The upper thoracic spine is mildly degenerative.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42833708761386310106721635647893270790
+Left jugular central venous catheter tip is in the lower SVC. No evidence for a pneumothorax. Endotracheal tube and nasogastric tube have been removed. Heart size is normal. Lung volumes are low. No significant airspace consolidation. No evidence for pleural effusions.,Central line tip in the lower SVC. No evidence for pneumothorax. Low lung volumes.,1.2.826.0.1.3680043.8.498.23180110673181588278358533236747882886
+The cardiac silhouette is normal size and shape. Ectasia and nonaneurysmal calcification of the thoracic aorta are seen. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine. There is osteopenic appearance of bones.,No acute or active cardiopulmonary process is identified. Chronic findings are detailed above.,1.2.826.0.1.3680043.8.498.16230597612802867884300896885150771767
+Cardiac leads overlie the chest. Heart size is normal. Lung volumes are low but clear. No pleural effusion. No acute osseous finding.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.64990840181145786994290410235348605800
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40283055732304082523561825742370841438
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62321394103813092549926151027125812613
+Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.40445509707166518091150210152839571943
+The cardiothymic silhouette is normal. The lung volumes are normal. There are mild bilateral hazy opacities. No consolidation or pleural effusion is identified. There is no pneumothorax. The abdominal bowel gas pattern is normal. The osseous structures appear normal.,Mild bilateral hazy opacities compatible with RDS.,1.2.826.0.1.3680043.8.498.99122000472668404413709209030530190753
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33822916114433586816287211625536302084
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.12154932771451996496931834116108233335
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22556695385657869368843415580621821811
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47617882650971223862681898762580643522
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92533222049648167985898384855517679840
+Cardiothymic silhouette is within normal limits. Mild hazy opacities in the lungs. No effusions or pneumothorax. No bony abnormality.,Mild hazy opacities in the lungs which could reflect atelectasis.,1.2.826.0.1.3680043.8.498.74523240411484144589827960000842429607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82367557590162014402396024561607502270
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43812275365630607197614095935324821134
+There is increased density in the RIGHT perihilar region and at the RIGHT lung base consistent with RIGHT perihilar pneumonia and RIGHT lower lobe pneumonia. The lungs are otherwise clear. The heart is not enlarged. There is no effusion or pneumothorax.,RIGHT perihilar and RIGHT lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.56215974745024604493640103041762899964
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.31238807890244755749432736027264297934
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.38121601428277228832696802750147579741
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12389990176076549359617417498095946768
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62658005732030888123428442443255013559
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.51315599485010178654264691863260184184
+The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is infiltrate in the right lower lobe. A small right effusion is suspected. The left lung appears clear. There is no pneumothorax. Degenerative changes are seen in the spine.,Right lower lobe infiltrate with suspected small effusion.,1.2.826.0.1.3680043.8.498.84677530830335783030365574893630814435
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98245826122857774982247295241990117885
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74668626548640337479205392829875818368
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40300721459126518133186083569325369455
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20576333565306942927068062796225904948
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21534635733185057066434908382001684549
+"The lungs are hyperexpanded, with flattening of the hemidiaphragms, compatible with COPD. Chronic peribronchial thickening is noted. Mild bibasilar scarring is seen. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is mildly enlarged; diffuse calcification is noted within the aortic arch. No acute osseous abnormalities are seen.",Findings of COPD; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.99676653267894721537761864265321530159
+There is interstitial edema with cardiomegaly and pulmonary venous hypertension. There is no airspace consolidation. No adenopathy. No bone lesions. No pneumothorax.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.97851618964961368442820231807505164408
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.14034853381992654940940564730553119879
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.35704131428043841866527880007008575089
+The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. Chronic interstitial changes are noted. Postthoracotomy changes are identified with sternal wire sutures and a prosthetic valve. Pulmonary vasculature is normal in caliber. The bony structures are adequately mineralized.,No acute cardiopulmonary process. Chronic interstitial changes. Postthoracotomy changes.,1.2.826.0.1.3680043.8.498.90250962923760908287321018223141955362
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40140540135999047283652620034430265995
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post coronary artery bypass graft. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29073679081799413262711058766274341691
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.40015538854497100076372147573292478714
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.77725201509040339902466769082502144701
+Endotracheal tube terminates 1.5 cm above the carina. Mild streaky perihilar opacities. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Enteric tube terminates in the mid gastric body.,Endotracheal tube terminates 1.5 cm above the carina.,1.2.826.0.1.3680043.8.498.73820462168286007343540597000149686224
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.88380144982735355121143456925943788248
+The lungs are again significant for bands of opacity in each lung base. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No change in the appearance of the chest. Basilar atelectasis and/or pneumonia persists.,1.2.826.0.1.3680043.8.498.68921659125286037462468579502294217648
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93909937416396824310321083650190368508
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. Mild spondylosis affects the thoracic spine.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29919956987715318784546276638934562224
+NG tube noted with tip below left hemidiaphragm. Heart size normal. Bibasilar atelectasis again noted. Small left pleural effusion again noted. No pneumothorax.,1. NG tube noted with tip below left hemidiaphragm. 2. Bibasilar atelectasis again noted. Similar findings noted on prior exam. 3. Small left pleural effusion again noted.,1.2.826.0.1.3680043.8.498.73685338898714880891515131170014860909
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90663533285274814938708556146835278257
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51779358365548547370876669727585742058
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.69848237627824610740122994818241282552
+Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.31812810920748526455483331624841494264
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77533045743507193433957176889830347277
+The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.85676683647090442722465228463002487404
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.23555978391845458698276694369269278482
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23492144961126503982166953636916764372
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. There is patchy consolidation at the lung bases, with relative sparing of the upper lung zones. No effusion or pneumothorax. No acute bony abnormalities.",Patchy bibasilar consolidation consistent with multifocal pneumonia. This is consistent with COVID-19.,1.2.826.0.1.3680043.8.498.44234768229629432659908715169118626299
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51057527793529248119262096335983371892
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90866715314433577587725238558536547940
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18840827476178286847704661671956195006
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92540368246670795458712372462166341390
+There is consolidation in the right upper lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.83556944887889462178522065713338073853
+"Lungs are adequately inflated without consolidation or effusion. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91600418666074025053191038604174053141
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Atherosclerotic calcification of the aortic arch. Chronic emphysematous changes with coarsened interstitial markings throughout both lungs, similar to prior study. New consolidation at the right lung base. No pleural effusion or pneumothorax. No acute osseous abnormality.",New right lower lobe atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.17040151027720852740914675801045168029
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97856868533069076145717820667690825543
+"PA and lateral chest radiographs are provided. There is a left lower lobe mass. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest. There is a left lower lobe mass. Recommend CT of the chest.,1.2.826.0.1.3680043.8.498.80303338906860069847455887913625182067
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70295076226537316895985452692108755092
+"Cardiothymic silhouette is normal. There is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. Mild central airway thickening is noted. Osseous structures are without acute abnormality. Soft tissues are grossly normal.",Mild central airway thickening without evidence of focal airspace consolidation. This may represent reactive airway disease or viral bronchiolitis.,1.2.826.0.1.3680043.8.498.80502575647598986757670813992884643180
+"Shallow lung volumes on both views. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.63327931297749775393332833698555041096
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.30347159814502546127162169371939970770
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.36674931401210283866762500580955021624
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50096852219451479419804637476920852439
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85950571889512972906532245093888079726
+"Interim removal of left chest tube, mediastinal drainage catheter, Swan-Ganz catheter. Right IJ sheath in stable position. Prior CABG. Cardiomegaly. Low lung volumes with basilar atelectasis and/or infiltrates. Small left pleural effusion. No pneumothorax.","1. Interim removal of left chest tube, mediastinal drainage catheter, Swan-Ganz catheter. Right IJ sheath in stable position. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with basilar atelectasis and/or infiltrates. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.72056689049553403117828782145388202020
+Right PICC line tip mid superior vena cava. No gross pneumothorax. Mild central pulmonary vascular prominence. Further improvement in the pulmonary edema. Mild residual increased markings right mid to lower lung zone. Attention to this on follow-up to exclude underlying mass. Heart slightly enlarged. Calcified tortuous aorta.,Further improvement in pulmonary edema. Mild central pulmonary vascular prominence and mild residual right-sided pulmonary edema with slight increased markings on the right as noted above.,1.2.826.0.1.3680043.8.498.51321167343515120099258385959472353306
+There is a left sided pacemaker present. The heart is enlarged. There is pulmonary vascular congestion. There is elevation of the right hemidiaphragm. There is no definite interstitial edema. There is no pneumothorax.,1. Cardiomegaly. 2. Atelectasis at the lung bases. 3. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.24995528409257002476258049751466160353
+Left PICC line and nasogastric tube in stable position. Heart size stable. Left lower lobe atelectasis/infiltrate. Small left pleural effusion. No pneumothorax. Surgical skin staples over the abdomen.,1. Lines and tubes in stable position. 2. Left lower lobe atelectasis/infiltrate. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.67476716881680240553157159764897724441
+"Endotracheal tube is in place, tip 2.5 cm above carina. Cardiac silhouette is obscured by diffuse bilateral airspace disease. No pneumothorax. No acute bony abnormalities.","1. Endotracheal tube in satisfactory position. 2. Extensive bilateral airspace disease, which could reflect edema or infection.",1.2.826.0.1.3680043.8.498.36607426331092069634699744064354898816
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis again noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65848586645830472732065009794521965211
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89144451133772316128256560683357231900
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. There is patchy consolidation in the left lower lobe, similar. No pulmonary edema.","Patchy left lower lobe consolidation, similar. Findings are suggestive of left lower lobe pneumonia. Recommend follow-up PA and lateral post treatment chest radiographs in 4-6 weeks.",1.2.826.0.1.3680043.8.498.18446044208163166940242422539040936037
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.31498027461511896617038603447371325405
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65838954330898112664714969356020577251
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89464337850731334840229292383937696164
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86679446779791437447089079730878605183
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61360648904149663053178344423772938285
+The right lung is clear. No pleural effusion is seen.,No right pleural effusion.,1.2.826.0.1.3680043.8.498.59970721201919502046871650880284900191
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26021499891121337325984923399602157674
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48770885351026038457206984146202670227
+Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.57902377718024003821894862588006946269
+Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56499384571365166801545017443725047027
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19176794145674220196189390076964131432
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69888954931712384698110413984022952078
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76391698828281441768816502440510554929
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28577574055845467844092338432109276696
+The lungs are well-expanded. There are confluent increased densities in the left mid and lower lung and at the right lung base. The interstitial markings of both lungs are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged.,There are findings consistent with pneumonia of the left mid and lower lung and subsegmental atelectasis or developing infiltrate at the right lung base. There is underlying COPD. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.16330004776954294066826296005973333132
+Endotracheal tube tip 6.2 cm above the carina. Enteric tube enters the stomach with the tip below the field of view. Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Emphysema. Patchy opacities in the right mid to lower lung are not significantly changed. No pulmonary edema.,"1. Endotracheal tube tip 6.2 cm above the carina. 2. Enteric tube enters the stomach with the tip below the field of view. 3. Emphysema. Unchanged patchy opacities in the right mid to lower lung, favor atelectasis.",1.2.826.0.1.3680043.8.498.90243324233293419822684194756371642484
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.36716793365149693596050406501701056531
+Patchy airspace disease in the left lower lobe consistent with pneumonia. Streaky opacities in the right mid and lower lung zones may represent pneumonia or atelectasis. Heart size and pulmonary vascularity are normal. No pleural effusions. No pneumothorax. Mediastinal contours appear intact.,"Bilateral pneumonia, most prominent in the left lower lobe.",1.2.826.0.1.3680043.8.498.76949257797847146182174850541870711850
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40326023033240538180652874049622634550
+Single portable AP view of the chest was obtained. The cardomediastinal silhouette is normal in size. There is mild shallow inspiration. The lungs are clear bilaterally. The osseous structures demonstrate no acute findings.,No acute chest disease,1.2.826.0.1.3680043.8.498.31524007663572174599214945089638079923
+The heart size and mediastinal contours are within normal limits. Stable pneumomediastinum is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,Stable pneumomediastinum. No other significant abnormality seen in the chest.,1.2.826.0.1.3680043.8.498.61036709442181918619593616085972719804
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Aortic atherosclerosis. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34255060799144040595505584269587165024
+The patient is rotated to the left. The cardiomediastinal silhouette is unchanged. Aortic atherosclerosis is noted. Lung volumes are lower than on the prior study. There is new mild right basilar opacity which may reflect atelectasis or developing consolidation. Mild left basilar opacity is also noted. No sizable pleural effusion or pneumothorax is identified. A calcified granuloma in the left upper lobe is unchanged.,"Decreased lung volumes with mild bibasilar opacities, likely atelectasis. Early infection is not excluded.",1.2.826.0.1.3680043.8.498.88431796842048020237983881363724295541
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24014750522201498087136893053596965509
+"Low lung volumes. The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.47870998186712784879481799520916483171
+"Sternal sutures and mediastinal clips are noted. The heart is mildly enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.39504651421363931592213240952740341413
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19164813039701179551893299170463589151
+Portable AP semi upright view at 8995 hours. Small to moderate left pleural effusion. Diffuse increased interstitial opacity in both lungs. Evidence of pulmonary vascular congestion. No pneumothorax. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits.,"1. Small to moderate left pleural effusion suspected. 2. Diffuse increased pulmonary interstitial opacity, favor pulmonary interstitial edema. Viral/atypical respiratory infection is also possible.",1.2.826.0.1.3680043.8.498.24040640459217211896477542131432239428
+Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Lung volumes are reduced with cephalization of flow. There is mild elevation of the right hemidiaphragm. No focal airspace opacities. No pleural effusion or pneumothorax. No definite evidence of edema. Unchanged bones.,Cardiomegaly and hypoventilation without acute cardiopulmonary disease on this hypoventilated examination.,1.2.826.0.1.3680043.8.498.19712870433769411219371372907560793177
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.60408774667207651217863189506070935679
+The bowel gas pattern is normal. No evidence of pneumatosis is identified. There is no evidence of portal venous gas or free intraperitoneal air. An OG tube is in place. The tip is in the stomach. The tip of the UVC is at the level of the inferior cavoatrial junction. The visualized lungs are clear.,Normal bowel gas pattern. UVC at the level of the inferior cavoatrial junction.,1.2.826.0.1.3680043.8.498.17202094249728539007438705224981044883
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70274435007213147604712672758382774882
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60051978455061647901750738032206656865
+No fracture or other bone lesions are seen involving the ribs. Heart size and vascularity are normal and the lungs are clear.,Normal exam.,1.2.826.0.1.3680043.8.498.35608409995326966397317135229084862759
+The lungs are clear and the heart size and pulmonary vascularity are normal. There is no significant abnormality identified.,Normal chest x-ray.,1.2.826.0.1.3680043.8.498.75257074365833933695139929500211264198
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Degenerative changes of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34437532375073922776415415119435517721
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.80610374490237887750674706440033874965
+Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Both lungs appear clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45798473571231043611644113429671147467
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37835855930726020258866846691363351302
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75664515244193607445512079651357925817
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99475227328116009484720560589555138116
+The heart is mildly prominent. There is bilateral hilar prominence. Mild peribronchial thickening is noted. No gross pneumothorax is seen. No dense consolidation. No acute fracture.,Mild peribronchial thickening. Findings may represent mild pulmonary edema. An atypical infectious process would be difficult to exclude.,1.2.826.0.1.3680043.8.498.37962854731987093486163093811099124294
+Endotracheal tube is 6.5 cm above the carina. Lungs are clear. No effusions or pneumothorax. Heart is normal size. No acute bony abnormality.,Endotracheal tube 6.5 cm above the carina. Lungs are clear.,1.2.826.0.1.3680043.8.498.25526125467727900807802845717349213821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87620498160870529629990834921245175455
+"Left chest tube remains in place. There is a small left apical pneumothorax, unchanged. Continued left mid and lower lung airspace disease, unchanged. Minimal right base atelectasis. Heart is normal size. Subcutaneous air on the left chest wall unchanged.",Stable left chest tube with small left apical pneumothorax. No significant change left mid and lower lung airspace disease.,1.2.826.0.1.3680043.8.498.90017406392786289284577897214734153171
+Left arm PICC line is seen with the tip overlying the distal SVC. Both lungs are clear. No evidence of pleural effusion. Heart size is within normal limits. The patient has undergone previous coronary artery bypass grafting.,1. No active cardiopulmonary disease. 2. Left arm PICC line in appropriate position.,1.2.826.0.1.3680043.8.498.95719038383075049603060153896603108352
+Right central venous catheter is present with the tip in the mid SVC. No pneumothorax. Lung volumes are low. Bibasilar atelectasis. Heart size normal. Nasogastric tube is present with the tip in the stomach body.,1. Right IJ central venous catheter tip in the mid SVC. 2. No pneumothorax. 3. Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.54592537662752256971107479596252235503
+"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Central peribronchial thickening. No definite infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.28669188908070323592720561485495739744
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.39367458442849761916227124293067428193
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.78971166844248386099526145595678427464
+The lungs are adequately inflated. The interstitial markings remain increased. The pulmonary vascularity is less engorged and the pulmonary interstitial markings are slightly less conspicuous. The cardiac silhouette remains enlarged.,There are findings consistent with some improvement in the patient's pulmonary interstitial edema. Continued followup films would be of value.,1.2.826.0.1.3680043.8.498.25757291982659895913275258823272885691
+There is worsening congestive heart failure with edema and bilateral pleural effusions. The heart remains enlarged.,Worsening CHF.,1.2.826.0.1.3680043.8.498.69850575508551061196395649149370163567
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79001712202528260753475286812561095747
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48785268757257146320127757116910286912
+Post CABG changes. Normal heart size and mediastinal contours. No pneumothorax or pleural effusion. Lungs are clear.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28849298642484057072843839051794738205
+There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.62028855528792179357429013570352533987
+Cardiomediastinal silhouette is normal. Mediastinal contours appear intact. There is no evidence of pneumothorax. Small right pleural effusion. Right lower lobe atelectasis versus airspace consolidation. Osseous structures are without acute abnormality. Soft tissues are grossly normal.,No evidence of pneumothorax post right thoracentesis. Small residual right pleural effusion with right lower lobe atelectasis versus airspace consolidation.,1.2.826.0.1.3680043.8.498.58336035200182171904033173157170271613
+"Portable AP upright view at 6065 hrs. Chronically large body habitus. Stable left axillary surgical clips. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.76517668311480652894810767857362630065
+"The cardiomediastinal silhouette is unremarkable. Airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Airway thickening without focal pneumonia - question viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.56407403045199639504954406316530346633
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20739351798487527159209072602562240568
+"Portable AP upright view at 3485 hours. Enteric tube placed, tip at the level of the gastric body. Slightly larger lung volumes. Stable cardiac size and mediastinal contours. Ongoing confluent opacity in the right mid and lower lung. No pneumothorax. No pulmonary edema. Small right pleural effusion. Stable visualized osseous structures.","1. Enteric tube placed into the stomach, tip at the level of the gastric body. 2. Stable ventilation with right lung consolidation and small pleural effusion.",1.2.826.0.1.3680043.8.498.13644344679259200351015338666328005541
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60623208815076866642105825029205422166
+Linear opacities in the left lower lung are likely due to atelectasis. No pneumothorax. No pleural effusion. The heart size is normal. The right lung is clear. Known right rib fractures are better seen on CT.,1. No evidence of right-sided pneumothorax. 2. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.80000152087209324938858904503474043476
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19627209414134374547108638282200303183
+"Right dialysis catheter is in place with the tip in the right atrium. Right central venous catheter tip is in the SVC. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Right dialysis catheter tip in the right atrium. Right central venous catheter tip in the SVC. No pneumothorax. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.78659415962137505714325081061638400482
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71536688735883722229522481780676340206
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.64187545506290705314303717048565763393
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.57293855646743270212115604194440517481
+Diatek catheter has been inserted via right jugular vein approach. The tips of the catheter are in the SVC/right atrial junction and in the proximal right atrium. No pneumothorax. Pulmonary vascular congestion. Chronic bronchitic changes.,"Specifically, the Diatek catheter is in the SVC/right atrial junction and proximal right atrium. No pneumothorax.",1.2.826.0.1.3680043.8.498.51082037681358521896258059372632393341
+The bony thorax is grossly intact. The heart and pulmonary vascularity are within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.99225392918842557887272624998553012772
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72334985671589698293520033133687738163
+Lung volumes are low. Bibasilar atelectasis. No effusion. Heart size normal. No pneumothorax.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32042580544686166644475790519829518614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34972013142805797670892366569104185071
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.56287524541420187205059965797865307184
+Mediastinum and hilar structures normal. Heart size normal. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14606112584964698987637904497211645650
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88613503447606408454708331704671708300
+The endotracheal tube and nasogastric tube have been removed. The right IJ Swan-Ganz catheter tip is in the proximal right pulmonary artery. The left chest tube is in place. No pneumothorax is identified. Small left pleural effusion and left basilar atelectasis are present. The heart size and mediastinal contours are stable.,Interval extubation. Small left pleural effusion and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.84198402649667813440489529454512575804
+The heart size and mediastinal contours are within normal limits. Mild central peribronchial thickening. No focal consolidations. No pleural effusions. No pneumothorax. The visualized skeletal structures are unremarkable.,Central airway thickening which may reflect bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.86963466187385368131155985747768306773
+The heart is normal sized. The pulmonary vascularity appears normal. The mediastinal contour and hilar configuration are within normal limits. There are no acute appearing infiltrates. No pleural effusion is identified.,No acute radiographic abnormality in the chest.,1.2.826.0.1.3680043.8.498.85569613711801191917835851751199738184
+Endotracheal tube in position with the tip 4.6 cm above the level of the carina. Enteric tube entering the stomach with the tip below the field of view. Right internal jugular Swan-Ganz catheter with the tip in the right pulmonary artery. Mediastinal and left chest tubes are in good position. Interval CABG. Normal heart size. Low lung volumes with bronchovascular crowding. Bibasilar atelectasis. Small left pleural effusion. No pneumothorax. No acute osseous abnormality.,1. Post CABG with appropriately positioned support tubes and apparatus. 2. Low lung volumes with bibasilar atelectasis and small left pleural effusion.,1.2.826.0.1.3680043.8.498.34573080044708430051601673223473163157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77762763200918265743694745401703830220
+"There is patchy opacity at the right lung base, suspicious for pneumonia. Lungs otherwise clear. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.","Patchy opacity at the right lung base, suspicious for pneumonia. Recommend follow-up chest x-ray to ensure resolution.",1.2.826.0.1.3680043.8.498.82541559312438694518665178201639047036
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15045730541770356496622085849487144321
+Cardiac pacer is noted in good anatomic position. The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease. Cardiac pacer noted in good anatomic position. The chest is stable from prior study.,1.2.826.0.1.3680043.8.498.28015325028357902388971444729733427493
+No focal consolidation. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54132741114293744772069537682245863354
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77353954277856360441995482487188260736
+The chest appears hyperexpanded but the lungs are clear. No pneumothorax or pleural effusion. Heart size normal.,Pulmonary hyperexpansion. No focal process.,1.2.826.0.1.3680043.8.498.23680821571447630531147740811436709399
+There is a focal opacity in the left lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Consolidation consistent with pneumonia in a portion of the lingula. Lungs elsewhere clear. No adenopathy evident.,1.2.826.0.1.3680043.8.498.78187723300025262944765577033844601647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43487979951382926388559424977473863151
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. Patient is status post coronary artery bypass grafting. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.74559296309435131090213174925746609960
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24391370273200939856020422051872001970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.32892526017478789295235661969907141151
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94260534922102337829781488595428621484
+Endotracheal tube is noted with its tip above the carina. Left-sided central venous catheter is noted with its tip in the left innominate vein. The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.78967832275912232875675834518916849863
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52513758083548282395485109858595512763
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94796635804594787330744361063169667312
+Cardiothymic silhouette within normal limits. Lungs clear. No effusion. Visualized bones unremarkable. Distended bowel loops noted in the visualized upper abdomen.,No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.96800605363896758680105323527196156452
+No pneumothorax. Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.70421949917829814274762093770359445286
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.65728595541075438452650838761134331319
+Normal heart size and pulmonary vascularity. Lungs appear emphysematous but clear. No pleural effusion or pneumothorax. Bones appear demineralized. No rib fracture or bone destruction.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.28044366683942897601784171003547396069
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11597599353518310213111869988070899532
+There is a large right pleural effusion with extensive atelectasis of the right middle and lower lobes. The left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Large right pleural effusion with extensive atelectasis of the right middle and lower lobes. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.78098442580716148834755493392617734290
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29122013915469724474049435889010903144
+Stable cardiomegaly given projection and technique. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. No acute osseous abnormality is evident.,Stable cardiomegaly. No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.16514334065218355213002096190303567793
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43371151943101016411973310771345384788
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68682743122312291947455240791394219552
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47368342970455105891229352899964681674
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18943556999889503865080660752360780206
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.28104203837933653160424850613212894118
+"Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No bronchial thickening. No infiltrate, mass, effusion or collapse. Pulmonary vascularity is normal. No bony abnormality.",Normal chest,1.2.826.0.1.3680043.8.498.62201085491557821745678620498741598952
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99824146984748531878828237648082865878
+Endotracheal tube is 3.6 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line tip in the SVC region. No evidence for a pneumothorax. Consolidation in the right lower lung. Right pleural fluid. Left lung is clear. Heart size is within normal limits.,Right lower lung consolidation and pleural fluid. Central line tip in the SVC region. Negative for pneumothorax.,1.2.826.0.1.3680043.8.498.60836624601506336549473679481804732777
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72484790444285295254910488170167181119
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15741796388722338546649660804492418967
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39951194603607551866415067616406489301
+"Extensive bilateral airspace disease again noted, unchanged. Volume loss in the right upper lobe. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.",Stable extensive bilateral airspace disease.,1.2.826.0.1.3680043.8.498.76303878537452620411246010250877701953
+The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. Bilateral central airspace opacities may reflect pulmonary edema or pneumonia. No definite pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are identified.,Lungs hypoexpanded. Vascular congestion seen. Bilateral central airspace opacities may reflect pulmonary edema or pneumonia.,1.2.826.0.1.3680043.8.498.70044383729791858655660760049250944269
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31354308671929789668231752931347117068
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.39686559479650751796018376449488040841
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.32113325447232440781652109812519805725
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.90500463123229158740740988903885715495
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Stable calcified granuloma in the left lower lobe laterally.,No active disease. Stable exam.,1.2.826.0.1.3680043.8.498.99814323734736700587034399261980975687
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.54229275135764661841082278971843244060
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70261187066871451056644619297489203642
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.99010888450301387312194203915772724626
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,Normal exam.,1.2.826.0.1.3680043.8.498.58600098471344145338862657129297341993
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.96864580556938514494779756428213896375
+The left central line tip is stable at the left brachycephalic vein level. The cardiac silhouette remains enlarged. There is pulmonary vascular cephalization without frank edema. No pneumothorax. No focal infiltrates.,Stable cardiomegaly and pulmonary vascular cephalization.,1.2.826.0.1.3680043.8.498.91591104919561176216820858360961693330
+The heart is enlarged. There are increased perihilar infiltrates and increased interstitial markings consistent with pulmonary edema. Bilateral pleural effusions are noted. The osseous structures are unremarkable.,1. Cardiomegaly and increased pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.73270433034975999348971845293193220896
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13246033880386794203460107507578368922
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16783676689488656198881892895206860018
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78571268600260429788305992036125754984
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.17891353816319232133068717424576703264
+Marked cardiomegaly. Pulmonary vascular congestion with mild interstitial edema. Left lower lobe atelectasis is again noted. No evidence of pneumothorax or sizable pleural effusion. Tracheostomy tube is seen in place. Right arm PICC line extends to the cavoatrial junction.,Stable cardiomegaly and mild interstitial edema. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.73592145653802785208234555725273869643
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25199969278135546399556655517703535707
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.14836492582437757642775159008991275640
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17162295878782085688472944232610184698
+The heart is normal. There is pulmonary vascular congestion. There are bilateral airspace opacities. There is no pneumothorax. No large pleural effusion.,Bilateral airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.28751975180444585403551262562011449961
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.88472871494939343967440499932414987208
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. No radiographic evidence for tuberculosis.,1.2.826.0.1.3680043.8.498.77995285110112876286339608397071397759
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.82693286964315020592413294155511480900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41629764281027524914178858051747364367
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55247813587589133134168418833792290351
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Swan-Ganz catheter is in the right pulmonary artery. There is no evidence for a pneumothorax. Left basilar densities suggest atelectasis. Heart size is within normal limits. No evidence for pulmonary edema.,Left basilar atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.67530764913019797100229706250592277931
+The chest is hyperexpanded with central airway thickening. No consolidative process or effusion. No pneumothorax. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.24758575245201893502617821873396711167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19666740165800522759368853548778510133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.83327375441570091082839835840554927478
+Multiple bilateral rib fractures are again noted. No pneumothorax. Left base atelectasis with small left effusion again noted. Right base atelectasis. Heart is normal size. Displaced right humeral neck fracture again noted.,Multiple bilateral rib fractures. No pneumothorax. Left base atelectasis with small left effusion. Right base atelectasis.,1.2.826.0.1.3680043.8.498.67138557905090139264765948818012874406
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58292598882797538909055558167807377004
+Eventration of the left hemidiaphragm. Linear atelectasis at the left base. No pleural effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58399580043265682296215595657776631467
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted.,Normal left ribs. Aortic atherosclerosis. No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.51600397226618288562485919269062397032
+There is cardiomegaly with vascular congestion and mild pulmonary edema. No definite effusions. No acute bony abnormality. Left pacer is unchanged.,Cardiomegaly with vascular congestion and mild interstitial edema. Findings are similar to prior study.,1.2.826.0.1.3680043.8.498.29973474036046869547326365946477338511
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54310016745327284155893193200640963524
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.73756256359894699825026785427668330720
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95081190837226828503598885413822885902
+Stable mild cardiomegaly. Normal vascularity. Patchy opacities in the right mid and bilateral lower lungs have improved. No pneumothorax or pleural effusion.,Improved bilateral airspace disease.,1.2.826.0.1.3680043.8.498.23490809262673945042196446899495658114
+Right arm PICC is unchanged near the cavoatrial junction. There is stable pleural thickening on the right. Consolidation in the right lower lobe appears slightly improved. There is no significant change in the appearance of the left lung. The cavitary lesion in the anterior left chest is unchanged. The heart size and mediastinal contours are stable.,Slight improvement in right lower lobe consolidation. No change in cavitary process in the lingula.,1.2.826.0.1.3680043.8.498.52210747656919238662125939367876606925
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.93801821320448831424118812631304106958
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active disease.,1.2.826.0.1.3680043.8.498.62983402311831226947227575540287834138
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.42015300360212079932738592765567735572
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89692122516933312076703951495728660200
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64627780035400587546546058160956964438
+"There is mild cardiomegaly. Lungs are hyperinflated. Coarse interstitial opacities in both lung bases, likely atelectasis or scarring. No effusion. Mild compression deformities in the mid thoracic spine, age indeterminate.","1. Mid thoracic compression fractures, age indeterminate. 2. Stable mild cardiomegaly and pulmonary hyperinflation.",1.2.826.0.1.3680043.8.498.34104139772914387853751757680485961499
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58908059612057575060779620894808809194
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96095164043423317874182951461627505737
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Elevated right hemidiaphragm is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30707343335708883862266427527262180711
+Pacemaker lead is attached to the right ventricle. No pneumothorax. There is atelectatic change in the left base. The lungs elsewhere are clear. Heart is upper normal in size with pulmonary vascularity normal. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Pacemaker lead tip attached to right ventricle. No pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.83100508497497339183398699985437314734
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an ill-defined airspace opacity in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusions. The bony thorax is intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.75522080004530727808720095386997328184
+Tracheostomy device is in place. Feeding tube is in the stomach. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.60129234420394442609012170701014863673
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.67533321635874198883423921362891723958
+Normal heart size and pulmonary vascularity. Biapical scarring. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.37144535176560885690383860376707227369
+The heart is enlarged. There is a small right pleural effusion. There is evidence of diffuse interstitial edema. Atherosclerotic calcification is present. There is no pneumothorax. The bony structures appear intact.,1. Cardiomegaly. 2. Small bilateral pleural effusions. 3. Pulmonary edema.,1.2.826.0.1.3680043.8.498.37473218836933998391979112681551471986
+Right PICC is in place with the tip projecting in the lower superior vena cava. There is cardiomegaly. Left pleural effusion and airspace disease have worsened since the prior exams. The right lung is clear. No pneumothorax. Aortic atherosclerosis is noted.,Worsened left effusion and airspace disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.70306352981949134645050457198940973146
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86280524618988016106190617597683486411
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.39404084932884654795891537876722464773
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.61517389497125050298039031044611891171
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29965131159557690411680928335409508159
+The heart is normal. The lungs are clear. Mediastinum is normal. No pleural effusion or pneumothorax. No obvious acute bony injury.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44359340387584426466870600588551513182
+Normal cardiac silhouette. Consolidation in the right upper lobe. No pleural effusion or pneumothorax. Bones are unremarkable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.16735713673274761473616502390559188111
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82457216821736258736584201928643607940
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.47001634083879884906855643122876670044
+There are low lung volumes. New atelectasis at the right lung base. There is also atelectasis in the left midlung. No effusions. Heart is borderline in size.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.47838799966467450659093578955737939696
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.41087322566552892897867703355569933436
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45481760205824759072448815406199210058
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84883862003556155728270541801561247505
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69387434270503267963193756425882236185
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38658283182417424371896444670381104644
+"Left lower lobe atelectasis and left pleural effusion again noted, similar to prior study. Right lung is clear. Heart is normal size. No mediastinal mass. No acute bony abnormality.",Continued left lower lobe atelectasis and left pleural effusion. Findings are stable.,1.2.826.0.1.3680043.8.498.68227241545306086198563242664182856883
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19834288468295426470481638527087808432
+Endotracheal tube terminates 5.5 cm above the carina. Enteric tube courses into the left upper abdomen with tip not imaged. The cardiomediastinal silhouette is unchanged. Lung volumes are lower than on the prior study with persistent left mid and lower lung opacities and new opacity in the right lung base. No sizable pleural effusion or pneumothorax is identified.,1. Unchanged left lung opacities consistent with pneumonia. 2. New right basilar opacity which may reflect developing pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.93064483591094156334862793843519867331
+Interval placement of right central venous line with tip in the distal SVC. No evidence of pneumothorax. Normal cardiac silhouette. There is bibasilar atelectasis. Mild central venous congestion.,1. Right central venous line with no evidence of pneumothorax. 2. Bibasilar atelectasis and central venous congestion.,1.2.826.0.1.3680043.8.498.58962067260110832197656802073888506717
+"Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. There are patchy infiltrates in the left lower lobe, consistent with pneumonia. No pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.",Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.61760734375222004792382495424605842048
+There is volume loss on the RIGHT in the perihilar region due to the patient's known malignancy. This is not significantly changed here since the prior study. The lungs are hyperinflated. There is no focal infiltrate. The heart is not enlarged.,There are findings consistent with COPD. There is chronic change in the RIGHT lung related to prior surgery and radiation therapy. I do not see evidence of acute pneumonia.,1.2.826.0.1.3680043.8.498.87683283550693250398026613776966912748
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49363170105002223572118307489041172621
+Endotracheal tube is 3.5 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. Upper normal heart size likely accentuated by technique. Patchy opacities in the right upper lobe and left perihilar region. No pneumothorax. No pleural fluid.,1. Endotracheal tube tip at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. 2. Patchy right upper lobe and left perihilar opacities may be atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.91633088507668995796168023630895571489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96428750900922436253904542336360815088
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26018917329361382822054859622800111607
+There is airspace consolidation in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation right base consistent with pneumonia.,1.2.826.0.1.3680043.8.498.46549403531582686877771108299656838866
+The lung volumes are low. This accentuates the heart size. I suspect the heart size is normal. The mediastinal contours are unremarkable. There is mild atelectasis at the lung bases. No pleural effusion is seen. No rib fractures are identified.,1. Low lung volumes with mild bibasilar atelectasis. 2. No evidence of rib fracture.,1.2.826.0.1.3680043.8.498.14564148411239581389375621768227975263
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58349654526656532935048213854228472547
+Right PICC tip in the superior aspect of the right atrium. Right jugular catheter tip in the superior aspect of the superior vena cava. No pneumothorax. Stable enlarged cardiac silhouette and left basilar airspace opacity. Stable prominence of the interstitial markings and mild diffuse peribronchial thickening. Stable post CABG changes. Diffuse osteopenia.,"1. Right PICC tip in the superior aspect of the right atrium. 2. Right jugular catheter tip in the superior aspect of the superior vena cava without pneumothorax. 3. Stable cardiomegaly, left basilar atelectasis or pneumonia and mild changes of congestive heart failure.",1.2.826.0.1.3680043.8.498.20517602286125333466570407097353136132
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56513886381507527497658529378036717625
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66155481223531238530034509251103597590
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93285296240957920508419534011851609436
+"Endotracheal tube, NG tube, right PICC line stable position. Stable cardiomegaly. Persistent left base atelectasis/infiltrate and mild right base atelectasis. Small left pleural effusion. No pneumothorax.",1. Lines and tubes in stable position. 2. Persistent left base atelectasis/infiltrate and mild right base atelectasis. Small left pleural effusion. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31065773422245519875511734998220144602
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73334528580927623600338084655182125089
+"Heart is enlarged. There is atherosclerotic calcification of the aortic arch. Bilateral pulmonary opacities are again identified, slightly increased in the right upper lobe and slightly improved in the left lower lobe. Bilateral pleural effusions are suspected. No pneumothorax.","Findings consistent with pulmonary edema, increased in the right upper lobe and slightly improved in the left lower lobe. Superimposed pneumonia is not excluded.",1.2.826.0.1.3680043.8.498.33939300795832336567782189199756866652
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90988123745077643624865662143354086391
+The lungs are clear and hyperaerated consistent with COPD. The heart is within normal limits in size. No bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.31141878077491238178522930643636409009
+Heart size is normal. There is atherosclerotic calcification of the aortic knob. Diffuse interstitial opacities are seen throughout both lungs. No pleural effusion or pneumothorax. No acute osseous abnormality.,1. Diffuse interstitial opacities throughout both lungs which could be due to interstitial edema and/or infectious etiology. 2. Atherosclerotic calcification of the aortic knob.,1.2.826.0.1.3680043.8.498.52093005681323975387515960372258335264
+There is interstitial edema throughout both lungs. There is a small right pleural effusion. There is no airspace consolidation. Heart is upper normal in size with pulmonary venous hypertension. No adenopathy. There is atherosclerotic change in the aorta. No bone lesions.,Findings indicative of congestive heart failure.,1.2.826.0.1.3680043.8.498.61597862178108335005615036951536649801
+"PA and lateral chest radiographs are provided. There is a dual-lumen left-sided central venous catheter with the tip projecting over the cavoatrial junction. There is right basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.74239899386645724477765107585991542128
+The heart is enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process. Cardiomegaly.,1.2.826.0.1.3680043.8.498.70998884520915729653896782023135464366
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79763330525465403400156595187448632866
+There is patchy airspace disease at the lung bases most consistent with pneumonia. There does appear to be a small right effusion present. The heart is within normal limits in size. Feeding tube is present.,Basilar opacities suspicious for pneumonia with small right effusion.,1.2.826.0.1.3680043.8.498.93745421338177333873070690211633164010
+"The patient has taken a shallow inspiration. With technique taken into consideration, there is no evidence of focal infiltrates, effusions or edema. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable. A right-sided PICC line is appreciated with tip projecting in the region of the superior vena cava.",1. Shallow inspiration. 2. Cardiomegaly. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72433839594901802275858228479250292232
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.62376960195069577531884858246391954196
+Mild cardiomegaly. Mediastinal silhouette within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,1. No active cardiopulmonary disease. 2. Mild cardiomegaly without pulmonary edema.,1.2.826.0.1.3680043.8.498.40205537272744247395040140848822907657
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96129231567841759583539159314588669344
+There is peribronchial thickening. Focal opacity in the left upper lobe consistent with pneumonia. Heart size and pulmonary vascularity are normal. No blunting of costophrenic angles. No pneumothorax.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.41333797541634816780422549648554435049
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.70168799327692233285476695932681975323
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34369083101337602837690809788406066840
+"The cardiac silhouette appears mildly enlarged, even with consideration to this low inspiratory portable examination with crowded vasculature markings. Mildly elevated RIGHT hemidiaphragm. No pleural effusions or focal consolidations. No pneumothorax. Included soft tissue planes and osseous structures are nonsuspicious.","Stable cardiomegaly, no acute pulmonary process.",1.2.826.0.1.3680043.8.498.71735435408981949761263261197252569707
+There is right base atelectasis. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,Right base atelectasis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.32927842048617716355091908467807493645
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86141892800110437288201567049610059209
+"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes without acute chest finding.,1.2.826.0.1.3680043.8.498.52943046130573315231979152288347317392
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No acute bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98293330882934981254292949780964508157
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.84829135089729191211017015825365245663
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36651435503432713194684302049523593743
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82231740986286135065279744486533042971
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16457282510511321500261487098953749116
+There is thickening of the interstitial markings as well as an element of peribronchial cuffing. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,Findings consistent with improved pulmonary edema. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.48096539612715418253110683055057001151
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Azygos lobe (a normal anatomical variant) incidentally noted.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60957411779009583569617905146492606865
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63646873216132702946566847973361603210
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19324407702121858014254183960920121686
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80893293836871378079098599290492875773
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84005671140803901415612484686236310680
+"The umbilical vein catheter is been pulled back, with tip now in the inferior aspect of the right atrium. A small left apical pneumothorax is again seen, not significantly changed since prior exam. Both lungs are clear. Heart size is normal. Bowel gas pattern is normal.",1. No significant change in small left apical pneumothorax. 2. UVC in appropriate position.,1.2.826.0.1.3680043.8.498.88692345629971111274913871581512857786
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.80820773300800047482791436703420014312
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94187660212027349356870685154572112683
+There is no evidence of fracture or dislocation. There are no arthritic changes.,Negative study.,1.2.826.0.1.3680043.8.498.82786362574245294048310912558949987683
+The heart size and mediastinal contours are within normal limits. New atelectasis at the left lung base. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,New left basilar atelectasis.,1.2.826.0.1.3680043.8.498.30927834871492787867540861969651308582
+The lungs are clear. There is no evidence of pneumothorax or pleural effusion. Heart size and mediastinal contours are within normal limits. No bony abnormalities are identified.,Normal chest.,1.2.826.0.1.3680043.8.498.61929204709031505538832856914099902676
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.16746940697585485881946884341219089351
+The cardiac silhouette is minimally enlarged. The lungs are free of infiltrates. No pleural disease is seen. There is minimal degenerative spondylosis compatible with age.,"The cardiac silhouette is minimally enlarged. No pulmonary edema, pneumonia, or pleural effusion is seen.",1.2.826.0.1.3680043.8.498.59976823977312863739826926413593312063
+"AP portable seated upright view 2000 hours. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.48457869789916045276891813224011417588
+Rotated to the left. Scoliosis. Cardiomegaly. Pulmonary vascular congestion. Left base infiltrate/atelectasis appears slightly more prominent than on the prior examination. This may be related to rotation however. The right base is essentially clear. No pneumothorax.,Rotated exam. Slight increase in left base infiltrate/atelectasis. This is probably related to rotation however followup two view exam is suggested when the patient is able.,1.2.826.0.1.3680043.8.498.71154167693777165517377606197436382541
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.62773778317238983709841210188372357118
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18549323150847774847940510410981087125
+The cardiopericardial silhouette is within normal limits for size. Mild central airway thickening is present. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.75602052968033694294101405830649271746
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16580595274316066090036334616439415355
+Heart size is normal. Aortic atherosclerosis. No pleural effusion or edema. No airspace consolidation. Spondylosis noted within the thoracic spine.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.47716297607188829805236488674962235846
+"The cardiac silhouette, mediastinum, pulmonary vasculature are within normal limits. Both lungs are clear. The osseous structures are unremarkable.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.81228712202758155868193730529920011430
+The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are seen. Both lungs are clear. No pleural effusion. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52565377513667928518424438283559760362
+There is a stable right-sided venous Port-A-Cath. Mild areas of atelectasis and/or infiltrate are seen within the right lung base and mid right lung. There is no evidence of a pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. There is mild calcification of the aortic arch. The visualized skeletal structures are unremarkable.,Mild right-sided atelectasis and/or early infiltrate.,1.2.826.0.1.3680043.8.498.83964419890340336710597365151260666014
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.77260937194740946535540622044236506016
+"Right central venous catheter remains in place, unchanged. There is cardiomegaly with vascular congestion. Low lung volumes. No overt edema. No effusions.","Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.87385963990665844394901512814711430216
+The heart size and mediastinal contours are within normal limits. Tortuous thoracic aorta. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32929842721053153421041713188295355946
+Portable supine AP view 1459 hours. Low lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion on this supine view. No confluent pulmonary opacity. Crowding of lung markings. No acute osseous abnormality identified.,"Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.66695037125314129810201997781212037474
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.32021586555908091971406881946716020127
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.72555452596821170211917406753200881360
+OG tube tip is in the stomach. The cardiothymic silhouette is normal. The lungs are clear. No pleural effusion or pneumothorax. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.24763775934310064139633225459910376619
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68972572398970249429966181270738283931
+There is mild cardiomegaly. Left basilar atelectasis present. No effusions. Right lung clear. No acute bony abnormality.,"Mild cardiomegaly, left basilar atelectasis.",1.2.826.0.1.3680043.8.498.94757910318286482402010776209172646227
+Shallow inspiration. Mild elevation of right hemidiaphragm. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Heart size and pulmonary vascularity are normal. Degenerative changes in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98533577226884026558504093963405307518
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26290173447786720172952744200895229313
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower left chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.67768204093410229120377031937373646164
+Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Bilateral pulmonary alveolar infiltrates noted consistent with pulmonary edema. Bilateral pleural effusions. No pneumothorax. No acute bony abnormality.,Congestive heart failure with bilateral pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.77911446502529105018223020200135149806
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Scattered endplate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.78380678254472777084020832289930682840
+Tracheostomy tube in stable position. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small bilateral pleural effusions. No pneumothorax.,1. Tracheostomy tube in stable position. 2. Stable cardiomegaly. 3. Diffuse bilateral pulmonary infiltrates/edema again noted without interim change. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.69332079791018912149395440623636638445
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57381904988178283524778404423666770861
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.24158851503049245878055971606352722964
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17780629291036176034588769816934038213
+Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: No definite acute osseous findings. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.62504306558377602589211474270253308109
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. No sternal fracture identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33320383598314205801145859471454219000
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. Bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.63889660036623914504786736515500457457
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.74854294745552734082001745528163031484
+"There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. There is tortuosity of the thoracic aorta. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34300268272177631627561206288447233719
+Endotracheal tube is 2.5 cm from the carina at the thoracic inlet. Low lung volumes. Heart size is normal. The lungs are clear. No pneumothorax. No acute osseous abnormality.,Endotracheal tube in satisfactory position. Hypoventilatory chest.,1.2.826.0.1.3680043.8.498.56301154441022732332071567154866087592
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.56174496857540127885215441904656227975
+The heart is enlarged. There is no evidence of pulmonary edema or consolidation. No pleural effusions are identified.,Cardiomegaly.,1.2.826.0.1.3680043.8.498.11508290982848432623453858308072575520
+The lungs are clear. There is no pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.59257360262127502692063783750247857870
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52580384474066038936723140585137502355
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55080511184755558526697294176239881414
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47224309547425328247702798427447107287
+Cardiac silhouette is enlarged. There are low lung volumes. There is a small left pleural effusion. There is a left lower lobe infiltrate. No pneumothorax.,Left lower lobe infiltrate and left pleural effusion.,1.2.826.0.1.3680043.8.498.59162907167745280445284628531334194003
+No pneumonia is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible central airway process.,1.2.826.0.1.3680043.8.498.54721616017702589523691823097085652588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.82963509965658032187499419857909758368
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65508484270964315585699535056466344892
+"Patchy bilateral pulmonary infiltrate which has mildly improved. Low lung volumes. No edema, effusion, or pneumothorax. Normal heart size.",Mild improvement in bilateral pneumonia.,1.2.826.0.1.3680043.8.498.11167546999834277754986585821242628739
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.79402065644480188601008150607823211837
+"The cardiomediastinal silhouette is unremarkable. Left upper lobe airspace disease is compatible with pneumonia. The lungs are otherwise clear. There is no evidence of pleural effusion, pulmonary edema or pneumothorax. No acute or suspicious bony abnormalities are identified.",Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.88944391079823597000589260958027802100
+"The heart size and mediastinal contours are stable. There is chronic lung disease with emphysema and pulmonary hyperinflation. Chronic scarring at both lung bases appears stable. On the lateral view, there is a new opacity overlying the heart, not seen on the frontal examination. This is suspicious for pneumonia. There is no consolidation or significant pleural effusion. The bones appear unchanged.",1. Suspected new left lower lobe pneumonia. 2. Stable chronic lung disease.,1.2.826.0.1.3680043.8.498.35720043404356114363496099874468544649
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.53000830827981470814386571443546679522
+There is diffuse interstitial disease throughout both lungs. Heart is enlarged. No definite pleural effusions. No pneumothorax.,"Cardiomegaly and diffuse interstitial disease, likely pulmonary edema.",1.2.826.0.1.3680043.8.498.56940593556899488504361615484114773458
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50167126406770964817853988336123962718
+"There is hyperinflation of the lungs compatible with COPD. There is cardiomegaly. There are small bilateral pleural effusions. The right effusion has decreased since the prior study. There is no edema. There is a compression fracture in the mid thoracic spine, age indeterminate.","COPD. Cardiomegaly. Small effusions. Mid thoracic compression fracture, age indeterminate.",1.2.826.0.1.3680043.8.498.93897684979083095498009466962883312424
+Mediastinum and hilar structures normal. Prior CABG. Heart size normal. Pulmonary vascularity normal. Chronic interstitial changes noted consistent with chronic interstitial lung disease. Similar findings noted on prior exam. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Prior CABG. Heart size stable. 2. Chronic interstitial changes consistent chronic interstitial lung disease again noted. Similar findings noted on prior exam. No acute infiltrate.,1.2.826.0.1.3680043.8.498.28254584795440477183159018826032014714
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.59979643705096976063796651217384043010
+Prior CABG. Cardiomegaly with bilateral pleural effusions and bilateral lower lobe atelectasis again noted. Similar findings on prior exam. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Persistent bilateral pleural effusions and bilateral lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.50958810113966819251166290501911658324
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.85165955451202037061447579663350852846
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95278360580694799524233131526555558533
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65383033927812439186548521754555217664
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11012685573707777081441651781356290711
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.52966135739021261538948592637458813698
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.62738225669803138000028080149893680023
+Right upper extremity PICC tip in the mid SVC. Enteric tube is present with tip and side-port below the diaphragm. Elevation of the right hemidiaphragm with atelectasis at the right lung base. No significant airspace disease. Unremarkable heart size. No evidence of pneumothorax. No pleural effusion.,1. Right upper extremity PICC with tip in the mid SVC. 2. Enteric tube with tip and side-port below the diaphragm. 3. Elevation of right hemidiaphragm with atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.95579992217823275276688521676854048076
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46067963775866187210922045940582157641
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Lung volumes are low. There are interstitial changes of COPD.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.52940163436776188240360870171695981457
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.33789381421264652852703419715040308764
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.16633498559253084439128009679083859969
+Cardiac shadow is stable. The lungs are well aerated bilaterally. Elevation of the right hemidiaphragm is again seen. No focal infiltrate or sizable effusion is noted. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21314975406079402754804188031080919176
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76755106482392513526204932492975086232
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.92151908414570207649375421783215388225
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.57392869857796504363760753341335656276
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69883699018709245918892666761092698965
+The lungs are well-aerated. Focal left lower lobe airspace consolidation is compatible with pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Left lower lobe pneumonia noted.,1.2.826.0.1.3680043.8.498.88377525868446059171486358635980482452
+The lungs are adequately inflated. The interstitial markings are coarse though stable. There is no alveolar infiltrate. There is no pleural effusion. The heart is top-normal in size. The pulmonary vascularity is not engorged. There is calcification in the wall of the aortic arch. The patient has undergone previous CABG. The sternal wires are intact. The observed bony thorax exhibits no acute abnormality.,"Chronic bronchitic changes, stable. No pneumonia, CHF, nor other acute cardiopulmonary abnormality. Thoracic aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.84501946007250408859099389221220173497
+There is persistent increased density in the left lung base consistent with elevation of the left hemidiaphragm. There is likely left lower lobe atelectasis or infiltrate. The right lung is clear. The cardiac silhouette is not enlarged. There is no pneumothorax. The bony structures are normal in appearance.,There is persistent volume loss on the left with elevation of the left hemidiaphragm. There is likely left lower lobe atelectasis or infiltrate. This is not new.,1.2.826.0.1.3680043.8.498.91398315357064601045030144258338570407
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.49024770022515651645593203077260402873
+"Tracheostomy tube, feeding tube, and right upper extremity PICC are stable. Diffuse airspace disease has worsened. The heart remains enlarged. No pneumothorax.",Worsening diffuse airspace disease.,1.2.826.0.1.3680043.8.498.25219702959690490577772559344869147917
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80902232263130367621488496394285685105
+"Median sternotomy wires underlying prostatic valve noted. Cardiac and mediastinal silhouettes are stable, and remain within normal limits. Lungs normally inflated. Mild subsegmental atelectasis at the right lung base. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.",1. Mild right basilar subsegmental atelectasis. 2. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43649921745191304351515657177960944594
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.29458004336214804415512152838195422570
+Small bilateral pleural effusions are present. There is no interstitial edema. The lungs are clear. The heart is normal in size. The upper abdomen is unremarkable.,Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.96318775507918961488351518727924254040
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.24105035513774533465712789131557393136
+The heart is normal in size. There is a small area of consolidation in the right upper lobe.,1. Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.66917547828676648928999553523872956972
+There is noted a small RIGHT effusion. The heart appears within normal limits and size. The lung fields are clear. Vascularity is within normal limits.,Findings which can be compatible with bibasilar pneumonia.,1.2.826.0.1.3680043.8.498.75348356236205398725164657577836429213
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94114187162999399328203513753434460858
+The heart is mildly enlarged. There are no focal consolidations or pleural effusions. No pulmonary edema. Lungs are hyperinflated.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.22194115171266498765977514854965579232
+A small to moderate LEFT pleural effusion is present. A lateral decubitus film demonstrates a small free flowing component. The lung fields appear clear. Surgical clips are noted in the LEFT axillary region.,Please see above.,1.2.826.0.1.3680043.8.498.57244508952899019482249713994037762753
+"The cardiac silhouette remains mildly enlarged. Aortic atherosclerosis is noted. Small bilateral pleural effusions are present, similar to the prior study. There is mild pulmonary vascular congestion which appears slightly improved from the prior study. No Kerley lines or airspace consolidation is identified. No acute osseous abnormality is seen.","1. Cardiomegaly with small bilateral pleural effusions. 2. Pulmonary vascular congestion, with appearance slightly improved from prior.",1.2.826.0.1.3680043.8.498.49989089657449078523451089125550862742
+Endotracheal tube is 2.5 cm above the carina. Left central line is unchanged. Nasogastric tube enters the stomach. There is cardiomegaly with bilateral pleural effusions and diffuse pulmonary edema.,Moderate CHF pattern.,1.2.826.0.1.3680043.8.498.34708147902084407374631270944748791416
+Cardiomegaly. Diffuse bilateral interstitial pulmonary opacity. The visualized skeletal structures are unremarkable.,"Cardiomegaly and diffuse bilateral interstitial pulmonary opacity, consistent with atypical or viral infection. No focal airspace opacity.",1.2.826.0.1.3680043.8.498.61566985537764242740064075322163831484
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80487780648620274451658908152459816049
+"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.38214224036380726696454292749069679998
+The heart size and mediastinal contours are within normal limits. Linear atelectasis or scarring in the lingula. No consolidation. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95231090125162111378436891169843014976
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No rib fractures. No pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.22535788981796091648245085346411848916
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62156017974513593999902953778536898658
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.11832720277745412407347407869826498317
+The heart is enlarged. Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax.,Low lung volumes with basilar atelectasis. Cardiomegaly.,1.2.826.0.1.3680043.8.498.84309973976937170338850602433058887175
+There is mild peribronchial thickening. Consolidation in the left lingula. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Left lingular consolidation concerning for pneumonia. This is background bronchial thickening which may be viral or reactive small airways disease.,1.2.826.0.1.3680043.8.498.78894265205761250655660005341405421466
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.24890607358685344550331409666961096189
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.62084060643164585271952797235604807735
+Endotracheal tube is seen 6.2 cm above the carina. Nasogastric tube extends into the upper abdomen beyond the margin of examination. Right upper extremity PICC line extends into the superior vena cava. Cardiac size is within normal limits. There is no pneumothorax. Diffuse interstitial opacities are seen throughout both lungs. No consolidation or pleural effusion.,"Support lines and tubes in satisfactory position. Diffuse interstitial opacities throughout both lungs, which could reflect interstitial edema.",1.2.826.0.1.3680043.8.498.28054066465286596214385209908022694342
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51921324079407602043631521590509339372
+"Cardiothymic shadow normal. Lungs clear. No definite airspace disease. However, on the PA view, there is a possible subtle right lower lobe density although this is not confirmed on the lateral view. Recommend careful clinical correlation with repeat chest x-ray if clinically warranted.",1. No definite pneumonia. 2. Cannot exclude subtle right lower lobe airspace process. See report.,1.2.826.0.1.3680043.8.498.80771950197849836742112902259556614726
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable. No radiopaque foreign body is observed.,There is no active cardiopulmonary disease. No radiopaque foreign body is observed.,1.2.826.0.1.3680043.8.498.31964222225237296892697994681683183603
+Mild cardiomegaly is evident. Increased interstitial markings are seen throughout both lungs. No airspace consolidation is evident. Osseous structures are unchanged.,Findings suggestive of early interstitial edema.,1.2.826.0.1.3680043.8.498.25126130024574951399602848026504701415
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable. Degenerative spurring at noted in the thoracic spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28960531021901558135479232183392858876
+"There is hyperinflation. The lungs are clear. Hilar, mediastinal and cardiac contours are unremarkable. There is no pleural effusion. Pulmonary vasculature is normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50516559736546504741018973338414998476
+There is interstitial edema throughout both lungs. There is no airspace consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Patient is status post coronary artery bypass grafting. No bone lesions.,"Evidence a degree of congestive heart failure, stable. No airspace consolidation.",1.2.826.0.1.3680043.8.498.82456330554371989570497631245156615614
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.72940182907898601811887808752740832777
+The patient has a left sided transvenous pacemaker with leads overlying the right atrium and right ventricle. The heart is enlarged. Diffuse interstitial and airspace disease is identified throughout the lungs bilaterally. Bilateral pleural effusions are present. There is no evidence for pneumothorax.,1. Cardiomegaly and interstitial and airspace disease compatible with pulmonary edema. 2. Bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.10920798877279054748595154562416833868
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax. No effusion.,No active disease.,1.2.826.0.1.3680043.8.498.99561508370723298856562327768161687324
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34954536530288318118036619271403328052
+"Endotracheal tube has been removed. Nasogastric tube is in place with tip in the stomach. The heart size is normal. There are patchy opacities at both lung bases, increased from prior exam. No pleural effusions are noted.","Increasing bibasilar airspace opacities, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.78367196498979736951577454930092457542
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93121866976876532293965199851775418486
+Endotracheal tube has been removed. OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions.,Interval extubation. No focal opacities.,1.2.826.0.1.3680043.8.498.65030997361868208379703481928863434326
+The heart appears within normal limits and size. The lung fields are clear. Vascularity is within normal limits. No effusions are seen.,1. No acute cardiopulmonary disease identified. 2. Chest is unchanged from prior study.,1.2.826.0.1.3680043.8.498.95870440146025972032106391441310814580
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. The lungs are clear. There is no pneumothorax. There are no effusions.,Support lines are unchanged. Lungs are clear.,1.2.826.0.1.3680043.8.498.72002174871151836927708388238315109939
+The heart is top-normal in size. There is aortic atherosclerosis. The lungs are free of focal consolidations and pleural effusions. No pulmonary edema. No pneumothorax. No acute fracture.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11268440108733375409146007427501424474
+Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53690347215193070330262646293713264604
+"A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. There is a right-sided internal jugular central venous catheter with tip terminating in the mid superior vena cava. Lung volumes are low. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.","1. Support apparatus, as above. 2. Low lung volumes.",1.2.826.0.1.3680043.8.498.93864759116149695958006702501082608174
+Normal cardiothymic silhouette. Mild granular pulmonary opacities bilaterally. No pleural effusion or pneumothorax. Paucity of bowel gas within the abdomen. No definite free intraperitoneal air. Umbilical venous catheter tip projects over the right atrium. Unremarkable osseous skeleton.,Umbilical venous catheter tip projects over the right atrium.,1.2.826.0.1.3680043.8.498.92593404447110085601891024197665063702
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.19010993590673157910674863053008423132
+Endotracheal tube and NG tube have been removed. Heart size normal. Mild bilateral interstitial prominence. No pleural effusion or pneumothorax.,1. Interim extubation and removal of NG tube. 2. No acute pulmonary infiltrate.,1.2.826.0.1.3680043.8.498.88504607345184749259322339374488898058
+"Orogastric tube is in the stomach. Normal heart size. Mild diffuse granular pulmonary opacity persists throughout the lungs. No consolidation, effusion, or pneumothorax.",Stable appearance of mild respiratory distress syndrome.,1.2.826.0.1.3680043.8.498.90735145573595275076460151245827731197
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.10778467640006747954555343381042650318
+"Patient is rotated. Cardiomegaly is similar to prior exam. Bilateral pleural effusions, right greater than left, with bibasilar atelectasis/consolidation, increased from prior exam. No visualized pneumothorax. Hiatal hernia is again seen. No evidence of acute osseous abnormality.",1. Increased pleural effusions and bibasilar atelectasis/consolidation. 2. Similar cardiomegaly.,1.2.826.0.1.3680043.8.498.81944687062289993169267803673977816495
+Chest: Single view chest without comparison shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Abdomen: flat and upright views of the abdomen without comparison shows a nonobstructive bowel gas pattern with air seen down to the level of the rectum. No pathologic calcifications are seen. There is no free air seen by upright examination. The visualized osseous structures show no acute findings.,1. No radiographically evident acute cardiopulmonary process. 2. Nonobstructive bowel gas pattern seen. 3. No free air seen by upright examination.,1.2.826.0.1.3680043.8.498.48815578800920959805819359932433028083
+Shallow inspiration. Linear atelectasis in the lung bases. No consolidation or edema. No pleural effusions. No pneumothorax. Mediastinal contours appear intact. Postoperative changes in the cervical spine. Degenerative changes in the spine and shoulders.,Shallow inspiration with linear atelectasis in the lung bases.,1.2.826.0.1.3680043.8.498.61304812178150449921387295253257950369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82287170188437161161291165719858746095
+"Single view. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is enlarged. The mediastinal contours are widened with prominent aortic knob and thoracic aorta, unchanged. Patient is status post median sternotomy. Degenerative changes are present in the shoulders.","1. No acute cardiopulmonary process. 2. Cardiomegaly. 3. Widened mediastinum, unchanged.",1.2.826.0.1.3680043.8.498.82114924183525962290931596167496656912
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.59867885893530174621054264490215307047
+Two views of the chest show an enlarged cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. Small bilateral pleural effusions are present. No consolidation is seen. Degenerative changes are seen in the spine.,Cardiomegaly. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95225058755301232497015781644336927980
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65683478263695756606474537988804593959
+"Endotracheal tube and NG tube remain in place, unchanged in position. There is left basilar atelectasis. The right lung is clear. No effusion. Heart size upper normal.",Left basilar airspace disease most consistent with atelectasis.,1.2.826.0.1.3680043.8.498.55566616287960486055180249586692433952
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94314980651144545108256166224837305665
+There is bibasilar atelectasis. There is a small right pleural effusion. There is no focal consolidation. Heart size is normal. No pneumothorax.,Small right pleural effusion with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.89752864129864074915892687620970224868
+Lung volumes are at the upper limits of normal. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No consolidation or pleural effusion. Evidence of central peribronchial thickening. No confluent pulmonary opacity. Negative for age visible bowel gas and osseous structures.,Central peribronchial thickening compatible with viral airway disease in this setting. No focal pneumonia.,1.2.826.0.1.3680043.8.498.44187425425548655959467268072570316823
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24849781881931062518081217172590666353
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21093444298421106042887386419637668187
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20400870932337961332580082270796549227
+The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings at both lung bases. No focal infiltrates or pleural fluid is seen. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,Findings suggestive of mild retained fluid.,1.2.826.0.1.3680043.8.498.50685677861604900436518053822615393891
+The lungs are clear. Lung volumes are normal. There is no effusion. The cardiothymic silhouette is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.40529494670446951652412337375513360264
+The lungs are well-expanded. There is a small left pleural effusion. There is no alveolar infiltrate. The interstitial markings are coarse. The heart is top-normal in size. The pulmonary vascularity is not engorged. The sternal wires are intact. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is a small left pleural effusion which is new since the previous study. There is underlying COPD. There is no evidence of pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.84561529589299797914876301673408726177
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter is in the proximal right pulmonary artery. Left chest tube is in place. No pneumothorax. There is left base atelectasis.,Postoperative changes. No pneumothorax. Left base atelectasis.,1.2.826.0.1.3680043.8.498.72445694200373066913168465549992216047
+Patchy opacities in the right mid and lower lung. No pleural effusion. Normal heart size. No pneumothorax.,"Patchy opacities in the right mid and lower lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.99880137086244011545372601437564375638
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98216509224844719831929983704514059554
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable. Prior cervical spine surgery again noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67266144479999511635816492304404877845
+Linear density in the right mid lung compatible with atelectasis. Left lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Right mid lung atelectasis. No active disease.,1.2.826.0.1.3680043.8.498.57131545575874632370593369564993561326
+The lungs are hyperinflated consistent with COPD. There is linear density at the right lung base suggestive of atelectasis or fibrosis. Some linear density is also seen at the left lung base. No definite pneumonia is present. No significant effusion is evident. The heart is normal in size. The bones are osteopenic. Postoperative changes are noted in the right shoulder.,COPD with linear densities at both lung bases suggestive of atelectasis or fibrosis.,1.2.826.0.1.3680043.8.498.77812039947575930344562226913685937091
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49406413936739688147385047139062832745
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Scoliosis of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93180567042990402613971489663286745121
+The lung volumes are low. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,Low lung volumes.,1.2.826.0.1.3680043.8.498.34655947271177961309406316813789657008
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49910364488048527596196966001566897371
+OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.23428646135457912714909808808331401733
+There is no residual infiltrate within the left lung. Currently lungs are clear. Heart and pulmonary vasculature within normal limits. No pneumothorax or pleural effusion.,Complete resolution of left lung infiltrate. No current acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.10152075371695842573487821106071613458
+Endotracheal tube tip is 3.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube is in place. No pneumothorax. There is mild basilar atelectasis.,Satisfactory postoperative radiograph.,1.2.826.0.1.3680043.8.498.87154032927938849901162027965819799554
+The cardiomediastinal silhouette is unchanged. There is improved aeration of the right lung with persistent loculated right pleural effusion and underlying consolidation. The left lung is clear. No pneumothorax is identified.,Decreased right pleural effusion following thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.73753492935890663732215974370806113677
+There is patchy infiltrate in the right lower lobe. The left lung is clear. The heart and pulmonary vasculature are within normal limits. No pneumothoraces or effusions are seen.,Right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.88454815110725951700893281683031659464
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.53605764488695026110637964106120082920
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36085719381514374998651020413949527674
+Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. There is worsening aeration in the left lung. There is mild basilar atelectasis on the right. No evidence of pneumothorax.,1. Worsening aeration in the left lung. 2. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.67262293457983319511748976631040137184
+"Shallow lung volumes on both views. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Crowding of lung markings. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.","Low lung volumes, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.79741454914736019313669558429406970166
+There is chronic elevation of the right hemidiaphragm. Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions.,Bibasilar atelectasis. Chronic elevation of the right hemidiaphragm.,1.2.826.0.1.3680043.8.498.93586392582708433196690829206477289869
+"Portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.16180903405517440687028146544935025535
+Low lung volumes. Stable cardiac silhouette. Increase in bibasilar opacities. Increase in small to moderate RIGHT effusion. Increase in peripheral masslike density along the RIGHT chest laterally. Sclerotic lesions in the RIGHT scapula and LEFT posterior rib.,1. Increase in bibasilar opacities representing atelectasis versus infiltrates. 2. Increase in small to moderate RIGHT effusion. 3. Stable peripheral mass in the RIGHT lung laterally. 4. Sclerotic lesions in the RIGHT scapula and LEFT posterior rib consistent with metastatic disease.,1.2.826.0.1.3680043.8.498.28382840724919146516180634994005859019
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.64997843032636765823989103658982292802
+No pneumonia is seen. There are prominent perihilar markings with some peribronchial cuffing which can be seen with central airway process such as bronchitis or reactive airways disease. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Suspect central airway process.,1.2.826.0.1.3680043.8.498.55209514698662281484039160470259643552
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98850071242192602494497343091863693176
+There is central airway thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69626375484229848338020205078290049151
+The heart size and mediastinal contours are normal. Upper lobe scarring is present bilaterally. The lungs are otherwise clear. There is no pleural effusion.,1. No acute cardiopulmonary process. 2. Upper lobe scarring consistent with the patient's history of sarcoidosis.,1.2.826.0.1.3680043.8.498.33859034525144337928188562573858328710
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81383508303558639670104912304595659036
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69575853720725414898267063059730242713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86993732749665157193382830727170196709
+The heart size and mediastinal contours are within normal limits. Previously seen heterogeneous airspace opacity of the right midlung has resolved since previous study. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51861538864123324610136775462394518982
+"The right-sided PICC line is stable. The cardiac silhouette remains enlarged. The mediastinal contours are unchanged. Aortic atherosclerosis is noted. Patchy airspace opacities are present in both lungs, greatest at the lung bases. There are small bilateral pleural effusions. No pneumothorax is identified.","Patchy bilateral airspace disease, greatest in the lung bases, concerning for pneumonia. Small bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.61755394880253266701686976996491536251
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39891467011505124053949249975665307302
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.91916269511226192160957587680664092315
+Cardiomediastinal silhouette unremarkable for age. Suboptimal inspiration on the AP image which accounts for crowded bronchovascular markings diffusely; better inspiration on the LATERAL image and the bronchovascular markings are normal. Lung parenchyma clear. No pleural effusions. Normal lung volumes. Visualized bony thorax intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76950568904885632813763245485761777411
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active disease.,1.2.826.0.1.3680043.8.498.84256864341116411986726003768765360419
+The lungs are adequately inflated. There is no focal infiltrate. There is a hiatal hernia present. The heart is not enlarged. I see no pleural effusion. There is mild tortuosity of the descending thoracic aorta. No displaced rib fracture is identified.,I do not see evidence of acute cardiopulmonary disease. There is likely a hiatal hernia present.,1.2.826.0.1.3680043.8.498.62093832906551832174077120896073333045
+Left lower lobe consolidation. No pleural effusion. Normal heart size. No pneumothorax.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.90426075134919439010122391682597842154
+There is cephalization of the pulmonary vasculature and slight indistinctness of the interstitial markings suggestive of mild pulmonary edema. Small bilateral pleural effusions. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.49077129968914050502031312792022102662
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91552523129548412407194194572405464498
+There is blunting of the RIGHT costophrenic angle compatible with a trace RIGHT effusion. The etiology for the effusion is not identified. No pneumonia is seen. No pulmonary edema is noted. The heart is upper limits for normal in size. The chest is hyperexpanded compatible with COPD. There is a thoracic scoliosis.,1. COPD. 2. Small RIGHT pleural effusion. 3. No pneumonia or other acute change is identified.,1.2.826.0.1.3680043.8.498.18524935121325157509916597768322524347
+Right arm PICC tip is in the lower SVC. There is no pneumothorax. Bilateral pleural effusions and bibasilar air space opacities have worsened compared with the prior examination. Mild vascular congestion is noted. The heart size and mediastinal contours are stable.,1. Right arm PICC placement as described. 2. Increasing bilateral pleural effusions and bibasilar air space disease. This may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.94043117242179247771444512506244788928
+Lungs are adequately inflated without focal consolidation or effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16164674151444805850392530649690692567
+ET tube terminates in the mid trachea. The heart size is normal. The lung volumes are low. There are diffuse bilateral interstitial and airspace opacities throughout both lungs. There is no pleural effusion or pneumothorax.,1. ET tube terminates in the mid trachea. 2. Low lung volumes with diffuse bilateral interstitial and airspace disease. Findings are concerning for pneumonia or aspiration.,1.2.826.0.1.3680043.8.498.92963336541592949708979081876727686896
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. Aorta is tortuous and calcified. No bone lesions.,Tortuous and calcified aorta. No edema or consolidation.,1.2.826.0.1.3680043.8.498.68408060217203056703210521324728520843
+No active infiltrate or effusion is seen. Cardiomegaly is stable. A permanent pacemaker remains. There are degenerative changes throughout the thoracic spine.,Stable cardiomegaly with permanent pacer. No active lung disease.,1.2.826.0.1.3680043.8.498.77281768707629104811008669561910384078
+An endotracheal tube is in place with the tip located in the mid trachea. An umbilical venous catheter is in place and the tip is located in the right atrium. An umbilical artery catheter is in place and the tip is located at the superior endplate of the T7 vertebral body. The cardiothymic silhouette is within normal limits. The lung fields demonstrate diffuse bilateral granularity with no focal atelectasis or infiltrate seen. No pleural effusions are noted. The bowel gas pattern is unremarkable. Bony structures appear intact.,Lines and tubes as above.,1.2.826.0.1.3680043.8.498.37290689992899710724592064354515320257
+There is stable cardiomegaly. A dual lead pacemaker is unchanged. The previously seen basilar airspace disease has improved. There is no evidence of pulmonary edema or pleural effusion. No new areas of airspace disease identified.,Improved bibasilar airspace disease. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.16066856278059925508098842262252123496
+Endotracheal tube is 2.5 cm above the carina. NG tube enters the stomach. Volume loss on the left with elevation of the left hemidiaphragm. Left base atelectasis. Right lung is clear. Heart is normal size. Aortic atherosclerosis. No acute bony abnormality.,Endotracheal tube and NG tube appear to be in satisfactory position. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.38766176002916089929955825692733887334
+The left lung is well-expanded. There is increased density in the retrocardiac region on the left. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The permanent pacemaker/defibrillator is unchanged in position. The mediastinum is normal in width. The observed bony thorax exhibits no acute abnormalities.,Left lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Cardiomegaly without pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.79010537668873704369394614797730591092
+Left arm PICC line is noted with tip in the projection of the SVC. Heart size is normal. There is no evidence of pulmonary infiltrate or edema. No pleural effusions or pneumothorax. Stable elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95434278631124113677631851437308934865
+There is COPD. The right lower lobe pneumonia has cleared. There is some residual infiltrate in the left lower lobe which has improved since the prior study. There is no significant pleural effusion. There is no edema. The heart size is normal.,1. COPD. 2. Resolved right lower lobe pneumonia. 3. Improving left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.71959859404141454746115299058598360730
+Left internal jugular Swan-Ganz catheter is in place with tip in the right main pulmonary artery. Bilateral chest tubes are in place. No pneumothorax visualized. Mild bibasilar atelectasis noted. No evidence of pulmonary edema or consolidation. Heart size is stable.,Postoperative chest with bilateral chest tubes in place. No pneumothorax visualized. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.91538497122557281846094433572946437081
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Atherosclerosis.,1.2.826.0.1.3680043.8.498.32656903429046424985075051646611442360
+The heart is enlarged. There is no evidence for heart failure. Chronic interstitial lung disease is again identified and appears similar to previous study. No superimposed airspace disease is noted. There is no pleural effusion or pneumothorax.,1. Stable cardiomegaly. 2. Stable appearance of chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.18107493969114634462894539417174983095
+Two views of the chest were obtained. The lungs are mildly hyperinflated and clear. The heart size and pulmonary vascularity are normal.,There is mild pulmonary hyperinflation. There is no acute appearing radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.57097887279476380796771041385518038639
+Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. Mild left base infiltrate cannot be excluded. No pleural effusion or pneumothorax. Heart size stable.,Low lung volumes with mild bibasilar atelectasis. Mild left base infiltrate cannot be excluded.,1.2.826.0.1.3680043.8.498.86630741925628849616561795805107839657
+There is cardiomegaly. There has been interval increase in pulmonary vascular congestion and the patient now has bilateral mild pulmonary edema. Small bilateral pleural effusions are noted as well as left lower lobe atelectasis. There is no evidence of pneumothorax.,Increasing congestive heart failure.,1.2.826.0.1.3680043.8.498.53352700320092935565684414224936124872
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. There has been significant improvement in the airspace opacities previously seen in both lungs. Mild residual opacity noted in the right middle lobe. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are intact.,1. Significant improvement in bilateral pneumonia with mild residual opacity in the right middle lobe. 2. No new abnormalities.,1.2.826.0.1.3680043.8.498.39252932751078547599553937384605683426
+Cardiomegaly. Left lower lobe atelectasis or infiltrate. Right lung clear. No effusions. Aortic atherosclerosis. No acute bony abnormality.,Cardiomegaly. Left lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.56970906198001606849516512382410300809
+Mild cardiomegaly. No focal opacity or pleural effusion. No pneumothorax.,No active cardiopulmonary disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.45785749831816632858841225018559417902
+The lungs are well-expanded. The interstitial markings remain increased bilaterally. Nipple markers were used today. The nodular density previously demonstrated in the left lower lung is not clearly evident today. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,COPD. Chronically increased interstitial densities at both lung bases. No discrete pulmonary parenchymal nodules are observed today.,1.2.826.0.1.3680043.8.498.75898079638905699329443876722105803459
+"There is a persistent opacity in the right upper lobe adjacent to the fissure, compatible with pneumonia. This is similar to the prior study. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78977823386986154131432981416175534921
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80274432217982915289146023540538000881
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",No acute process.,1.2.826.0.1.3680043.8.498.38139800192900479929503488538410355532
+"Interim removal of bilateral chest tubes. No pneumothorax. Swan-Ganz catheter, mediastinal drainage catheter, and bilateral chest tubes have been removed. Prior CABG. Cardiomegaly. Low lung volumes with mild basilar atelectasis. No pleural effusion.",1. Interim removal of chest tubes. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.52595374128366055164748477211483655382
+"The heart appears normal in size. There is mild bilateral hilar prominence. Calcified granulomas within the right lung. No acute consolidation, congestion or pleural effusions. No acute fracture.",No acute consolidation.,1.2.826.0.1.3680043.8.498.62883859463667515057328597658963610809
+"There is cardiomegaly with vascular congestion and mild interstitial prominence, likely interstitial edema. Small bilateral pleural effusions are noted. Left AICD is unchanged.",Mild CHF.,1.2.826.0.1.3680043.8.498.49534229389158576323311846161713510601
+There is increased density at the lung bases compatible with atelectasis. No pneumonia is seen. No pulmonary edema is noted. The heart size is normal. No acute bony abnormalities are seen.,1. There is increased density at the lung bases compatible with atelectasis. 2. No pulmonary edema or pneumonia is identified.,1.2.826.0.1.3680043.8.498.10341696840979648787005909165014021210
+Aortic atherosclerosis. Status post TAVR. Heart size is stable. No pulmonary artery aneurysm. No pneumothorax or pleural effusion. No pulmonary edema. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76064781198016056404794316401780214910
+There is extensive airspace disease in the left lower lobe and lingula consistent with pneumonia. The right lung is clear. Heart size is normal. No effusion.,Left lower lobe and lingular pneumonia.,1.2.826.0.1.3680043.8.498.45846072171088662387589977875884612297
+An endotracheal tube is appreciated with the tip at the level of the clavicles. NG tube is seen with tip not on the view of this study. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. The lungs are hyperinflated. There is flattening of the hemidiaphragms. There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,COPD with superimposed pulmonary fibrosis as well as possibly an element of pulmonary edema. Support lines and tubes as described above.,1.2.826.0.1.3680043.8.498.76722882539298200783041487857017701911
+There is cardiomegaly with worsening pulmonary edema. Bibasilar atelectasis is noted. Low lung volumes.,Worsening congestive heart failure.,1.2.826.0.1.3680043.8.498.41798414914602241583465254906210088276
+Heart is normal size. Aortic atherosclerosis. Bibasilar atelectasis. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.82625948317199260799903698905465729387
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43134737716144558732251727274903122454
+Mild cardiomegaly. Lungs are clear. No effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.11198623007091361641853023672748098095
+There is increased density at the lung bases bilaterally consistent with atelectasis or pneumonia. The heart is not enlarged. There is no interstitial edema. There is no pneumothorax. The bony structures are intact.,Bibasilar pneumonia versus atelectasis. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.13393134576286952168315344189028958059
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65486274578071174141891297196760583394
+The lungs are adequately inflated. The interstitial markings are coarse though slightly less conspicuous than on the previous studies. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Slight interval improvement in the appearance of the interstitial pattern of both lungs consistent with known pulmonary sarcoidosis. There is no alveolar pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.38795849989947422060624123703059359446
+Stable normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No focal consolidation identified.,1.2.826.0.1.3680043.8.498.38840640761912970440850284086886859678
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. Stable scarring and probable emphysematous changes in the upper lobes. Stable mild hyperinflation. No pulmonary edema. Stable degenerative changes thoracic spine.,Stable COPD. No active disease.,1.2.826.0.1.3680043.8.498.75997080196266649283544792991583098870
+The heart and mediastinum are within normal limits. Previously seen right upper lobe pneumonia has resolved. No new pulmonary opacities.,Interval resolution of right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.47654059321120406392803408597679535415
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31491085913093425475717362951407668591
+A right chest tube is present. There is no significant pneumothorax. The heart is borderline enlarged. There is shallow inspiration. Monitoring electrodes are present.,Right chest tube present. No significant pneumothorax.,1.2.826.0.1.3680043.8.498.21593590871584685262780386943571220923
+"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.78639231199658416456815462810800983527
+Cardiac shadow is stable. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48148992394828926856336499512958051896
+"There is a right-sided double lumen central venous catheter present with the tip in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.66945749305425422396942291468898203746
+There is airspace consolidation in the right upper lobe consistent with pneumonia. The left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.52967639930078234374823759985906005918
+The lung volumes remain low. Scarring in the left lung base is again noted. Mild atelectasis is present at the lung bases. The lungs are clear otherwise. The heart is mildly enlarged though stable. The lungs are clear otherwise. The right subclavian central venous catheter tip remains in the SVC.,Stable scarring in the left lung base. Mild bibasilar atelectasis. No evidence of acute disease otherwise.,1.2.826.0.1.3680043.8.498.61656283368225173465218162458500534983
+Central catheter tip is in the superior vena cava. No pneumothorax. Lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Central catheter as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.15161175879492253574902853801374747048
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The thoracic degenerative disk disease is noted.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.14663124094970307031356581369863554526
+Mediastinum and hilar structures are stable. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with Kerley B-lines. These findings are consistent with congestive heart failure with pulmonary interstitial edema. Small left pleural effusion. No pneumothorax. No acute bony abnormality.,Congestive heart failure with pulmonary interstitial edema and small left pleural effusion. Findings have progressed slightly from prior exam.,1.2.826.0.1.3680043.8.498.70459939583378936611852100398658585489
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.37623985012626652283055445869359743992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77837182016275896673756884254934372597
+A feeding tube extends into the stomach. The cardiac silhouette is upper limits of normal in size. Lung volumes are low with increased opacity in the left lung base. There is also a suggestion of opacity in the right lung base. No pneumothorax is identified. A small left pleural effusion is not excluded.,1. Worsening left basilar and to a lesser extent right basilar lung opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.34916730673292908679649339536108989984
+There has been placement of a right internal jugular central venous catheter with tip in the superior vena cava. There is no evidence of pneumothorax. Endotracheal tube and nasogastric tube are unchanged in position. Low lung volumes are again seen. There is increased atelectasis in the left lower lobe since prior study. Small left pleural effusion is unchanged.,1. New right internal jugular central venous catheter tip in superior vena cava. No evidence of pneumothorax. 2. Increased left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.36591771389301322327528388812312943575
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral infiltrates are noted, greater in the right lung than the left, which have slightly improved in the right upper lobe. There may also be small bilateral pleural effusions.",Bilateral infiltrates with slight improvement in the right upper lobe.,1.2.826.0.1.3680043.8.498.54081531616822829059991692408826970338
+Right-sided Port-A-Cath with the tip projecting over the SVC. Left-sided dialysis catheter with the tip at the cavoatrial junction. No focal consolidation or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax. Degenerative changes of the spine.,1. Right-sided Port-A-Cath with the tip projecting over the SVC. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95544886204823653695689056622263136440
+"Single frontal view of the chest demonstrates a stable cardiac silhouette. There is multifocal consolidation throughout the right lung, most dense within the right upper lobe. Findings are consistent with pneumonia. No effusion or pneumothorax. Left chest is clear. No acute bony abnormalities.",Multifocal right lung pneumonia.,1.2.826.0.1.3680043.8.498.26646952170162121362555148378067000703
+The heart is enlarged. There is pulmonary vascular congestion without overt edema. No focal airspace opacities are identified. There is no evidence of pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.15948431838417328539837685360174303321
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.45282738444656184519645802587039325267
+"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Stable cardiomegaly. No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.11767374904704942754995085142516694813
+There is central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.46636224765306038067578362573727051097
+Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.45907723686105063192303196853593264297
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No evidence of rib fracture.,No acute findings.,1.2.826.0.1.3680043.8.498.39538832256580228015339109282859088530
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61517289127975430797126332066544782647
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26216283745356419663275973249425263873
+There is mild cardiomegaly. The left lung appears free of infiltrate and the left costophrenic angle is clear. There is increased opacity at the right lung base consistent with right pleural effusion and right lower lobe infiltrate. This is more pronounced than on the prior exam.,Right pleural effusion and right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.97931531343545682933782138570077993757
+"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Lungs normally inflated. Mild coarsening of the interstitial markings is stable, and may reflect sequelae of history of asthma. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.","1. No radiographic evidence for active cardiopulmonary disease. 2. Mild coarsening of the interstitial markings, which may reflect sequelae of history of asthma.",1.2.826.0.1.3680043.8.498.90155591715731204764211510730166183719
+The heart size is enlarged. Overlying median sternotomy wires are present. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality. There is no focal infiltrate.,No active disease.,1.2.826.0.1.3680043.8.498.90104278715437948884863883947565406154
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44626348050961127404901300467125394096
+Patchy bilateral airspace disease has improved. Small bilateral pleural effusions are noted. Heart size normal.,Improved bilateral pneumonia.,1.2.826.0.1.3680043.8.498.98602757970666377477392963557323374480
+Lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.29085804892085068647407469830416935747
+"Lung volumes are low. There are bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Aortic atherosclerosis.","1. Low lung volumes with bibasilar areas of atelectasis and/or airspace consolidation, with small left pleural effusion. 2. Mild cardiomegaly. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.97293082529890841568582410274722514357
+The heart is prominent. The lung markings are generally diminished particularly in the right base. No large effusions are seen.,Interval improvement of the abnormally increased lung markings particularly in the right base suggesting clearing fluid overload versus pneumonia.,1.2.826.0.1.3680043.8.498.25991724350790692579298153212564587261
+There is a right chest wall port a catheter with tip in the projection of the SVC. The heart size appears normal. There is no pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.57386240257176901431851135665440479761
+There is a large left pleural effusion with compressive atelectasis of the left lower lobe. The small right pleural effusion is not well visualized on the chest x-ray. The heart size and mediastinal contours are normal. There is no pneumothorax. The osseous structures appear unremarkable.,Large left pleural effusion with compressive atelectasis of the left lower lobe; no significant change compared with the CT obtained yesterday.,1.2.826.0.1.3680043.8.498.13128895821191762934021729968297500568
+The heart size is normal. Aorta is tortuous. There is a large amount of free intraperitoneal gas. Coarse interstitial opacities are seen at both lung bases as well as in the periphery of both lungs. No significant pleural effusions are identified. There is no pneumothorax.,1. Abnormal bowel gas with a large amount of free intraperitoneal gas. 2. Coarse interstitial opacities at both lung bases which may represent atelectasis or scarring. Coexisting pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.35569608645898939742993981630744444777
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.52827848476287481450888146811352069319
+Cardiomegaly. Status post median sternotomy and cardiac valve replacement. Aortic atherosclerosis. Mild vascular congestion without overt pulmonary edema. No consolidation. No pneumothorax or sizable pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.68602483371297147497378230183290355592
+There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. Thoracic aorta is tortuous and calcified. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.14070658483040211671096567057850333245
+Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Left IJ central line tip projects over the SVC. Heart size normal. Thoracic aorta is calcified. Lungs are emphysematous. Minimal bibasilar atelectasis. No definite pleural fluid.,Emphysema with minimal bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.62013085602707166028262912069132772282
+The lungs are clear. No pleural abnormality is seen. The heart and mediastinum are unremarkable. The bony structures are unremarkable.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.32501735178907207814551553182126559195
+Lung volumes are normal. Small left pleural effusion with some left lower lobe airspace disease likely reflecting resolving postoperative atelectasis. Lungs are otherwise clear. No pneumothorax. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Status post median sternotomy for CABG.,1. Small left pleural effusion with probable adjacent left lower lobe postoperative subsegmental atelectasis. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.75376362789134358873428112353230888403
+The lungs are well-expanded. There is persistent increased density in the right lower lobe posteriorly. It has improved somewhat since the previous studies. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Partial clearing of right lower lobe pneumonia. Additional follow-up chest x-rays in 2-3 weeks are recommended to assure complete clearing.,1.2.826.0.1.3680043.8.498.60833084400669907012182607681758843133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10301980029198556012068389151865623559
+"The patient's endotracheal tube is seen ending 2-3 cm above the carina. A left IJ line is noted ending about the mid SVC. An enteric tube is noted extending below the diaphragm. The lungs are hypoexpanded. Diffuse bilateral airspace opacification is noted, with vascular congestion. This may reflect pulmonary edema or pneumonia. No definite pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. No acute osseous abnormalities are identified.","1. Endotracheal tube seen ending 2-3 cm above the carina. 2. Left IJ line noted ending about the mid SVC. 3. Lungs mildly hypoexpanded. Diffuse bilateral airspace opacification, with vascular congestion and mild cardiomegaly, reflecting pulmonary edema or pneumonia.",1.2.826.0.1.3680043.8.498.68845696449327662304692552900976066704
+Cardiomediastinal silhouette unchanged in size and contour. Low lung volumes. Persistent opacity at the left base obscuring the left hemidiaphragm and left heart border. No pneumothorax. Tracheostomy tube unchanged. No displaced fracture.,Persisting left-sided pleural effusion with associated atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.84209793165269916221042502434658813964
+The heart size and mediastinal contours are stable. There is stable linear scarring at the left lung base. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. Old left-sided rib fractures are noted.,Stable examination. No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.38103991277082440572936923580370398760
+Low lung volumes. Persistent patchy density at the lung bases. Small left pleural effusion. Stable cardiomediastinal contours. No pneumothorax.,Persistent patchy atelectasis/consolidation at the lung bases with small left pleural effusion.,1.2.826.0.1.3680043.8.498.40055335191495402818999502696577779995
+The lungs are hyperinflated consistent with COPD. There is thickening of the interstitial markings. Areas of linear density are seen in the RIGHT mid lung and at the LEFT lung base suggestive of areas of fibrosis or possibly linear atelectasis. No focal consolidation is present. The heart is not enlarged. The bones are osteopenic. There is no evidence of pneumothorax.,1) COPD with areas of probable linear fibrosis. 2) No acute cardiopulmonary disease. 3) Osteopenia. 4) No evidence of displaced rib fracture.,1.2.826.0.1.3680043.8.498.97812723235833813431301690332250378740
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28801501473256984200051492974249368223
+Small right pleural effusion and trace left effusion are again noted. Multiple bilateral pulmonary metastases are again evident. There is increased density in the right lung base medially. Left subclavian Port-A-Cath is in place. No pneumothorax.,1. Small bilateral pleural effusions. 2. Multiple bilateral pulmonary metastases. 3. Increasing density at the right lung base medially.,1.2.826.0.1.3680043.8.498.19308709514726742587109397167856668075
+There is increased density at the left lung base consistent with left lower lobe pneumonia. There may be a small left pleural effusion. The right lung is clear. Heart size and vascularity are normal. No bony abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95795039069215952182208280380467626253
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94427543080153127689527410166951128287
+Heart size is normal. No pleural effusion or pulmonary edema. The left lung is clear. The right upper lobe airspace consolidation is improved from the previous exam. There is a scoliosis deformity which is convex to the right. No pleural effusion or pulmonary edema. No new findings identified.,1. Interval improvement in right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.40862486404598070490351779705913708349
+The lungs are hyperinflated. There is apical pleural thickening. There is likely scarring in the left upper lobe. The interstitial markings are increased diffusely. There is no focal consolidation. The heart is not enlarged. There is mild tortuosity of the descending thoracic aorta. There is thoracic kyphosis.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude an element of low grade compensated CHF.,1.2.826.0.1.3680043.8.498.49342474006719795873832579507619757827
+"There is cardiac enlargement with diffuse edema throughout the lungs with bilateral effusions, slightly larger on the right. Right-sided pacer is noted with leads in the right atrium and right ventricle.","1. Slight increase in CHF pattern with effusions, larger on the right. 2. Bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.71997418997848442745743092890249391163
+"Patchy bilateral airspace disease which is similar in extent. Low volumes. No edema, effusion, or pneumothorax. Normal heart size.",Stable multifocal pneumonia.,1.2.826.0.1.3680043.8.498.32826349116560220343527506129013760843
+The heart is enlarged. The patient is status post median sternotomy. The mediastinal contours are normal. There is no evidence of mediastinal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. No acute fractures are identified.,No evidence of acute chest injury. Cardiomegaly.,1.2.826.0.1.3680043.8.498.99283755363864350474936157048021270550
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Nodular density noted on the earlier radiograph corresponds to nipple shadow. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.86777705361385660432624326914643712209
+"The cardiomediastinal silhouette is within normal limits. The lungs are hyperinflated. A 2.2 cm right lower lobe lung mass is stable to slightly smaller than on the prior radiographs. Scattered other lung nodules are stable to slightly smaller than on the prior radiographs. No airspace consolidation, edema, pleural effusion, or pneumothorax is identified. No acute osseous abnormality is seen.",COPD with stable to slightly improved lung metastases.,1.2.826.0.1.3680043.8.498.80234189188926546575788557504210479622
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89657438264088726063609350252828823616
+"The cardiac silhouette, mediastinal and hilar contours are normal. The lungs are clear. The right subclavian power port tip is in the mid SVC. No complicating features.",Right subclavian power port tip is in the mid SVC. No complicating features.,1.2.826.0.1.3680043.8.498.21466388028000824255218214257175542180
+The patient was shielded for the examination. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49832205322384983254101226488763780309
+"Lung volumes are low. There are patchy areas of interstitial prominence and patchy airspace disease throughout the lungs bilaterally, most evident throughout the mid to lower lungs bilaterally. No definite pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the right on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Aortic atherosclerosis. Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.","1. The appearance of the chest is concerning for developing multilobar bronchopneumonia, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.64342156910900816513854888831568589523
+Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.16749919490185106250235969253800847626
+The lungs are mildly hypoinflated. The left hemithorax is opacified. The right lung is well expanded and clear. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. There is a right subclavian venous catheter in place. I see no evidence of a post procedure complication.,1. There is no evidence of a post procedure complication following placement of the right subclavian venous catheter. 2. There is opacification of the left hemithorax. This is likely due to a combination of pleural fluid and atelectasis. A mass in the left hemithorax cannot be excluded.,1.2.826.0.1.3680043.8.498.53938770649402642101419271754966962368
+There are new small bilateral pleural effusions with associated bibasilar atelectasis. Lung volumes are low. The heart size and mediastinal contours are stable. There is no edema or confluent airspace opacity. No osseous abnormalities are seen.,New small bilateral pleural effusions with associated basilar atelectasis.,1.2.826.0.1.3680043.8.498.53144786591065832814425860512267988594
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97460767634129189862797520549564440077
+There is central airway thickening but no focal airspace disease. No effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.98324925319879887574581478180672273179
+An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.97278164629585860029458383358899826510
+Stable cardiomediastinal silhouette. Stable bilateral diffuse interstitial densities are noted throughout both lungs most consistent with chronic interstitial lung disease. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable findings consistent with chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.99883028421152151683786432560413007737
+The lungs are clear. No pneumothorax is seen. The heart is within normal limits in size. No acute bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.96338377481785522881091989383484595301
+The heart is mildly enlarged. There is tortuosity and calcification of the thoracic aorta. The pulmonary hila are grossly normal. There is a vague density in the right lower lobe which is most likely atelectasis. No edema or effusions.,1. Cardiac enlargement. 2. Right lower lobe density likely reflects atelectasis. Early infiltrate is possible.,1.2.826.0.1.3680043.8.498.42046725387756426781046858768500971361
+There is a poor inspiration. There are linear fibrotic and/or discoid changes in the bases. There is a consolidation in the right lung base. There is no pneumothorax. The heart and mediastinum are physiologic in size and contour. The bony thorax is intact.,Consolidation right lung base. This could represent atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.89440016227297212116143597916105815776
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.90258654969343879529801900364264447908
+"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, and left chest tube in stable position. Prior cardiac valve replacement. Stable cardiomegaly. Low lung volumes with bibasilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior cardiac valve replacement. Stable cardiomegaly. 3. Low lung volumes with progressive bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.10927644901467672865170068551237939403
+The patient has taken a shallow inspiration. The heart is enlarged. There is prominence of the central pulmonary vasculature. Consolidation is seen at the right lung base. There is also patchy opacity at the left lung base. No pleural abnormality is seen. The visualized bony structures are unremarkable.,Bibasal infiltrates.,1.2.826.0.1.3680043.8.498.55155302867627222137816730062488155196
+Cardiac silhouette is mildly enlarged. Ectasia and tortuosity of thoracic aorta is seen. Lungs are free of infiltrates. There is minimal atelectasis in the left base. No pleural effusions are seen. No pneumoperitoneum is evident.,There is minimal left basilar atelectasis. No acute process is identified.,1.2.826.0.1.3680043.8.498.81681290487232203655998226741132806632
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.72269631197623131414699269909904484332
+Heart size is normal. Left lower lobe pneumonia again seen. There is mild improvement in aeration at the left lung base. No new or worsening consolidations. No pleural effusion. No pneumothorax. Osseous structures about the chest are unremarkable.,"Left lower lobe pneumonia, mildly improved from the previous exams.",1.2.826.0.1.3680043.8.498.88786216338123172751885257161874965127
+The heart is mildly enlarged. There are patchy opacities throughout the right lung. Left lung base is clear. No evidence of pleural effusion. No pneumothorax. No acute bony abnormalities are identified.,Patchy airspace opacities throughout the right lung which may represent pneumonia. Consider short-term follow-up PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.65654031651370089611872666687004044813
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Atelectasis at the left lung base. The right lung is clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57779348558216960982687390579316639809
+There is new airspace disease at the right lung base with a right pleural effusion. There is also patchy airspace disease in the left lung base which may reflect atelectasis or pneumonia. No evidence of congestive heart failure. Cardiomegaly.,1. New right lower lobe airspace disease and right pleural effusion suspicious for pneumonia. 2. Left basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.95563649847541789459111730841193190762
+There is again noted increased density at the left base compatible with atelectasis or pneumonia. The density appears slightly less extensive than on the prior exam. The right lung field is clear. No pulmonary edema is seen. The heart size is normal.,1. There is increased density at the left base compatible with atelectasis or pneumonia and which appears slightly less prominent than on the prior exam. 2. No new infiltrates are seen.,1.2.826.0.1.3680043.8.498.95787083663394357162869009799133492068
+"Since 4/11/2014 interval worsening right lung airspace opacities with low lung volumes and stable slight left basilar linear scarring or atelectasis and low lung volumes. Lungs otherwise clear. Heart size upper limits of normal. Mediastinum, hila, remaining pleura and osseous structures stable and unremarkable.",1. Interval worsening right lung pneumonia. 2. Stable slight left basilar linear scarring or atelectasis. 3. No additional acute findings.,1.2.826.0.1.3680043.8.498.33818251667640797198959210816024661316
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.71876922207258209483325894456895676321
+Left-sided Port-A-Cath in place. Heart is normal in size. Aorta is minimally tortuous. No focal infiltrates or signs of acute congestive heart failure. Degenerative changes of the spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81240353923893994886351543034022608417
+Right-sided central venous port tip overlies the SVC. Redemonstration of left hilar mass. There is linear scarring in the left upper lobe adjacent to the mass. No new consolidation or edema. No pleural effusion or pneumothorax. Stable cardiomediastinal contours.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.23753340012032802990535361857278589284
+The lungs are mildly hypoinflated. The retrocardiac region on the left is increased in density with obscuration of the left hemidiaphragm. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left subclavian venous catheter tip projects over the midportion of the SVC. There is no pneumothorax or pleural effusion. The observed bony thorax is unremarkable.,Interval extubation of the trachea with increased left lower lobe atelectasis. Mild pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.22780942438211340804901544584328851738
+Right chest tube remains in place. The right pneumothorax is stable. Right lower lobe airspace disease is unchanged. Left lung remains clear.,No significant change.,1.2.826.0.1.3680043.8.498.54521490061866408355456269136682441874
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53387219830237360812019675274190180027
+The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly prominent. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no evidence of residual pneumonia nor other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72131080407131114140579356717662365774
+Cardiomediastinal silhouette unremarkable and unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pleural effusions. No pneumothorax. Visualized bony thorax intact. No significant interval change.,"No acute cardiopulmonary disease. Stable since April, 2004.",1.2.826.0.1.3680043.8.498.81682754054576210944399822480118233613
+Tracheostomy catheter tip is 6.2 cm above the carina. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. There is interstitial edema throughout both lungs. There is patchy airspace consolidation in the left base. There is a small left pleural effusion. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Old rib fractures noted on the right.,Evidence a degree of congestive heart failure. Suspect superimposed pneumonia left base. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.73462969911728938964650365585937929837
+Two views of the chest show a small right apical pneumothorax to be present. Small pleural effusions remain with basilar atelectasis. The heart is mildly enlarged. The right IJ sheath has been removed.,1. Small right pneumothorax. 2. Small effusions and basilar atelectasis. 3. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.90453383026967432182814535763557326007
+Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69959711938894612065978426634838897231
+There is persistent increased density in the right lung consistent with right upper and right lower lobe pneumonia. The left lung is clear. The heart is normal in size. There is no edema or significant effusion.,Persistent right-sided pneumonia in the upper and lower lobes with slight improvement. Followup to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.90224830206383986712731322695513244660
+"Stable slight cardiomegaly seen. Lungs are clear without hyperinflation. Upper airway, mediastinum, hila, pleura and osseous structures appear normal for age.","1. Stable slight cardiomegaly. 2. Otherwise, normal.",1.2.826.0.1.3680043.8.498.69239684244012716652742385369240750225
+"Shallow inspiration. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild cardiomegaly with mild vascular congestion. No acute osseous pathology.",Mild cardiomegaly with mild vascular congestion. No focal consolidation.,1.2.826.0.1.3680043.8.498.34147129331056443626671685900276502753
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.79142394362435101161550975578016101261
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.13445450322198306097250636309599645851
+The heart is enlarged. There is no evidence for pulmonary edema. Chronic interstitial coarsening is again noted. Linear scarring versus atelectasis is seen in the left lung base. There is no evidence of focal consolidation or pleural effusion. Ectasia and atherosclerotic calcification of the thoracic aorta is again noted.,Stable cardiomegaly. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.40442104121261091971485900470389981991
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. Left hilar surgical clips noted. No acute osseous pathology.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72044315782769462190703551475436351616
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. A venous catheter is present with the tip projected over the superior vena cava.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.88098255957978250347639906130561719059
+"OG tube is in place with the tip in the stomach. Cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. No bony abnormality. Diffuse gaseous distention of bowel. No pneumatosis or free air.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58651154844213561175270260585158262072
+Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.37115436745650108714259477523534816817
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55999360497135167789615333546772955550
+There is a new dual lead pacing device with lead tips projecting over the right atrium and right ventricle. No pneumothorax is identified. Cardiomegaly and vascular congestion are again noted. Small bilateral pleural effusions are noted.,1. No evidence of complication after pacer placement. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.75652476332251653523473128514345920860
+The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.91843386599327809155282554114256302816
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42945203762316144803770405972565912756
+Postoperative changes in the mediastinum. Cardiac pacemaker. Shallow inspiration. Heart size and pulmonary vascularity are normal. Lungs are clear. No pleural effusions. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.91681934416821733398913065091343634117
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77791336041162077424621840446909358466
+"The heart appears normal in size. There is mild bilateral hilar prominence. No acute consolidation, congestion or pleural effusions. No acute fracture.",No acute consolidation.,1.2.826.0.1.3680043.8.498.75031136360640617587159535242545457907
+No rib fracture is identified. No pleural fluid or pneumothorax is seen. Mild atelectasis is present at the left lung base. The heart is normal in size. The mediastinal contours are normal. Spinal stimulator electrodes are present.,No rib fracture.,1.2.826.0.1.3680043.8.498.26016036208444429294366089391575877698
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of peribronchial thickening. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28929968592250048689946728877584723934
+"The heart is mildly enlarged. Stable tortuosity of the thoracic aorta. The lungs are hyperinflated with emphysematous changes and areas of pulmonary scarring. No focal airspace consolidation, pleural effusion, or pneumothorax. No pulmonary edema. No acute osseous abnormality.",1. No acute cardiopulmonary disease. 2. Stable COPD.,1.2.826.0.1.3680043.8.498.94724171593340484647525386320604512378
+The heart is enlarged. There is pulmonary vascular congestion without overt edema. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.45707297233684008889583743460107656445
+There is improvement in the previously noted interstitial edema. Small bilateral effusions remain. The heart is mildly enlarged. There are changes of COPD.,Interval improvement in CHF.,1.2.826.0.1.3680043.8.498.13645144765793690258300498120727546475
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64633654670411947599665988752178016753
+"The heart is normal in size. Aorta is tortuous. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.82929125396148479422534405758335902894
+Endotracheal tube tip lies approximately 2 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip lies at the SVC/RA junction. There is worsening of diffuse airspace opacities throughout the right lung and at the left lung base. No pneumothorax. Small bilateral pleural effusions.,1. Lines and tubes satisfactory. 2. Significant worsening of diffuse airspace disease throughout the right lung and at the left lung base.,1.2.826.0.1.3680043.8.498.15180391803413861302329670054803781613
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98660349507352430954038366580718089628
+Elevation of left diaphragm. Suggestion of atelectasis at the left base. No consolidation or pleural effusion. Normal heart size. No pneumothorax. Mediastinal contours appear intact.,No active disease. Elevation of left diaphragm with probable atelectasis at the left base.,1.2.826.0.1.3680043.8.498.42161292187256327875303634551238773411
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15304352239260124412212286686913749159
+"Endotracheal tube in place with tip positioned 2.2 cm above the carina. Enteric tube courses into the abdomen. Cardiac and mediastinal silhouettes are stable. Lungs normally inflated. Diffuse bilateral pulmonary infiltrates again seen, stable from previous. Small bilateral pleural effusions. No pneumothorax. No acute osseus abnormality.","1. Tip of the endotracheal tube positioned 2.2 cm above the carina. 2. Stable appearance of the lungs with diffuse bilateral pulmonary infiltrates, small bilateral pleural effusions, and associated bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.23552164158906869394293533569403954749
+"Left Port-A-Cath remains in place, unchanged. Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.81085677621852935842187180104186917801
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.64799682651742690122995917968694511028
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10238191487505600283271862995484209881
+UAC tip terminates at T7. UVC terminates at T8 over the right heart. Cardiothymic silhouette is normal. Lungs are mildly hypoinflated. There are mild bilateral perihilar streaky opacities. Bowel gas pattern is nonobstructive. No pneumoperitoneum. Visualized osseous structures have a normal appearance.,1. Findings suggestive of retained fetal fluid. 2. Support devices as described.,1.2.826.0.1.3680043.8.498.70074393097804766982321309017976627280
+The heart is normal in size. The aorta is tortuous. The lungs are under inflated and clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69725942021541963293320750499174719819
+"Interval extubation and removal of NG tube. There are low lung volumes with vascular congestion and bibasilar atelectasis, slightly increased on the left. Small left effusion.",Interval extubation. Increasing left base atelectasis and left effusion.,1.2.826.0.1.3680043.8.498.78857459716673065077935559087693770342
+"Left IJ central venous catheter tip overlies the proximal SVC. Heart size is stable. Diffuse bilateral airspace opacities are again seen, slightly improved since prior study. Small bilateral pleural effusions. No pneumothorax.",Slight improvement in bilateral airspace disease.,1.2.826.0.1.3680043.8.498.11036195362869303995070362148070116845
+The right subclavian central venous catheter is stable. The left chest tube is stable. A tiny left pneumothorax is stable. Bilateral pleural effusions and bilateral atelectasis is stable. Post-operative changes are noted.,No significant interval change.,1.2.826.0.1.3680043.8.498.26970301559633980481667628948619854918
+Lungs are adequately inflated with significant interval improvement in the perihilar airspace process. No effusion. Cardiothymic silhouette and remainder of the exam is unchanged.,Significant interval improvement in bilateral perihilar airspace process compatible with resolving pneumonia.,1.2.826.0.1.3680043.8.498.44048167586905750060659667134492879944
+Loop recorder device overlies the left chest. Stable cardiomediastinal contours with normal heart size. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No active disease.,1.2.826.0.1.3680043.8.498.74483812645609062360869626325618060063
+There is increased density at the LEFT base which suggests a pleural effusion. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. The heart is enlarged. The LEFT hemidiaphragm is obscured.,1. There are findings consistent with congestive heart failure. 2. LEFT pleural effusion is present. 3. The LEFT hemidiaphragm is obscured.,1.2.826.0.1.3680043.8.498.95960219771074325740377674143171137827
+MediPort catheter noted with tip over superior vena cava. Heart size normal. Diffuse bilateral pulmonary infiltrates are again noted. Similar findings noted on prior exam. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Diffuse bilateral pulmonary infiltrates again noted. Similar findings noted on prior exam. Findings consistent with chronic pneumonitis. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.59015445352281949363905148583752371198
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.74412375455636657819691419703153641011
+"The orogastric tube has been removed. The umbilical venous catheter tip is at the T-7 level, projecting over the heart. The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bowel gas pattern is normal.",Umbilical venous catheter tip at T-7 level. Clear lungs.,1.2.826.0.1.3680043.8.498.19280141702154542376279664396816543567
+Moderate cardiomegaly. Small right pleural effusion. Bibasilar atelectasis. Upper lungs clear. No pneumothorax.,Cardiomegaly and small right effusion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.64497114821686928013763692303266152779
+A new right subclavian center venous catheter is seen with tip in the distal SVC. There is no evidence of pneumothorax. Endotracheal tube remains in place. A nasogastric tube is seen extending into the stomach. Bilateral pleural effusions and bibasilar atelectasis are again seen and not significantly changed. Cardiomegaly stable.,"1. New right subclavian center venous catheter in appropriate position. No evidence of pneumothorax. 2. Stable cardiomegaly, bilateral pleural effusions, and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.29502403874728336861172541661167669765
+"Low lung volumes. Patchy bilateral airspace disease again noted, slightly increased in the right upper lobe. Small bilateral pleural effusions. Heart is borderline in size. No acute bony abnormality.","Patchy bilateral airspace disease, slightly increased in the right upper lobe. Small bilateral effusions.",1.2.826.0.1.3680043.8.498.30121700972344173271020694422607856876
+Low lung volumes. Bibasilar atelectasis. Heart is accentuated by the low volumes. No visible effusions. No acute bony abnormality.,"Low lung volumes, worsening bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.58864999584676955331073538539411124489
+The heart is moderately enlarged. Pulmonary edema is present. Small bilateral pleural effusions are suspected. No pneumothorax is seen. Atherosclerotic calcification of the aortic arch is present.,Cardiomegaly and congestive heart failure.,1.2.826.0.1.3680043.8.498.16576581127278421338402756723494092059
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. There is a permanent pacemaker in place. The patient has undergone prior CABG.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.11263740670011344750061526722288562066
+Heart is borderline in size. Lungs clear. No effusions or edema. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.38579983796522816846587766132448163438
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is stable.,No active disease.,1.2.826.0.1.3680043.8.498.62824511243427888934900108786496502560
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80053481157867632872818364775866239898
+"Endotracheal tube, feeding tube, and right PICC line are unchanged. There is increased left basilar airspace disease with associated left effusion. Right basilar atelectasis is unchanged. No pneumothorax.",Worsening left basilar airspace disease with associated effusion worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.85298298760037005270288871542650126610
+Prior CABG. Cardiomegaly with vascular congestion. Moderate right pleural effusion with right lower lobe atelectasis or infiltrate. Small left effusion with left lower lobe atelectasis. No acute bony abnormality.,"Cardiomegaly with vascular congestion. Bilateral effusions, right greater than left with bibasilar atelectasis or infiltrates.",1.2.826.0.1.3680043.8.498.67592626916352262033585569932037302326
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81037220465908866155527314400755002329
+Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38757187746534757321621958373795742418
+Heart: Normal. Lungs: Subtle right-sided airspace opacities. No pneumothorax or pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,Subtle right-sided airspace opacities suggestive of infectious etiology.,1.2.826.0.1.3680043.8.498.72521036313978717787579999933676675643
+There is flattening of the hemidiaphragms. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,COPD with likely a component of pulmonary fibrosis. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.86838469152153686413635272548956498003
+The heart is enlarged. The aorta is calcific. The lungs are well expanded. There are bilateral pleural effusions with compressive atelectasis. There is no pneumothorax.,"Cardiomegaly, pleural effusions and compressive atelectasis.",1.2.826.0.1.3680043.8.498.69043387736105509082793159572138423491
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.21239380266382937431233065536152740993
+"There is a large right perihilar lung mass extending into the right lower lobe superior segment, unchanged from the prior exam. There is no significant left lung consolidation. The lungs are hyperexpanded. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. Normal mediastinal and hilar contours. Bony thorax is intact.",1. No acute cardiopulmonary disease. 2. Right perihilar and superior segment right lower lobe lung mass consistent with the known neoplasm.,1.2.826.0.1.3680043.8.498.78416570981228344316386527218430731518
+There is cardiomegaly and mild interstitial edema. No focal airspace disease is identified. No evidence of pleural effusion.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.14903762953197552237273155812472532894
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38869897722776125992921331047022775356
+Aeration of the lungs has improved. No active infiltrate or effusion is seen. No pneumothorax is noted. A dual lead permanent pacemaker is now present. The heart is within upper limits of normal. No bony abnormality is seen.,Dual lead permanent pacemaker present. No active lung disease.,1.2.826.0.1.3680043.8.498.20388496665513834618673091993493505990
+Endotracheal tube and NG tube in stable position. Right PICC line noted with tip over cavoatrial junction. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion. No pneumothorax.,1. Right PICC line noted with tip over cavoatrial junction. 2. Endotracheal tube and NG tube in stable position. 3. Diffuse bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.34688949875502959336390467154284270594
+Low lung volumes. No focal consolidation or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30797837730316748501478203285078077205
+"A nasogastric tube is noted with its tip in the stomach. The heart is normal in size. The lungs are clear without evidence of focal consolidations, pleural effusions or pneumothorax.",Nasogastric tube with its tip in the stomach.,1.2.826.0.1.3680043.8.498.50689924106872678155795614842837726812
+Mediastinum and hilar structures are normal. Partial clearing of right upper lobe infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Partial clearing of right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.82389364025122460182575120194825996689
+"Enlargement of cardiac silhouette. Mediastinal contours normal. Pulmonary vascularity normal. Bibasilar infiltrates, slightly increased. Tiny right pleural effusion. No pneumothorax or acute osseous findings.",Slightly increased bibasilar infiltrates.,1.2.826.0.1.3680043.8.498.88614477334941545158220628268030724695
+The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is mildly enlarged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.63725169180640716179936880667225504696
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50648093025352174642554716185035990679
+There is elevation of the LEFT hemidiaphragm. A small LEFT effusion is identified. A component of the patient's previously described LEFT effusion is loculated along the lateral chest wall. Thickening of the interstitial markings is appreciated as well as peribronchial cuffing. The cardiac silhouette is moderately enlarged. A RIGHT sided Port-A-Cath is appreciated with the tip projecting in the region of the superior vena cava. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,"1. Findings which appear to be consistent with a small LEFT effusion as well as an element of pulmonary edema. 2. COPD. 3. Atelectasis versus infiltrate versus possible scarring, LEFT lung base. 4. Continued surveillance evaluation is recommended.",1.2.826.0.1.3680043.8.498.44354604665007480561886991990531935397
+The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. A Port-A-Cath appliance is in place. I see no pleural effusion.,There are findings which likely reflect low-grade CHF. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.86985413611405754054399246265788337996
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 09/02/1997.,1.2.826.0.1.3680043.8.498.85763258923575113594239729842586214576
+Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no evident pneumothorax or pleural effusion. No rib fracture.,No evident rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.91159467327607059705833934288716499094
+"Heart is enlarged. Diffuse interstitial prominence again noted, increased since prior study. No confluent opacities or effusions. No acute bony abnormality.",Cardiomegaly with increasing interstitial prominence which could reflect interstitial edema.,1.2.826.0.1.3680043.8.498.69361599924644154681483505331053489251
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.54639376755914297232811000234821137096
+There is a left-sided pacemaker/AICD generator noted with the tip of the electrode wire in right ventricle. There is a right-sided chest tube in place. There is no pneumothorax. The heart is enlarged. The lungs are well expanded. There are bilateral lower lobe infiltrates with small bilateral pleural effusions.,1. Pacemaker/AICD. 2. Right chest tube in place. No pneumothorax. 3. Cardiomegaly. 4. Bilateral lower lobe infiltrates with small effusions.,1.2.826.0.1.3680043.8.498.31598118374998251530733765025828402586
+Mediastinum and hilar structures are stable. Cardiomegaly with pulmonary venous congestion bilateral pulmonary infiltrates/edema. Findings consistent with CHF. Pacemaker in stable position. No pneumothorax. Small pleural effusions.,1. Cardiomegaly with pulmonary venous congestion and bilateral pulmonary infiltrates/edema. Findings consistent with CHF. 2. Pacemaker in stable position.,1.2.826.0.1.3680043.8.498.70739672855732145734832717159447247699
+"Endotracheal tube, NG tube, Swan-Ganz catheter, left chest tube, and right chest tube are unchanged. There is no pneumothorax. There is some mild atelectasis at the left base. There is increased airspace disease on the right, probably due to pulmonary edema. There is a small left effusion.",1. Stable chest. 2. Probable mild edema. 3. Mild atelectasis at the left base.,1.2.826.0.1.3680043.8.498.74690033476539178417697691177581523438
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81005354506364391260986326883260335474
+Sternotomy wires are intact. Stable enlarged cardiac silhouette. There is improved aeration to the left lung base with residual linear atelectasis and small effusion. No pulmonary edema. No pneumothorax.,1. Improved aeration to the left lung base. 2. Small left effusion and residual atelectasis. 3. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.22532750014525302254740684313666698288
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17790669288521545743779202142975890783
+There is a moderate left pleural effusion with left lower lobe atelectasis. There is also a small right effusion. The heart is enlarged. The patient has a right lower paratracheal mass which is probably the esophageal tumor. There is no evidence of pulmonary edema. No pneumothorax.,1. Moderate left pleural effusion and small right effusion with left lower lobe atelectasis. 2. Right lower paratracheal mass probably represents the esophageal tumor.,1.2.826.0.1.3680043.8.498.76460057652789847642015268614365223090
+"Endotracheal tube with tip approximately 3 cm above the carina. Recommend retraction by 2 cm for optimal positioning. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. Lower thoracic and upper lumbar fixation hardware noted. No acute osseous pathology.",1. Endotracheal tube above the carina. Recommend retraction by 2 cm for optimal positioning. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12168943139012496494361093126893607851
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 5/22/1991.,1.2.826.0.1.3680043.8.498.17658440659605868889007184659040529604
+"Umbilical vein catheter is been pulled back with tip now in the inferior aspect of the right atrium, approximately 7 mm above the inferior cavoatrial junction. Both lungs are clear. Heart size is normal. The bowel gas pattern is normal.",Umbilical vein catheter tip remains high in position in the inferior aspect of the right atrium. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.79417214189957454548647750446863721041
+"Endotracheal tube is 2.5 cm above the carina. NG tube is in the stomach. Pneumomediastinum and subcutaneous emphysema in the neck again noted, unchanged. No pneumothorax. Left base atelectasis. Heart is normal size. No visible effusions.",No significant change.,1.2.826.0.1.3680043.8.498.38177622375943019239310737849284704048
+Heart: Stable cardiomegaly. Left chest wall cardiac generator with intact leads. Lungs: There is some patchy atelectasis in the right upper lobe. The lungs are otherwise hyperinflated. There is some patchy bibasilar airspace disease and small bilateral pleural effusions. Mediastinum: Normal. Pleural effusions: See above. There is no pneumothorax. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.,"1. Cardiomegaly. 2. Small bilateral pleural effusions and patchy basilar airspace disease which could represent atelectasis and/or chronic interstitial lung changes. 3. Hyperinflated lungs, which can be seen with obstructive airways disease.",1.2.826.0.1.3680043.8.498.24698626755792222377587793758183700541
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41267835541446883349987333850380456120
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18964168602337209656150156151817666747
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.36076647605289026931044898643855890670
+Cardiomegaly. Central pulmonary vascular prominence. Subsegmental atelectasis right mid to lower lung. No segmental infiltrate. No gross pneumothorax. Calcified tortuous aorta.,Cardiomegaly. Central pulmonary vascular prominence. Subsegmental atelectasis right mid to lower lung. No segmental infiltrate. No gross pneumothorax. Calcified tortuous aorta.,1.2.826.0.1.3680043.8.498.26719682279770054925298317774513404388
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78225410501750409076359157597343381327
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.19593186789788207357956422632848202558
+The heart size and mediastinal contours are within normal limits. There is no evidence of pleural effusion or pneumothorax. There is a peripheral airspace opacity in the left lower lobe. The visualized skeletal structures are unremarkable.,1. No pleural effusion. 2. Peripheral airspace opacity in the left lower lobe may represent pneumonia or hemorrhage.,1.2.826.0.1.3680043.8.498.40089086953512954902978160332448649783
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55789904602949698737685147153669043725
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40117591102676416520882336774933925852
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19160165592575275790635795940433673657
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.76216770685625368712097331109611856652
+Cardiac and mediastinal silhouettes are within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30062179185408508114596167179722583495
+Normal sized heart. Patchy airspace opacity in the right middle lobe. Clear left lung. Mild scoliosis.,Right middle lobe pneumonia. This could be re-acute or chronic. Follow-up chest radiographs are recommended to ensure clearing.,1.2.826.0.1.3680043.8.498.62947269626421020114527105660199122455
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.87359737205040073411511357493734486662
+There is airspace disease throughout the right lung and at the left lung base. The heart is enlarged. There is no evidence of pneumothorax. No definite effusions are seen.,Bilateral airspace disease right greater than left worrisome for pneumonia and/or asymmetric edema.,1.2.826.0.1.3680043.8.498.67684187177066903058644571961276322216
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36919086095990578279609425799898502384
+"The heart is borderline enlarged. The lungs are hyperinflated consistent with COPD. Atherosclerotic calcification is present. There is no edema, infiltrate, effusion or pneumothorax.",1. COPD. 2. Atherosclerotic calcification. 3. Borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.62299447384880017801933542460435400662
+"Single view of the chest shows a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67044911046548984695713077508677064461
+"Patchy airspace disease throughout the right lung, suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.","Patchy airspace disease throughout the right lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.24697703990301596174296396153128557063
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. Prior CABG. No acute bony abnormality. Old right rib fractures.,1. Cardiomegaly. No evidence of overt congestive heart failure. 2. Prior CABG. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.31034634416168961856237837905266084618
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35799503710665921121656494116267692158
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Prior CABG noted as well as thoracic spondylosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14046819525982508300361072940436985156
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12909684109427165340126739247440245917
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.31137082570929584079092157138519250117
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.67775750575272644308936970836056093132
+"Heart size is normal. There is patchy density at the left lung base, consistent with atelectasis or early infiltrate. No pleural effusions. No pulmonary edema.",1. No evidence for acute cardiopulmonary abnormality. 2. Atelectasis or early infiltrate in the lingular segment of the left lung.,1.2.826.0.1.3680043.8.498.92586500475270855745044172848033221122
+The patient has undergone placement of a RIGHT subclavian venous catheter. The tip of the catheter lies in the region of the midportion of the SVC. I do not see evidence of a post procedure complication. There is increased density at the RIGHT lung base consistent with atelectasis and likely pleural fluid. The degree of volume loss is not greatly changed since the study of earlier the same day. The LEFT lung is adequately inflated and clear.,There is no evidence of a post procedure complication following placement of the RIGHT subclavian venous catheter.,1.2.826.0.1.3680043.8.498.99170984399636749988928359666324220528
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16335094737198135452817708937107473018
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.97023657390676881985670993036796430537
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.22210329019323243485964723425299076825
+"There is improved aeration of both lungs. Diffuse interstitial disease remains, which may be due to edema or fibrosis. Patchy areas of airspace disease remain at both lung bases.",1. Improved aeration. 2. Residual diffuse interstitial lung disease. 3. Bibasilar airspace disease remains.,1.2.826.0.1.3680043.8.498.42014424462575111520676090337646642879
+Right PICC line and right IJ catheter are unchanged. Prior CABG. There is stable cardiomegaly. Small left pleural effusion and left basilar atelectasis are again noted and unchanged. There is no pneumothorax.,No significant change. Persistent left lower lobe atelectasis and small left effusion.,1.2.826.0.1.3680043.8.498.52117953552441703461098906513256142408
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.36713409794276083445441505435908508225
+Patient is rotated to the right. Lungs are adequately inflated without focal consolidation or effusion. No pneumothorax. Cardiothymic silhouette and remainder of the exam is unchanged.,No active disease.,1.2.826.0.1.3680043.8.498.31233381045418349120623878928395953567
+Stable appearance of postoperative changes in the mediastinum. Shallow inspiration. Cardiac enlargement. Diffuse nodular airspace disease throughout both lungs in the diffuse interstitial pattern. Similar appearance to previous study. No pleural effusions. No pneumothorax.,Stable appearance of the chest since previous study with persistent diffuse nodular airspace disease and interstitial changes consistent with diffuse pneumonia or ARDS.,1.2.826.0.1.3680043.8.498.97386908735800022677724956010911456678
+Heart is normal size. Lungs are clear. No effusions. Multiple old left rib fractures. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34521904363697353978624826532190614306
+The heart size and mediastinal contours are within normal limits. Previously seen right middle lobe airspace disease has resolved. The lungs are hyperinflated. No evidence of pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12196057067565372103863123038264753893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72633962318964117162111655190658761782
+Diffuse hazy opacities are present throughout both lungs. Central vascular congestion with indistinct margins. Cardiomediastinal contours are normal. No pneumothorax or effusion. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,"Diffuse hazy opacities throughout both lungs, could reflect combination of atelectasis and edema.",1.2.826.0.1.3680043.8.498.11733047642881464489304187586149923449
+The right PICC line is stable. The lung bases are slightly better aerated. There are persistent areas of atelectasis and effusion. No pulmonary edema is seen.,Slightly improved basilar lung aeration with persistent areas of atelectasis and effusion.,1.2.826.0.1.3680043.8.498.18029112759318048350288997829530837693
+"Linear opacity in the right lung base likely reflects atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.","Atelectasis, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.34890852987597705823850303190717663377
+"The cardiomediastinal silhouette is unremarkable. Mild airway thickening is present. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",Mild airway thickening without focal pneumonia. This may represent a viral process or reactive airway disease.,1.2.826.0.1.3680043.8.498.78372783507308787605351411522008451411
+There is a moderate left pleural effusion with atelectasis at the left lung base. No pneumothorax after thoracentesis. Scattered nodular densities are seen throughout the right lung consistent with pulmonary metastases. The heart is normal in size. The mediastinal contour is stable.,1. No pneumothorax after left thoracentesis. 2. Moderate left pleural effusion. 3. Scattered lung metastases.,1.2.826.0.1.3680043.8.498.22629599682300013867148331144694565539
+The lungs are well-aerated. Left basilar airspace opacity is concerning for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Left lower lobe pneumonia noted.,1.2.826.0.1.3680043.8.498.20100028016998596412034966424843555925
+"Enlargement of cardiac silhouette. Mediastinal contours normal. Pulmonary vascular congestion. Accentuated interstitial markings in the perihilar regions bilaterally, could represent minimal edema or atypical infection. No gross pleural effusion or pneumothorax. Bones demineralized.","Enlargement of cardiac silhouette with pulmonary vascular congestion. Perihilar interstitial infiltrates, question minimal CHF though cannot exclude atypical infection.",1.2.826.0.1.3680043.8.498.92030056221836955230802183725381624334
+"The heart is enlarged. There is no edema, infiltrate, effusion or pneumothorax. The bony and mediastinal structures appear unremarkable.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.25550857441225933885861427856626225322
+The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76468393619561429167510035692513036318
+The patient has had previous CABG. The heart is mildly enlarged. No edema or effusions. No focal airspace opacities are identified.,1. No acute cardiopulmonary disease. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.53188285010429430834673628409512964796
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97831574824069228874187142760521600833
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.89086753861259201322191960063950977057
+Left PICC is in place with the tip projecting in the mid superior vena cava. No pneumothorax. Mild left basilar atelectasis is noted. The right lung is clear. Heart size is normal. Remote left rib fractures are unchanged.,Tip of left PICC projects in the mid superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.71515451366857961646207565978704396839
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.56857455639713134928559523396787465784
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.37219916562010857688926768095134934790
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.33104357905536748242456661425628390374
+"Endotracheal tube tip is at the clavicular heads. The orogastric tube reaches the stomach. Hazy opacity of the lower chest, especially on the left, from pleural fluid and atelectasis. Normal heart size. No pneumothorax.",1. Stable hardware positioning. 2. Unchanged left pleural effusion and atelectasis.,1.2.826.0.1.3680043.8.498.95270419339399577868910542555975844466
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43047919788927124679422674951555757017
+"There is persistent ill-defined opacity in the left mid lung region. There is a calcified granuloma in the left mid lung. Elsewhere lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is a hiatal type hernia. There is anterior wedging of a mid thoracic vertebral body, stable. There is degenerative change in the thoracic spine. There is postoperative change in the right shoulder.","Persistent ill-defined opacity in the left mid lung remains concerning for a focus of pneumonia. Given that this opacity has been present for 6 months, correlation of the chest CT, ideally with intravenous contrast, is advised to further assess. If the patient has been experiencing recurrent symptoms, followup study in 6 weeks to assess for stability may be reasonable given the patient's age.",1.2.826.0.1.3680043.8.498.14434039486307340980431933198992491901
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21714798105424900579314889309203843670
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.31947279285593107589396295071683300947
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60235801920809548286656432429511291688
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.62125970268379724894885329104241517566
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84637777556482825271152901719664610331
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16383126614847704182388800597435278006
+"Umbilical vein catheter tip overlies the inferior aspect of the right atrium, unchanged. Cardiothymic silhouette is normal. The lungs are clear. No pleural effusions. No pneumothorax. Right midclavicular fracture is stable.",1. No acute cardiopulmonary findings. 2. Stable position of the umbilical vein catheter.,1.2.826.0.1.3680043.8.498.75672432000034900663538179122947976566
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50861889123503595762537723425429438644
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94055918466526103710535547333129057807
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83534455377222871417076289327360395599
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83425439410224216629730513195941526822
+PA and lateral chest radiographs are provided. There is a focal area of airspace disease in the right upper lobe most consistent with pneumonia. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Right upper lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.86250271691963309823565768123778031152
+Patient is rotated towards the right. Heart is normal in size. Aorta is tortuous. No mediastinal or hilar masses. Lungs are clear. No evidence of pneumonia. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.39636520417433763128002993246170667751
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86149184710997417363004124009525589235
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.72142176668890002119869021473575120954
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34705285658926621618000795243253224962
+"The heart is mildly enlarged. There are surgical changes related to bypass surgery. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid.",Cardiomegaly and postoperative changes. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.87617247787344461913585200669669966911
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48336574717171931433782917430162630636
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11491463669942668108232531818276898740
+There is chronic elevation of the left diaphragm. Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.94880293517988709090528301899674997906
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.42636621005526598616830781678213641720
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.54950422711108938818748041521451830699
+The lungs are not as well aerated with basilar atelectasis present. Cardiomegaly is stable. Endotracheal tube is unchanged in position. Right central venous line is unchanged.,Slightly diminished aeration with persistent basilar atelectasis.,1.2.826.0.1.3680043.8.498.57734943401368830820331135453450612547
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24561237095469530652908431519826301068
+There is a dense infiltrate in the superior segment of the right lower lobe. The left lung is clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,Dense infiltrate in the superior segment of the right lower lobe consistent with pneumonia. Follow-up to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.10021295442216429458443664613556847556
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions. Low lung volumes.,No acute disease.,1.2.826.0.1.3680043.8.498.61635678993033992079280502470207804674
+"AP view at 5409 hrs. Enteric tube in place, side hole at the level of the gastric body. Normal visible bowel gas pattern. Stable lung volumes. Normal cardiac size and mediastinal contours. No pneumothorax or pleural effusion. No confluent pulmonary opacity. Mild diffuse granular pulmonary opacity is stable. No osseous abnormality identified.",1. Stable lines and tubes. 2. Normal visible bowel gas pattern. 3. Stable lung volumes with mild pulmonary granular opacity.,1.2.826.0.1.3680043.8.498.53951568744963253933174875270948529869
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70355339170556555191583891757266398988
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54704649355204400406680667077548337856
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.84807158814722421341215088621321892221
+There are moderate pleural effusions bilaterally with bibasilar atelectasis. There is no frank edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. Pacemaker leads are attached to the right atrium and right ventricle. No pneumothorax. No bone lesions.,Moderate pleural effusions bilaterally with bibasilar atelectasis. No frank consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.47710548930017934610269478466797666371
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59023032721085033212336864632157042490
+"Single view. Elevated right hemidiaphragm. No focal pulmonary opacity, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Regional skeleton is normal.",No acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.90516620143858704386332671841867633926
+"Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 3.5 cm above the carina. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.63535754200467295522812617445836024862
+Shallow inspiration. Linear infiltration or atelectasis in the lung bases. Heart size and pulmonary vascularity are normal. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration with linear infiltration or atelectasis in the lung bases.,1.2.826.0.1.3680043.8.498.43727514720654900502689566198666525718
+Cardiac and mediastinal contours are within normal limits. There are mild bilateral coarse interstitial opacities. No focal consolidation. Mild blunting of the right costophrenic angle. No pneumothorax. Osseous structures are unremarkable.,1. No acute cardiopulmonary abnormality. 2. Trace right pleural effusion.,1.2.826.0.1.3680043.8.498.92014681272292070744470219398398482638
+Mediastinum and hilar structures are normal. Heart size stable. Progressive mild pulmonary vascular prominence. Mild interstitial prominence noted. Mild interstitial edema and or pneumonitis cannot be excluded. No pleural effusion or pneumothorax. Right posterior lateral rib fractures again noted. No significant displacement. Spinal cord stimulator in stable position.,1. Progressive mild pulmonary vascular congestion. Mild interstitial prominence noted. These findings suggest mild interstitial edema and or pneumonitis. 2. Right posterior lateral rib fractures again noted. No significant displacement. No pneumothorax.,1.2.826.0.1.3680043.8.498.30582900555215952810961340373644535533
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18933030527989631354348429379993969972
+Endotracheal tube appears well positioned with tip approximately 3 cm above the carina. Enteric tube passes below the diaphragm. New right IJ central venous catheter appears well positioned with tip at the level of the lower SVC. No pneumothorax seen. Stable cardiomegaly. Stable left chest wall pacemaker/ICD. Stable small left pleural effusion and/or atelectasis. Lungs appear otherwise clear.,1. New right IJ central venous catheter is well positioned with tip at the level of the lower SVC. No pneumothorax seen. 2. Stable small left pleural effusion and/or atelectasis.,1.2.826.0.1.3680043.8.498.71178044278035891540084768172984905999
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39160871659771559689756998177980686758
+Normal cardiac silhouette. Clear lungs. No pleural effusion or pneumothorax. Bones are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70944290937027126951805577536055991916
+Cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.89983998527900347077721675602948028041
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.53491452734195468865372750412718492509
+There is central airway thickening with focal airspace disease in the right lower lobe compatible with pneumonia. No pleural effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening with focal airspace opacity in the right lower lobe compatible with pneumonia.,1.2.826.0.1.3680043.8.498.97315764230256589846482079022357527570
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30513400847972361825403011298301502732
+"The heart is enlarged. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",Cardiomegaly.,1.2.826.0.1.3680043.8.498.55090561033053302367045573794960513374
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67542976500131778951462218314068901651
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71689575968972018086621862859504072827
+Endotracheal tube is unchanged in position. Nasogastric tube is present within the stomach. There is mild improvement in pulmonary vascular congestion. Mild basilar atelectasis is present. Cardiomegaly is stable.,Slight improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.35187652532816583353723563014419868723
+"PA and lateral chest radiographs are provided. The lungs are hyperinflated likely secondary to COPD. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.98161578448242408775035270863908340237
+There is dense consolidation in the right mid and lower lung zone compatible with pneumonia. There is also a component of atelectasis. Left lung is essentially clear. There has been some interval increase in the right pleural effusion. The patient is status post CABG.,1. Right mid and lower lung zone airspace disease compatible with pneumonia. 2. Increasing right effusion.,1.2.826.0.1.3680043.8.498.66553390529341370340790499768437331590
+Left chest tube remains in place. No pneumothorax. Left lower lobe atelectasis slightly increased. There may be a small left effusion. The right lung remains relatively clear.,Slight increase left lower lobe atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.15939901545835514522505759782828253985
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74498934516180278043236512452401793619
+The heart size and mediastinal contours are within normal limits. Aortic knob calcifications are noted. Chronic interstitial lung markings are noted. No focal consolidation. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64102258584548287281932245492944810318
+The heart is enlarged. There is vascular congestion. There is mild edema. There are small effusions and bibasilar atelectasis. The left upper extremity PICC is stable.,Congestive heart failure with mild edema. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.32809145821401615253782185856276389702
+There is airspace consolidation in the right base. There is atelectatic change in the left base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia right base. Left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.64717669919264830914647726998084591000
+There is again noted increased density in the left upper lobe and right lower lobe compatible with pneumonia. The findings are similar to that noted on the prior exam. No new areas of infiltrate are seen. The heart is enlarged but stable as compared to the prior exam. No pleural effusion is seen.,1. Persistent areas of increased density bilaterally consistent with pneumonia. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.53178004597377007349629131007424457130
+The lungs are clear. Mediastinal contours are normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.60547455414185151461591291601162319714
+There is dense consolidation in the left upper lobe. There is also consolidation in the left lower lobe with an associated left pleural effusion. The right lung is clear. There is no pneumothorax. The heart is enlarged. The patient is status post median sternotomy.,1. Findings are most consistent with multifocal pneumonia in the left lung. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.64854027848809566014387841482218331611
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21987319640581159134750751022553305027
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83485171522306469470085778714620827899
+There is hyperinflation and chronic interstitial thickening. Cardiac silhouette is mildly enlarged. The mediastinum is not widened or deviated. The lungs are clear and the costophrenic sulci are sharp. Pulmonary vasculature is normal caliber. No pneumothorax is identified. Dual lead pacemaker is identified with the battery pack in the left hemithorax.,Hyperinflation and chronic interstitial thickening without evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.40146101591789144733365132033840413417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37926721257025739516619962976094164230
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82203725327122635051665024150556013502
+"Since that time, the left pleural effusion has increased in size. There is associated left lower lobe atelectasis. The right lung remains clear. The cardiomediastinal silhouette is unremarkable.",Enlarging left pleural effusion and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.87507310156562996221121777423081010012
+Median sternotomy wires and cardiac valve replacement are again noted. Right upper extremity PICC is unchanged with tip projecting over the superior cavoatrial junction. Cardiomegaly is unchanged. Atherosclerotic calcification of the aortic arch. Pulmonary vascular congestion and diffuse interstitial prominence with hazy airspace opacities in both lungs. Findings are suggestive of CHF/volume overload. Small left pleural effusion. No evidence of pneumothorax. No acute bony abnormality identified.,1. Cardiomegaly with pulmonary vascular congestion and bilateral interstitial prominence suggesting CHF/volume overload. Findings are progressed from the prior chest radiograph. 2. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.95130622629356820187300386722868465358
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79070287766001984160470071172755590536
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63052237944706459805741975021370340243
+Heart size is normal. There is perihilar peribronchial thickening. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings are consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.66280384656476727824513932582226711831
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92415864625827131142028256492900906196
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.89057981204183356658404005222020221640
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.52137363315985052808038960007564574925
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.40961163118871001611915382292881145173
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.10046972507113678346385502958263399174
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92019634737389187665743693753726745491
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57256789904509514933436101563076542094
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72741945578516770835524910962570520666
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is mild elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47871005938937098458860420967208377277
+Lung volumes and mediastinal contours remain normal. Visualized tracheal air column is within normal limits. Both lungs appear stable and clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Stable and negative. No cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.74437541775737031908786812008464350166
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69254419106946097366059977464023761803
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.69299942247573536251721847548129071915
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.16548660952919751446183595933495057468
+"The endotracheal tube tip is 6.5 cm above the carina. The nasogastric tube tip is within the stomach. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",1. Endotracheal tube tip 6.5 cm above the carina; this could be advanced 2-3 cm. 2. No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.33271345047024074692124482781987101681
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45393121885571310118116596822075721400
+Portable AP upright view at 7832 hours. Lung volumes and mediastinal contours are normal. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative portable chest.,1.2.826.0.1.3680043.8.498.62196700246789275195640590106244535300
+Patient is status post median sternotomy and CABG. Left-sided pacemaker is present with 2 leads in place. The heart is normal in size. The lungs are clear without evidence of focal consolidations. Left basilar scarring is present. There is no pulmonary edema or pleural effusion. There is no pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52252230944105076932986243980519041156
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51501852712955773752176253855830408834
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable. There is elevation of the right hemidiaphragm.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27232852260846809515288711691860786017
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.37803820020186413381092889639786101005
+"The heart is normal. There is peribronchial thickening. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",Peribronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.67649350934620147988823054802368498310
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.10105888402475264320078223826589489031
+The patient was shielded for the examination. The lung markings are accentuated at both lung bases and in the perihilar regions. Small bilateral pleural effusions are suggested. The heart size is normal. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,Prominent lung markings particularly at the lung bases without focal airspace disease. Small bilateral pleural effusions suggested. This is nonspecific and could represent infection or edema.,1.2.826.0.1.3680043.8.498.77374442787251939243460219222084595046
+There is linear atelectasis in the right middle lobe. Small bilateral pleural effusions are seen. There is no evidence of pulmonary consolidation or edema. Heart size is normal. No mass or adenopathy identified.,Small bilateral pleural effusions and right middle lobe atelectasis.,1.2.826.0.1.3680043.8.498.68286311745816874401622574438162487748
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51729859280387844060224168154805371689
+"There is a large mass in the left upper lobe, similar to the recent prior studies. There is a large masslike opacity at the left lung base, which is more extensive on the lateral view and likely represents a combination of the previously demonstrated lung masses with adjacent atelectasis or pneumonia. There is a small right pleural effusion. No pneumothorax is seen. The heart and mediastinum are difficult to evaluate due to the large mass in the left lung. The bones are demineralized.","1. Large mass in the left upper lobe, similar to the prior studies. 2. Large masslike opacity at the left lung base, likely representing a combination of the previously demonstrated lung masses with adjacent atelectasis or pneumonia. 3. Small right pleural effusion.",1.2.826.0.1.3680043.8.498.81847766142096880558781015974986142427
+There is progressive airspace disease in the right upper lobe which is most compatible with pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable. The bones appear unremarkable.,Progressive right upper lobe airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.54724783194286971781839196217396492275
+Left-sided Port-A-Cath is in place. The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83465438291293478862145169488718769659
+Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61981803280001831762425721235707327885
+The lungs are mildly hypoinflated. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The Port-A-Cath appliance tip lies in the region of the midportion of the SVC. The observed portions of the bony thorax are normal.,"There is no focal pneumonia. There is mild bilateral hypoinflation and mild prominence of the pulmonary interstitium. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be useful.",1.2.826.0.1.3680043.8.498.42522650296837047302978445643093377336
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41572928342321161437400561554295385089
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.50482358413127801434493020661330568125
+Mild cardiomegaly noted. Mild scarring is seen at the right lung base. The lungs are otherwise clear. No evidence of pleural effusion.,Mild cardiomegaly and right basilar scarring. No acute findings.,1.2.826.0.1.3680043.8.498.93813801782172066810928977403975644421
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16232461618082121403043868090669122475
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70422552119485343370785968108317938295
+"Portable semi upright AP view 6067 hours. Better lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.70236762432832834472932482983061609419
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79038429280010957143510421535500989481
+A right upper extremity PICC has been placed. The tip is in the right atrium. Bilateral air space disease is again noted and is again significantly changed. A nasogastric tube is stable. Bilateral pleural effusions are suspected.,1. Right upper extremity PICC placement into the right atrium. 2. No significant change in bilateral air space disease.,1.2.826.0.1.3680043.8.498.56010595145847871948521556641749888832
+There is little change in prominent interstitial markings most consistent with chronic interstitial lung disease. No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease. Probable chronic interstitial change.,1.2.826.0.1.3680043.8.498.69240946022503502379941944808596617177
+The lungs are well-expanded. The interstitial markings remain increased bilaterally. Areas of confluent density are slightly more conspicuous today. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Slight interval increase in interstitial and early alveolar opacities bilaterally. This may reflect worsening interstitial pneumonia or interstitial edema or combination of the 2. The pulmonary vascularity remains engorged.,1.2.826.0.1.3680043.8.498.90760563824295696659692808797607787615
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71406023624534993574471662848895378119
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14610098710708845582952555549137534476
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33202775723062976787091190882470034999
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No radiopaque foreign body is evident.,No edema or consolidation. No radiopaque foreign body evident.,1.2.826.0.1.3680043.8.498.87866199205578221897602916638780750035
+No fracture or other acute bony abnormality is identified. The patient has a known destructive process associated with the posterior aspect of the right fifth rib which is partially included in the field-of-view. No other acute bony abnormalities are identified.,No acute bony abnormalities.,1.2.826.0.1.3680043.8.498.13252116578941284691982548418024026562
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46035360991770686371951217120339899737
+There is little change in basilar opacities consistent with atelectasis and effusion. Basilar pneumonia cannot be excluded. The heart is within normal limits in size. No bony abnormality is seen.,No significant change in basilar opacities consistent with atelectasis and effusion. Cannot exclude pneumonia.,1.2.826.0.1.3680043.8.498.71202732152923996496605508927508534178
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68493383893129839636497138790414575784
+Patchy bilateral airspace disease has worsened. The heart is normal in size. No pneumothorax. A left pleural effusion is suspected.,Worsening bilateral airspace disease.,1.2.826.0.1.3680043.8.498.73803378520132942632871647808421489026
+The heart is mildly enlarged. The thoracic aorta is tortuous and atherosclerotic. Patchy airspace disease is present in both lung bases. Pulmonary vascularity is within normal limits. No pneumothoraces or effusions are seen.,Cardiomegaly. Bibasilar patchy airspace disease. Consider atelectasis or developing airspace disease.,1.2.826.0.1.3680043.8.498.93754633688084365352483387801037486801
+"The heart is enlarged. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.36080581292040308971310650984473694887
+Mediastinum and hilar structures normal. Cardiomegaly with pulmonary venous congestion and diffuse interstitial prominence. Findings consistent with congestive heart failure. No pleural effusion or pneumothorax. No acute bony abnormality.,Congestive heart failure with pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.62677695515071788001501977469104805402
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69828785412430854540625022820256955704
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51158013039417172689018619476825551903
+The examination cannot be performed secondary to patient's uncooperative nature,Nondiagnostic study Recommend repeat study once the patient agrees to the examination.,1.2.826.0.1.3680043.8.498.42242489301082602321995589207434594128
+"Diffuse reticular reticular opacities are present throughout both lungs, similar to slightly increased from the comparison study most compatible with chronic interstitial changes. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Cholecystectomy clips in the right upper quadrant.","Diffuse chronic interstitial changes throughout the lungs, similar to slightly increased from prior. No acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.50011023079397530711866749809023905260
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Aortic atherosclerosis. No edema or consolidation.,1.2.826.0.1.3680043.8.498.47727650730630618836073513669659757941
+Tracheostomy tube is in place. The heart size is normal. Aortic calcifications are noted. There is no pneumothorax. No large pleural effusion. No focal infiltrate.,No active disease.,1.2.826.0.1.3680043.8.498.67280414541587438408537091766247154595
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.78032683591020794566844204228585015125
+There is mild left lower lobe airspace disease compatible with pneumonia. The lungs are otherwise clear. There is no pleural effusion. The heart size is normal.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.86621648706200348465622838664035462330
+Prior CABG. Heart is normal size. No focal airspace opacities or effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86329239456418498224933408839831725895
+The heart is mildly enlarged but stable. The lungs are clear. There are no pleural effusions. Degenerative changes are again noted throughout the thoracic spine.,No acute cardiopulmonary disease. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.72261212096642277700055765534017420907
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.63775459099838166378623495732974301204
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.80217754249130602948146379950009622073
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94472528455311495112636505034967407652
+Endotracheal tube terminates 2.5 cm above the carina. Left internal jugular venous catheter terminates in the lower third of the superior vena cava. The cardiomediastinal silhouette is within normal limits. Lung volumes are low with mild atelectasis in the lung bases. No pleural effusion or pneumothorax is identified.,1. Low lung volumes with mild bibasilar atelectasis. 2. Support devices as above.,1.2.826.0.1.3680043.8.498.25598461280147187243730894139677765017
+The cardiothymic silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 6/16/1994.,1.2.826.0.1.3680043.8.498.33461495276688483975348136653710366824
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.41306661530465383109935323918119144936
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Chronic deformity of the left proximal humerus. No acute skeletal abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40256966975685323262941976666147653637
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.47513029468875206979984407228197737293
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. There are surgical clips in the left axillary region. There is mild multilevel degenerative disc disease of the thoracic spine.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27923833229360359432243478997386077652
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33322489855717999345423242842221706427
+Endotracheal tube tip is 2.9 cm above the carina. Central catheter tip is at the cavoatrial junction. Nasogastric tube tip and side port are below the diaphragm. No pneumothorax. There is a small left pleural effusion with left base atelectasis. Lungs elsewhere clear. There is stable cardiomegaly with pulmonary vascularity within normal limits. There is aortic atherosclerosis. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Small left pleural effusion with left base atelectasis. Lungs elsewhere clear. Stable cardiomegaly. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.36181660554520350256467013014761681053
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.32429774111917127101794667512714700324
+"The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.24927102431289856063493225514843206728
+Orogastric tube appropriately positioned. Cardiothymic silhouette is normal. Lungs are clear. Normal visualized bowel gas pattern. Umbilical venous catheter terminates at the level of the diaphragm. Umbilical arterial catheter terminates at the T7-T8 interspace. No pneumothorax.,No acute finding. Support apparatus as above.,1.2.826.0.1.3680043.8.498.41432772122085702344820063914742446917
+Nasogastric tube enters the abdomen. There is worsening of bilateral pulmonary infiltrates consistent with pneumonia. No lobar collapse. Small amount of pleural density at both lung bases.,Worsening of bilateral pneumonia.,1.2.826.0.1.3680043.8.498.98927595211017679398137707346390112958
+The lungs are hypoinflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Low-grade CHF with mild interstitial edema. No alveolar pneumonia.,1.2.826.0.1.3680043.8.498.59958946513515539218058581581794980123
+Stable normal sized heart and changes of COPD. Stable diffusely prominent interstitial markings and linear densities at both lung bases. Stable mild diffuse osteopenia. Stable mild scoliosis.,Stable COPD and chronic interstitial lung disease. Stable bibasilar linear atelectasis or scarring. No acute abnormality.,1.2.826.0.1.3680043.8.498.93943416645823218325169989643268210443
+Linear densities in the lung bases compatible with atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.81170771117886525975190506238190452060
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17976374816111197553090200089282444279
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88088112352394225554139774001782360673
+"Cardiomegaly. Mediastinal contours are within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Small calcified granuloma suspected in the left lower lobe. No acute osseous abnormality identified.","Cardiomegaly, otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.40731638441562562016584454421487345616
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26944397101692835874909108737582736166
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.14334377162866873835068060876750082102
+"Cardiomegaly. Increasing bilateral interstitial and airspace opacities, right greater than left. Small bilateral effusions. No acute bony abnormality.",Cardiomegaly with vascular congestion and mild interstitial edema. Increasing right lower lobe atelectasis or infiltrate. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.13139652625956627549858675374075596473
+The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for pulmonary edema. A small right pleural effusion is noted. There is no evidence of pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Vascular congestion and borderline cardiomegaly. Increased interstitial markings raise concern for pulmonary edema. Small right pleural effusion noted.,1.2.826.0.1.3680043.8.498.80797454158008845689299749553176126407
+Heart is normal size. Linear areas of scarring in the upper lobes. No confluent opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.47213489652815100620943866082674569632
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95293878257153582912474116744530175359
+"Bilateral patchy airspace densities similar to prior radiograph consistent with multifocal pneumonia, likely atypical or viral in etiology and in keeping with COVID. Clinical correlation is recommended. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No significant interval change.,1.2.826.0.1.3680043.8.498.13059556763268387071389810589903818644
+Cardiac shadow is enlarged but stable. Bibasilar atelectatic changes are again seen. The overall appearance is stable from the prior exam. No new focal infiltrate is noted. No bony abnormality is seen.,Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.99960015757397189275500868437092475423
+The lungs are adequately inflated. The interstitial markings are coarse though stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no pneumonia nor CHF. The interstitial markings remain mildly increased bilaterally.,1.2.826.0.1.3680043.8.498.81910783535226163741053669027162318807
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.95942360764930545102644487125578935590
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.53784445339260983693213756684649736446
+"Two views of the chest show a left sided cardiac defibrillator. The heart size is normal. The pulmonary vascularity is within normal limits. There are perihilar and bibasilar interstitial infiltrates, similar to the previous exam. No pleural effusion or pneumothorax is identified. Again seen is a 70% compression deformity at the thoracolumbar junction, similar to the previous exam.",Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.26478662606221431942955367824271382224
+The lungs are mildly hyperinflated. There is no focal infiltrate. The perihilar lung markings are increased. The cardiothymic silhouette is normal in size. There is no pleural effusion or pneumothorax. The gas pattern in the upper abdomen appears normal.,"There are findings consistent with reactive airway disease and acute bronchiolitis. I see no focal pneumonia. I cannot exclude croup, however, in the appropriate clinical setting.",1.2.826.0.1.3680043.8.498.42299127806962881897909375353498811510
+"There is cardiomegaly. Patchy bilateral airspace disease again noted, no significant change. Right central line unchanged.",No significant change.,1.2.826.0.1.3680043.8.498.35429724241744913057529700556264433181
+There is cardiomegaly. The aorta is tortuous and ectatic. No edema or consolidation is identified. There is no pleural effusion. No pneumothorax is seen. No acute osseous findings are seen.,Cardiomegaly and aortic ectasia. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.23292780274242371250947543594938830650
+"Umbilical venous catheter is present with tip at the level of T10. Umbilical arterial catheter terminates at the level of T7-T8. The exam is otherwise unchanged with diffuse pulmonary opacities, more prominent on the right than left, likely representing a combination of pulmonary edema and atelectasis. Normal cardiothymic silhouette. Nonobstructive bowel gas pattern. No acute osseous findings.",1. Support apparatus as described. 2. Unchanged pulmonary aeration with diffuse edema.,1.2.826.0.1.3680043.8.498.46587697432336915821766146494861509670
+Heart size is normal and the vascularity is normal. The lungs are hyperinflated consistent with COPD. There is no infiltrate or effusion.,COPD. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43059917208707216936155026422215472548
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11882367437713436126798745939849874725
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87128510772385502767125267067244122560
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69571997685449788121527443127827835104
+There is a left chest wall AICD with leads in the right atrial appendage and right ventricle. The heart size is enlarged. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.75324067350113295746028603171514151893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44984116139337813709887412044370415841
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88267674149235423296118766490935219232
+Patchy airspace disease throughout the left lung. Right lung is clear. Suspected small left pleural effusion. No pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Left-sided pneumonia.,1.2.826.0.1.3680043.8.498.13632552851588397423729595501408477730
+"Cardiothymic shadow normal. There is central airway thickening. Best seen on the lateral view, is increased density in the right lower lobe consistent with pneumonia. No pleural fluid.",1. Right lower lobe pneumonia. 2. Central airway thickening.,1.2.826.0.1.3680043.8.498.43629013845221746421385007063348895765
+The cardiomediastinal silhouette is unchanged. Lungs are clear. No pleural effusion or pneumothorax. Postsurgical changes of the chest are again noted.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.71483932717466407593413237381701142530
+There is a large hiatal hernia present. There is a small right pleural effusion. There is some atelectasis at the right lung base. The heart is enlarged. A pacemaker is present. There is no pneumothorax.,1. Cardiomegaly. 2. Small right pleural effusion. 3. Atelectasis at the right lung base. 4. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.64342872635215133428407205255639589406
+The left hemidiaphragm is elevated. The stomach is mildly distended with air. The lung volumes are low. Heart size is normal. No focal pulmonary opacities.,1. No acute cardiopulmonary disease. 2. Mild elevation of the left hemidiaphragm with overlying atelectasis.,1.2.826.0.1.3680043.8.498.15132958929586718452282597615879176550
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42381838058843134350331789367203771347
+The lungs are well-aerated. Mild right perihilar opacity could reflect mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild right perihilar opacity could reflect mild pneumonia.,1.2.826.0.1.3680043.8.498.91285614425939910630844882532366841742
+Endotracheal tube tip is 2.5 cm above the carina. Right internal jugular central venous catheter tip is in the superior vena cava. No pneumothorax. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy.,Tube and catheter positions as described. No pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.10253602544178709738904193501404343226
+"Cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. Aortic atherosclerosis. Enteric tube courses below the diaphragm. Persistent hazy opacity at the right lung base, which may reflect atelectasis or infiltrate. Probable superimposed subsegmental atelectasis. Left lung is clear. No pulmonary edema. No pneumothorax. No acute osseous finding.","1. Persistent right basilar opacity, which may reflect atelectasis or infiltrate. 2. Probable superimposed subsegmental atelectasis.",1.2.826.0.1.3680043.8.498.33951314654182416194306160948170228766
+There is significant pulmonary edema. Small bilateral pleural effusions are likely. No pneumothorax. Cardiomegaly.,Findings most consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.54589861863016291001186825632345268614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73554414159895206334196531413074941601
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58252784331172581841507316996608399019
+There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Findings consistent with COPD without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31719859340371743044015055167844047254
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62860327383553176820265453460864795554
+Heart: Stable cardiomegaly. Left chest wall cardiac generator. Lungs: Increasing patchy opacities in the left mid and lower lung. Stable patchy opacities in the right lower lung. Mediastinum: Normal. Pleural effusions: Small left effusion. Bones: Normal. Visualized upper abdomen: Normal.,Increasing left lung infiltrates. Stable right lung infiltrates. Small left effusion.,1.2.826.0.1.3680043.8.498.56196021411794912837058848138787512003
+"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.48366530158988762251344479157282445192
+No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with peribronchial thickening which may indicate central airway process such as bronchitis. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Question bronchitis.,1.2.826.0.1.3680043.8.498.69367286449263178803526267502200926367
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36996905166891740176165197797425631483
+"No pneumothorax. No effusion. Coarsened interstitial markings are noted, similar in appearance to the prior exam. This may represent chronic lung disease. The heart is not enlarged. The mediastinal contours are normal. The patient is status post left mastectomy.",Stable appearance of the chest. No acute findings.,1.2.826.0.1.3680043.8.498.87615698958790947265189915788164792209
+There is elevation of the right hemidiaphragm. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32714646704917781356496873363398302512
+Endotracheal tube is 2.5 cm above the carina. Nasogastric tube enters the stomach. The heart is enlarged. There is mild central vascular congestion without overt edema. No pneumothorax. No effusion.,Endotracheal tube and nasogastric tube appear well positioned. Cardiomegaly and mild central vascular congestion.,1.2.826.0.1.3680043.8.498.84988202395084649892821973214521777715
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77110969843904475830757423321734063151
+There is bilateral airspace disease that is most likely due to pulmonary edema. There are bilateral pleural effusions and there is atelectasis at the lung bases. There is mild cardiomegaly. The patient has had prior CABG. No acute bony abnormalities identified.,Bilateral airspace disease and bilateral effusions most compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.95120814637678422454729038908916602851
+Both lungs are clear. Heart and mediastinum are within normal limits. Trachea is midline. No pleural effusions. Bone structures are unremarkable. Trachea is midline.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11038635529136446051286652775035398921
+"Stable cardiomegaly. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94739157298847079195718348984213461687
+"Endotracheal tube, left IJ central line, and enteric tube are again identified. Cardiac shadow is stable. Diffuse bilateral airspace opacities are again identified stable from the prior exam. No pneumothorax is noted. No bony abnormality is seen.",Stable airspace opacities consistent with the given clinical history. Tubes and lines as described.,1.2.826.0.1.3680043.8.498.98525375479915413515932603882700143807
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. There are bilateral infiltrates in the mid and lower lung zones. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Bilateral infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.60143685504020152868056827316486838679
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63760247500020633250112341865497210083
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52672493335102169726720570756083633160
+The cardiopericardial silhouette is within normal limits for size. Mild central airway thickening is present. No focal airspace disease is seen. The visualized soft tissues and bony thorax are unremarkable.,"Mild central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.87372427153225928401703649878688943626
+Right pneumothorax is again seen and is slightly smaller. Left chest tube remains in place. Swan-Ganz catheter has been removed. Right IJ sheath remains in place. Left chest tube remains in place. No left pneumothorax. Bilateral atelectasis and/or airspace disease is again seen and is slightly worse.,1. Right pneumothorax is slightly smaller. 2. Swan-Ganz catheter and left chest tube have been removed. 3. Slight increase in bilateral atelectasis and/or airspace disease.,1.2.826.0.1.3680043.8.498.21845980743319569384850524251704686680
+The lungs are well expanded. There is mild central airway thickening. No confluent airspace opacity is evident. The cardiothymic silhouette is within normal limits. No pleural effusion or pneumothorax is seen. The visualized portions of the bowel gas pattern are within normal limits.,"Mild central airway thickening, which can be seen with reactive airways disease or a viral process. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.10876077697230436860531154096963271843
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79107634220410438824508287298610541292
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.97280338712863377233440677988007009501
+The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is engorged. There is no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.21634187156293730259508315778923592367
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16022402394326985937956114786053631818
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99680288601338194588575117102684413270
+There is thickening of the interstitial markings as well as areas of peribronchial cuffing. An area of increased density projects within the RIGHT upper lobe. No new focal regions of consolidation are demonstrated. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,"Findings consistent with COPD with superimposed fibrotic change and possibly a component of pulmonary fibrosis as well as possibly an element of pulmonary vascular congestion. Asymmetric edema versus infiltrate, RIGHT upper lobe, versus atelectasis. Surveillance evaluation is recommended.",1.2.826.0.1.3680043.8.498.50615403329519710893831853317529958378
+A right IJ dialysis catheter has been placed with tips overlying the cavoatrial junction and right atrium. A left-sided pacemaker is unchanged. Cardiomegaly is again noted with pulmonary vascular congestion. There is no evidence of pneumothorax.,Right IJ dialysis catheter placement with tips overlying the cavoatrial junction and right atrium. No evidence of pneumothorax.,1.2.826.0.1.3680043.8.498.62812377863590829435842063538897279916
+Endotracheal tube is 2.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line in the lower SVC region. Increased diffuse airspace disease throughout both lungs. Heart size remains enlarged. Evidence for left pleural effusion. No evidence for a pneumothorax.,Increased bilateral airspace disease. Findings are suggestive for pulmonary edema. Cannot exclude pneumonia. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.60641148295579276927735709284216058826
+"No focal consolidation, pleural effusion, pneumothorax. Stable top-normal cardiac size. Atherosclerotic calcification of the aortic arch. Loop recorder device noted. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.50388218126602924713815541854047803225
+"Single-view of the chest demonstrate mild cardiomegaly with vascular congestion. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.29369067887692140829904405631514622041
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14265631180762469155537501064533854407
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No pneumomediastinum is seen. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17851636560895842079594432754115504639
+There is patchy infiltrate in the left lower lobe compatible with pneumonia. There is no effusion. The right lung is clear. Lung volume is normal.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.72543286535281742809837698621322297397
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.38451854437174922207439407814596698576
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21535743286362454316129392106593079984
+Trachea is midline. Heart size normal. Lungs are clear. No pneumothorax. No pleural fluid. Osseous structures appear intact.,No acute findings.,1.2.826.0.1.3680043.8.498.21216865391947817722182774596194931569
+There is a focal opacity in the left perihilar region. The lungs are otherwise clear. Heart is enlarged. The aorta is calcific. Mediastinal structures are stable. The bony thorax is grossly intact.,Left perihilar infiltrate. Cardiomegaly.,1.2.826.0.1.3680043.8.498.99816759326051175234916446624733161291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36977085619789077140877992186292420493
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11596145269862139001218867222631310855
+The Swan-Ganz catheter has been removed. The right IJ sheath remains. Two left chest tubes have been removed. No pneumothorax. The patient has had a median sternotomy. The heart remains enlarged with diffuse edema throughout the lungs. There is slight increase in airspace disease particularly in the left upper lobe. Bilateral effusions are noted.,1. Removal of Swan-Ganz catheter and left chest tube. No pneumothorax. 2. Slight increase in airspace disease.,1.2.826.0.1.3680043.8.498.45069972138681456477638499633518791917
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.11105899927511715273860150495082270032
+AP semi-erect and lateral images were obtained. Cardiac silhouette normal in size for AP technique. Thoracic aorta atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Prominent bronchovascular markings diffusely and moderate central peribronchial thickening. Lungs hyperinflated. Linear atelectasis or scar in the right lung base. Lungs otherwise clear. No localized airspace consolidation. No pleural effusions. No pneumothorax. Normal pulmonary vascularity. Degenerative changes involving the thoracic and upper lumbar spine.,Hyperinflation and moderate changes of acute bronchitis and/or asthma without localized airspace pneumonia.,1.2.826.0.1.3680043.8.498.28056312947498994918598540076016921469
+"Portable upright AP view 7917 hours. Cardiac silhouette is enlarged. Mild tortuosity of the thoracic aorta. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent airspace opacity. No acute osseous abnormality identified.",Cardiomegaly. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.50831796544749805720818836090257867087
+Sternotomy wires overlie normal cardiac silhouette. The patient has been extubated. Enteric tube has been removed. There is mild interstitial edema which is increased slightly compared to prior. No pleural fluid. No pneumothorax.,1. Increased interstitial edema. 2. Status post extubation and removal of enteric tube.,1.2.826.0.1.3680043.8.498.67466511835044712987134105678800348543
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14087531763083296197389131799256567454
+The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality. Port-A-Cath is in place.,No acute disease.,1.2.826.0.1.3680043.8.498.16677201922684583418175109486619463759
+The cardiomediastinal silhouette is stable. There is a persistent large mass in the right upper lobe. There is new infiltrate in the right lower lobe. A small right pleural effusion is also noted. The left lung grossly clear. No pneumothorax appreciated on this portable examination. There are no acute bony findings.,Interval development of right lower lobe infiltrate and right pleural effusion. Persistent large mass in the right upper lobe.,1.2.826.0.1.3680043.8.498.20099298101534113921100778737358640712
+"Portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.72951608868851823371788349308036047172
+"There is again noted increased density in both lung fields, more prominent on the left and consistent with pulmonary edema. No pneumonia is seen. No pleural effusion is noted. An endotracheal tube is present with the tip approximately 2.5 cm above the carina. A nasogastric tube is present but its distal portion is not sufficiently visualized to locate the tip. The heart is upper limits for normal in size or slightly enlarged.",Please see above.,1.2.826.0.1.3680043.8.498.75069812576666476552972460247062703592
+The lungs are adequately inflated. The interstitial markings are increased bilaterally. There is increased density in the left mid lung. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. There is calcification in the wall of the aortic arch. There is a small left pleural effusion. The bony thorax exhibits no acute abnormality.,Findings worrisome for CHF with mild pulmonary interstitial edema. Possible early pneumonia in the left mid lung. Small left pleural effusion. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.62078893200291408668939435899042750016
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51229394424046898891299241374474734613
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66095687565831008238329173049781896648
+There is peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease. There is no focal parenchymal opacity. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Peribronchial thickening and interstitial thickening suggesting viral bronchiolitis or reactive airways disease.,1.2.826.0.1.3680043.8.498.64824667028336889141989894827323830992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59892432989064780896909377612306922209
+The heart is mildly enlarged. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,Mild cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.76958316070150585339242670677289256496
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.49993452317010694490876103960604659270
+Mild cardiomegaly. Tortuous atherosclerotic thoracic aorta. No pulmonary consolidation or CHF. No effusion or pneumothorax. Degenerative change noted of the spine. No acute appearing fracture.,No active cardiopulmonary disease. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.42628215757122607370692113529032527310
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19113952020667966132919892471572207165
+The heart is normal. The lungs are clear. No edema. No pleural effusions. Bony structures are intact.,No active disease.,1.2.826.0.1.3680043.8.498.88648368668703826733296349702621410882
+AP view of the chest and AP view of the abdomen were obtained. Endotracheal tube tip is approximately 1 mm above the carina. Umbilical venous catheter tip overlies the level of T7. Umbilical arterial catheter tip overlies the level of T6. Cardiothymic silhouette is normal. Lungs are clear. Bowel gas pattern is nonobstructive.,1. Support devices as described. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.91559633583161717556701941900434052257
+The heart is upper limits of normal. The mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.68554692306623711713641764363889373630
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99215590472720821987320642998106124014
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. There is a 3-lead cardiac pacer noted. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.69215688685768316543213052928806732607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The lungs are hyperinflated. The bony thorax is intact.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57224472454457398558120174099597409433
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54052934792513480983132620758958032644
+Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation.,1. Low lung volumes. 2. Mild cardiac enlargement.,1.2.826.0.1.3680043.8.498.29081036130952344064220922542939374456
+Cardiac silhouette is mildly enlarged. No pneumothorax or pleural effusion. No focal consolidation. Mild right basilar atelectasis. Prior TAVR.,Mild cardiomegaly. No pneumothorax. No pleural effusion.,1.2.826.0.1.3680043.8.498.27327178587101489895835256503643606274
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease.,1.2.826.0.1.3680043.8.498.23833524350748379995782030496056067331
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27760079657085934206108490240811293320
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21787917447489497939420388175026224099
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20949666080102154304997320652587462427
+No pneumothorax. Old right rib fractures. Heart is normal size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97515134792117728822560501021097680115
+Endotracheal tube tip is in the mid trachea. Right IJ Swan-Ganz catheter is in the proximal right pulmonary artery. Left chest tube and mediastinal drain are in place. Nasogastric tube projects below the diaphragm. There are low lung volumes with mild left basilar atelectasis. No pneumothorax.,Mild left basilar atelectasis following CABG.,1.2.826.0.1.3680043.8.498.63085508971456041431850204165906986687
+The lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Degenerative changes in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48331888079611293903168757413097981591
+The heart size and vascularity are normal and the lungs are clear. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.10530726798510777881886294617282207831
+Heart size is normal. The mediastinum is unremarkable. Lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.94605874921507100299424548890277207401
+"Scoliosis. No infiltrate, congestive heart failure or pneumothorax. Heart size within normal limits. Mild loss of height lower thoracic vertebra. This can be evaluated on follow-up two-view exam with cardiac leads removed.",Scoliosis. No acute abnormality.,1.2.826.0.1.3680043.8.498.23358595351349117701725629676307933121
+Tracheostomy tube tip midline. Diffuse osseous metastatic disease once again noted. Persistent bilateral pleural effusions with bilateral airspace disease/consolidation and atelectasis. Slight improvement in aeration of the right lung base. No pneumothorax.,Slight improvement in aeration of the right lung base.,1.2.826.0.1.3680043.8.498.22505914119471463738255147915637828028
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66416271601633834213642809409028824445
+"The endotracheal tube is present at the level of the aortic arch. The heart is normal in size. There is no edema, infiltrate, effusion or pneumothorax.",No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.60183041435620842967158625679577809898
+There is a persistent right pleural effusion. There are increased airspace opacities in the right lung and at the left lung base. There is a small left pleural effusion. There is no pneumothorax. The heart and mediastinal contours are stable.,1. Persistent right pleural effusion. 2. Increased airspace disease throughout the right lung and at the left lung base. This may reflect pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.59956689556256948736051772889946678798
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58894169764911822233813486501406328902
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73867304574441292248394788239820542595
+Cardiac shadow is stable. The endotracheal tube and nasogastric catheter have been removed in the interval. The lungs are well aerated with evidence of central vascular congestion. Mild interstitial edema is noted. Bibasilar atelectatic changes are seen. No sizable effusion is noted. No bony abnormality is seen.,Mild vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84458848117812164545893891761459128222
+"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.41253650974723400040459041790806538043
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25798824734179965919480973546785195119
+Swan-Ganz catheter has been removed. Cordis tip is in the superior vena cava. Left chest tube and mediastinal drain have been removed. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. Lungs elsewhere clear. Stable cardiac prominence.,1.2.826.0.1.3680043.8.498.52526927287141580569762005851895527046
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30114996917089611264748180476679678712
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.79276836061510711962233727295209324532
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44818387362969378868693444658796970663
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. Moderate cardiac enlargement. No pleural effusion or pulmonary edema. No airspace consolidation. Mild spondylosis noted within the thoracic spine.,1. Cardiac enlargement. 2. No heart failure.,1.2.826.0.1.3680043.8.498.70636601913328877569010319588380033753
+The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.35107542329159651982157417841748783126
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The nodular densities seen within the left upper lobe and left lower lobe are not as conspicuous on today's exam.,1. No acute cardiopulmonary abnormalities. 2. Left upper lobe and left lower lobe nodular densities are not as conspicuous on today's exam.,1.2.826.0.1.3680043.8.498.55812752856084866264078281786509477906
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12564139144121644196587915603789807675
+Endotracheal tube is in good position. Feeding tube enters the stomach with the tip not visualized. There is new atelectasis at the left base. There is also new atelectasis at the right base. Small pleural effusions are also new. No pneumothorax.,New bibasilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.85792325839163425703666652992866062300
+"There is no focal consolidation, effusion, or pneumothorax. There is mild interstitial thickening. Focal scarring in the left lung base. There is basilar atelectasis. Mild cardiomegaly. Pulmonary vasculature is well caliber.",Mild interstitial thickening suggests chronic interstitial lung disease. No superimposed acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.30798560284928709900204317118806212887
+"The patient has taken a shallow inspiration. With technique taken into consideration, there is no evidence of focal infiltrates, effusions or edema. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.",Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56855532544954869185025439229730584509
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pleural effusion or pneumothorax. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.78523498101838253536290412433637312922
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70384350711600296607022327969593646448
+Multiple old rib fractures are noted on the RIGHT. The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29310161884583413068936275218486248626
+Stable cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable. Lateral view limited due to expiratory technique.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.84836728200723682665236645639608552207
+The tip of the UVC catheter is near the expected junction of the right atrium with the inferior vena cava and mild cardiomegaly is stable. An orogastric tube is present with the tip in the body of the stomach. Mild RDS is again noted and no significant change. The bowel gas pattern is nonspecific.,1. No significant change in mild RDS. 2. UVC tip at expected junction of right atrium with IVC.,1.2.826.0.1.3680043.8.498.86737020147542453781561021959682372284
+"Endotracheal tube terminates 3.5 cm above the carina. The cardiomediastinal silhouette is within normal limits. Lungs are hypoinflated without confluent airspace opacity, edema, pleural effusion, or pneumothorax. No acute osseous abnormality is seen.",Endotracheal tube terminates 3.5 cm above the carina. Hypo aerated lungs without acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.40077995513488454075841197694835387796
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.81935487071782539326162413592434630111
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94005045445650452434483019328294571153
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90907814439747612549175198560435715486
+There is a left subclavian Port-A-Cath with tip in the SVC. No pneumothorax identified. Normal heart size. Clear lungs.,No complications after placement of the Port-A-Cath.,1.2.826.0.1.3680043.8.498.19374874188582729668550869258491331459
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs appear mildly hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.16623675513435205219128564473393328770
+Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Interval removal of enteric tube. The pulmonary vasculature is indistinct with cephalization of flow. Worsening perihilar and medial basilar heterogeneous opacities. Trace bilateral effusions are not excluded. No pneumothorax. Unchanged bones.,1. Interval removal of enteric tube. No change in remaining support apparatus. 2. Findings suggestive of pulmonary edema with scattered areas of atelectasis.,1.2.826.0.1.3680043.8.498.11774924515561677527471927391579923001
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39113016493671633211094718255414600609
+"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.82105234205051240908909114343740621801
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine. Stable degenerative changes bilateral shoulders. Stable surgical clips in the right upper abdomen.,No active disease. Stable degenerative changes thoracic spine and bilateral shoulders.,1.2.826.0.1.3680043.8.498.60216357926162070562204376281901098481
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67394079781619393400623992164936678156
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92369948209057978861309376067337684586
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29658891538012910659458176604295970925
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.93554926513647280462405267697432559814
+There is a large right paratracheal mass extending into the right upper lobe. The heart is normal in size. The left lung is clear. No pneumothorax or effusion.,Right upper lobe mass worrisome for neoplasm. CT is recommended.,1.2.826.0.1.3680043.8.498.90247486873787632213264857392667941157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28790079601974030404995638287071120285
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15732566919450925304901061861340392171
+"Heart size is normal. There is a new area of density in the right mid lung zone, suspicious for mass or focal infiltrate. There is a hiatal hernia. There is no pulmonary edema. No pleural effusions. No pneumothorax.",1. New masslike density in the right mid lung zone. CT is recommended for further evaluation. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.60743033649664145105510324304417910949
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39038122138190933972590192537806410616
+Normal sized heart. Clear lungs. Mild diffuse peribronchial thickening. Minimal thoracic spine degenerative changes.,No acute abnormality. Mild chronic bronchitic changes.,1.2.826.0.1.3680043.8.498.50915344613802133540856344017943869031
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.44759852399479320231633491664304163075
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85453869837797454727092516928332156603
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30414894029760447515169686600110386057
+The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The bowel gas pattern is unremarkable. An umbilical venous catheter is in place and the tip is in the right atrium.,Umbilical venous catheter tip in the right atrium. This could be withdrawn 1.5 cm for positioning at the level of the hemidiaphragms.,1.2.826.0.1.3680043.8.498.65684735659730080664522008070884382141
+Single lead pacemaker is unchanged. The heart is mildly enlarged. There is aortic atherosclerosis. There is mild pulmonary edema. More confluent airspace opacities are seen at the right lung base. Small right pleural effusion is suspected. No pneumothorax. No acute nor suspicious osseous abnormalities.,1. Cardiomegaly with mild pulmonary edema and aortic atherosclerosis. 2. Small right pleural effusion. 3. More focal airspace opacities at the right lung base may represent asymmetric edema or superimposed pneumonia.,1.2.826.0.1.3680043.8.498.34403069015064194135286299115917612505
+There is focal airspace opacity in the right base. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate right base, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.89133173601501121941347217490325407328
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11534826945370941662739640963181305179
+The lungs are hypoinflated. There is confluent density in the right upper lobe. The interstitial markings are increased bilaterally. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,There are findings consistent with pneumonia of the right upper lobe. I cannot exclude low-grade CHF as well. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.42012214266976132165526028753911894576
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54425058692741311124262735998326214689
+There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.68077833896761090528457804185060721525
+The heart is enlarged. There is perihilar pulmonary edema and a component of interstitial pulmonary edema is chronic. Small bilateral pleural effusions are noted. Patchy areas of airspace disease are noted at the lung bases bilaterally. No definite mediastinal or hilar adenopathy is noted on the lateral film. No pneumothorax. The bony thorax is intact.,1. Cardiomegaly and pulmonary edema. 2. Small bilateral pleural effusions and patchy bibasilar airspace disease may reflect atelectasis or developing infiltrates.,1.2.826.0.1.3680043.8.498.35928110357737379452869634803897456884
+The lungs are clear. The cardiothymic shadow is normal. No bony abnormality is seen. The bowel gas pattern is nonspecific.,No active lung disease. Nonspecific bowel gas pattern.,1.2.826.0.1.3680043.8.498.34705391823274683324973421607889705212
+The patient is rotated to the right. There is stable cardiomegaly status post median sternotomy. Diffuse interstitial infiltrates are again seen and have worsened since the prior study. Small bilateral pleural effusions are suspected. There is no pneumothorax.,Worsening congestive heart failure with bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.49262332219873495570665102593417553192
+NG tube courses into the stomach and below the inferior margin of the film. There are bilateral pleural effusions and airspace disease. Effusion on the left appears increased since the most recent examination. There is cardiomegaly. Atherosclerosis noted.,1. Increased left effusion and airspace disease. 2. Extensive airspace disease in the right mid and lower lung zones most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.73803755006087998485905607109145451896
+Cardiomediastinal silhouette likely unchanged. Low lung volumes. There is pulmonary vascular congestion with indistinctness of the interstitium and airspace disease. No pneumothorax. No displaced fracture.,Low lung volumes with evidence of pulmonary edema.,1.2.826.0.1.3680043.8.498.84927056357122102823524885386035898140
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65068034271880983035580075819842846647
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.85450633749603063820750427879446295222
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of TB.,1.2.826.0.1.3680043.8.498.76989581218313321689675204065834157762
+The cardiomediastinal silhouette is stable. The pulmonary vasculature is within normal limits. There is no acute infiltrate or pleural effusion seen. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 2/7/1993.,1.2.826.0.1.3680043.8.498.44380124703546034468095017568047848104
+Endotracheal tube is 3.8 cm above the carina. Enteric tube enters the stomach. Extensive bilateral airspace opacities throughout both lungs. No pneumothorax. No large effusion. Normal heart size.,Extensive bilateral airspace disease consistent with multifocal pneumonia. Lines and tubes as above.,1.2.826.0.1.3680043.8.498.11279953968020447870625207496367349911
+UVC has been retracted with the tip in the upper abdomen approximately 7 mm below the IVC right atrial junction. Lungs are clear. Cardiothymic silhouette is within normal limits. No effusions or pneumothorax. Normal bowel gas pattern. No pneumatosis or free air.,UVC tip in the upper abdomen approximately 7 mm below the IVC right atrial junction.,1.2.826.0.1.3680043.8.498.79526457961698849509066070935061707879
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75190040215974718132586828473451670868
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10177158732644324413915571669989925565
+Endotracheal tube is 3.5 cm above the carina. Left central line tip is in the mid SVC. No pneumothorax. Lungs are clear. Heart is normal size. No effusions.,Endotracheal tube and left central line as above. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98989688881628937170538662898812881442
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.33444730568436716129645657740127894999
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58168777390642574010365533000849219998
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79455690314271484852324862856498756849
+There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions.,Mild cardiac enlargement. No edema or consolidation.,1.2.826.0.1.3680043.8.498.97931675364654379893565342463610662109
+The lungs are clear. The heart is upper normal in size with pulmonary vascularity normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.,No edema or consolidation. Heart upper normal in size. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.49142891344501709716451182852588093354
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18505476807181261580086971895962488854
+An endotracheal tube is appreciated with the tip at the level of the clavicles. A right sided Port-A-Cath is appreciated with the tip at the level of the superior vena cava. There is prominence of the interstitial markings which has decreased when compared to the previous study dated 03/20/2021. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Support lines and tubes as described above. Decrease in prominence of the interstitial findings.,1.2.826.0.1.3680043.8.498.11743673259516716994641196984525749367
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88960985317942648445563463875271619788
+Cardiomegaly. Pulmonary venous congestion with bilateral interstitial prominence. Small right pleural effusion. Findings consistent with CHF. No pneumothorax. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Small right pleural effusion. Findings consistent with CHF. 2. No acute bony abnormality.,1.2.826.0.1.3680043.8.498.48843494057673190858528177698097280452
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease. Cardiomegaly,1.2.826.0.1.3680043.8.498.12300870831517369771483376079469905955
+"There is elevation of the right hemidiaphragm. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82291574320399063439379352176960365289
+Heart size within normal limits. There are patchy airspace opacities within the mid to lower lungs bilaterally. No evidence of pleural effusion or pneumothorax. No acute bony abnormality. Thoracic spondylosis.,Bilateral airspace opacities which may reflect pneumonia given provided history of COVID positivity. Radiographic follow-up to resolution recommended.,1.2.826.0.1.3680043.8.498.24158251148823912160865707584680885729
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.98319855222831054011397027149733485299
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79515279566079856523508597535506683549
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79093150212592827546232699409147500596
+"Ventriculoperitoneal shunt tubing is seen extending from the lower neck to the mid abdomen, and is in similar position compared to the prior study. Catheter appears intact. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormality.",Continued visualization of ventriculoperitoneal shunt tubing. No acute process.,1.2.826.0.1.3680043.8.498.67389831561467446749426517378664948973
+Upper normal heart size. Large rounded mass at the RIGHT lower lobe 9.2 x 9.2 cm. Central lucency within the mass. Questionable RIGHT hilar enlargement. LEFT lung clear. No pleural effusion or pneumothorax. No osseous findings.,Large rounded mass at the RIGHT lower lobe concerning for neoplasm. Recommend CT chest with contrast for further evaluation.,1.2.826.0.1.3680043.8.498.27969026323738362093653938147022427021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.60677564217374146526454973184707445581
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55019472205118152311529325160221370801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82249023706984788994422742571830239293
+"Bullet projects over the right chest, projecting over the right lateral chest wall. There is hyperinflation of the lungs compatible with COPD. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.95657937554046457697292026935197612926
+No active infiltrate or effusion is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which may indicate bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible bronchitis.,1.2.826.0.1.3680043.8.498.57257276112701582954619533469939155285
+"Cardiothymic silhouette is normal. There is no infiltrate, collapse or effusion. There may be mild central airway thickening. No bony abnormality.",No sign of pneumonia. Question bronchitis.,1.2.826.0.1.3680043.8.498.69326986237175478337560637402064542486
+There is central peribronchial thickening. No confluent airspace infiltrate or overt edema. No effusion. Heart size normal. Visualized bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.95929184226288611452944397389763962395
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.10508700535357473190148140063191837053
+The lungs are well-aerated. Mild bibasilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is borderline normal in size. No acute osseous abnormalities are seen.,Mild bibasilar atelectasis noted; lungs otherwise clear.,1.2.826.0.1.3680043.8.498.36210247039078673524871987378160716615
+The heart is enlarged. The aorta is tortuous and atherosclerotic. Patchy airspace disease is present in both lung bases. Pulmonary vascular congestion is noted. No pneumothoraces or effusions are seen.,Cardiomegaly and bibasilar patchy airspace disease. Consider pneumonia.,1.2.826.0.1.3680043.8.498.34922856934107947935635597078775836007
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34180986472718086363162811230384415393
+The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. The pulmonary vasculature is normal in caliber. The costophrenic angles are sharp. The bony structures are adequately mineralized.,No acute cardiopulmonary process. No evidence of displaced fracture.,1.2.826.0.1.3680043.8.498.62441148990943756380792521655424967071
+"The heart is at the upper limits of normal. The lungs are clear. No mass, consolidation, or effusion. Heart and bony structures are unremarkable.",No acute process.,1.2.826.0.1.3680043.8.498.44639807996455629608841850634224228397
+Cardiothymic silhouette is normal. There is perihilar peribronchial thickening. Lungs are mildly hyperinflated. No focal consolidations or pleural effusions are identified. Visualized osseous structures have a normal appearance.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.64699971384453678507197038391435716310
+There is airspace consolidation in the posterior basal segment of the right lower lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia posterior basal segment right lower lobe.,1.2.826.0.1.3680043.8.498.96675388519267338291353255825453106723
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83197918023186748846269290313377931602
+"Lungs are hyperinflated. There are interstitial changes throughout the lungs bilaterally, similar to prior study. No focal consolidation. No pleural effusion or pneumothorax. Heart is normal in size. Visualized osseous structures are within normal limits.",1. Hyperinflation and interstitial changes of COPD/emphysema. 2. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97561220041105795281727060105186424829
+The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is mild tortuosity of the descending thoracic aorta. There is no pleural effusion. The mediastinum is normal in width. There is mild multilevel degenerative disc disease of the thoracic spine.,There is no evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.16147962970838428138789630925006877332
+"Moderate cardiomegaly is again noted. There is no evidence of pulmonary edema, focal consolidation, pneumothorax, nodule or pleural fluid.",Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.92235670462802613920082050971953666983
+Both lungs are clear. No pneumothorax or pleural effusion. Cardiothymic silhouette is normal. Normal bowel gas pattern. No evidence of diaphragmatic hernia on this single image. Normal skeletal survey.,Normal chest and abdomen radiographs.,1.2.826.0.1.3680043.8.498.26738961815259017569127983390469759333
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61138396026411172787516882797053204279
+Endotracheal tube is in place with the tip approximately 5 cm above the carina. Nasogastric tube is seen with its tip in the stomach. Left arm PICC line is seen with its tip in the distal SVC. Linear atelectasis is seen in the right lung base. There is also mild atelectasis in the left lung base. No evidence of pulmonary consolidation or edema. Heart size is within normal limits. No evidence of pleural effusion.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.17814344209922367246136555215170798203
+"No significant change in left apical pneumothorax, approximately 10-15%. Pulmonary scarring and pleural plaques are unchanged. No acute airspace opacities. Heart is normal size. No effusions.",Stable left apical pneumothorax.,1.2.826.0.1.3680043.8.498.65350928274503891966676174436998376322
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. No radiopaque foreign body is seen.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32247063956168266148987337497522229897
+There is thickening of the interstitial markings as well as peribronchial cuffing. No focal regions of consolidation are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable.,Findings consistent with viral pneumonitis versus reactive airway disease.,1.2.826.0.1.3680043.8.498.42766525412962215891403428094703459400
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45980152774575021248447797274096105006
+Normal heart size. Large opacity at the left lung base obscures the left diaphragm. This appears to be a combination of pleural fluid and atelectasis/consolidation on comparison abdominal CT. There is a small amount of pleural fluid on the right. Multiple left-sided rib fractures are again seen which may be slightly more displaced than on comparison abdominal radiograph. No pneumothorax.,1. Large opacity at the left lung base likely represents a combination of pleural fluid and atelectasis/consolidation. 2. Small amount of pleural fluid on the right. 3. Multiple left-sided rib fractures may be slightly more displaced than on comparison abdominal radiograph.,1.2.826.0.1.3680043.8.498.77948998980702836870693595501587238584
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.64703796282219134602598034729282674311
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59331915295145350892406622557130537914
+The patient's right IJ sheath has been removed. The patient has a small left pleural effusion and left basilar atelectasis. The right lung is clear. No pneumothorax. Heart size is upper normal. The patient is status post CABG.,Small left pleural effusion and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.49184655459327982955708889512218950225
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50473045096472601598602492649064495521
+Endotracheal tube tip is 2.6 cm above the carina. Central catheter no longer appreciable. No pneumothorax. There is airspace consolidation in the left base with small left pleural effusion. There is atelectatic change in the right base. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. Nasogastric tube tip and side port are below the diaphragm.,Tube and catheter positions as described without pneumothorax. Persistent airspace consolidation left base with small left pleural effusion. Right base atelectasis. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.87040729554981919336066016380953035925
+There is a moderate left pleural effusion. Consolidation in the left mid and lower lung concerning for pneumonia. There is a masslike opacity in the left upper lobe measuring 5.2 x 5.6 cm. Cannot exclude neoplasm. Recommend chest CT for further evaluation. The right lung is clear. Heart is normal size. No acute bony abnormality.,"Masslike opacity in the left upper lobe concerning for possible neoplasm. Recommend chest CT for further evaluation. Moderate left effusion and left lower lobe consolidation concerning for pneumonia. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or Clario Dashboard.",1.2.826.0.1.3680043.8.498.84444972741444222909749258356657865094
+The lungs are clear but hyperaerated consistent with COPD. Mediastinal and hilar contours are unremarkable. The heart is mildly enlarged. No acute bony abnormality is seen.,COPD. No active lung disease. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.91815801052252885364245144401388929179
+There are small bilateral pleural effusions and basilar airspace disease. The appearance is not notably changed since the prior study. No pneumothorax. Heart size upper normal.,No change in left greater than right effusions and basilar airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.45872613499764837900207395697379435554
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Bones appear average for age.,No acute or active process is identified.,1.2.826.0.1.3680043.8.498.97777546946739132492984985749834642805
+Endotracheal tube tip is 3.2 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC 4 cm above the right atrium. No pneumothorax. The lungs show mild interstitial prominence without consolidation or edema. No effusion.,Central line tip in the SVC 4 cm above the right atrium. No pneumothorax. Endotracheal tube and nasogastric tube appear well positioned.,1.2.826.0.1.3680043.8.498.91390629879987011552009086795381023166
+New right internal jugular dialysis catheter has been placed with the tip in the right atrium. Left internal jugular central venous catheter is stable. Low lung volumes. No pneumothorax. Cardiomegaly. Normal vascularity.,New right internal jugular dialysis catheter. No pneumothorax.,1.2.826.0.1.3680043.8.498.25829628258739012807312426956623732618
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54660194999540870870090672136093736595
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Calcification is noted in the aorta. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.13082911288056400591089160148142653347
+There is cardiomegaly. Bibasilar scar is again seen. No pleural effusion. No pneumothorax.,Cardiomegaly and basilar scar. No acute disease.,1.2.826.0.1.3680043.8.498.13727772251027596237699010400228221004
+Large hiatal hernia. Large cardiac silhouette. There is a large right pleural effusion which is increased in size compared to prior. No pulmonary edema. No pneumothorax.,1. Large hiatal hernia. 2. Interval increase in right pleural effusion.,1.2.826.0.1.3680043.8.498.82102076767364633171824681446473896575
+The lungs are clear. Heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.98955523775758504233297526030496355187
+The heart size and mediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70775028547748811553906937799105647030
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.60713556311038014519242016056577226547
+"The cardiothymic silhouette is within normal limits. There is mild peribronchial thickening and some streaky areas of atelectasis. No infiltrates, edema, or effusions. The bony structures are intact.",Findings suggest bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.41493187873616475494455924533670338348
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.71477671348248581745343781788987657537
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52068567917545624106754664352835795371
+"There is an endotracheal tube present with the distal tip at the level of the aortic knob. There is a nasogastric tube present with the distal tip in the region of the stomach. There is haziness overlying the right lung consistent with a posterior effusion. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Right pleural effusion. ET tube NG tube present. Cardiomegaly.,1.2.826.0.1.3680043.8.498.35444991895879466413702323604624715009
+There is a descending thoracic aortic stent graft in place. The aorta is markedly ectatic. The heart is enlarged. There is no focal airspace consolidation or pulmonary edema. There is no pleural effusion or pneumothorax.,1. No active cardiopulmonary disease. 2. Cardiomegaly. 3. Ectatic descending thoracic aorta with stent graft.,1.2.826.0.1.3680043.8.498.97992221692916750114791398537497378972
+No confluent airspace opacities. Heart is mildly enlarged. No effusions or edema. No acute bony abnormality.,Mild cardiomegaly. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68578192479018481731381347184584784369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53951533471822238867886315269831874844
+"The ventricular system is normal in size for the patient's age. There is no evidence of hemorrhage, mass effect or extra-axial fluid collections. The brain stem and cerebellum appear unremarkable. There is no evidence of acute infarct in a major vascular distribution. No skull abnormalities are seen.",Negative study.,1.2.826.0.1.3680043.8.498.65668613520922194756844467481536435106
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Hyperinflation is present.,Hyperinflation without other acute cardiopulmonary disease. This may represent asthma or emphysema.,1.2.826.0.1.3680043.8.498.35678171440632708320170763431232610387
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15933539124965992796317290556399202091
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40516235107049708084738332614020701392
+Shallow inspiration. Central peribronchial thickening and perihilar opacities consistent with reactive airways disease versus bronchiolitis. Normal heart size and pulmonary vascularity. No focal consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Peribronchial changes suggesting bronchiolitis versus reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.41095046043523868975004983170669792675
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89651501750570458294480253234371909430
+"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64360719339204697597301644862528983419
+Interval CABG. Endotracheal tube in good position. Swan-Ganz catheter in the main pulmonary artery. Left chest tube in place. No pneumothorax. Mild bibasilar atelectasis. Negative for edema.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.78336180488862340274730105995417499449
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.62708569969567059038349136587685888656
+The heart is enlarged. There is no pleural effusion or pulmonary edema. Lung volumes are low. No airspace consolidation.,1. Cardiac enlargement. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.94193749199953889576932149421848742642
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65176227823348829061584835649227506201
+"Lung volumes are low. Cardiothymic silhouette is normal. There is central airway thickening with patchy perihilar airspace disease, most compatible with pneumonia. No pleural effusion.",Low lung volumes with central airway thickening and perihilar infiltrates.,1.2.826.0.1.3680043.8.498.66938314411169246436210504315175608890
+The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.66963651784617868055171355669395515260
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78199237631155639888968467910273804752
+Single frontal view of the chest demonstrates a stable cardiac silhouette. There is new consolidation within the right upper lobe consistent with pneumonia. No effusion or pneumothorax. Left chest is clear. Cardiac silhouette is unremarkable. No acute bony abnormalities.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.84314811394366690307655624632925837449
+The lungs are well-aerated. Mild left basilar opacity may reflect atelectasis or mild pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. A left-sided chest port is noted ending about the mid SVC. No acute osseous abnormalities are seen.,Mild left basilar airspace opacity may reflect atelectasis or mild pneumonia.,1.2.826.0.1.3680043.8.498.20448346411105448426085424429282851127
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.26243615183889715250257822439821950511
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Surgical drain LEFT anterior chest unchanged. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.25936382574665734292774409367787979646
+The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83013792555022145246410625134239176042
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.22179305424978653973605363448009913900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.74721638181760428002488149524969261075
+The heart size and mediastinal contours are within normal limits. There is ill-defined opacity within the periphery of the left mid lung. The right lung is clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,"Ill-defined opacity within the periphery of the left mid lung, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.54720129112979365598368629224711699817
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71649292489994965463717508351104954566
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29411078197311479143976939677239320088
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59896794425969836930052472887749236791
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.62590434863223532809136492459613597039
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.64845510135794857862904867229770257429
+There is elevation of the right hemidiaphragm. Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90945916266547769947802810217204872964
+Mild central peribronchial thickening. No confluent airspace infiltrate. Heart size normal. No effusion. Regional bones unremarkable.,"Mild central peribronchial thickening suggesting asthma, bronchitis, or viral syndrome.",1.2.826.0.1.3680043.8.498.90838261262368271009945403805780946979
+There is opacity at the left lung base which appears to be due to a combination of pleural effusion and atelectasis or pneumonia. There is also opacity in the right upper lobe which may also be due to pneumonia. There is also opacity in the left upper lobe which may also be due to pneumonia. There is also opacity in the right perihilar region which may also be due to pneumonia. The heart is within normal limits in size. No bony abnormality is seen.,1. Opacities at the left lung base and right upper lobe as well as the right perihilar region consistent with pneumonia. 2. Cannot exclude left upper lobe involvement as well.,1.2.826.0.1.3680043.8.498.14545398587231937334008122194630221931
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74943697328477677345256964880440752860
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.56502069802552831026773079602076930259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99552089665804772171296140017663889414
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16964414039711236246276638445115538056
+Heart size and mediastinal contours are within normal limits. Lungs are hyperexpanded. Chronic scarring/fibrosis again noted at the LEFT lung base. Lungs otherwise clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,1. No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema. 2. Hyperexpanded lungs suggesting COPD. 3. Chronic scarring/fibrosis at the LEFT lung base.,1.2.826.0.1.3680043.8.498.47991284022552739010567422733041492668
+The heart size and mediastinal contours are within normal limits. Calcified granuloma noted in the left mid lung. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.68811417012879612983922413834393223918
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31418255233587449344293293942849372913
+"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right internal jugular central line tip is in the SVC. No pneumothorax. There is bilateral airspace disease, left greater than right. Left pleural effusion.","Bilateral airspace disease, left greater than right, with left pleural effusion.",1.2.826.0.1.3680043.8.498.94993109415031761266971333863374634335
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69188241827297437372654841056515449363
+"Heart: Normal. Lungs: There is bilateral perihilar, peribronchial thickening with associated mild to moderate streaky and patchy hazy ill-defined airspace opacities predominantly in a perihilar distribution, as well as prominence of the pulmonary interstitium involving the lower lungs. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.",Findings compatible with atypical infectious process given the patient's history.,1.2.826.0.1.3680043.8.498.45397930775214538546109024549863189847
+"Umbilical venous catheter terminates at the T7 level, unchanged. Umbilical arterial catheter terminates at T6. Enteric tube is in the stomach. Stable cardiothymic silhouette. Lungs are clear. Normal bowel gas pattern. No pneumothorax.",1. No acute abnormality. 2. Umbilical venous catheter terminates at the inferior cavoatrial junction.,1.2.826.0.1.3680043.8.498.25857826605185384129757291939511597889
+Cardiac silhouette normal in size. Thoracic aorta minimally atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Airspace consolidation in the left lower lobe. Lungs otherwise clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.97742187353208970202901397107894315334
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23666422736807967580841125084026548915
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.63419946327465830872994605504205369923
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable. Cholecystectomy clips.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55999749479302599590755716507042027858
+"There is cardiomegaly. Patient status post CABG. There is a dual lead cardiac pacer with lead tips in the right atrium and right ventricle. Pulmonary interstitial prominence is again noted, similar to prior study. There is hyperinflation of the lungs compatible with COPD. Small bilateral pleural effusions are noted. There is no acute infiltrate.","Cardiomegaly, COPD, and small effusions. No acute findings.",1.2.826.0.1.3680043.8.498.83453783251556455488545524966980478772
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.99477394009623353188402953997371875191
+Portable AP upright view at 7837 hours. Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified. Negative visible bowel gas pattern.,Negative portable chest.,1.2.826.0.1.3680043.8.498.98139184194983663766159234005168919727
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.55864942780936546400551033513111959265
+"Left-sided dual-lead pacer is unchanged. The cardiac silhouette is normal in size and configuration. No mediastinal or hilar masses. No evidence of adenopathy. There are areas of pleural thickening bilaterally, stable. No lung consolidation or edema. No pleural effusion or pneumothorax. Stable central vascular congestion. Stable areas of scarring in the right upper lobe and left mid lung. The bony thorax is demineralized but grossly intact.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12853504973777019317057183205035874594
+"There is a right-sided pneumothorax, which is approximately 10-15%. This is not apparent on the prior study. There is a right pleural effusion with right lower lobe air space disease. There is also some left lower lobe airspace disease. There is a calcified pleural plaque on the left. Multiple right rib fractures are noted.",1. Right-sided pneumothorax. 2. Right effusion and right lower lobe air space disease. 3. Left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.87188518409398808222047614681661904795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82026605048745971607243462421144149925
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70409702795242844079029906750231677156
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12841985170070539455255826307464641207
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.82136573058032811679236509369879425090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44217279209372944285484693528701971527
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91921022603498111439284929369067505498
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94620946100214739216656381044662984509
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.66662779157292377230616606250984721226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17841867066261309398834745593399805842
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema. Right internal jugular Port-A-Cath terminates at the cavoatrial junction.",No active disease.,1.2.826.0.1.3680043.8.498.53337120307456012323655585437886782926
+The heart is normal in size. Lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20462356734079295987423125083482293945
+Normal cardiothymic silhouette. Prominent pulmonary markings. No focal consolidation. No pneumothorax or pleural effusion. Bones are unremarkable.,Prominent pulmonary markings probably representing viral respiratory infection or acute bronchitis. No consolidation identified.,1.2.826.0.1.3680043.8.498.95504265539395868583676489817538630034
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.55514233019329802882445255175377294507
+Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Scar like densities noted in the left base.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.35926654952456932796717845250113340539
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.55268161146148375560342340939970016005
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59945909862820016673277590808435109001
+The heart is mildly enlarged. There is pulmonary vascular congestion without frank edema. No focal airspace disease is seen. There is no pleural effusion.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.39706150215430820110116332165799974069
+The right kidney measures 10.2 x 5.6 x 5.6 cm. No focal lesion is found. No calculi are seen. No hydronephrosis is present. The left kidney measures 10.3 x 5.8 x 5.8 cm. No focal lesion is found. No calculi are seen. No hydronephrosis is present. The aorta and inferior vena cava are not visualized.,Unremarkable renal ultrasound.,1.2.826.0.1.3680043.8.498.42655720691880579008365978811819474100
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30336506750619037398461216455561113393
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39557758399904222939098116383663809385
+"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.",No acute cardiopulmonary process on this single view.,1.2.826.0.1.3680043.8.498.86410370192169480010707503221812042497
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.66416032336467426098147369606226520442
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17855101612529045893226315464813539221
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.24822366125412577448452973651318210167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54569280949980185830921964723697883678
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38878520700273665200468525544668237149
+"There is slight thickening of the RIGHT perihilar markings, less prominent than was noted on the exam of 09/07/2023. The findings can be consistent with recurrent perihilar interstitial pneumonia. No consolidated pulmonary infiltrates are seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",There is minimal thickening of the perihilar markings on the RIGHT compatible with recurrent pneumonia.,1.2.826.0.1.3680043.8.498.22248635739824602482001292343053302971
+The lungs are reasonably well inflated. There is no focal infiltrate. There is no pleural effusion. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is tortuosity of the descending thoracic aorta. There is mild tortuosity of the descending thoracic vertebral bodies.,There is no evidence of pneumonia nor CHF. I cannot exclude underlying COPD.,1.2.826.0.1.3680043.8.498.69321180780111547950740274125521014193
+The lungs are clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology. No rib fracture.,Negative.,1.2.826.0.1.3680043.8.498.54788615919858604690812202541453277090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45557011353385045627030049480422098071
+The heart is enlarged. Pulmonary venous hypertension is present without overt edema. There may be a small left pleural effusion. There is mild atelectasis at the left lung base. The patient has undergone previous CABG.,Cardiomegaly and pulmonary venous hypertension. Left basilar atelectasis. Small effusion.,1.2.826.0.1.3680043.8.498.76609764327078702405761255713636456801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28770024370832780905819976678835146179
+"There is a limited inspiratory effort. There are increased markings in the right lung base consistent with a right pleural effusion and possible underlying infiltrate. There is a minimal infiltrate in the left lung base. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",Right pleural effusion and underlying infiltrate. Minimal left basilar infiltrate.,1.2.826.0.1.3680043.8.498.84274598414744684473873121463707117308
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53091085696562331619884114986939165575
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26264485102803784080629263832494862467
+The heart size is normal. There are no pleural effusions or pneumothorax. No focal airspace opacities are noted. Review of osseous structures demonstrates no acute findings.,No acute findings.,1.2.826.0.1.3680043.8.498.42897240044925071935556792572058914290
+Cardiac silhouette upper normal in size. Thoracic aorta mildly tortuous. Hilar and mediastinal contours otherwise unremarkable. Patchy airspace opacities involving the lingula and right lower lobe. Lungs otherwise clear. Bronchovascular markings normal. No pleural effusions. Degenerative changes involving the thoracic spine.,Bronchopneumonia involving the lingula and right lower lobe.,1.2.826.0.1.3680043.8.498.48309142574359055112554382473559914422
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39693650060153728682493897590426782506
+"Portable upright AP view at 7017 hours. Stable cardiomegaly and mediastinal contours. Stable lung volumes. No pneumothorax, pulmonary edema, pleural effusion or acute airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.69267588910775765794344394881636137334
+"Moderate cardiomegaly, stable from previous. Mediastinal silhouette within normal limits. Lungs are normally inflated. Previously seen pulmonary edema has largely resolved, with mild residual pulmonary vascular congestion. Mild left basilar subsegmental atelectasis. No focal infiltrates. No pleural effusion. No pneumothorax. Osseous structures are unchanged.",1. Previously seen pulmonary edema has largely resolved with mild residual pulmonary vascular congestion. 2. No other active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85593109743342521234062860737358805635
+There is some minimal atelectasis in the right lung base. Lungs otherwise clear. No effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.14434965308265804714190987690685994235
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30885266056274078432075274345280498261
+There is no edema or consolidation. Heart is borderline enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Heart borderline enlarged.,1.2.826.0.1.3680043.8.498.13572104275138637577607657074688115587
+"The patient has undergone sternotomy for CABG. The heart size is normal. The patient is intubated. The tip of the endotracheal tube is in satisfactory position approximately 4 cm above the carina. A left chest tube is in place with no pneumothorax. The tip is in the left lung base, likely in the inferior aspect of the left lower lobe. A Swan-Ganz catheter is in place with its tip in the right main pulmonary artery. Nasogastric tube courses below the diaphragm into the stomach. There is no evidence of pulmonary edema. Mild left lower lobe atelectasis is present.",Tubes and lines satisfactory. No pneumothorax. Mild left lower lobe postoperative atelectasis.,1.2.826.0.1.3680043.8.498.93004362179292401677642908341254545659
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Spinal fixation hardware appears intact.,Negative.,1.2.826.0.1.3680043.8.498.40367022966432716630265575980143927857
+Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94295394541908397799841172339792703268
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81657196155265949266092518722892728489
+Endotracheal tube tip is 1.5 cm above the carina. Umbilical artery catheter terminates at the T7 level. Umbilical vein catheter terminates at the inferior cavoatrial junction. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. No acute consolidative airspace disease. No evidence of pneumatosis or pneumoperitoneum in the visualized upper abdomen. Visualized osseous structures appear intact.,1. Well-positioned support structures. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80857780583856547683265070515207509648
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.62268430584840533882238407815421194382
+The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact. There is linear atelectasis at the right lung base. The bony structures appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.12552549891837372821682952652667209878
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13421947967165953666733913396371384014
+The lungs are mildly hypoinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83262759688494975977756673304261888607
+The nasogastric tube has been removed. The lung volumes are low. The lung base opacity is most likely atelectasis. There is a small left pleural effusion. No pneumothorax is identified. Heart size and mediastinal contours are stable.,Low lung volumes with basilar atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.10959067713582111437426437425871436419
+"There is a moderate size hiatal hernia. There is no focal infiltrate, pulmonary edema, or pleural effusion. The mediastinal contour and cardiac silhouette are normal. The soft tissues and osseous structures are normal.",Hiatal hernia. No acute cardiopulmonary disease identified.,1.2.826.0.1.3680043.8.498.70900757399647785714829083863309404704
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.28845316582533702725533960127354292135
+There has been placement of an orogastric tube with tip in the mid stomach. Both lungs are clear. Heart size is normal. The bowel gas pattern is normal.,1. No active lung disease. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.72263524108019597262582187033867275397
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77188270301176182133124507698318387188
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.66682746501038626624147542962431174538
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48540281566960060114715091899697658904
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.51157193588949375649599232286811084462
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87735007783740872166272162589375697899
+"There is airspace opacity in the mid and lower lung regions bilaterally, similar to most recent study. Upper lung regions are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is aortic atherosclerosis. No bone lesions.","Bibasilar airspace opacity consistent with multifocal pneumonia, stable. Stable cardiac silhouette. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.56814327520410085971614390308723366003
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. Hyperexpansion of the lungs is noted consistent with COPD. The visualized bony structures are unremarkable.",COPD. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.47374683248904757284684704778060256021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80914655664710364721082224696570433879
+"The patient's enteric tube is noted ending overlying the body of the stomach. The lungs are relatively clear. No focal consolidation, pleural effusion or pneumothorax is seen. The cardiothymic silhouette is within normal limits. No acute osseous abnormalities are identified. The visualized bowel gas pattern is grossly unremarkable.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.23417092605551326212945438622690802437
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12313654569121777175235243764495177516
+"AP and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49901850599671836358216756475573848637
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64299902613189366249537615717844152023
+Right arm PICC line is seen with tip overlying the distal SVC. Heart size is normal. Aortic atherosclerosis. Small right pleural effusion and right lower lobe atelectasis or infiltrate. No pneumothorax.,1. Right arm PICC line in appropriate position. 2. Small right pleural effusion and right lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.63529294970572063580722153185595516256
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66540218695423775710410916187340464833
+Single portable AP chest radiograph is provided. There is a left lower lobe pulmonary mass. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No left pneumothorax status post left lung biopsy.,1.2.826.0.1.3680043.8.498.71086704723249983793391772731543199501
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65897447429989133593004776796855368048
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69418721519897562455744497426351650388
+Right arm PICC line is in place with the tip in the SVC. Lungs are clear. Heart is normal size. No effusions.,Right PICC line tip in the SVC. No active disease.,1.2.826.0.1.3680043.8.498.92814987038639088131960158083982607187
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80103721317855761308740759142154172024
+There is focal airspace opacity in the left lower lobe consistent with pneumonia. The heart size is normal and there is no pleural effusion. The lungs are otherwise clear.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.83372006164089826871772218068244746935
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.57633058709739299525628815517349093277
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36159531413070917079076966003833840893
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60545655740001036114045192125188743203
+Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the abdomen. Left arm PICC tip is in the SVC 3 cm above the right atrium. Mild edema is improved. Some persistent lower lobe edema and atelectasis. No worsening or new findings.,Less edema in the lungs. Some persistent edema persists. Tubes and lines well positioned.,1.2.826.0.1.3680043.8.498.12757542042515526240566504906545197299
+There is elevation of the right hemidiaphragm. A left-sided pectoralis pacing unit is identified with lead tips projecting in the region of the right atrium and right ventricle. The cardiac silhouette is enlarged indicative of cardiomegaly. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right lung base. The visualized bony skeleton is unremarkable.,"1. Cardiomegaly with evidence of pulmonary edema. 2. Atelectasis versus infiltrate, right lung base. 3. Elevated right hemidiaphragm.",1.2.826.0.1.3680043.8.498.96009912126468567464659213316494977744
+There is little change in airspace disease particularly at the lung bases left greater than right. Mild cardiomegaly is stable. Left central venous line is unchanged. Feeding tube is present.,No significant change in basilar airspace disease.,1.2.826.0.1.3680043.8.498.74244300251119602079822281830485529924
+The cardiomediastinal silhouette is stable. Endotracheal tube is identified with distal tip 2.5 cm from carina. A feeding tube is noted with distal tip not included on film. Right central venous line is unchanged. There are patchy consolidations throughout the right lung and left mid lung. There is no pneumothorax. No large pleural effusion.,Stable appearance of bilateral pulmonary opacities.,1.2.826.0.1.3680043.8.498.86774380621872290405401188501926388057
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78262071559101559285789760942778339389
+Right IJ portacatheter tip terminates over the SVC. The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13047201475969174265568638379328426254
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.37581829878375997250859869385019830335
+"There is no evidence of fracture or other focal bone lesions. The sternoclavicular joints appear intact. The heart size is normal. The lungs are clear. There is no evidence of focal airspace consolidation, pulmonary edema, pleural effusion, or pneumothorax.",No acute osseous abnormalities. Normal chest x-ray.,1.2.826.0.1.3680043.8.498.49971949525976518583687973824668348637
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20216540653501460793054665123631299988
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.92873966499134357502060747071782214314
+"An endotracheal tube is in place with tip 3.6 cm above the carina. A left-sided internal jugular central venous catheter is present with tip terminating in the mid superior vena cava. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are low. There are bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. Small left pleural effusion. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar opacities (left greater than right), which may reflect areas of atelectasis and/or airspace consolidation. 3. Small left pleural effusion.",1.2.826.0.1.3680043.8.498.75180567819647780209744762331337877639
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.64422663497004392619944713377708658119
+The patient has a new right PICC in place with the tip in the lower superior vena cava. No pneumothorax. Extensive airspace disease in the right chest again noted. The left lung is clear. There is a right pleural effusion. Heart size normal.,1. Right PICC in good position. No pneumothorax. 2. No change in extensive right side airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.74236795579511948663504406237201642275
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52206779762230977134429107764784904141
+There are small to moderate bilateral pleural effusions. Nasogastric tube courses into the stomach and off the film as tip is not visualized. There is no evidence of pneumothorax. There is mild vascular congestion. There is no evidence of frank pulmonary edema. Bilateral lower lobe airspace opacities likely reflect atelectasis.,"1. Small to moderate bilateral pleural effusions with associated airspace opacities, likely atelectasis. 2. Mild vascular congestion.",1.2.826.0.1.3680043.8.498.65986400815418636155322824562576648003
+There is a moderate to large right pleural effusion. This has increased in size since the previous exam. There is a small left pleural effusion. Atelectasis or consolidation in the lung bases. Mild cardiac enlargement. Pulmonary vascularity is normal. No acute bone abnormality.,"Cardiac enlargement. Bilateral pleural effusions, increasing on the right. Atelectasis in the lung bases.",1.2.826.0.1.3680043.8.498.48920187665896602061771056946414159474
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66407598940992380524111343631677958391
+Low lung volumes. No focal opacity or pleural effusion. Stable cardiomediastinal silhouette. No pneumothorax.,No active disease. Low lung volumes.,1.2.826.0.1.3680043.8.498.31678960696891088294121716360624383921
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. Left rib detail images include a metallic BB over the lower lateral ribcage. Deep to this no rib abnormality is observed. There is no pneumothorax or pleural effusion.,There is no active cardiopulmonary disease. No abnormality of the left ribs is observed.,1.2.826.0.1.3680043.8.498.59132253048178608169227611141271383370
+The right chest portacath has been repositioned. The tip is now in the superior vena cava. The right pneumothorax is not significantly changed in size. It is estimated at 10-15%. There is a small right effusion with right lower lobe atelectasis.,1. Right chest portacath has been repositioned with the tip now in the superior vena cava. 2. Small right pneumothorax is stable.,1.2.826.0.1.3680043.8.498.34510120897751513600603905793570387448
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41510025861587825336501410679930093187
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51393430637920913866124935366280697677
+Endotracheal tube 6.5 cm above the carina. Nasogastric tube extends into the stomach. Lungs are hyperinflated. There is hazy opacity at both lung bases most consistent with atelectasis and small effusion. No pneumothorax. Heart size and mediastinal contours are within normal limits.,COPD. Increasing basilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.62354336137697084170928180942052522353
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61787240741085618916534051163974945347
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.84624005977069026374920337514363508920
+"There is diffuse interstitial haziness and bronchial thickening which may represent respiratory distress syndrome. Infiltrate is not excluded. Clinical correlation is recommended. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.26627393351829317445329947231363560840
+Low lung volumes. Hazy atelectasis at the left base. No consolidation. Borderline cardiomegaly. Aortic atherosclerosis. No pneumothorax.,Low lung volumes with left basilar atelectasis.,1.2.826.0.1.3680043.8.498.98679834388408646910721985295311378486
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58060447452164596606614538489394106947
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21432874479026262462957080884037910151
+Heart is enlarged. Aorta is atherosclerotic and tortuous. There are chronic interstitial changes in the lungs. No overt edema. Left base atelectasis. Degenerative changes in both shoulders.,1. Cardiomegaly. 2. Chronic interstitial changes. 3. No overt edema.,1.2.826.0.1.3680043.8.498.56013643050618248947320392840789242752
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74092755419632721498632717002485244212
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19694571720554149800139450805858614727
+The lungs are well-expanded. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is enlarged. There are small bilateral pleural effusions. The bones are osteopenic.,The findings are consistent with congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions. There is no focal pneumonia.,1.2.826.0.1.3680043.8.498.13946965331413986986615916234061025264
+Seated AP and lateral views of the chest. Stable cardiomegaly and mediastinal contours. Calcified aortic atherosclerosis. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No consolidation or confluent pulmonary opacity. Osteopenia. No acute osseous abnormality identified. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.73719435758897189534212867184698334457
+Cardiac shadow is stable. Aortic calcifications are again seen. Right-sided pleural effusion is again noted and stable. Small left-sided pleural effusion is noted as well. Diffuse increased density is noted in the right lung consistent with the known history of right lower lobe mass lesion. Increased vascular congestion is noted with mild interstitial edema.,Stable changes consistent with the known history of right lower lobe mass with bilateral pleural effusions right greater than left. Increased vascular congestion with mild interstitial edema.,1.2.826.0.1.3680043.8.498.36337064341736654048702946348760529124
+Mediastinum and hilar structures normal. Right mid lung and bibasilar atelectasis and infiltrates. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Right mid lung and bibasilar atelectasis and infiltrates.,1.2.826.0.1.3680043.8.498.70952966419945659843097941911097817661
+There is a large mass in the right mid lung. No pneumothorax is identified after lung biopsy. Left-sided pacemaker is in place. No pleural effusion. Heart size is normal.,No pneumothorax after right lung biopsy.,1.2.826.0.1.3680043.8.498.59504459859097582295792831437645244344
+Low lung volumes. There is vascular congestion and bibasilar atelectasis. No effusions. No pneumothorax. Heart size is accentuated by the low volumes. No acute bony abnormality.,"Low lung volumes, vascular congestion and bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.12576958117154407905963777151857571889
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74668153878273870644589837684029398996
+The lungs are clear. No pneumothorax is seen. Tracheostomy is present. Heart size is normal. Right central venous line tip is in the lower SVC.,No active lung disease. No pneumothorax.,1.2.826.0.1.3680043.8.498.63979617971474586059998664990083828666
+Heart is enlarged. There is bilateral airspace disease compatible with pulmonary edema. No definite effusions. No acute bony abnormality.,Cardiomegaly and pulmonary edema compatible with congestive heart failure.,1.2.826.0.1.3680043.8.498.85817327867083507595337041837300780765
+"There is cardiomegaly. There is mild vascular congestion without overt evidence of edema. No focal consolidation, pneumothorax, or pleural effusion. No acute osseous findings.",Cardiomegaly with mild vascular congestion.,1.2.826.0.1.3680043.8.498.15732682102947423932235469734081135883
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66443280699997280415334424121965516143
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16416744588721549452479496333061013774
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.25849249788717286733920548764427929447
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is a moderate right pleural effusion. The effusion appears decreased in size compared with prior exam. There is overlying atelectasis and consolidation in the right base.,1. Cardiac enlargement. 2. Right effusion with overlying atelectasis.,1.2.826.0.1.3680043.8.498.98342347045617504130197541129285027151
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73717879719844461956780977121139080859
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.12305720009555854850719757055134552289
+"The heart is normal. Similar prominent interstitial lung markings. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",Decreasing pulmonary vascular congestion since the prior study.,1.2.826.0.1.3680043.8.498.97857602504161699620982383546890829510
+There is chronic cardiomegaly. Pulmonary vascularity is normal and the lungs are clear. No effusions. No acute osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.63258643035866961997294582581448810966
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17286900311244606383489719756872264479
+"Left chest tube remains in place. There is a tiny left apical pneumothorax, decreased since prior study. Subcutaneous air on the left. Patchy densities in the left mid and lower lung are unchanged. Right lung is clear. Heart is normal size.",Decreasing size of the left apical pneumothorax. Otherwise no change.,1.2.826.0.1.3680043.8.498.98367820021677750706096657941783809855
+"The cardiac silhouette, mediastinal and hilar contours are stable. Stable surgical changes from bypass surgery. Stable lingular scarring changes. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.33366574766543763818760479093855376960
+There has been interval removal of the nasogastric tube. The right IJ central venous catheter is stable. The lung volumes are low and there is atelectasis at both lung bases. No evidence for pneumothorax.,1. Low lung volumes with bibasilar atelectasis. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.23182004298194114661324101274118878653
+The lungs are clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.88667230015627740402859952189421224132
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.17084224712788486461879695913506090009
+"Unchanged elevation of left hemidiaphragm. Streaky opacities at the left lung base, new from prior exam. Unchanged heart size and mediastinal contours. Aortic atherosclerosis. No pulmonary edema. No pleural fluid or pneumothorax. No acute osseous abnormalities are seen.","Streaky left lung base opacities, may reflect atelectasis or pneumonia in the setting of cough.",1.2.826.0.1.3680043.8.498.81139834383322826870049371454877362733
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14065860697059971038363765224989252627
+"Interval clearing lung bases seen with currently clear lungs and normal heart size. Slight hyperinflation is seen with changes of COPD noted. Mediastinum, hila, pleura and osseous structures are unremarkable.",1. Slight COPD. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29107426444764254563727462696156998300
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.18987178516448729261808472469802250759
+The cardiac shadow is within normal limits. The thoracic aorta is tortuous. The lungs are well-aerated without focal infiltrate or sizable effusion. No acute bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.43002486064354198273685697737665350780
+Cardiopericardial silhouette within normal limits. Mediastinal contours normal. Trachea midline. No airspace disease or effusion. Emphysema is present.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74394747025550862390274316764242493704
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94280627241617882543799793611684722769
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. A small right-sided pleural effusion is noted increased from the prior exam. No focal confluent infiltrate is seen. Spinal stimulator is noted.,Slight increase in right-sided pleural effusion.,1.2.826.0.1.3680043.8.498.21064177015699956424699129777301605962
+"Cardiomegaly. Surgical clips overlying the left chest. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative changes of the shoulders.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95217185313456334828917457945000196021
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66919213917214164676238281661306892920
+Heart: Normal. Lungs: The lungs are well-inflated and radiographically clear. Pulmonary vascularity is unremarkable. Mediastinum: Normal. Pleural effusions: None. Bones: There are mild degenerative changes in the spine. Visualized upper abdomen: Normal.,No evidence for active or metastatic disease in the chest.,1.2.826.0.1.3680043.8.498.46954052944325475404791649271905079097
+Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Diffuse bilateral airspace infiltrates question multifocal pneumonia with superimposed pulmonary edema. Small RIGHT pleural effusion. No pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion and BILATERAL pulmonary infiltrates question multifocal pneumonia and superimposed CHF. Small RIGHT pleural effusion.,1.2.826.0.1.3680043.8.498.66661380121421923901156319220875577701
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19217577756977470467334420887181598412
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32201754572863781891829772230242640572
+Linear opacity at the left lung base is most compatible with atelectasis. The lungs are otherwise clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.62671993532354286836887466242432037972
+There are low lung volumes. Bibasilar atelectasis present. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76218030332878365366980243661103679659
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81678794441387537576335110480795839457
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10080565395730739805529797758460008085
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.92054601396238658559563527812549338278
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21298266418174511616446025100815803098
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.97414364722637680258304953193633226689
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20734385967547754196748472714125852813
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.45165184234300176109657423900797284304
+The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Small left pleural effusion with adjacent atelectasis. No consolidation or pneumothorax. The visualized skeletal structures are unremarkable.,Small left pleural effusion.,1.2.826.0.1.3680043.8.498.92364752346691485519279001936898736198
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.93039724971213693752799911153395520307
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusions. Azygos fissure incidentally noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65025955235346542911875635547959516971
+Upper normal heart size post MVR. Mediastinal contours and pulmonary vascularity normal. Minimal right basilar atelectasis. Lungs otherwise clear. No gross pleural effusion or pneumothorax.,Post MVR. Minimal right base atelectasis.,1.2.826.0.1.3680043.8.498.58376581655663932215480162418036436204
+"Swan-Ganz catheter and mediastinal drains have been removed. Changes of aortic valve replacement. Stable cardiomegaly. Small bilateral pleural effusions with bibasilar atelectasis, similar to prior study. No pneumothorax.",Stable postoperative changes. Small effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23388239586373761339394742652861015996
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79391752280038276818795933061965433656
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95052604545609152478831575025706092963
+Stable cardiomediastinal silhouette. Status post coronary bypass graft. No pneumothorax is noted. Stable mild right basilar subsegmental atelectasis is noted. Minimal left basilar subsegmental atelectasis is noted. Small bilateral pleural effusions are noted. Bony thorax is unremarkable.,Stable bibasilar subsegmental atelectasis. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.16075885528687529130552530902548980059
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77465672958623910123700715973076958627
+"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. Mild linear scarring at the right lung base is stable. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45323160897673301503138007937946406878
+There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.90752956718024641675264196229532392716
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41044805332559122562589545939241815686
+There are bilateral upper lobe pulmonary masses which have increased in size compared with the prior chest x-ray. This is also seen on the prior chest CT. There is no pleural effusion. The heart size is normal. The bony thorax is intact.,Interval increase in size of bilateral upper lobe masses. This is consistent with metastatic disease.,1.2.826.0.1.3680043.8.498.78769950476996784918025939270358973980
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10321973987364440915485847812159641216
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.98554467379188526585579770103825269649
+The lungs are reasonably well inflated. The interstitial markings are increased diffusely. The hemidiaphragms are obscured. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The bones are osteopenic.,The findings are consistent with congestive heart failure and pulmonary interstitial edema. I see no discrete focal infiltrate. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.52474740323916412241107087937622591939
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40325058938438531689255094354970326515
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23553693078706281005547759634659185600
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65562872260744354010494583662165080506
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75257183098745867912582795977158206662
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.25158521562802097036588984128108361389
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.77948959955911636887941249773240886395
+Heart and mediastinal contours are within normal limits. Lung fields are clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact. Surgical clips are seen in the right upper quadrant.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.25014673666190513486496375978515731274
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68026471004201315707609087099341640267
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.48929936186156876990775860456396768041
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71637399181470476875870095134815276447
+"Single frontal view of the chest demonstrates an unremarkable cardiothymic silhouette. Lungs are normally inflated, without acute airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.45736555254114330109508066880854373540
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48872545597442995243818638659613305040
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49469481335184832904889160255844591491
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Small RIGHT pleural effusion with basilar atelectasis. Lungs otherwise clear. No pneumothorax or LEFT pleural effusion. Bones unremarkable.",Small RIGHT pleural effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.79549449800225607093278047929983292218
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable. Subcutaneous emphysema in the right chest wall.,No active disease.,1.2.826.0.1.3680043.8.498.60223931911355260155553773998600747183
+"Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. Trace bilateral pleural effusions, new. No overt pulmonary edema. No acute consolidative airspace disease.","Stable mild cardiomegaly. No overt pulmonary edema. Trace bilateral pleural effusions, new.",1.2.826.0.1.3680043.8.498.52938686069875943830072257936538277442
+Right chest tube is in place. There is a small right apical pneumothorax. Subcutaneous emphysema is seen along the right chest wall. Opacity at the right lung base is compatible with atelectasis. The left lung is clear. No evidence of pulmonary edema. Heart size is normal.,1. Small right apical pneumothorax with a right chest tube in place. 2. Postoperative changes of the right lung with atelectasis in the right lower lung.,1.2.826.0.1.3680043.8.498.80144294260903355229643061652911702763
+The intra-aortic balloon pump tip is at the aortic knob. The heart size is enlarged. There is mild vascular congestion without edema. There is no pleural effusion or pneumothorax.,1. Intra-aortic balloon pump tip at the level of the aortic knob. 2. Cardiac enlargement and vascular congestion.,1.2.826.0.1.3680043.8.498.56320571454172977475514293211560714583
+There is increased density at both lung bases compatible with bibasilar atelectasis. The upper lobes are clear. No pulmonary edema is seen. Heart size is normal.,1. There is increased density at the lung bases compatible with atelectasis. 2. No pneumonia is seen. 3. Heart size is normal.,1.2.826.0.1.3680043.8.498.94933374775389925400782769746233342432
+The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is a small infiltrate in the right upper lobe. The left lung is clear. There is no effusion or pneumothorax. Degenerative changes are seen in the spine.,Small right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.50268188137813687523807236204112613459
+"The liver is normal in size and echogenicity. The biliary tree is unremarkable. The common bile duct is normal in caliber, measuring 0.5 cm. The gallbladder is normal in appearance with no evidence of stones, gallbladder wall thickening, or pericholecystic fluid. The pancreas is not well visualized due to overlying bowel gas. The spleen is normal in appearance. The right kidney measures 10.6 cm in length and the left kidney measures 11.6 cm in length. Both kidneys are normal in cortical thickness and echogenicity without evidence of stones or hydronephrosis. The abdominal aorta and IVC are normal in caliber.",Unremarkable abdominal ultrasound.,1.2.826.0.1.3680043.8.498.40847821731104273078429686029228329424
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.97227701820287268721944556727677244791
+The heart is enlarged. The aorta is calcified and unfolded. The lungs are clear. No pneumothorax. No visible rib fracture.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.37656256209706173130258109244486124121
+Endotracheal tube tip is 2.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. Central catheter tip is in the superior vena cava. No pneumothorax. There is airspace consolidation in the right lower lobe region. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Persistent consolidation right base. Stable cardiac prominence.,1.2.826.0.1.3680043.8.498.72504712525593717080787688928142368765
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.92525364977502036223928761898119023338
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.33011611717313916440973261534377197871
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease,1.2.826.0.1.3680043.8.498.99983426317707006626420384788231401890
+Extensive bilateral airspace disease persists and has not notably changed. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No marked change in extensive bilateral airspace disease consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.61526827935151995187824806873812428425
+Mediastinum and hilar structures are stable. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. Bilateral pulmonary infiltrates/edema and atelectasis again noted. Small right pleural effusion. No pneumothorax. Multiple right rib fractures are best identified on prior CT.,1. Low lung volumes. Persistent bilateral pulmonary infiltrates/edema and basilar atelectasis. Small right pleural effusion. 2. Multiple right rib fractures best identified on prior CT. No pneumothorax.,1.2.826.0.1.3680043.8.498.92522616439325936214794174915400775183
+The heart is normal in size. The lung volumes are low. Mild reticular opacities are seen at the left lung base.,Mild left basilar reticular opacities are likely secondary to atelectasis. Early or mild infection or not excluded. Followup radiographs are recommended.,1.2.826.0.1.3680043.8.498.57921934701878049442712434708252556890
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24376304773976025856791782870905947746
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.75691563863552076223595566329655180703
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24422057344966642358219828735844385188
+"Stable cardiomegaly. Atherosclerotic calcification of the aortic knob. No focal airspace consolidation, pleural effusion, or pneumothorax. Degenerative changes of the bilateral shoulders.",Stable cardiomegaly. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.63564645966736084250553936048452589382
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86659495021653044124161613495553526836
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32674559478613874330741408919415795837
+"A cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.51789340824517364676781831990304083893
+The lungs are well-expanded and clear. The heart and mediastinal structures are normal. The trachea is midline. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17375396868581106240521650383839482314
+There is a minimal left apical pneumothorax. No right pneumothorax is evident. No mediastinal pneumomediastinum is evident. Lungs are free of infiltrates. There is minimal atelectasis in the right base. No pleural effusion is evident. Cardiac silhouette is normal size and shape. Bones appear average for age.,There is minimal left apical pneumothorax. No right pneumothorax is evident. There is minimal basilar atelectasis on the right.,1.2.826.0.1.3680043.8.498.30854846509171379961032789775256783464
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76846438706052422211377708002862136590
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75722412384833646789746567798544867628
+Previously seen right upper lobe opacity has resolved. Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52305451617133135084091122442199858751
+The heart is markedly enlarged. There are small bilateral pleural effusions. There is interstitial pulmonary edema. There is bilateral lower lobe airspace disease which may be due to alveolar edema or atelectasis. Pneumonia is not excluded.,Cardiomegaly and interstitial edema with bilateral effusions and lower lobe atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.51438554563038994473576896273183946782
+"The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. A metallic foreign body overlies the upper chest at the midline, probably within the esophagus.",No active cardiopulmonary process. Metal foreign body consistent with a coin in the esophagus.,1.2.826.0.1.3680043.8.498.12524762706585891896497990879896086671
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.87614456368369999983805802999281326672
+Heart is upper limits normal in size. Lungs are free of focal consolidations and pleural effusions. No pulmonary edema. Visualized bony structures have a normal appearance.,No evidence for acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.83921213934772495473255934738591975292
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",Normal chest x-ray.,1.2.826.0.1.3680043.8.498.70992241896959497212422973057472321583
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.58153884966970743944687104934060135230
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.35765344267832134879470844685494138097
+The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.94457171307270137072776197989614248843
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No focal consolidation.,1.2.826.0.1.3680043.8.498.69373466001812347096040875891583311529
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is mildly enlarged. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.39712093782325423593446786555967829006
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20475060047108993190120870966668687657
+Low lung volumes. Streaky opacities in the lung bases favor atelectatic change. No consolidation. No pneumothorax or effusion. No convincing features of edema. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,"Low lung volumes with streaky opacities in the lung bases, likely atelectasis.",1.2.826.0.1.3680043.8.498.97862019143006114846082194944456047133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49858076545620245321914827614637672664
+"Interval extubation and removal of NG tube. Swan-Ganz catheter and mediastinal drain are unchanged. No pneumothorax. Changes of aortic valve replacement. Stable cardiomegaly. Left basilar atelectasis and effusion again noted, unchanged.",Interval extubation. No significant change left lower lobe atelectasis and small left effusion.,1.2.826.0.1.3680043.8.498.83630366244360251681529089112658957737
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44903443077300317768673213703646794828
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate scoliosis of thoracic and lumbar spine is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90223116668874049925999888915955906720
+Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42553308251584923656600735765038403311
+The heart size and mediastinal contours are within normal limits. Right lung is clear. No pneumothorax or pleural effusion is noted. Linear density is noted in left lung base most consistent with subsegmental atelectasis or pneumonia. The visualized skeletal structures are unremarkable.,Left basilar linear density is noted consistent with subsegmental atelectasis or pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69224411382698590628937385805107842102
+Heart size is mildly enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The aorta is tortuous and unfolded.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.26894302035535259004088372690445519830
+The heart is normal in size. Aorta is mildly tortuous. There is elevation of the left hemidiaphragm. Mild left basilar opacities are likely secondary to atelectasis. The right lung is clear. No pneumothorax.,1. Elevated left hemidiaphragm. Correlate with patient's history and with prior radiographs if available. 2. Mild left basilar opacities are likely secondary to atelectasis. Early infection or aspiration not excluded.,1.2.826.0.1.3680043.8.498.11480567645085490935841150810727244490
+The heart is at the upper limits of normal in size. The thoracic aorta is tortuous and calcified. The lungs are clear of acute infiltrates. Scarring at the lung apices. No pulmonary edema or pleural effusions. No pneumothorax. Old left rib fractures.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.48876595208698580800177434191570520287
+Cardiac pacer is in satisfactory position. Cardiomegaly with pulmonary vascular congestion and bilateral interstitial prominence consistent with pulmonary edema. Small bilateral pleural effusions. Findings are consistent with congestive heart failure.,Congestive heart failure with pulmonary interstitial edema and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.97993442678580002317651529517155791832
+Cardiomegaly. Aortic atherosclerosis. Multiple calcified pleural plaques are noted. Small bilateral pleural effusions. No acute bony abnormality.,Cardiomegaly. Small bilateral pleural effusions. Stable calcified pleural plaques.,1.2.826.0.1.3680043.8.498.94315038450167338731892478237111582297
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72945426514387964199664992213309515711
+"Cardiac silhouette appears mildly enlarged, even with consideration to this low inspiratory portable examination with crowded vasculature markings. Mildly calcified aortic knob. Mild chronic interstitial changes. Patchy LEFT lung base airspace opacity. No pleural effusions. No pneumothorax. Multiple EKG lines overlay the patient and could obscure underlying subtle pathology. Osteopenia. High-riding humeral heads seen with old rotator cuff injuries. Soft tissue planes are nonsuspicious.",Mild cardiomegaly and chronic interstitial changes with superimposed LEFT lung base probable atelectasis.,1.2.826.0.1.3680043.8.498.32485301779073594646021072446356833122
+Cardiac shadow is stable. Postsurgical changes are again seen. Diffuse bilateral infiltrative changes are identified consistent with acute on chronic edema. No sizable effusion is noted. No bony abnormality is seen.,Acute on chronic pulmonary edema.,1.2.826.0.1.3680043.8.498.57130559440637328717119949011740314532
+Stable enlarged cardiac silhouette and changes of COPD. Stable appearance of the cavitary mass at the left lung base. Stable appearance of ill-defined opacity at the right lung base. Stable thoracic spine degenerative changes.,"Stable cardiomegaly, COPD and left basilar cavitary mass. Stable ill-defined opacity at the right lung base, including the possibility of pneumonia.",1.2.826.0.1.3680043.8.498.99776002100148944661651915349465157564
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.21770864637593284818975489716340171242
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.25496653564731087104158372024777496779
+Cardiomediastinal silhouette is unremarkable for this low inspiratory examination with crowded vasculature markings. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Included soft tissue planes and osseous structures are non-suspicious. Multiple EKG lines overlie the patient and may obscure subtle underlying pathology.,No acute cardiopulmonary process for this low inspiratory examination.,1.2.826.0.1.3680043.8.498.16827670787885900204273896198963306963
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19840793926388013756216278311350065591
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.16618259615117816153462914240043155970
+Patchy airspace opacity in the right lower lobe on both frontal and lateral views. No evidence of pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No evidence of acute osseous abnormality.,Right lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.69804040348567342947188117054251786874
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98504368772104292407695321438002649628
+Two views of the chest were obtained. There are scattered interstitial and alveolar opacities in the mid and lower portions of both lungs. There is a small area of alveolar opacity in the right lung base. There are small bilateral pleural effusions. There is elevation of the right hemidiaphragm. The heart size is normal.,There are interstitial and alveolar opacities in the mid and lower portion of both lungs as well as in the right lung base. There are small bilateral pleural effusions. There is elevation of the right hemidiaphragm. The findings are suspicious for pneumonia or atelectasis.,1.2.826.0.1.3680043.8.498.89318909087283286027815333369934733481
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Review of the visualized osseous structures is unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.93377272079896603840670551208922693243
+"The cardiothymic silhouette is within normal limits. There is peribronchial thickening, abnormal perihilar aeration and areas of atelectasis suggesting viral bronchiolitis. No focal airspace consolidation to suggest pneumonia. No pleural effusion. The bony thorax is intact.",Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.48559630063465782339211151155395454449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93007418319635653986717639312481899955
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56353023460576385317871035045971029684
+"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. Top-normal cardiac size. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.46183730345412648438415749602105716505
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.33559855671363435364043752757600883685
+Cardiac silhouette is moderately enlarged. Normal mediastinal contours. There is mild interstitial edema. No focal airspace disease. No pneumothorax. No pleural effusion. No acute osseous abnormality.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.95697478210233576343200442474857336685
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.25489282133431905867671823083126995939
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.34780014642853490689559016388862961255
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.90960054041001365108967831171201616925
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.21572167947389570974101982836368385889
+Normal cardiothymic silhouette. Airway is normal. There is a new right upper lobe opacity. There is mild coarsened central bronchovascular markings. No pleural fluid. No pneumothorax.,New right upper lobe opacity concerning for pneumonia.,1.2.826.0.1.3680043.8.498.98691576285182145111535426311214182033
+"Cardiothymic silhouette is normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. Bony structures are unremarkable.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.88633061900017847168101242160452737263
+No active infiltrate or effusion is seen. The lungs are hyperaerated consistent with COPD. The heart is mildly enlarged. The descending thoracic aorta is ectatic. The bones are osteopenic.,COPD. No active lung disease. Cardiomegaly.,1.2.826.0.1.3680043.8.498.56319479180447212784049849205558061479
+There is airspace consolidation in the lingula. Lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,Consolidation in a portion of the lingula.,1.2.826.0.1.3680043.8.498.90944395895742963645383347132463719803
+"Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. No focal infiltrate, pulmonary edema, or pleural effusion. No pneumothorax. No acute osseus abnormality. Prominent gaseous distention of the stomach noted.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84052776661635653015549749664606264582
+There is a right arm PICC line with tip in the SVC. The lung volumes are low. There is plate-like atelectasis at both lung bases. No airspace disease. Stable cardiomegaly.,1. Low lung volumes and bibasilar atelectasis. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.31586629861703700607388126856608364010
+The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No acute disease.,1.2.826.0.1.3680043.8.498.97857501511751406003878328785222418669
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.51332713261200319008081098225387466730
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.88205104044233473945644486017505926992
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.18653789020761246439845869614507923134
+Single frontal view of the chest demonstrates a stable cardiac silhouette. There is progressive airspace disease within the right upper lobe and right infrahilar region. No significant pleural effusion. Diffuse interstitial prominence consistent with known history of emphysema. No pneumothorax. No acute bony abnormalities.,1. Progressive right-sided pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.19752616417673403686623098945613460846
+Left chest tube is now in place. No pneumothorax. Left pleural effusion has improved. Low lung volumes. Cardiomegaly with vascular congestion. Left base atelectasis.,Interval placement of left chest tube. No pneumothorax. Improved aeration in the left lung base with residual atelectasis and effusion.,1.2.826.0.1.3680043.8.498.48077378553443476427588411844907017690
+Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.70096988124596512287664397845013961627
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93352913245723194964345034091642332879
+Endotracheal tube is in good position. NG tube is in the stomach. Right central venous line is unchanged. Stable cardiac silhouette. There is perihilar air space disease and basilar atelectasis not changed from prior. No pneumothorax.,1. Stable support apparatus. 2. No change.,1.2.826.0.1.3680043.8.498.11374204795661034524825633886142838965
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74440861993311079290667482936963689369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48639752915965056682581194121233181023
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. Left lower lobe atelectasis. No edema.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.90897186114571785522283304692501956552
+Endotracheal tube and gastric catheter are again noted and stable. Cardiac shadow is stable. Increasing left basilar infiltrate is noted with mild right basilar atelectasis. No pneumothorax is noted. No bony abnormality is seen.,Increasing left basilar infiltrate.,1.2.826.0.1.3680043.8.498.35818528720175949414589658471068613130
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58470029771556679965821767782775892592
+Linear areas of atelectasis or scarring in the lung bases. Heart is normal size. No effusions. No acute bony abnormality. No pneumothorax. No acute bony abnormality.,Bibasilar atelectasis or scarring.,1.2.826.0.1.3680043.8.498.52798787255952112628067842623641772514
+A small right pleural effusion is noted. Vascular congestion is seen. Increased interstitial markings raise concern for pulmonary edema. No pneumothorax is seen. The cardiomediastinal silhouette is mildly enlarged. The patient is status post median sternotomy. An enteric tube is noted extending below the diaphragm. No acute osseous abnormalities are identified.,Small right pleural effusion noted. Vascular congestion and mild cardiomegaly. Increased interstitial markings raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.96599017783705836906495690366006361290
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.42271765694319805425791733927626625133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.73514578735099321790059974041528566376
+"Right central venous line and right PICC are unchanged. Prior CABG. Cardiomegaly. Left lower lobe airspace opacity again noted, unchanged. No visible effusions. No acute bony abnormality.",No significant change. Persistent left lower lobe consolidation.,1.2.826.0.1.3680043.8.498.76068669006487555948935457375818209098
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66963377707328898021618165899848626098
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33675957647696801519738617950249373219
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.73540021192118965653953903617401839299
+"Endotracheal tube, NG tube, right central venous catheter are unchanged. Stable cardiomegaly. Left basilar atelectasis and small left pleural effusion. No pneumothorax.",Stable support apparatus. Stable cardiomegaly. Left basilar atelectasis and small left pleural effusion.,1.2.826.0.1.3680043.8.498.99389444467082198863969233758089482016
+There is elevation of the right hemidiaphragm. There is bilateral interstitial thickening. There is a small right pleural effusion. There is no pneumothorax. The heart size is enlarged. The osseous structures are unremarkable.,Cardiomegaly with pulmonary vascular congestion and interstitial edema. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.38262963703267874709488224820831088844
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79772159982361457406634261314654302916
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39379190348740537264922490501327920515
+No acute rib fractures are identified. No significant callus formation is seen. The heart and mediastinal contours are stable. The lungs are well expanded and clear. No pleural effusion or pneumothorax is seen.,No evidence of acute rib fracture.,1.2.826.0.1.3680043.8.498.55931575948796943367237777441115894939
+There is interstitial pulmonary edema. There is no airspace consolidation. There is no appreciable pleural effusion. Heart is mildly enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Evidence a degree of congestive heart failure. No airspace consolidation.,1.2.826.0.1.3680043.8.498.85090342343437030890678799301789382555
+Mediastinum and hilar structures are normal. Cardiomegaly with mild pulmonary vascular prominence and interstitial prominence with small left pleural effusion. These findings are consistent with congestive heart failure with mild pulmonary interstitial edema and small left pleural effusion. No pneumothorax. No acute bony abnormality.,Findings consistent with congestive heart failure with mild pulmonary interstitial edema and small left pleural effusion.,1.2.826.0.1.3680043.8.498.58263344796778435066033206951930625727
+There is a left internal jugular central venous catheter present with the tip in the superior vena cava. There is no pneumothorax. There is a small right pleural effusion. The lungs are otherwise clear. The heart is normal in size. The bony structures are unremarkable.,1. Small right pleural effusion. 2. Left internal jugular central venous catheter present with the tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.65771413747062216930146531585339694031
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10621105549443739973047943185140834844
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25756036176779297671527525179742356364
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. Sliding hiatal hernia. No pleural effusion or pneumothorax.,1. No acute cardiopulmonary disease. 2. Hiatal hernia again noted.,1.2.826.0.1.3680043.8.498.60559058415158767769822791312909492985
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77028618813807806828791016329631097686
+Heart size is normal. Mediastinal structures are normal. There is bilateral hilar adenopathy. The lungs are clear. No effusions. Bony structures unremarkable.,"Bilateral hilar adenopathy. Differential diagnosis includes sarcoidosis, lymphoma, lymphoma with reactive adenopathy, and other malignancies.",1.2.826.0.1.3680043.8.498.43905511325078714840799929895399116572
+Cardiothymic shadow within normal limits. No definite pulmonary infiltrates or pleural fluid. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.21679351516853114517215989200672337696
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78457413145935298956021058797528747586
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17642339242110148398783353982162570852
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.69845221799231771709241900288146126010
+OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.22505394233643922189044903802658568262
+Low lung volumes. Unchanged heart size and mediastinal contours with aortic atherosclerosis. Streaky bibasilar opacities favor atelectasis. No pulmonary edema. No large pleural effusion. No pneumothorax. Degenerative change of both shoulders.,1. Low lung volumes with bibasilar atelectasis. 2. No pulmonary edema.,1.2.826.0.1.3680043.8.498.12359312874975077128985641868490039243
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36028672353830046623338217653101071788
+Lower lung volumes from prior exam. The heart size and mediastinal contours are stable. There is mild patient rotation to the right. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,No evidence of acute chest injury.,1.2.826.0.1.3680043.8.498.75511886989187244293196687493145861990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99970565554162258509567068825381003719
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.28509427945623868270968223528161826649
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.35135474423714196708380375090213443049
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59104161912587714374015292933553060905
+There is again noted increased density in the right upper lobe compatible with pneumonia and atelectasis that appears less extensive than on the prior exam. No new infiltrates are seen. No pleural effusion is noted. Heart size is normal. A Port-A-Cath is present with the tip projected over the superior vena cava.,1. Persistent right upper lobe infiltrate compatible with pneumonia and atelectasis. 2. No new infiltrates are seen.,1.2.826.0.1.3680043.8.498.92487260665290664989574257947683536356
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.98836396991449845887156697561818279110
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.78824074903695441055217155719340502014
+The nodular density seen projecting over the right lower lung zone represents a nipple shadow. The lungs are clear. The heart is normal in size. The right jugular dialysis catheter is stable.,No pulmonary nodules. The nodular density seen on the earlier study represents a nipple shadow.,1.2.826.0.1.3680043.8.498.14620714357143363058791070290516148814
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.42598791826050746086946884951050668170
+Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. Patchy infiltrative changes are noted in the right lung base. No sizable effusion is seen. No bony abnormality is noted.,Right basilar infiltrate.,1.2.826.0.1.3680043.8.498.89047836669907364696984447498815585140
+Cardiac shadow is mildly enlarged. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46082119351167168816806152761322958535
+The cardiac silhouette is normal in size and configuration. Normal mediastinal and hilar contours. Clear lungs. No pleural effusion or pneumothorax. Bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84674670334948903888146205289727724243
+"UVC tip terminates over the expected location of the intrahepatic IVC at the T10 level. Normal visualized bowel gas pattern. No pneumatosis, portal venous gas, or supine evidence for free air is seen. No acute osseous finding.",UVC tip over the intrahepatic IVC.,1.2.826.0.1.3680043.8.498.14187528903521538178621920154470507086
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.64178334977297557355466059382279476327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15383514194617996213379042109994842021
+The lungs are significant for left lower lobe consolidation versus atelectasis. No pleural abnormality is seen. The heart size is enlarged. The mediastinum appears intact. A cardiac pacemaker is present.,Left lower lobe consolidation likely atelectasis. Cardiac pacemaker.,1.2.826.0.1.3680043.8.498.11976364797379762319873860293634438576
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.89287990166127742620731213986291320147
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.20705526441714812023670183707044323177
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.53070087466858003384155698617471811276
+Cardiac and mediastinal contours are within normal limits. No focal or consolidative pulmonary opacities. Pleural spaces are normal. There are deformities of several left lateral ribs which may represent old fractures. No definite acute fracture is identified. No pneumothorax or pleural effusion.,1. No acute pulmonary process. 2. Old left lateral rib fractures.,1.2.826.0.1.3680043.8.498.71879844113886489913371265566974524573
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49677645215464278905510917837132599015
+There is a severe thoracolumbar scoliosis deformity. The heart size is enlarged. There is a large hiatal hernia. Opacification of the left base is again noted and appears unchanged when compared with the prior exam. No new areas of consolidation are identified. There is no evidence for pleural effusion.,1. No significant change in aeration to the left lung base. 2. Cardiac enlargement.,1.2.826.0.1.3680043.8.498.20994537021245337347867633513793432207
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Lung volumes are normal. There is central airway thickening.,1. Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.78440715474442111760042242133094678841
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62236222109339930496127112228294579941
+No active infiltrate or effusion is seen. There are prominent perihilar markings with peribronchial thickening most consistent with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Probable bronchitis.,1.2.826.0.1.3680043.8.498.84005272514673990788969216063011401634
+"There is increased density at the right lung base which could be secondary to atelectasis or pneumonia. The lungs are otherwise clear. The heart is normal. The lungs are otherwise clear. There is no edema, effusion or pneumothorax. The bony structures appear intact.",Minimal right lung base pneumonia. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.38327078756172734939221956411714373574
+The chest is hyperexpanded consistent with emphysema. The lungs are clear. Heart size is normal. No effusion. No focal bony abnormality.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.20213399189806736026983667750510511034
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24978885955406581711907238484928578591
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10504302094343955049237099491143405923
+"Right Port-A-Cath remains in place, unchanged. Small right pleural effusion. Bilateral airspace opacities in the lungs, right greater than left, similar to prior study. Heart is normal size. No acute bony abnormality.",Stable bilateral airspace disease. Small right effusion.,1.2.826.0.1.3680043.8.498.68302438886948622984951210161386811826
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50632399790138061996756164658943013484
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49960935982743343096288508350038456375
+"The cardiomediastinal silhouette is unchanged with normal heart size. There is new consolidation in the left lung base, likely a combination of a small pleural effusion and underlying atelectasis and/or pneumonia. A trace right pleural effusion is also noted. No pneumothorax is identified. No acute osseous abnormality is seen.","Left basilar opacity, likely a combination of pleural fluid and underlying atelectasis and/or pneumonia. Trace right pleural effusion.",1.2.826.0.1.3680043.8.498.25263761282688016608037577876400072550
+"There are low lung volumes. Diffuse interstitial prominence is noted, increased since prior study. Heart size is mildly enlarged. No definite effusions.",Mild interstitial edema.,1.2.826.0.1.3680043.8.498.64804574292481074275171601571609612984
+Right internal jugular temporary pacer has its tip projecting in the right ventricle. No pneumothorax. Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. Mild pulmonary vascular congestion. No overt pulmonary edema.,1. Right internal jugular temporary pacer tip projects in the right ventricle. 2. No pneumothorax. 3. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.15840777971962985698276097312525048466
+The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.54335898861039598428716664907401255875
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58995019734286150229574491987197249930
+There is cardiomegaly. Pulmonary vascular congestion and mild interstitial edema noted. No pleural effusion or pneumothorax. No acute bony abnormality.,Cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.23206349505644774627379007333722452141
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96261598753633801418152117738516832702
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.24361273511145902760996566200622630853
+Heart: Stable borderline cardiomegaly. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal.,1. No acute cardiopulmonary process. 2. Stable borderline cardiomegaly.,1.2.826.0.1.3680043.8.498.31370635869058477738574582623539853846
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18587709507283267917894192097296309591
+There is little change in cardiomegaly with some improvement in the previously noted pulmonary vascular congestion. Small right pleural effusion remains with mild right basilar atelectasis present. A tiny left pleural effusion cannot be excluded. No bony abnormality is seen.,1. Cardiomegaly with some improvement in pulmonary vascular congestion. 2. Small right pleural effusion remains with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.24847334399452536103353394412823686616
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.60137601026819364079605574243913488528
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.51151308885423911048674003276109153555
+There is cardiomegaly. Small bilateral pleural effusions and bibasilar atelectasis present. No acute infiltrates. No edema. No acute bony abnormality.,"Cardiomegaly, small effusions, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.22156907131781771124522063002919328263
+The heart size is enlarged. There are bilateral pleural effusions. Interstitial and airspace opacities are identified consistent with pulmonary edema.,1. Cardiac enlargement and pulmonary edema.,1.2.826.0.1.3680043.8.498.56742457661070622807573387522713588253
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.10236564434111909928411587540894186566
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97523534234225556193391818486327283411
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.14208019079033731674807745409969655697
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66358272318345078301035517381476147908
+Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There are bilateral small pleural effusions. There is no pneumothorax. The heart size is difficult to evaluate secondary to the bilateral diffuse air space disease. The osseous structures are unremarkable. There is a right-sided central venous catheter in unchanged position.,Please see above.,1.2.826.0.1.3680043.8.498.46580429544928421378248072604533687812
+Mediastinum and hilar structures normal. Heart size normal. Right lower lobe infiltrate noted. This is consistent with pneumonia. Small right pleural effusion. No pneumothorax. Diffuse osteos metastatic disease again noted. Old midthoracic spine compression fracture is stable.,1. Right lower lobe infiltrate consistent with pneumonia. Small right pleural effusion. 2. Diffuse osteos metastatic disease again noted.,1.2.826.0.1.3680043.8.498.88809567414636671439996579523800300534
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67517410768379514526855960970181924355
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12348090823582447220503542532263283988
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20577175582503048312403935259544218885
+The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities and bronchial cuffing.,Findings suggesting mild reactive airways disease.,1.2.826.0.1.3680043.8.498.25635532727117189072901597503936568546
+"Heart size is upper normal, stable. Overall cardiomediastinal silhouette is stable in size and configuration. Lungs are clear. No evidence of pneumonia. No pleural effusion. No pneumothorax seen. Osseous structures about the chest are unremarkable.",No active cardiopulmonary disease. No evidence of pneumonia or pulmonary edema.,1.2.826.0.1.3680043.8.498.54719808935366340676934910542618358515
+A RIGHT sided Port-A-Cath is present with the tip projected over the superior vena cava. An expansile lesion is noted in the RIGHT upper lobe. There is no evidence of pneumothorax status post ultrasound-guided thoracentesis. No evidence of pleural effusion. The LEFT lung is clear. The cardiovascular structures are unremarkable.,1. No evidence of pneumothorax status post ultrasound-guided thoracentesis. 2. Expansile lesion in the RIGHT upper lobe. 3. LEFT sided Port-A-Cath is noted.,1.2.826.0.1.3680043.8.498.99965922813731429132512347434887930281
+The lungs are well expanded. Linear opacity in the left midlung is compatible with atelectasis. There is elevation of the left hemidiaphragm. The heart is normal in size; calcification is noted within the aortic arch. No focal consolidation is seen; no definite pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.,1. No evidence of focal consolidation. 2. Mild left-sided atelectasis; elevation of the left hemidiaphragm.,1.2.826.0.1.3680043.8.498.55282543544393654208219620383446977904
+"There is mild left base atelectasis. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart, mediastinum and hila are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76475289877665679547817011938722563908
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66014784462108458435368564614163607549
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20493654944564570289008170218353884055
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54096201484572230153521823069536779556
+Cardiomediastinal silhouette unremarkable. Dense airspace consolidation in the right lower lobe. Right pleural effusions. Left lung clear. Visualized bony thorax intact.,Right lower lobe pneumonia and right pleural effusion.,1.2.826.0.1.3680043.8.498.14600020792100648127231689912434195487
+The lungs are well-aerated. Vascular congestion is noted. Increased interstitial markings raise concern for mild interstitial edema. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,Vascular congestion and mild cardiomegaly. Increased interstitial markings raise concern for mild interstitial edema.,1.2.826.0.1.3680043.8.498.52491745879135703086496751133902415891
+"Interval development of airspace consolidation in the right middle lobe and lingula. Cardiomediastinal silhouette unremarkable and unchanged. Mild central peribronchial thickening, unchanged. No pleural effusions. Visualized bony thorax intact.",Right middle lobe and lingular pneumonia.,1.2.826.0.1.3680043.8.498.71420650165206925858480777173463280168
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87123941435662773337560354409773633003
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19740083854369578641894394919670184876
+Cardiac shadow is enlarged. Aortic calcifications are again seen. Diffuse vascular congestion is noted with increased interstitial changes consistent with pulmonary edema. No sizable effusion is noted. No bony abnormality is seen. Degenerative changes of both shoulder joints are noted.,Stable cardiomegaly with worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.31588399127474243031669487725899147258
+"The heart is enlarged. The thoracic aorta is atherosclerotic. A LEFT subclavian pacemaker is present. The lungs are clear aside from minimal basilar atelectasis. There is no edema, pneumothorax or significant pleural effusion.",No acute cardiopulmonary disease. Cardiomegaly. Atherosclerosis. Pacemaker.,1.2.826.0.1.3680043.8.498.89392266326887773478375156184826489491
+Again seen is marked hyperexpansion of both lungs with flattening of the hemidiaphragms and enlargement of the retrosternal clear space. Nodular opacity in the left upper lobe is again noted. There is also some scarring in the left lung base. No evidence of pleural effusion. Cardiomegaly is stable. No focal bony abnormality.,1. No acute disease. 2. Stable COPD and cardiomegaly. 3. Stable left upper lobe pulmonary nodule.,1.2.826.0.1.3680043.8.498.62383280978917914722992918338915427912
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23991522933610205065348756228650242564
+Cardiac silhouette mildly enlarged. Thoracic aorta atherosclerotic. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,Mild cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27857179905794346812538732825142813275
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39399060413431096606950557620132114024
+The heart is within normal limits in size. The aortic arch is tortuous and contains calcification. The lung fields are clear. No effusions are seen. The vascularity is within normal limits.,1) No acute cardiopulmonary disease identified. 2) The heart is normal in size. 3) The aortic arch is tortuous and contains calcification.,1.2.826.0.1.3680043.8.498.23221841745856238981625914908634915093
+PA and lateral chest radiographs are provided. There is left upper lobe and left lower lobe airspace disease most concerning for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Left upper lobe and left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.48525866333838270899883505496306852319
+"Left chest tube remains in place. Small left apical pneumothorax again noted, unchanged. Left base atelectasis again noted. Right lung is clear. Heart is normal size. No effusions.",Stable small left apical pneumothorax with left chest tube in place. Stable left base atelectasis.,1.2.826.0.1.3680043.8.498.57980684441297548260500490802606821023
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91459220312538763311328899593925510941
+No fracture or dislocation is identified. The joint spaces are normal in width. No significant arthritic changes are seen.,Normal left knee. Normal left tibia and fibula.,1.2.826.0.1.3680043.8.498.27408433514005812010019355550958480247
+"Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. Calcified pleural plaques are seen. No consolidation, mass or pleural effusion is seen. Degenerative changes are seen in the spine.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92777116103336443798486866445701447424
+Nasogastric tube terminates below today's film. The right PICC line terminates in stable position. The cardiomediastinal silhouette is stable. The lung volumes are low. Mild opacity in the right base is probably atelectasis given the low lung volumes. No other acute abnormalities.,1. Support apparatus as above. 2. Low lung volumes with probable right basilar atelectasis.,1.2.826.0.1.3680043.8.498.14828320416487261212537303853145948661
+Patchy airspace opacities are again noted throughout the right lung and left lung base. These are not significantly changed compared to the prior chest x-ray. No pulmonary edema or pneumothorax. No pleural effusion. Cardiac and mediastinal contours are within normal limits. No acute osseous abnormality.,No significant interval change in the appearance of the chest compared to 10/01/2007. Persistent patchy airspace opacities throughout the right lung and left lung base consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.52681144202890647483307658122607522614
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49417325751550629894404255825724131852
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.77229675100914974099057211012700974500
+The heart size is normal. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Normal chest. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.35640274780343335371730494427992086630
+The patient is rotated to the right. The heart is mildly enlarged. The aorta is tortuous and ectatic. The lungs are clear. There is no evidence of pleural effusion or pneumothorax. A remote right-sided rib fracture is again noted. No acute fractures are identified.,No acute cardiopulmonary disease. Cardiomegaly and ectasia of the thoracic aorta.,1.2.826.0.1.3680043.8.498.40762887907661430360496118350021853745
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33536072353198616682506063524602452437
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61935991821305698736709989689445898101
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.99268004106935540688492009754931923688
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97708547839148660551762878677977860869
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.92459255549033202768255030778027491029
+The heart size is stable. Aortic calcifications are noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56098426425655092497741026870318011720
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal. Left-sided pacemaker in place.,No acute cardiopulmonary changes.,1.2.826.0.1.3680043.8.498.48960915670242916432473074363913473825
+"The lungs are hyperinflated. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.51591720750783026111052643145105999847
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.36760475054927609269905588192225950088
+"The heart is normal in size. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.27315704799265126399354097732380231071
+Mediastinum and hilar structures normal. Prior CABG. Heart size normal. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Prior CABG. Heart size stable. 2. Low lung volumes. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.68882090628482507934733815223951861547
+There is consolidation in the left upper lobe. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation consistent with pneumonia left upper lobe. Lungs otherwise clear. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.59441349156040135486382823989442752231
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94471810668835604354136329212514414581
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.77736213253538707767502934367805606791
+"Cardiomediastinal silhouette is normal. There is central bronchial thickening but no infiltrate, collapse or effusion. Lung volumes are normal.",Bronchitis pattern. No consolidation or collapse. Normal lung volumes.,1.2.826.0.1.3680043.8.498.39948762691224577883520663601823798199
+There is noted a dense consolidation in the RIGHT lower lobe compatible with pneumonia. There is also noted a minimal infiltrate in the LEFT lower lobe. The heart is normal in size. The mediastinal structures are unremarkable. No effusions are seen.,Findings which can be compatible with bibasilar pneumonia basically unchanged from 11-16-6.,1.2.826.0.1.3680043.8.498.41127952448145816560199316653184372384
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56992559613119908333925215772426698026
+Heart size is normal. Aortic atherosclerosis is noted. The lungs are clear. The vascularity is normal. No effusions. No acute bone finding.,No active disease. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46788849986395059103432628446742394145
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.71091829586292521659525825437393743417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24943485798331512100882816511670055140
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94259719020649067472112156714603112541
+Stable cardiomediastinal silhouette. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Stable mild central pulmonary vascular congestion is noted. No consolidative process is noted. Bony thorax is unremarkable.,Stable central pulmonary vascular congestion. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.96374440697789030083553736396372787766
+Cardiac silhouette is unchanged. Small left lung infiltrate is re-demonstrated greater than prior exam with progression in the left lung base. Osseous structures are unchanged.,Continued progression of left lung infiltrates.,1.2.826.0.1.3680043.8.498.19447212585381489644210716394027574690
+There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.15573444388761765483217346618946674693
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97803324292574988535309343402001378733
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.96261195786607201635049027587043195317
+There is hyperinflation of the lungs compatible with COPD. Linear areas of scarring in the lung bases. Heart is mildly enlarged. No confluent opacities or edema. Suspect small right pleural effusion. No acute bony abnormality. No visible rib fracture. No pneumothorax.,COPD/chronic changes. Cardiomegaly. Small right effusion.,1.2.826.0.1.3680043.8.498.83070057244770235566175989921536282032
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41368243345154491250573673477691261340
+Linear atelectasis or scarring at the right base. No consolidation or effusion. Normal heart size. No pneumothorax.,No active cardiopulmonary disease. Scarring or atelectasis at the right base.,1.2.826.0.1.3680043.8.498.53513650935582377309282594054666627588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38285357466531637734854254984231040861
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29024930183940544147019330586823296830
+Heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. Airspace consolidation is noted within the right lower lobe. The left lung is clear.,1. Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease. 2. Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.98809856601642546118267198623179417960
+Tracheostomy tube and right PICC line in stable position. Heart size stable. Persistent bilateral pulmonary infiltrates/edema again noted without interim change. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema without interim change. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.41195317334983306388732604698607606307
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30130488648163053076039540990859952209
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85480667997397892643608473454803327999
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37648589294865397773756130641358327707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79753317972408260654053847870188966434
+"An 8 cm masslike opacity is present in the right upper lobe. A patchy area of airspace opacity is present in the left upper lobe. No pleural effusion. No evidence of edema. Heart size is normal. Aortic atherosclerosis. Endotracheal tube terminates 6 cm above the carina. Enteric tube courses into the abdomen, tip not imaged.","1. Support apparatus as described. 2. Right upper lobe mass, suspicious for primary lung malignancy given reported history of lung cancer. 3. Superimposed patchy airspace opacities in the upper lobes bilaterally may reflect pneumonia.",1.2.826.0.1.3680043.8.498.75523128822899611437136108474730572165
+Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Slight worsening in right greater than left interstitial and airspace disease.,"Slight worsening in airspace disease, likely due to infection or aspiration superimposed upon pulmonary edema.",1.2.826.0.1.3680043.8.498.15850956300257540777877599048725075427
+"Portable AP semi upright view at 7315 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Stable right IJ approach Swan-Ganz catheter. Mediastinal drain and left chest tube are stable. No pneumothorax. Stable pulmonary vascularity. Stable cardiac size and mediastinal contours. Prior CABG. Stable visualized osseous structures.",1. Stable lines and tubes. 2. No pneumothorax. 3. Stable pulmonary edema.,1.2.826.0.1.3680043.8.498.40482367583285040629249677681560473369
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11429195635308937244897900598299341824
+There is stable cardiomegaly. Again seen is a transvenous defibrillator/pacer and AICD device. There has been slight improvement in the previously seen pulmonary edematous changes. Small bilateral pleural effusions are seen. There is atelectasis seen within the left lung base.,Slight improvement in CHF. Stable cardiomegaly. Small bilateral pleural effusions. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.17379250698580991213200094019346862157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.31257137320662022240845547747955276978
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.64352396434703010160434809573103045606
+The cardiopericardial silhouette is within normal limits for size. There is tortuosity of the descending thoracic aorta. Linear atelectasis is present in the right mid lung. No focal consolidation is seen. No pleural effusions are evident. The visualized soft tissues and bony thorax are unremarkable.,1. Linear atelectasis in the right mid lung. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56924302385152961962575168900224778600
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65929869207612797760836964142304296574
+"Patchy opacity in the lingula, suspicious for pneumonia. Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.",Lingular pneumonia.,1.2.826.0.1.3680043.8.498.37427459303335257143516514119996896113
+Low lung volumes. No pleural effusion or pneumothorax. Cardiomegaly.,Low lung volumes with cardiomegaly.,1.2.826.0.1.3680043.8.498.67124461592369510324251774036414423258
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59975688763438046288802784122937775453
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16707875118084156319286661902960465852
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55300361816127119936896607461687706450
+"Right PICC line and feeding tube are unchanged. The cardiac silhouette remains mildly enlarged. Aortic atherosclerosis is noted. Lung volumes remain low with mild left basilar opacity, which has mildly improved. No edema, sizable pleural effusion or pneumothorax is identified.","Mild left basilar opacity, likely atelectasis.",1.2.826.0.1.3680043.8.498.22118618839560712834339797104318902077
+"AP view at 9555 hours. Enteric tube placed, tip at the level of the gastric body. UVC catheter tip is at the level of the diaphragm. UAC tip at T7-T8. Normal bowel gas pattern. No endotracheal tube. Normal cardiothymic silhouette. No pleural effusion or pneumothorax. No confluent pulmonary opacity.",1. Enteric tube placed into the stomach. UVC and UAC are stable. 2. Normal bowel gas pattern. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.91029709390096126624709108236807867517
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.89984633223185706589024239607272399000
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42930649597739290291228642946302098735
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85536169438951626459158807328658544224
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.98183758568645137792473779025249316447
+Left subclavian pacemaker leads project over right atrium and right ventricle. Enlargement of cardiac silhouette. Tortuous aorta. Pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones appear demineralized.,No pneumothorax following pacemaker placement. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.96377510432318179922551817210437108119
+Chest: Single view chest without comparison shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Abdomen: flat and upright views of the abdomen without comparison shows a nonobstructive bowel gas pattern with air seen down to the level of the rectum. Moderate amount of stool is seen in the ascending colon and cecum. No pathologic calcifications are seen. There is no free air seen by upright examination. The visualized osseous structures show no acute findings. Surgical clips are seen in the right upper quadrant presumed to reflect previous cholecystectomy.,1. No radiographically evident acute cardiopulmonary process. 2. Nonobstructive bowel gas pattern seen. 3. No free air seen by upright examination.,1.2.826.0.1.3680043.8.498.28613213156483397124750486526122121217
+Right central venous catheter is unchanged. Mild cardiomegaly. Bibasilar atelectasis. No effusions or edema. No acute bony abnormality.,"Cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.79159350615904893344400441605203320621
+Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.51917609621452938670066910281822665323
+The heart is enlarged. The pulmonary vascularity is normal. Lungs show no acute process. There is no pneumothorax or effusion. Mediastinal contours are unremarkable. Hilar appearance is normal. Old left rib fractures are noted.,Cardiomegaly. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.58689360934809994824496452382132563866
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21979505347836238593745846072718663562
+Cardiac silhouette upper limits of normal in size. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. No bone abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.39342532878088626728936750639392505389
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18927937850624817368251584611607591690
+Heart size is normal. There is a small left pleural effusion. No interstitial edema noted. No airspace consolidation identified. There is a hiatal hernia.,1. Small left pleural effusion. 2. Hiatal hernia.,1.2.826.0.1.3680043.8.498.20240940019355748344081980838477656463
+There is airspace disease in the anterior left upper lobe consistent with pneumonia. The right lung is clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.67260482579265034358037778925822671236
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Small right pleural effusion with adjacent atelectasis. The left lung is clear. No pneumothorax. The visualized skeletal structures are unremarkable.,Small right pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.27511446208766595819886293322479447106
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.69672572546194360856417569016851745918
+There is hyperinflation of the lungs compatible with COPD. Scarring noted in the lung apices bilaterally. No acute infiltrates or effusions. The heart is upper limits of normal in size. Mediastinal contours are within normal limits and stable. No acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.11206231896325752331831312901691504559
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90610576634903630610224732888933443324
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99569576264333464001671051039282941074
+"Mild, hazy opacities are present throughout both lungs, likely representing mild RDS. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits. An orogastric tube is seen with tip in the mid stomach.",1. Improved aeration of both lungs. 2. Mild RDS.,1.2.826.0.1.3680043.8.498.24925959482156148384277039258512237795
+The lungs are clear. The cardiothymic shadow is normal. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.93041872834968721685769732543010078979
+The pleural effusions have resolved. The heart is normal in size and the lungs are clear. No pneumothorax.,Resolved pleural effusions and no acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71621945254709786946532582418617442354
+There is diffuse interstitial infiltrate in both lungs. There is shallow inspiration. The heart is borderline enlarged. There is no pneumothorax. There is no discrete mass. The bony structures appear to be intact.,Bilateral areas of interstitial infiltrate. Correlation is made with images of 05/22/1997. The possibility of chronic fibrotic changes with superimposed acute areas of pneumonia or pulmonary edema is a consideration.,1.2.826.0.1.3680043.8.498.18046134885447479622267725505946993706
+"Patchy bilateral airspace disease again noted, slightly increased. Low lung volumes. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.","Patchy bilateral airspace disease compatible with pneumonia, slightly increased in the upper lobes.",1.2.826.0.1.3680043.8.498.40289772743904653530974983552438081486
+The lungs are clear. There is no pleural effusion or pneumothorax. Heart size is normal. No rib fracture.,Negative exam.,1.2.826.0.1.3680043.8.498.81887822819908859587817578481861676133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69202014725939178941353085493415392391
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Thoracolumbar scoliosis is noted.,No acute disease.,1.2.826.0.1.3680043.8.498.94069989086172985243940335772373920887
+The heart is mildly enlarged. There is no significant effusion. There is no definite edema. There is some minimal atelectasis at the lung bases. The bones are osteopenic. There is a thoracic scoliosis. The patient is status post right shoulder replacement.,Stable chest x-ray with mild cardiomegaly and mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.79865847180056456257387708257183129711
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11107169197149299111430517024567315048
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67890234264789455867581483339983189021
+"Cardiothymic silhouette is normal. There is bronchial thickening but there is no infiltrate, collapse or effusion. Bony structure is unremarkable.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.83416039686386215715431332815602856605
+"There are bilateral pleural effusions, left greater than right. Opacity in the left lung base is probably due to associated atelectasis. There is no evidence of pulmonary edema. No pneumothorax is identified. Heart size is normal. No focal consolidations are noted. The visualized bony structures are unremarkable.","1. Bilateral pleural effusions. 2. Left lower lobe opacity, probably atelectasis.",1.2.826.0.1.3680043.8.498.48874433045826652053801659615869406779
+An orogastric tube is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate good expansion with no evidence for focal infiltrate or congestive failure. No pleural effusions are seen. Bony structures appear intact.,Stable cardiopulmonary appearance with no acute disease.,1.2.826.0.1.3680043.8.498.39576014121501403167174802109576036336
+There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings.,1. Chronic lung findings without superimposed focal infiltrate. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.95897654039535262728094748372500065447
+Prior CABG. Heart is normal size. Tortuosity of the thoracic aorta. Small left pleural effusion and left base atelectasis. Right lung is clear. No acute bony abnormality. No pneumothorax.,Small left pleural effusion and left base atelectasis.,1.2.826.0.1.3680043.8.498.50230392694360595075870108823165049569
+Exam is limited because of difficulty positioning the patient. The patient is rotated to the right. The heart remains enlarged with a stable tortuous aorta. Bibasilar atelectasis and airspace disease remain with interval increase in the right lower lobe. Bilateral effusions are suspected. No definite pneumothorax.,1. Slight increase in basilar airspace disease and atelectasis with bilateral effusions. 2. Exam is limited because of difficulty patient positioning as described above.,1.2.826.0.1.3680043.8.498.43494556735076386944774720667166727835
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55486070352425510903492163116840653817
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14518055282944902228916282336733134750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96705416300861725908167136405730341908
+Left jugular catheter tip is in the lower SVC. No pneumothorax. There is minimal atelectasis at the left lung base. The lungs are otherwise clear. Heart and mediastinal contours normal.,"1. Left jugular catheter placement to the lower SVC, no pneumothorax. 2. Minimal left lower lobe atelectasis.",1.2.826.0.1.3680043.8.498.93083667264009222722735310387721800050
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81368437618946377810998430319797463691
+The cardiac silhouette remains near the upper limit of normal in size. Clear lungs with normal vascularity. Thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.11412893548176936757157248290392669854
+"There are bilateral pneumothoraces. There is no significant change since the prior study. Again, the lungs appear clear. Negative for airspace disease, atelectasis, or effusion. Negative for pneumothorax. The heart size is normal. The bowel gas pattern is normal. There is no evidence of dilated bowel loops. There is no evidence of free air. The previously described rib fractures are not apparent on this examination.",1. Small bilateral pneumothoraces. 2. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.92241199203415773502659847448130785589
+There is focal airspace disease in the right middle lobe consistent with pneumonia. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.48627939435461837168108931307765574040
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11247386082625054378459517197317937692
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82563513602022413947715138278730688909
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular central line in the SVC region. No evidence for a pneumothorax. New patchy densities throughout the right lung and left lung base. Heart size is within normal limits. No evidence for a pneumothorax.,New airspace densities in the lungs as described. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.92129335155009962915067229073666870245
+There is a small right pleural effusion. The right lower lobe lung nodule is difficult to visualize on the current exam. There is no pneumothorax. The left lung is clear. The heart size is normal. The visualized soft tissues and bony thorax are unremarkable.,1. Small right pleural effusion. 2. No change in the appearance of the right lung nodule.,1.2.826.0.1.3680043.8.498.35174549942143662910389758551494664106
+Heart and mediastinal contours normal. Again noted are bilateral upper lobe densities with bilateral hilar adenopathy. These findings are stable consistent with sarcoidosis. No acute process. No change since the prior exam. No pleural fluid or osseous lesions.,Chronic changes consistent with sarcoidosis - no acute process.,1.2.826.0.1.3680043.8.498.22697181147909323843443888827250822752
+Endotracheal tube is 2.8 cm above the carina. NG tube enters the stomach. Heart is normal size. Lungs are clear. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube and NG tube in expected position. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72608630707112484933824065814009524495
+Linear atelectasis is seen in the left mid lung and lung base. The lungs are otherwise clear. No pneumothorax or pleural effusion. Heart size normal.,No acute disease.,1.2.826.0.1.3680043.8.498.55698379627054977404741057514140826511
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Lungs clear. Cardiac silhouette normal.,1.2.826.0.1.3680043.8.498.89987714024641005406510038762973259547
+Low lung volumes. There are small bilateral pleural effusions. Bibasilar atelectasis present. No pneumothorax. Stable cardiomediastinal contours. No aggressive osseous lesion.,Low lung volumes with small bilateral pleural effusions and adjacent atelectasis/consolidation.,1.2.826.0.1.3680043.8.498.20806032257661389418265362034834407661
+Single frontal view of the chest demonstrates an enlarged cardiac silhouette. Atherosclerosis of the aortic arch. Linear areas of consolidation at the lung bases likely reflect atelectasis. No effusion or pneumothorax. No acute bony abnormalities.,1. Bibasilar subsegmental atelectasis. 2. Cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.61933122133078753786627293020502710883
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25176713633628164736112447407533005652
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.52629534355812598991195480068603731685
+Lung volumes are normal. There is no focal airspace disease. Mild central airway thickening is noted. No effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening without focal process.,1.2.826.0.1.3680043.8.498.11887401727216564184913949831408902251
+Increased reticular opacities are present in the lungs with some fissural and septal thickening. No pneumothorax or effusion. No convincing features of edema. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality. Telemetry leads overlie the chest.,Findings suggestive of mild pulmonary edema.,1.2.826.0.1.3680043.8.498.73102131242315256939821637451986118553
+No evidence of displaced fracture or dislocation. No retrosternal hematoma.,No evidence of displaced fracture or dislocation.,1.2.826.0.1.3680043.8.498.35435216995309673236886155046037750601
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37060745948621190351889922200434383131
+Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. Small right pleural effusion is stable. No left pleural effusion. No pulmonary edema. Stable hazy opacities at the right greater than left lung bases.,"Stable hazy opacities at the right greater than left lung bases, compatible with multilobar pneumonia. Stable small right pleural effusion.",1.2.826.0.1.3680043.8.498.57381151901338661185273943707431820504
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88669003446780516326586450737076228078
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19133948918646798017914679223103903024
+There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There are bilateral pleural effusions and interstitial edema consistent with CHF. Bilateral lower lobe opacities are noted which may reflect atelectasis and/or airspace disease.,1. CHF. 2. Bilateral pleural effusions and pulmonary edema.,1.2.826.0.1.3680043.8.498.70974271765390035512699690604600958584
+Mediastinum and hilar structures normal. Heart size normal. No pulmonary venous congestion. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18139911186721702758560685658322008137
+Stable cardiomediastinal silhouette. Stable bilateral diffuse lung opacities are noted concerning for multifocal pneumonia. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable findings consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.88662585750105586964635737449170916741
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95069026597509309458323410696925606484
+There is patchy infiltrate in the anterior segment of the left upper lobe. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Infiltrate left upper lobe, consistent with pneumonia. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.38432656237262645405131152693053365463
+A left upper extremity PCVC is again noted with the tip in the superior vena cava. An orogastric tube is stable in position. The endotracheal tube has been removed. The appearance is most similar to the exam of 09/30/07. Mild RDS persists. No areas of atelectasis are seen.,Left upper extremity PCVC tip in the superior vena cava.,1.2.826.0.1.3680043.8.498.22221351471731758895389884772020673035
+Single frontal view of the chest demonstrates a stable cardiac silhouette. Emphysema again noted. There is patchy consolidation at the right lung base consistent with pneumonia. No effusion or pneumothorax. Multiple bilateral nodular opacities consistent with known metastatic disease. No acute bony abnormalities.,1. Right lower lobe pneumonia. 2. Emphysema and bilateral pulmonary metastatic disease.,1.2.826.0.1.3680043.8.498.97079513831100187678222471611905598169
+Endotracheal tube and NG tube in stable position. Heart size normal. Progressive left base atelectasis and/or infiltrate. Stable right base atelectasis. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Progressive left base atelectasis and/or infiltrate.,1.2.826.0.1.3680043.8.498.40304070385648311027181470790174764445
+Left-sided pacemaker in place. Stable heart size and mediastinal contours. Hiatal hernia. No pulmonary edema. No pleural effusion or pneumothorax. No focal airspace disease.,No acute abnormality.,1.2.826.0.1.3680043.8.498.69297041613555268841869338162907647099
+The patient has a new right-sided PICC with the tip in the superior vena cava. No pneumothorax. Left base atelectasis is noted. The lungs are otherwise clear. Heart size normal.,1. PICC in place without complicating features. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.70727897346067446274254467736252814015
+The lungs are hyperinflated consistent with COPD. No active infiltrate or effusion is seen. The heart is within upper limits of normal.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.62439422958561431279408636824651813962
+Normal heart size. Status post TAVR. Aortic atherosclerosis. Clear lungs. No pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16035197199021406723491463341349177634
+"Stable cardiomegaly with aortic atherosclerosis. No focal airspace disease, pleural effusion or pneumothorax. No evidence of pulmonary edema. No acute bony abnormalities identified.",Stable cardiomegaly with aortic atherosclerosis. No acute findings.,1.2.826.0.1.3680043.8.498.25687020205753766568905335684456775338
+The right PICC line tip is in the mid SVC approximately 6- 7 cm above the region of the cavoatrial junction. The heart remains enlarged and there is persistent diffuse edema throughout the lungs.,Right PICC line tip in the mid SVC.,1.2.826.0.1.3680043.8.498.22559515790975184359761173562537204520
+The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture. Limited evaluation of the thoracic spine.,Mild bronchitis. No dense consolidation.,1.2.826.0.1.3680043.8.498.73096075029241309248578650178039153808
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43211159893494723112281269229138687059
+"Swan-Ganz catheter, mediastinal and thoracostomy tubes have been removed. Small left pleural effusion and left lower lobe atelectasis are again noted. Small right pleural effusion is present. Cardiomegaly. No CHF. No pneumothorax.",Small left pleural effusion and left lower lobe atelectasis. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.92232422017666746150340569428487830523
+Single portable AP chest radiograph is provided. There is hazy airspace disease at the right lung base which may represent atelectasis versus developing infiltrate. The remainder of the lung fields are clear. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49714024355543162760232886021940534840
+The heart size and mediastinal contours are stable. There is aortic atherosclerosis. There are persistent findings of congestive heart failure with pulmonary edema and small bilateral pleural effusions. Patchy airspace opacities at the left lung base are unchanged and may reflect atelectasis or pneumonia. There is no pneumothorax. The bones are unchanged.,"Persistent congestive heart failure with small bilateral pleural effusions and patchy left basilar airspace disease, likely atelectasis. Pneumonia is not excluded.",1.2.826.0.1.3680043.8.498.47366454904708227712102450118715806637
+Mild cardiomegaly. Lungs clear. No effusions or edema. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31856376597296246713097416562715651044
+There is little change in coarse interstitial markings throughout the lungs consistent with pulmonary fibrosis. No focal infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is mildly enlarged and stable. No bony abnormality is seen.,Stable chronic interstitial change consistent with pulmonary fibrosis. No active process.,1.2.826.0.1.3680043.8.498.69472192637176068720271500747736767372
+"Heart size is normal. There is atherosclerotic calcification of the aortic arch. Previously seen airspace consolidation in the left upper lobe has decreased in size. There is a persistent bandlike area of airspace consolidation in the left upper lobe, consistent with resolving pneumonia. Right lung is clear. No pleural effusion or pneumothorax.",1. Persistent but decreased left upper lobe airspace consolidation consistent with resolving pneumonia. Continued radiographic follow-up is recommended to document complete resolution. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.63572078723432375139713279136876275110
+Heart size within normal limits. There is no appreciable airspace consolidation. No evidence of pleural effusion or pneumothorax. No acute bony abnormality identified.,No evidence of acute cardiopulmonary abnormality or displaced rib fracture.,1.2.826.0.1.3680043.8.498.22171642239327895990836850818038573428
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.82436573727627015186253859038028594695
+Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.83850904832283943059811380461643819241
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94739167466234726934059833157419762713
+"Unchanged heart size and mediastinal contours. Aortic atherosclerosis. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest finding.,1.2.826.0.1.3680043.8.498.70804664851295799331769835660075438496
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.11433679022412295521704444971233656124
+There is abnormal density in the right lower lobe worrisome for pneumonia. The left lung is clear. No pleural fluid. Heart and mediastinum are normal.,Findings worrisome for right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.53279789462716160861158535434848125419
+"There is increased density at both lung bases, greater on the right. The findings are suspicious for bilateral pneumonia. There is no evidence of pulmonary edema. The heart is mildly enlarged. A cardiac pacemaker is present. Postoperative changes of prior CABG are noted.","1. There is increased density at both lung bases, greater on the right. The findings are suspicious for pneumonia. 2. Mild cardiomegaly. 3. A cardiac pacemaker is present.",1.2.826.0.1.3680043.8.498.78341016238394799158806117094466539985
+"Patchy ill-defined opacities and areas of interstitial prominence are noted throughout the lungs bilaterally, most evident throughout the mid to lower lungs. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits.","Persistent parenchymal abnormalities throughout the lungs bilaterally, compatible with residual pneumonia.",1.2.826.0.1.3680043.8.498.53248695109158745398012440754439412547
+"There is little change in CHF with congestion, effusion, and edema. Cardiomegaly is stable. Slightly prominent right hilum is noted.",CHF with effusion. Slight prominence of right hilum. Recommend follow-up.,1.2.826.0.1.3680043.8.498.84220659776375283356333230262513597207
+Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.59959177400738252588271856307285877887
+Heart size is normal. No pleural effusion or pulmonary edema. The lung volumes are low. No airspace consolidation identified.,1. Low lung volumes. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.99116184050853289080912122689660787959
+Right IJ central line extends to the mid SVC. No pneumothorax. Low lung volumes with some patchy atelectasis at the lung bases as before. No effusion. Heart size upper limits normal. Tortuous atheromatous thoracic aorta. Regional bones unremarkable.,Central line to mid SVC without pneumothorax.,1.2.826.0.1.3680043.8.498.45174737468138040543064159635347665720
+Persistent areas of increased density noted in the right upper lobe and left lung base. Findings are consistent with atelectasis and infiltrate. The cardiovascular structures are unremarkable.,1. Persistent atelectasis and infiltrates. 2. Interim improvement from 7/11/2023.,1.2.826.0.1.3680043.8.498.95960370966644365648816222232903500962
+"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.63853084491728370895779067311459554938
+Tip of endotracheal tube projects 2.8 cm above carina. Right jugular central venous catheter tip projects over proximal SVC. External pacing leads present. Normal heart size. Diffuse bilateral airspace infiltrates throughout both lungs. No gross pleural effusion or pneumothorax.,Line and tube positions as above. Extensive bilateral airspace infiltrates.,1.2.826.0.1.3680043.8.498.34452343395974011370222934213784156503
+There are patchy opacities at the right lung base suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. Heart is normal in size. Visualized osseous structures are within normal limits.,Patchy opacities at the right lung base suspicious for pneumonia.,1.2.826.0.1.3680043.8.498.89396654208606448730233430347331465520
+Right internal jugular central venous catheter with its tip at the cavoatrial junction. No pneumothorax. Nasogastric tube extending into the stomach. Mild patchy opacity at the left lung base.,Right internal jugular central venous catheter tip at the cavoatrial junction. No pneumothorax. Mild patchy left basilar atelectasis.,1.2.826.0.1.3680043.8.498.78442168430989597751497528024085431860
+PA and lateral chest radiographs are provided. There is a small right pleural effusion. There is right lower lobe airspace disease which may represent atelectasis versus infiltrate. The left lung is clear. There is no pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,Small right pleural effusion with right lower lobe airspace disease which may represent atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.55539212238975514001034488888527794845
+Normal cardiothymic silhouette. Airway is normal. There is coarsened central bronchovascular markings. No focal consolidation. No pneumothorax. No bony abnormality.,Findings suggest viral process.,1.2.826.0.1.3680043.8.498.63414160381995603448092858113410359581
+The heart size and mediastinal contours are within normal limits. Endotracheal and nasogastric tubes are in good position. No pneumothorax is noted. Diffuse interstitial densities are noted throughout both lungs most consistent with pulmonary edema. Minimal pleural effusions may be present. The visualized skeletal structures are unremarkable.,Findings most consistent with bilateral pulmonary edema.,1.2.826.0.1.3680043.8.498.68882063275280372486376696540623656671
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18968269477986661178271387766977210134
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86489190545380027950895668466983392003
+Heart: Normal. Lungs: Normal. Mediastinum: Normal. Pleural effusions: None. Bones: Stable. Visualized upper abdomen: Normal. Left chest wall port in place with the tip in the superior vena cava.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.55779761510863657581279873566956386506
+"The lung volumes are low. The heart is probably enlarged. No distinct pneumothorax is identified. Minimal opacities are present in the lung bases, particularly on the left.","Probable basilar atelectasis and/or overlying soft tissue. Pulmonary consolidation cannot be entirely excluded, however.",1.2.826.0.1.3680043.8.498.78698195305836660205347130342656905530
+Right chest wall Port-A-Cath is unchanged. The heart size is normal. There is a small left pleural effusion. Patchy areas of atelectasis and/or airspace disease are seen in the left mid lung and left base. There is increased density at the right lung base which may reflect atelectasis.,1. New patchy areas of airspace disease are seen in the left mid lung and left base. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.78150012112025036162189875971569713128
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19111612445612892684472165331027788916
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.66371492237615765039581047342267975874
+The heart and mediastinum are within normal limits. The lungs are hyperinflated. No focal pulmonary opacities.,"Hyperinflation. Otherwise, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.35688311270440284387188093253466329614
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.79053316469497092031184990786859662000
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81106000168103474798552208823404251802
+The heart is normal in size. The aorta is tortuous. The lungs are clear. No pneumothorax. No acute rib fractures.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62432274985536610303294431756539753114
+Right central line is in place. The tip is in the right atrium. Endotracheal tube and NG tube are unchanged. Low lung volumes with vascular congestion and atelectasis. No pneumothorax.,Right central line tip in the right atrium. No pneumothorax. Otherwise no change.,1.2.826.0.1.3680043.8.498.53231854832883439671879774188077963773
+Stable enlarged cardiac silhouette and post CABG changes. Stable left subclavian pacemaker leads. No significant change in mild diffuse peribronchial thickening. Stable left basilar airspace opacity. No acute abnormality.,1. Stable cardiomegaly and mild chronic bronchitic changes. 2. Stable left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.90292167687280835496346366761360162533
+Right internal jugular single-lumen porta cath with tip terminating at the superior cavoatrial junction. Left internal jugular Vas-Cath with tip terminating in the right atrium. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,"1. Support apparatus, as above. 2. No radiographic evidence of acute cardiopulmonary disease. 3. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.30452285583728736882687801789198093916
+Mediastinum and hilar structures normal. Heart size normal. Partial clearing of right lung infiltrate. Small bilateral pleural effusions. No pneumothorax.,1. Partial clearing of right lung infiltrate. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.27435691072393101169332758980681711761
+Endotracheal tube has been removed. Swan-Ganz catheter remains in the right pulmonary artery. Left chest tube is in place. There is no pneumothorax. There is mild bibasilar atelectasis.,Mild bibasilar atelectasis post extubation.,1.2.826.0.1.3680043.8.498.22918946030546788932713599993044880637
+The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not clearly engorged. I see no pleural effusion.,There are findings consistent with interstitial edema of cardiac or noncardiac cause. I see no focal pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.67176668385742938514954483605991171599
+Cardiac shadow is stable. Aortic calcifications are again seen. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25295172799699852644616292367551511217
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80072191672981248346767364766973867828
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10358683874974714840067685127283129382
+There is a new area of consolidation in the right upper lobe consistent with pneumonia. Heart size and vascularity are normal. Left lung is clear. No osseous abnormality.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.25862918779951789369923723711836106293
+Patchy opacities are present in the periphery of both lungs most notably in the left lung base. No pneumothorax or effusion. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.,Patchy opacities in the periphery of both lungs suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.49012825114639894613019668024155240179
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.87632846929163972425919266270112588233
+"There is an nasogastric tube in place with the tip in the stomach. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral infiltrates at the lung bases are noted. There may be small pleural effusions. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Nasogastric tube with tip in stomach. Bilateral basal infiltrates.,1.2.826.0.1.3680043.8.498.25306691984722293462283628991499783623
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.51400497001775681289165784336317318000
+The heart size and mediastinal contours are within normal limits. Prior CABG. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18182311872678365466871209558097552009
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47667483937423198843190595508033427077
+"Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.",1. No radiographic evidence of acute cardiopulmonary disease. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.84815238018491655031705237879027693146
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99647387480776719265095765511374034927
+The patient has had a right mastectomy and axillary dissection. The heart is normal in size. There is no evidence for pericardial effusion. The lungs are hyperinflated. There is no evidence for pulmonary edema. No focal airspace disease is seen. Blunting of the right costophrenic angle is stable.,1. Stable appearance of the chest. 2. No evidence for pericardial effusion. 3. Changes consistent with COPD. 4. Small right effusion versus chronic pleural thickening.,1.2.826.0.1.3680043.8.498.91675494711689685227654418920309007696
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19499286789166235500368473680717386328
+Cardiac shadow is stable. Aortic calcifications are again seen. Right-sided PICC line is noted in satisfactory position. The lungs are well aerated bilaterally. Mild left basilar atelectasis is seen. No bony abnormality is noted. Postsurgical changes in the cervical spine are seen.,Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.48514638724372212506961408683320458330
+The left chest tube is stable. A tiny left pneumothorax is stable. A left pleural effusion and left basilar atelectasis are again noted. The right lung is under-inflated with mild basilar atelectasis. The right internal jugular central venous catheter is stable.,No significant interval change.,1.2.826.0.1.3680043.8.498.54120837908878178882656438089066620881
+The heart is enlarged. There is diffuse interstitial prominence throughout the lungs compatible with edema. There are bilateral pleural effusions. There is bibasilar atelectasis.,Findings compatible with CHF.,1.2.826.0.1.3680043.8.498.49565971046292942347683219712000426925
+"Lung volumes are low. The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",Low volume film without acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.74083636558791188142640698443058020747
+The lungs are clear. Heart size is normal. The left subclavian Port-A-Cath tip is in the lower SVC. There are no pleural effusions. Degenerative changes are present in the thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35488766913754362235067625207790841684
+Heart is normal size. Aortic atherosclerosis. Lungs are clear. No effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84328537846706172971794944774726336958
+Heart size is normal. No pleural effusion or pulmonary edema. There is plate-like atelectasis noted at the left lung base. No airspace consolidation.,1. Left base atelectasis.,1.2.826.0.1.3680043.8.498.43120253873014182577771108790849660148
+The lungs are adequately inflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,There are no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26579854449949001677508695938522905421
+"Interval extubation and removal of nasogastric tube. Mediastinal drain and LEFT thoracostomy tube remain. RIGHT jugular Swan-Ganz catheter with tip projecting over main pulmonary artery bifurcation. Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis. No gross infiltrate, pleural effusion or pneumothorax.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.77357559857826314948959964840609347698
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Clear lungs. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.29484233374360011043603957426727257764
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73319466249957293033209736688209292118
+Endotracheal tube remains in place with the tip in good position 3.5 cm above the carina. Left IJ catheter and NG tube are unchanged. Diffuse left-sided airspace disease persists without marked change. The right lung is clear. There is no pneumothorax. Cardiomegaly.,No marked change in diffuse left-sided airspace disease consistent with pneumonia.,1.2.826.0.1.3680043.8.498.96886712284099527510059922762731811945
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39406887061685132605653304751057341567
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.25085108630925810987731520658284899378
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88198269616481270399905325068709644873
+There is now noted increased density in the LEFT upper lobe compatible with pneumonia. The RIGHT lung field is clear. No pulmonary edema is seen. The heart size is normal. The chest is hyperexpanded compatible with COPD.,1. There is a consolidated infiltrate in the LEFT upper lobe compatible with pneumonia. 2. COPD.,1.2.826.0.1.3680043.8.498.16757224599235265645591782962465673887
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80962560631420949792676156455621700868
+There has been interval worsening of bilateral lower lung consolidation/atelectasis. Small bilateral pleural effusions are noted. The heart is normal in size.,Worsening bilateral lower lung consolidation/atelectasis with small effusions.,1.2.826.0.1.3680043.8.498.23544590741039841791586571683305601821
+Cardiovascular: There is cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are interstitial infiltrates identified bilaterally. Osseous structures: Age-appropriate.,Congestive heart failure with pulmonary venous congestion and bilateral interstitial infiltrates.,1.2.826.0.1.3680043.8.498.65066240295550491171853999817854593062
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61100874635588094304555476594047420534
+Continued confluent opacity in the right upper lobe anteriorly. This is less dense than on the most recent exam. No associated pleural effusion. Lung parenchyma elsewhere remains within normal limits. Stable cardiac size and mediastinal contours. Stable scoliosis. No acute osseous abnormality identified.,"1. Continued right upper lobe consolidation compatible with pneumonia, but improved since 1/29/2021. 2. Recommend repeat PA and lateral views in 6 weeks after treatment to document resolution.",1.2.826.0.1.3680043.8.498.81505394626419572522280553790730183585
+The lungs are clear. Cardiovascular structures are unremarkable. The chest is stable from multiple prior studies dating back to 0882.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70919566034234504295083254550773940052
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36636495292708247489555687257759320899
+Cardiac shadow is stable. Previously seen infiltrative changes have resolved in the interval. No focal infiltrate or effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81001000262864389402021663694294109980
+Left subclavian central venous catheter tip is in the mid SVC. No pneumothorax. Esophageal tube tip is below the diaphragm but is non included. Mild cardiomegaly. Status post CABG. No acute infiltrate or effusion.,Central venous catheter tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.68317850337745984568592254753861170514
+There is questionable retrocardiac density which may represent a small developing infiltrate. The cardiac silhouette is mildly prominent. The bony thorax is grossly intact.,Questionable developing left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.35999933293401812091373866692376846675
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66022054861585353260500187703812957269
+There is a right arm PICC line with tip in the projection of the cavoatrial junction. Heart size is normal. There is plate-like atelectasis in the left base. No pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Left base atelectasis.,1.2.826.0.1.3680043.8.498.96104929189787804365004227480677556358
+There is a large right-sided pneumothorax with complete collapse of the right lung. The left lung is clear. The cardiothymic silhouette is normal. No pleural effusions are seen. The upper abdomen demonstrates a normal bowel gas pattern. The osseous structures are unremarkable.,Right-sided tension pneumothorax. This report was discussed with the patient's nurse at the time of this dictation.,1.2.826.0.1.3680043.8.498.28197237622319762465512565532272223418
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No acute skeletal abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.27483526231407745980670064969057972834
+Left-sided pacemaker overlies normal cardiac silhouette. Cardiac stent is noted. There is a small right pleural effusion which is increased compared to prior. There is plate-like atelectasis in the right lower lobe. Left lung is clear. No pneumothorax.,1. Increase in right pleural effusion. 2. Right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.85677826091029038512549612126334632406
+Enteric tube tip is in the proximal stomach. Normal cardiothymic silhouette. Improved aeration of both lungs. Mild streaky opacities at both lung bases. No pneumothorax or pleural effusion. Bowel gas pattern is nonobstructive. No evidence of free air or pneumatosis. Osseous structures are unremarkable.,"1. Enteric tube tip in the proximal stomach. 2. Improved aeration of both lungs with mild streaky basilar opacities, likely atelectasis.",1.2.826.0.1.3680043.8.498.34894822349745560013166024052419917651
+A venous catheter is now present on the LEFT. The tip is projected over the upper portion of the superior vena cava. An endotracheal tube remains present with the tip approximately 2.5 cm above the carina. There is again noted increased density at the LEFT base compatible with pneumonia or atelectasis. The RIGHT lung field is clear. No pneumothorax is seen.,Please see above.,1.2.826.0.1.3680043.8.498.85409027422586304548142070226280153180
+Normal sized heart. Patchy airspace opacity in both lungs. No pleural fluid. Mild thoracic spine degenerative changes. Cholecystectomy clips.,Patchy bilateral pneumonia.,1.2.826.0.1.3680043.8.498.30736778791751300576123092017517828634
+Cardiothymic shadow normal. There is a rounded density in the right upper lobe consistent with round pneumonia. No pleural fluid. Left lung clear.,Right upper lobe round pneumonia.,1.2.826.0.1.3680043.8.498.51329578123907919233095908304373033460
+The heart size is normal. The lungs are clear. There is no free intraperitoneal gas on the upright view. The bowel gas is nonspecific nonobstructive. Dilated gas-filled loops of small bowel are noted. There is no bowel dilatation. No suspicious abdominal calcifications are seen. There is no organomegaly.,No acute abdominal abnormality. Mild gas-filled small bowel loops.,1.2.826.0.1.3680043.8.498.90131521644712448418693953335984189253
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.22821405467541963545986639747584591521
+The lungs are hypoexpanded. Vascular congestion is noted. Bilateral central airspace opacities raise concern for pulmonary edema. There is no evidence of pleural effusion or pneumothorax. The heart is mildly enlarged. No acute osseous abnormalities are seen.,Lungs hypoexpanded. Vascular congestion and mild cardiomegaly. Bilateral central airspace opacities raise concern for pulmonary edema.,1.2.826.0.1.3680043.8.498.59147427091032790267874790606988378336
+"Since prior chest CT, interval left basilar atelectasis and small left pleural effusion seen. Lungs are otherwise clear. Tiny left apical pneumothorax is seen. Heart size is normal. Mediastinum, hila, pleura and osseous structures are unremarkable.",1. Tiny left apical pneumothorax. 2. Interval left basilar atelectasis and small left pleural effusion. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.57427129967256716302467970749473199712
+There has been mild interval improvement in diffuse pulmonary edematous changes with residual airspace disease present. The heart remains enlarged.,Mild interval improvement in pulmonary edema.,1.2.826.0.1.3680043.8.498.44967866218495236251288276776822710841
+"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. basilar atelectasis. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality. Multiple right-sided rib fractures.",1. No radiographic evidence of an acute cardiopulmonary process. 2. basilar atelectasis.,1.2.826.0.1.3680043.8.498.80659889120148476420192399281683038518
+"The tracheostomy tube is in place. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.48306992808529187411457612736020108432
+The cardiomediastinal silhouette is normal in size. Normal pulmonary vascularity. Unchanged linear atelectasis/scarring in the right lower lobe. No pneumothorax. Small right pleural effusion again noted. No left pleural effusion. No consolidation. No acute osseous abnormality.,1. Unchanged right lower lobe atelectasis. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.11368189865228537269167668133454258944
+The right basilic vein measures 3.5 x 0.5 x 2.0 cm in size. The right basilic vein is compressible and demonstrates normal flow by Doppler evaluation. The left basilic vein measures 3.0 x 0.0 x 1.0 cm in size. The left basilic vein is compressible and demonstrates normal flow by Doppler evaluation. The left basilic vein is not visualized.,Unremarkable ultrasound evaluation of the right basilic vein.,1.2.826.0.1.3680043.8.498.28173496216202910642870977292598966736
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.99907131072881994541127711984599920549
+"Right PICC line is in place with the tip at the cavoatrial junction. Left pacer is unchanged. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Right PICC line tip at the cavoatrial junction. Stable cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.38196041775014186308894228783911270052
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99661654438268586271340625130688843056
+"There is cardiomegaly. There are prominent interstitial markings bilaterally, increased compared to prior studies. No focal consolidations or pleural effusions are identified. No evidence for pneumothorax.",1. Findings are consistent with congestive heart failure. 2. Previously seen lower lobe infiltrates have resolved.,1.2.826.0.1.3680043.8.498.36788889133108724820689988552105209173
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65653571235151470028930831520290592319
+Shallow inspiration. Cardiac enlargement. Calcified and tortuous aorta. Elevation of the left hemidiaphragm. Small bilateral pleural effusions with basilar atelectasis or infiltration. No pneumothorax. Overall stable appearance since previous study.,Cardiac enlargement with small bilateral pleural effusions and basilar atelectasis or infiltration.,1.2.826.0.1.3680043.8.498.38423578061138964488419903949741077731
+"There is chronic interstitial coarsening. There is superimposed diffuse interstitial opacity, slightly nodular in appearance. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal.",Diffuse interstitial opacity superimposed on chronic interstitial lung disease. This may indicate acute interstitial or bronchitis superimposed on chronic change.,1.2.826.0.1.3680043.8.498.52940579118629793193968171731877221623
+Lung volumes are low. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.62126932062287061235695433811210493187
+Endotracheal tube is 5.6 cm above the carina. Lungs are clear. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.,Endotracheal tube 5.6 cm above the carina. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42133832000630458138428979847882293692
+Cardiac shadow is stable. Postsurgical changes are noted. An endotracheal tube is seen 5.6 cm above the carina. A nasogastric catheter extends into the stomach. A mediastinal drain is noted. A Swan-Ganz catheter is noted in the right pulmonary artery. No pneumothorax is seen. Mild left basilar atelectasis is noted.,Tubes and lines as described. No pneumothorax is noted. Mild left basilar atelectasis is seen.,1.2.826.0.1.3680043.8.498.53470079122957356518879094044669595904
+"The heart is top-normal in size. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.26782749610380791728839417567638876177
+Upper normal heart size. Mediastinal contours normal. Diffuse infiltrates in the mid to lower RIGHT lung. LEFT lung grossly clear. No pleural effusion or pneumothorax. Bones unremarkable.,"Infiltrates in the mid to lower RIGHT lung, could represent pneumonia or aspiration.",1.2.826.0.1.3680043.8.498.33024128658806913595074649327702416011
+"Endotracheal tube, nasogastric tube, and right subclavian central venous catheter are unchanged. There has been some interval increase in pulmonary edema. Lung volumes are decreased. Basilar atelectasis.",Worsening edema with decreased lung volumes.,1.2.826.0.1.3680043.8.498.23261540404411366352561905242705035412
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,Negative PA and lateral chest x-ray.,1.2.826.0.1.3680043.8.498.29304686237107055479796989606184386442
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73059067396211966638092287647912678846
+Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.67281904112847351298225118188071641722
+Mediastinum normal. Heart size normal. Diffuse bilateral pulmonary infiltrates are present. No pleural effusion or pneumothorax. No acute bony abnormality.,Diffuse bilateral pulmonary infiltrates consistent with pneumonia.,1.2.826.0.1.3680043.8.498.19619940268654408157482333633287677778
+Left chest wall pacer device is noted with leads in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Coned-down views of the left ribs show no evidence for acute rib fracture.,1. Cardiac enlargement. 2. No evidence for left rib fracture.,1.2.826.0.1.3680043.8.498.39367144973205364225475398720034842326
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.40956499455795050308668312923468950026
+"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Linear scarring in left upper lobe with mild volume loss consistent with prior partial lobectomy. Emphysematous changes. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones appear demineralized.",COPD with left upper lobe scarring. No acute abnormalities.,1.2.826.0.1.3680043.8.498.17235543723887320104423120280717210379
+Heart size within normal limits. No definite abnormality of the mediastinal contour. The lungs are clear. No pleural fluid or osseous lesions.,Currently no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48230412384725411458828992062818257125
+"Cardiomegaly with vascular congestion. Interstitial prominence again noted, similar to prior study. No visible effusions. No acute bony abnormality.","Stable cardiomegaly, vascular congestion and interstitial prominence which could reflect interstitial edema or chronic interstitial lung disease.",1.2.826.0.1.3680043.8.498.78866883359914507563738291847740234586
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within upper limits of normal. A permanent pacemaker is present with AICD lead. No bony abnormality is seen.,No active lung disease. Permanent pacer with AICD.,1.2.826.0.1.3680043.8.498.12142862436024311473161174909319036607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77786128944212930170343391206768818102
+There is tortuosity of the thoracic aorta. The patient is rotated to the right on today’s exam. The lungs appear clear. Heart size is mildly enlarged. No effusion.,Cardiomegaly and tortuous thoracic aorta. No acute disease.,1.2.826.0.1.3680043.8.498.56818757657593682071362287504954947739
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Surgical clips again seen in the left upper paramediastinal region. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13005845745578277450495033822922683943
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.82732093433081019754821282163619719259
+Umbilical vein catheter is been pulled back with tip now overlying the inferior cavoatrial junction. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. The bowel gas pattern is also normal.,Umbilical vein catheter in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.97181684214188327788628193951283574602
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72214516274546840617662499225914663682
+Peribronchial thickening. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,"Peribronchial thickening, suggesting viral bronchiolitis or reactive airways disease.",1.2.826.0.1.3680043.8.498.56234817653945308827382299010817935225
+There is a left chest wall pacer with lead in the right ventricle. The heart size is enlarged. There are bilateral pleural effusions. The interstitial pattern is prominent consistent with pulmonary edema.,Improved CHF.,1.2.826.0.1.3680043.8.498.90325931726283398678356493202730714996
+Cardiovascular: There is cardiomegaly and pulmonary venous congestion. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are multifocal areas of atelectasis and infiltrate. Osseous structures: Age-appropriate.,1. Pulmonary venous congestion. 2. Multifocal areas of atelectasis and infiltrate. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.16097753050905459658134333159349164445
+"Right anterior chest wall, internal jugular, Port-A-Cath has its tip projecting in the lower superior vena cava. No pneumothorax. Lungs are clear. Heart, mediastinum and hila are unremarkable.","1. Right anterior chest wall Port-A-Cath is well positioned, tip projecting in the lower superior vena cava. 2. No acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.94888659015729827162341666389108818301
+Right internal jugular central venous line has its tip in the mid superior vena cava. No pneumothorax. Lungs are clear. Mild cardiomegaly. Prior CABG. Left anterior chest wall sequential pacemaker is stable and well positioned.,Right internal jugular central venous line tip projects in the mid superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.66098157551420240910267447780005894747
+Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube tip and side port are in the stomach. No pneumothorax. There is a small right pleural effusion with ill-defined airspace opacity in the right base. Lungs elsewhere clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Tube positions as described without pneumothorax. Ill-defined airspace opacity right base with small right pleural effusion is likely due to contusion. Lungs elsewhere clear. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.96419645914074255744326727288169858617
+The cardiac silhouette is within normal limits. The lungs are free of focal consolidations. There is central pulmonary vascular congestion. The pulmonary vasculature is mildly congested. The costophrenic angles are sharp. The bony structures are adequately mineralized.,Mild central pulmonary vascular congestion with mild interstitial edema. No focal lobar consolidations.,1.2.826.0.1.3680043.8.498.98588353102457202743102191781015713424
+The bony thorax is grossly intact. The heart is enlarged. The pulmonary vascularity is within normal limits. No focal pulmonary infiltrate is present. No pleural effusion is seen.,No acute cardiopulmonary abnormality is identified.,1.2.826.0.1.3680043.8.498.52737555602987069877820768735502489221
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94379954695942400435894409218902143079
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. Atherosclerosis in the thoracic aorta.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40885544794997075077184943617207021993
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93481414397488756427877118953741377766
+Postoperative changes in the mediastinum. Mild cardiac enlargement. Pulmonary vascularity is normal. Small left pleural effusion with basilar atelectasis or infiltration. No pneumothorax. Calcification of the aorta. Degenerative changes in the spine and shoulders.,Cardiac enlargement. Postoperative changes. Small left pleural effusion with basilar atelectasis or infiltration. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.30649204623922604338273358769699398576
+There is airspace consolidation in the right base with small right pleural effusion. There is mild left base atelectasis. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Consolidation right base consistent with pneumonia. Small right pleural effusion. Mild left base atelectasis. Stable cardiac silhouette. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.99238316275196249583623082445250117214
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.89257562722806081653865660951928610955
+Endotracheal tube is 2.5 cm above the carina. Nasogastric tube extends into the stomach. There are patchy airspace opacities in both lower lobes as well as in the right mid lung. No significant pleural effusions. No pneumothorax. The heart is normal in size.,1. Support apparatus satisfactory. 2. Bilateral airspace opacities which may reflect pneumonia or asymmetric edema.,1.2.826.0.1.3680043.8.498.82866143466154765762150395378164566577
+There is little change in basilar atelectasis and probable small effusions. Aeration of the lungs has improved slightly. Cardiomegaly is stable. Right central venous line is unchanged. Median sternotomy sutures are noted.,Slightly improved aeration. Persistent basilar atelectasis and probable effusions.,1.2.826.0.1.3680043.8.498.15101409775048995616440280594624524467
+"Heart size and pulmonary vascularity are normal. There is a large air-fluid level in the left hemithorax, consistent with a large hiatal hernia. The left hemidiaphragm is chronically elevated. The right lung is clear. No effusions. Port-A-Cath is in place.",No acute abnormalities. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.39848065043254891150255555014460301691
+COPD with hyperinflation of the lungs. Negative for pneumonia or heart failure. Negative for mass lesion.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82962600586853943192380878796240165181
+Cardiomegaly. Diffuse airspace disease with small pleural effusions. Opacification is stable. No pneumothorax.,Stable bilateral airspace disease and small effusions.,1.2.826.0.1.3680043.8.498.90004626330988827004440745416999924865
+Lung volumes and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. No pulmonary contusion. No acute displaced rib fracture identified. Mild degenerative endplate changes in the thoracic spine. Negative visible bowel gas pattern.,No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.98290410048064575480841311563827139959
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10453280134973749487712677194422448115
+Endotracheal tube placed with tip measuring 4.5 cm above the carina. Enteric tube tip is off the field of view but below the left hemidiaphragm. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Postoperative changes in the cervical spine.,Appliances appear to be in satisfactory location.,1.2.826.0.1.3680043.8.498.16290479275984817742332388983943245140
+UAC tip at T7. UVC tip at T8 over the right atrium. Lungs are essentially clear. Adequate lung volumes. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,UVC tip over the right atrium. UAC at T7.,1.2.826.0.1.3680043.8.498.32422579560172526969855750152204170317
+There is opacity at the left lung base consistent with left lower lobe pneumonia and left pleural effusion. The right lung is clear. The heart is within normal limits in size. No bony abnormality is seen.,Left lower lobe pneumonia and left pleural effusion.,1.2.826.0.1.3680043.8.498.21014279901351924718872834274235081062
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.52107660797070292268714478388712661288
+There has been worsening of diffuse airspace disease throughout both lungs most consistent with either edema or pneumonia. There may be small effusions present. The heart is within upper limits of normal. Left central venous line is unchanged in position.,Worsening of diffuse airspace disease. Consider edema versus pneumonia.,1.2.826.0.1.3680043.8.498.63209455432281342929625621108183870416
+Two right chest tubes remain and no pneumothorax is seen. Basilar atelectasis remains with probable effusions. Right central venous catheters are unchanged.,No change in right hilar mass and basilar atelectasis with probable effusions.,1.2.826.0.1.3680043.8.498.53678911156432417072967162849218587167
+The lungs are reasonably well inflated. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left hemidiaphragm is obscured. I see no definite pleural effusion.,The findings are consistent with congestive heart failure with pulmonary interstitial edema. I cannot exclude left lower lobe atelectasis or pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.42814985800025567689119045650790299813
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64166472257868432578861078903186403432
+There is a persistent LEFT pleural effusion with some density in the LEFT lung base which may represent some atelectasis and/or underlying infiltrate. The RIGHT lung field is clear. The vascularity is within normal limits.,1. Persistent LEFT pleural effusion with density in the LEFT lung base which may represent some atelectasis and/or infiltrate. 2. The RIGHT lung field is clear.,1.2.826.0.1.3680043.8.498.24084695600889565152676044181398019494
+Left chest wall Port-A-Cath is again noted with tip in the cavoatrial junction. The cardiac shadow is stable. Diffuse bilateral infiltrates are again identified and stable. No new focal abnormality is seen. The upper abdomen is within normal limits.,Stable appearance of the lungs with diffuse bilateral infiltrates.,1.2.826.0.1.3680043.8.498.43266672473486888885155233911625548459
+"There is linear fibrosis or atelectasis at the right lung base. The lungs are otherwise clear. The heart is normal in size. Atherosclerotic calcification is present. There is no edema, infiltrate, effusion or pneumothorax.",No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84924540996468109667031899359316275781
+"There is elevation of the right hemidiaphragm, chronic. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The heart size and mediastinal contours are within normal limits. Radiopaque pedicle screws are seen within the visualized portion of the cervical spine. Degenerative changes seen throughout the thoracic spine.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53004987864053026008329037230145254860
+Small right pleural effusion. Right basilar atelectasis. Mild cardiac enlargement. Negative for edema. Left lung is clear. No pneumothorax. NG tube is in the stomach.,Cardiac enlargement. Small right effusion with right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.97976366442890536657884947039133616657
+"Tip of endotracheal tube projects 6.2 cm above carina. Nasogastric tube extends into stomach. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Bibasilar atelectasis versus consolidation and small effusions, little changed. Upper lungs clear. No pneumothorax.",Persistent bibasilar atelectasis versus consolidation and small effusions. Enlargement of cardiac silhouette.,1.2.826.0.1.3680043.8.498.91576786719851250454844662963069238304
+Right-sided PICC line terminates at the low SVC. Midline trachea. Normal heart size. Small left pleural effusion is similar. No pneumothorax. Improved right upper lobe airspace disease. Persistent left base opacity.,"1. Improved right-sided aeration, suspicious for resolving infection. 2. Persistent left base opacity which could represent atelectasis or infection. 3. Similar small left pleural effusion.",1.2.826.0.1.3680043.8.498.38435356020894829211002597997595163594
+Low lung volumes. Small bilateral pleural effusions with associated atelectasis. Vascular congestion with mild pulmonary edema. No pneumothorax. Cardiomegaly.,1. Low lung volumes with small bilateral effusions and basilar atelectasis. 2. Cardiomegaly with vascular congestion and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.67019699587086361963211482528884427664
+Endotracheal tube tip is 2.5 cm above the carina. Left base atelectasis is again noted. Nasogastric tube enters the stomach. The heart is enlarged. Pulmonary vascular congestion is improved.,Endotracheal tube tip is 2.5 cm above the carina. Improved vascular congestion. Persistent left base atelectasis.,1.2.826.0.1.3680043.8.498.42335153339502282743791866904269855313
+The lungs are well expanded. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. There is a permanent pacemaker in place. The patient has undergone prior CABG. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude low-grade compensated CHF in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.93809443869680263252378792517790016772
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49769872230886189126494089490002909197
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49388322015105987181144725970553835707
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42778972062451826632632959576351395823
+Endotracheal tube and feeding tube are unchanged. The lungs remain low in volume with bibasilar atelectasis. Heart size is normal.,No interval change.,1.2.826.0.1.3680043.8.498.64636834528445398308707207976388446491
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.21033599452969567677793834172793937194
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57900302940078442159142298608924385667
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.45779214836731723570419134630754094152
+PA and lateral upright views of the chest were obtained. Lung volumes are normal. No pulmonary mass or consolidation is present. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. Normal pulmonary vascularity. No acute regional skeletal abnormality. Small hiatal hernia is unchanged.,1. No acute process in the chest. 2. Small hiatal hernia.,1.2.826.0.1.3680043.8.498.71783156081345241959792016573466454599
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30122477143949813661695310516232045702
+The heart is enlarged. The lungs are under expanded. There are bibasilar infiltrates and effusions. Degenerative changes are seen in the spine.,Bibasilar infiltrate and effusions.,1.2.826.0.1.3680043.8.498.28016932566934352004313738072106512478
+No acute bony abnormality. Specifically no evidence of rib fracture. No pneumothorax. Calcified granuloma noted in the left upper lobe.,No acute findings.,1.2.826.0.1.3680043.8.498.33499216177365916654644322140610957354
+"Cavitary lesion in the right lower lobe is again noted, unchanged. There is increasing surrounding consolidation in the right lung which may be due to atelectasis or pneumonia. Left lung is clear. Heart is normal size. No effusions.",Stable right lower lobe cavitary lesion. Increasing surrounding airspace opacity in the right lung which could reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.45595709083873555787681598613168887648
+"There is patchy airspace disease at the lung bases bilaterally, similar to prior exam. This may represent atelectasis or pneumonia. Cardiomegaly is present. No effusion.",Stable bibasilar airspace disease.,1.2.826.0.1.3680043.8.498.75728393343872308655338858303571675611
+"Tracheostomy tube terminates in the mid trachea. Prior median sternotomy. The cardiomediastinal silhouette is normal in size. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.77018719060326548599678544215895618704
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23680591213619107576165875338933139408
+"Endotracheal tube, right PICC, and nasogastric tube are unchanged in position. Moderate right pleural effusion with associated atelectasis/consolidation in the right lung base has increased. Small left pleural effusion with left retrocardiac consolidation/ atelectasis is also increased. Mild interstitial edema in the right upper lung. Heart size is mildly enlarged.","Increase in bilateral pleural effusions, right greater than left, with associated atelectasis/consolidation in the lung bases. Stable support apparatus.",1.2.826.0.1.3680043.8.498.53692295661481450398788947846263726581
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower right chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30587830602897158607683471752950487810
+The lungs demonstrate NO consolidations or significant effusions. Mild chronic appearing coarse interstitial changes. The heart is normal in size and position. Heart size is accentuated by technique. No definite acute changes in bones or joints. There is a naso/orogastric tube present with the tip in the stomach.,There is a naso/orogastric tube present with the tip in the stomach. Consider advancing 5 to 10 cm to be well within the stomach.,1.2.826.0.1.3680043.8.498.27657259441821381037697745585285984924
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are mild degenerative changes in the mid to lower thoracic spine. An aortic valve replacement is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.92242776940925723775748457219456198827
+"Two views of the chest show a normal size cardiomediastinal silhouette with atherosclerotic calcifications in the aorta. The lungs are hyperexpanded, consistent with COPD. No consolidation or pleural effusion is present. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49110249914001171756697368998295857555
+The lungs are adequately inflated. The interstitial markings are increased. The pulmonary vascularity is engorged. The cardiac silhouette is mildly enlarged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. This is not a new finding. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.64201736343005876366307202399829852403
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90619127410068444421231635307479123732
+There is again noted increased density at the LEFT base compatible with a LEFT pleural effusion which obscures approximately the lower 40% of the LEFT lung field. There is also noted a mass-like density at the LEFT upper lobe. This density appears to be essentially unchanged as compared to the prior exam. No new pulmonary infiltrates are seen. No pleural effusion is noted on the RIGHT. The heart size is normal. Postoperative changes of prior CABG are noted. A Port-A-Cath is present.,"1. Stable appearing chest as compared to the prior exam of 2/6/3. 2. There persists increased density at the LEFT base compatible with a small, LEFT pleural effusion. 3. A mass-like density is again noted at the LEFT upper lobe. 4. No new pulmonary infiltrates are seen.",1.2.826.0.1.3680043.8.498.16350418964979977919862792395409369511
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is not engorged. There is no pleural effusion. A Port-A-Cath appliance is in place with the tip in the region of the midportion of the SVC.,There is no evidence of pneumonia nor CHF. I cannot exclude an element of acute bronchitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.84799934083375754071080924858212676124
+"There is a nasogastric tube in place with the tip in the stomach. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Nasogastric tube with tip in stomach. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.94963399128489781521123184608314712743
+There are low lung volumes. No pneumothorax. Bibasilar atelectasis present. Heart is normal size. No effusions.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.30672409851637068827785669373329539265
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23045775845468295565846397371279416973
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80296577154278126235023319098924711970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99782871251031629001393681392601584010
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.35568475067479235804724284973351710865
+"Frontal and lateral views of the chest show no focal pneumonic consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Pulmonary vascularity is normal. There is atherosclerotic calcification of the aortic arch.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.78084863477661686709796936505493991842
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81284780554693958748527376077493070979
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.10869527600437009182429149566344036464
+The heart is normal in size. Bibasilar atelectasis is stable. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute interval change.,1.2.826.0.1.3680043.8.498.66650161396476930846884297449263957077
+There is a left chest tube in place. The left pneumothorax has improved in the interval. There is a small left effusion with left base atelectasis. The right lung is clear. There is a dilated gas-filled esophagus at the right heart border. The patient is status post esophagectomy and gastric pull-through procedure.,1. Decreasing left pneumothorax. 2. Small left effusion with left base atelectasis. 3. Dilated gas-filled esophagus.,1.2.826.0.1.3680043.8.498.50043819424416945940235935432981232691
+There is generalized interstitial edema. There is patchy airspace opacity in the left base. There is mild atelectatic change in the right base. There is no airspace consolidation. There is cardiomegaly with pulmonary venous hypertension. No adenopathy. No bone lesions. No pneumothorax.,Findings indicative of a degree of congestive heart failure. Patchy airspace opacity in the left base may represent alveolar edema or superimposed pneumonia. Both entities may exist concurrently.,1.2.826.0.1.3680043.8.498.89266621486521747033308589996144274896
+Cardiac shadow is enlarged. Aortic valve replacement is again noted. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72916938454366962093836952592657939282
+Lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. Patient is status post aortic valve replacement. No bone lesions. No pneumothorax.,Status post aortic valve replacement. Heart upper normal in size. Lungs clear.,1.2.826.0.1.3680043.8.498.70306856845754300904885855949034259157
+Cardiac shadow is stable. Endotracheal tube and nasogastric catheter are again noted and stable. The lungs are well aerated bilaterally with increasing density in the right lung base consistent with new infiltrate. Left basilar atelectasis is again noted. No bony abnormality is seen.,New right basilar infiltrate.,1.2.826.0.1.3680043.8.498.69875082925041862166034400800347518434
+The lungs are reasonably well inflated. The interstitial markings are increased diffusely. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. The permanent pacemaker appears unchanged.,There are findings consistent with pulmonary interstitial and alveolar edema. This may be of cardiac or noncardiac cause. The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads. Withdrawal by approximately 2.0 cm is recommended.,1.2.826.0.1.3680043.8.498.98673372365103827313076051234135410226
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.93428998074490757465930145585980187638
+No active infiltrate or effusion is seen. The heart is within normal limits in size. No acute bony abnormality is noted. Right rib detail films show no evidence of acute rib fracture.,No active lung disease. Negative right rib detail.,1.2.826.0.1.3680043.8.498.14451329881179074077433373698612411600
+Prior CABG. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema progressed from prior exam. Small left pleural effusion. No pneumothorax.,1. Prior CABG. Cardiomegaly. 2. Diffuse bilateral pulmonary infiltrates/edema progressed from prior exam. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.62101071546959075707757967067599783462
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43067908252132609192754742627673611964
+"The cardiomediastinal contours are normal. Subsegmental atelectasis or scarring in the right midlung zone is unchanged from prior exam. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No acute chest findings.,1.2.826.0.1.3680043.8.498.46293457776056935899037364686343034550
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96597338578191659318844315206786257724
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97739576469866106230517031571820444170
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. The known left anterior tenth rib fracture is not well seen on this film.,No active disease.,1.2.826.0.1.3680043.8.498.77950519923630941683742631587946858448
+The cardiac silhouette is within normal limits. Lungs are clear. Pulmonary vasculature is normal in caliber. There is a moderate to large hiatal hernia.,No acute cardiopulmonary process. Hiatal hernia.,1.2.826.0.1.3680043.8.498.40593470198843546974883163417903828479
+Cardiothymic shadow normal. Lungs clear. No pleural fluid or osseous lesions.,No active disease.,1.2.826.0.1.3680043.8.498.88545306008062127154753542527975118588
+"Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 5 cm above the carina. Nasogastric tube below the diaphragm. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.50385521133798417189571333632451800722
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15467102456431345339870997211443762095
+"Since 09/28/06, clearing right middle lobe pneumonia. Lungs are otherwise clear. Heart size normal. Mediastinum, hila, pleura and osseous structures are stable and unremarkable.",1. Resolution right middle lobe pneumonia. 2. No active chest disease.,1.2.826.0.1.3680043.8.498.37875398472735615144655393788106172826
+Exam is limited by patient positioning. No definite evidence for free intraperitoneal air is seen on this exam. Lungs are grossly clear. Cardiothymic silhouette is within normal limits.,Limited exam without definite acute findings. No evidence for free intraperitoneal air.,1.2.826.0.1.3680043.8.498.37766206038048093657120438563556034756
+Heart is enlarged. There is pulmonary vascular congestion and patchy airspace disease throughout the lungs bilaterally. No definite pleural effusions. No pneumothorax.,Findings consistent with congestive heart failure and pulmonary edema.,1.2.826.0.1.3680043.8.498.40596275186517847556372184755524818276
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.51441406883780154681186720238325444862
+Endotracheal tube is 2.5 cm above the carina. Right dialysis catheter is in place with the tip in the right atrium. NG tube enters the stomach. There is cardiomegaly. Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate. No confluent opacity on the left. No acute bony abnormality.,"Cardiomegaly, moderate to large right effusion, and right lower lobe atelectasis or infiltrate.",1.2.826.0.1.3680043.8.498.95956870984553236147612118365923661602
+Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax. No osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.75408827311194820653844399540941574837
+There is abnormal opacity in the left mid and lower lung. This may represent pneumonia. Underlying mass is not excluded and follow-up two-view chest x-ray is recommended. There is mild linear atelectasis at the right lung base. The heart is mildly enlarged. Ectasia of the thoracic aorta is noted.,1. Opacity in the left mid and lower lung. Possible pneumonia but cannot exclude underlying mass. Recommend follow-up two-view chest x-ray. 2. Linear atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.52529408849908003554416489283157658927
+There is cardiomegaly. Left AICD is in place. No focal airspace opacities or effusions. No acute bony abnormality.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.37195683074975206872080986330656954948
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58585466685299342763558201632031762112
+"Intact sternotomy wires. Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91581046761680599228160481803825470959
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.87920476778950635250267798378212667838
+Small right pleural effusion. Right basilar airspace disease most likely reflects atelectasis. Left lung is clear. Heart is normal size. No acute bony abnormality.,Small right pleural effusion and right basilar atelectasis.,1.2.826.0.1.3680043.8.498.43669667643321935851631760190090829602
+Left-sided pacemaker unchanged. CABG changes. Mild cardiac enlargement. Mild vascular congestion. Mild bibasilar atelectasis. No significant effusion. Negative for pneumonia.,Mild vascular congestion and mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.60535523691584017815618967610488420461
+"Cardiomegaly. Status post median sternotomy and aortic valve replacement. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49545425287978917576562538353258067845
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.29672153186170362089082076684689824761
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93863447040088832917942949360937566586
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17733179967135826703796979210150678681
+"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13948197799448643309664141448480159444
+There is a new mass-like opacity in the left mid lung zone. There is also some patchy airspace disease in the left lower lobe. The right lung appears improved in aeration. No effusion. The heart size is normal.,New left mid lung zone mass with left lower lobe airspace disease.,1.2.826.0.1.3680043.8.498.80365107392314994497044195425040619079
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74470342661521447936614570004446613795
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55854487026692082553376470809202231268
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.55302311839375952305037433852693948183
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.32327325925973358738947304189748517373
+Cardiac shadow is stable. A right jugular central line is noted with the tip in the superior aspect of the right atrium. No pneumothorax is noted. Minimal left basilar atelectasis is seen. No bony abnormality is noted.,No evidence of pneumothorax following chest wall resection.,1.2.826.0.1.3680043.8.498.54784908805001270029264346777254509225
+Low lung volumes. Moderate cardiomegaly. Diffuse bilateral interstitial edema. No pneumothorax. No pleural effusion.,Cardiomegaly with moderate interstitial edema.,1.2.826.0.1.3680043.8.498.85386754707794609014489852561443872333
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47699934559295141700424358743494240038
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.96773903554906498039184629286739659825
+The bilateral pleural effusions have resolved in the interval. The lungs are clear. Heart size is normal. The right arm PICC tip remains in the lower SVC. Mild thoracolumbar scoliosis is again noted.,Resolution of bilateral pleural effusions. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77958278950344815032903171680150428319
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11708428409507065218222370177294937483
+"LEFT subclavian pacemaker leads project at RIGHT atrium and RIGHT ventricle. Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.32929686305847446473186203628732273946
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58919824606968694757313724600091753217
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The chest appears mildly hyperexpanded suspicious for reactive airway disease.",1. The lung fields are clear. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.29910043536785413677609266718076542574
+Upper-normal size of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No acute osseous findings.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.12341513094410168670005145451204929671
+Endotracheal tube is noted in good anatomic position. The lungs are clear. The previously identified pulmonary edema on 8/25/1999 has cleared. There is cardiomegaly. No evidence of overt congestive heart failure.,1. Findings most consistent with clearing congestive heart failure and pulmonary edema. 2. Endotracheal tube noted in good anatomic position.,1.2.826.0.1.3680043.8.498.80937821121355907777203646539493141807
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23768408955294389882110542172610279792
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and vascularity are normal.,Normal exam.,1.2.826.0.1.3680043.8.498.24750086740067583849697581324155131861
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73052821193414280905258790995975017355
+There is airspace opacity in the left lower lobe and also probably the lingula consistent with pneumonia. There is some apical pleural scarring on the left. The right lung is clear. Heart size and vascularity are normal.,Pneumonia in the left lower lobe and lingula.,1.2.826.0.1.3680043.8.498.18451369849366203658702039990074179271
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.95909615198640511787677107536068842363
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15699064409398341542156774073359139453
+The tip of the endotracheal tube is approximately 6.2 cm above the carina. A right IJ central venous catheter is now present with the tip seen to the lower SVC. No pneumothorax is noted. The lungs are clear. The heart is within normal limits in size.,1. Endotracheal tube tip 6.2 cm above the carina. 2. Right IJ central venous catheter tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.19874077600989850285172840853235491255
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88668571096912563249135752778097878248
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Both lungs are clear. Heart and mediastinum are within normal limits. Negative for a pneumothorax. No pleural effusions.,No active disease.,1.2.826.0.1.3680043.8.498.83479817339536330916870951752009394844
+There is consolidation in the left lower lobe suggestive of pneumonia. The right lung is clear. Heart size is normal. No pleural effusions. No pneumothorax. No osseous abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.24364899370076382408222254521117218751
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61043237955222523743267423078765309554
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45093459408144783760225878522947385830
+There is a hiatal hernia. Opacity at the left lung base is consistent with atelectasis. There are small bilateral pleural effusions. The heart size is normal. The upper lung fields are clear.,1. Small bilateral pleural effusions. 2. Hiatal hernia. 3. Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.19574631817348732464944274003221753996
+Portable semi upright AP view at 7017 hours. Dual lead left chest cardiac pacemaker. Sequelae of median sternotomy. There is cardiomegaly. Bilateral pleural effusions. Bibasilar atelectasis. No pneumothorax or pulmonary edema.,Cardiomegaly with bilateral pleural effusions and basilar atelectasis.,1.2.826.0.1.3680043.8.498.41327756058513008748202385714661026281
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67043942617093080562056157614529578647
+The heart size and mediastinal contours are within normal limits. Low lung volumes. There is elevation of the right hemidiaphragm. Mild patchy airspace opacities at the lung bases. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,"Low lung volumes with patchy airspace opacities at the lung bases, which could reflect atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.31380133875514411594030705522259109589
+Lung volumes are normal. Diffuse emphysematous changes are noted. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Emphysema.,1.2.826.0.1.3680043.8.498.22982352287706843117323051909723388719
+Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No consolidative airspace disease. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures within normal limits.,"Mild scattered peribronchial thickening, which can be seen in the setting of viral pneumonitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.39498630683213715510239497702640961157
+"Endotracheal tube, right central venous catheter, and enteric tube are unchanged. There are bilateral pleural effusions and interstitial edema consistent with CHF. This is progressive when compared to prior examination. No pneumothorax. Stable cardiomediastinal contours.",1. Progressive CHF. 2. Stable support apparatus.,1.2.826.0.1.3680043.8.498.50916340893031045834634949097133949027
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51183663904392313443500081754036384349
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.75468850193211854258761151751034761568
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31946872164355031026045541394529191363
+"PA and lateral chest radiographs are provided. There is right upper lobe airspace disease which is improved from the prior examination. There is no other focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Improved right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.68664157359833570637641161394597164231
+There is no evidence of fracture or other focal bone lesions.,Negative.,1.2.826.0.1.3680043.8.498.16018502374708745399136774306855551534
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.45298820698914817164110400623345571007
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28630387754204880939909517869849294809
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15183481926423018704698114228724425796
+Left subclavian pacemaker / ICD device has been placed. Leads are in the right atrium and right ventricle. No pneumothorax. Heart is mildly enlarged. Lungs are clear. Azygos fissure again noted. No effusion. Degenerative changes in the spine.,Left subclavian pacemaker / ICD device without pneumothorax. No CHF.,1.2.826.0.1.3680043.8.498.44795896006440446889127174735896230213
+The trachea is midline. The heart size is normal. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.91508552357744369154396739231857117077
+Cardiomediastinal silhouette unremarkable for age. Airspace consolidation in the posteromedial left lower lobe. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.95058721603716206944915928557216334776
+There is airspace consolidation in the anterior segment of the left upper lobe consistent with pneumonia. The right lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Left upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.73560107492896786840148324305604139185
+The heart is mildly enlarged. There is no focal consolidation or pulmonary edema. No pleural effusion or pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.71786206171504985325128214544561192018
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21320618556415405047711897043295623471
+Endotracheal tube is in satisfactory position. Nasogastric tube is followed into the stomach. Right IJ central line tip projects over the SVC. No pneumothorax. Heart size is grossly stable. Lungs are low in volume with bibasilar air space disease and probable bilateral pleural effusions.,"1. Right IJ central line placement without pneumothorax. 2. Bibasilar air space disease, as before.",1.2.826.0.1.3680043.8.498.42173987182781603764470916615663703015
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18769826763238256547242178197619077866
+Cavitary mass in the right midlung is decreased in size from the prior exam. There is no evidence of pulmonary consolidation or pleural effusion. Heart size and mediastinal contours are within normal limits.,Cavitary right lung mass decreased in size since prior exam. No acute findings.,1.2.826.0.1.3680043.8.498.65561959510162025087913470810676767615
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.68506382507178016615795355699726863081
+The cardiac silhouette appears enlarged. Mild patchy airspace opacity at the right lung base may represent atelectasis or developing infiltrate. There is mild blunting of the right costophrenic angle which may represent a small pleural effusion. Again noted is a calcified granuloma involving the left lung. The left lung appears otherwise clear. The left costophrenic angle appears sharp.,1. Mild patchy airspace opacity at the right lung base may represent atelectasis or developing infiltrate. 2. Small right pleural effusion. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.43075780136820168174497635899371535647
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.66868707568012785166246965888417361963
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89464211310835400422063095232400462659
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57826286760907335645213880138752368668
+"Left pacer remains in place, unchanged. Heart is normal size. Left base atelectasis or scarring. Small left pleural effusion. Right lung clear. No acute bony abnormality.",Left base atelectasis or scarring with small left effusion.,1.2.826.0.1.3680043.8.498.86059867014098608776208617007062159815
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32733647191254406129426946595699105386
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70730972958465689963925064275669899729
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11185479133517247767045211107052490334
+Right PICC line noted with tip over cavoatrial junction. Heart size normal. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings most consistent CHF. No pneumothorax. Surgical clips noted over the right upper quadrant.,1. Right PICC line noted with tip over cavoatrial junction. 2. Cardiomegaly with bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings most consistent with CHF.,1.2.826.0.1.3680043.8.498.36240500645593974238933112554259502339
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.12809573741915377949423138899648637433
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. Scoliosis of the thoracolumbar spine is noted. No acute bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80907933928548578774700838164720215125
+There is COPD with hyperinflation. There is a left lower lobe pneumonia which was not present previously. The right lung is clear. There is no pleural effusion. The heart size is normal. The bony thorax is unremarkable.,COPD. Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.21693352969967579762035127853371427377
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.38503645742431189259100357007567339544
+There is central airway thickening. No focal airspace disease or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.30221561534627643184030055306588406796
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86392935508448004726436834172177950639
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98256617914275301861424268725554332260
+A left chest tube has been placed. There is a small left apical pneumothorax which is now present. The tip is near the left apex. The patient is asymptomatic. I detect no evidence of significant left pleural effusion. The right lung is clear.,Please see comments above.,1.2.826.0.1.3680043.8.498.90351368688446037019234797031968389654
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16175845415341306632276619747625244739
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35045067228601199391458880943425101086
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61459485297037596795823302457942722191
+Heart size is normal. No pleural effusion or pulmonary edema. Plate-like atelectasis versus scarring is noted in the right middle lobe. No airspace consolidation. The visualized osseous structures are unremarkable.,Right middle lobe atelectasis.,1.2.826.0.1.3680043.8.498.35663946608508900174288208687560107898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63680049141226508838850165234093764323
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings with no evidence for focal infiltrate or congestive failure. No pleural fluid is seen. Bony structures appear intact.,Mild prominence of the interstitial markings with no focal or consolidative abnormality suggested.,1.2.826.0.1.3680043.8.498.58070755801299818200816703301925037704
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91642058662212967226773618202234250752
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25184513103538335008813674015942339609
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.18004972727689445765762065943796587390
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.47978551683283842357527635132220705803
+"Normal lung volumes and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. Negative visible bowel gas pattern.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25360926853366057567315148234136421141
+A left-sided PICC line terminates over the superior vena cava. The heart is moderately enlarged. The pulmonary vasculature is ill-defined and there is some mild interstitial prominence suggesting edema. There is some left base subsegmental atelectasis. There is a left-sided pleural effusion.,1. PICC line terminates over the superior vena cava. 2. Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.39399591951371547687835284493907980686
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40843784333708786261231689206949278839
+"Single frontal view of the chest shows adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Upright and supine views of the abdomen show a moderate amount of stool throughout the colon. No findings for distention or obstruction. Study is negative for air-fluid levels or pneumoperitoneum. No pneumoperitoneum. No acute osseous findings.",No acute cardiopulmonary process this single view. Moderate amount of stool throughout the colon without distention or obstruction.,1.2.826.0.1.3680043.8.498.31483154217665575489672810705873239154
+The lungs are adequately inflated. There is no focal infiltrate. No suspicious pulmonary parenchymal nodules are observed. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. Cardiomegaly without pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.22701632258897519262320289702484116107
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41350851447645086519958871752555640397
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.74512239434863144933964782732483068154
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39327627198258807256797332700573984972
+The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Pacer noted.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29302882072877226810367001992849442453
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.71413042348080923364921739144711492035
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97077746626609335059562388910500760588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77313843721621662244110090474098421088
+Cardiomegaly. There has been aortic valve replacement. Right PICC with tip at the SVC. Diffuse interstitial prominence that is similar to prior. No visible effusion or pneumothorax.,Stable mild pulmonary edema.,1.2.826.0.1.3680043.8.498.14005554743212447541912816832083922685
+"Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.81202969095872059810816662366782576184
+The right arm PICC has been reoriented with the tip now at the SVC right atrial junction. The lungs are clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable.,PICC line placement as described. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49803973785850866875215280632817824350
+"The heart is normal in size. Endotracheal tube terminates in the mid intrathoracic trachea. The enteric tube courses below the diaphragm. The lung volumes are low. There are bilateral interstitial opacities, right greater than left.","1. Findings which may represent pulmonary edema. In the proper clinical setting, infection would be difficult to exclude. 2. Support apparatus as above.",1.2.826.0.1.3680043.8.498.91756320704085326856286224628971148707
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.71058900682462244051463563592099727418
+"The cardiomediastinal silhouette is unremarkable. COPD/emphysema changes again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",COPD/emphysema without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11697113752889813667721428968943009750
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.50699423331846945012116242924324809674
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69608224565602409132958710137235323717
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10054122694626657189749835899808116185
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is postoperative change in the lower cervical spine.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.38014872432936476135461885808146185558
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45810595496204221661134038868113378240
+Stable cardiomediastinal silhouette. No pneumothorax or pleural effusion is noted. Mild patchy opacities are noted in both lung bases concerning for multifocal pneumonia. Bony thorax is unremarkable.,Mild patchy bibasilar opacities are noted concerning for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.47215657462508171708757829922038574271
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20393613373117846813017336719183590466
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.71740491035259348489626175074441523794
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.48989467511649238145979551390751789944
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88670137649039112502794402187905578562
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47713191643316755181818278950866386199
+Endotracheal tube tip is 5.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No edema or effusions. No airspace opacities. No pneumothorax. Heart and mediastinal contours normal.,No acute cardiopulmonary disease. Tubes well positioned.,1.2.826.0.1.3680043.8.498.29245861505224782478249124614893599269
+Right-sided Port-A-Cath is again noted with tip over the projection of the superior vena cava. Heart size is enlarged. There are no pleural effusions or pulmonary edema. No airspace consolidation is identified.,1. Cardiomegaly. 2. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.82389292631818976714755200070423051675
+"The heart is enlarged. The lungs appear to be clear. There is no edema, infiltrate, effusion or pneumothorax. The bony structures appear intact.",Cardiomegaly. No acute cardiopulmonary disease evident.,1.2.826.0.1.3680043.8.498.24900914910840646345652483776851495490
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17899206658060033448194174203560079941
+Cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.61837969700438156008391297743177773871
+The lungs are well-aerated. Focal left-sided airspace opacity raises concern for pneumonia. A small left-sided pleural effusion is suspected. No pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size. A significantly displaced fracture through the middle third of the left clavicle is better characterized on concurrent left clavicle radiographs.,1. Suspect small left-sided pleural effusion. Left-sided airspace opacity raises concern for pneumonia. 2. Significantly displaced fracture through the middle third of the left clavicle is better characterized on concurrent left clavicle radiographs.,1.2.826.0.1.3680043.8.498.71195413965207007902434846623567952794
+"There are multiple right lateral rib fractures, which appear remote. There is a fracture of the lateral right eighth rib. There is a small right pleural effusion. There is scarring at the right lung base. No definite pneumothorax is identified. Left lung is clear. Heart is normal size.","Multiple old right lateral rib fractures. Fracture of the right eighth rib, age indeterminate. Small right pleural effusion. Right base scarring.",1.2.826.0.1.3680043.8.498.91953464894692590493243043303837317412
+"There is mild hyperinflation and central peribronchial thickening. There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",Hyperinflation with mild central peribronchial thickening suggests viral bronchiolitis.,1.2.826.0.1.3680043.8.498.21813094787347143219849451641752194145
+There is central airway thickening with bilateral perihilar densities. There is patchy airspace disease in the left lower lobe compatible with pneumonia. No effusion. Heart size is normal.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17532586012383046944531649196383497061
+PA and lateral chest radiographs are provided. There is a right middle lobe parenchymal opacity. There is a 2.5 cm nodule in the left lower lung. There is a 1.8 cm nodule in the right upper lung. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"There is a right middle lobe parenchymal opacity which may represent a pneumonia versus atelectasis. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology. There are 2 discrete pulmonary nodules as described above.",1.2.826.0.1.3680043.8.498.45700300454469868239555140875835382557
+"Endotracheal tube tip in satisfactory position projecting approximately 6 cm above the carina. External pacing pads. External defibrillator pads. Cardiac silhouette upper normal in size for AP portable technique, unchanged. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.",1. Endotracheal tube tip in satisfactory position projecting approximately 6 cm above the carina. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45628177729990867228590039126766278029
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37129380930164430362121104366829587162
+"Heart is normal size. Diffuse interstitial prominence throughout the lungs, similar to prior study. No confluent opacities or effusions. No acute bony abnormality.","Stable interstitial prominence, likely chronic interstitial lung disease.",1.2.826.0.1.3680043.8.498.99968952318198817671681568062533551417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74913049780028405095673244165958453509
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36568700451759676566877715001399473735
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.33067274565829406955567109024218850811
+"Right chest wall Port-A-Cath is unchanged. The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. Low lung volumes with mild vascular crowding and streaky atelectasis but no infiltrates, edema or effusions. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.83187028103489539142731721095908578881
+"The heart is mildly enlarged. The mediastinal contours are normal. The lungs demonstrate mild central airway thickening. No focal airspace disease, pleural effusion, or pneumothorax is seen. There are degenerative changes throughout the thoracic spine.",1. Mild cardiomegaly. 2. Central airway thickening suggesting bronchitis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.29122653082012054843632940139422927922
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30429672362292271467885239201129971864
+An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. There is no evidence of pneumothorax or pleural effusion. Cardiothymic silhouette is within normal limits.,No active disease.,1.2.826.0.1.3680043.8.498.60699484199056879606501371624242923089
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47907416833712310622110044580834232152
+The heart is normal in size. A large hiatal hernia is present. The lungs are clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease. Hiatal hernia.,1.2.826.0.1.3680043.8.498.51576655807531006629870520950314618328
+"Right arm PICC line tip in the SVC RA junction. Normal heart size and vascularity. Lungs remain clear. No pneumonia, edema, effusion or pneumothorax. Trachea midline.",Right arm PICC line tip SVC RA junction.,1.2.826.0.1.3680043.8.498.35692865871438673484871337113353600325
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.89173326933561811481902623219442728257
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17703290508137853732695264145685822634
+The lungs are mildly hypoinflated. The interstitial markings are increased and have become more conspicuous since 05/24/1991. The cardiac silhouette is enlarged. The pulmonary vascularity is indistinct. The endotracheal tube tip lies approximately 1.5 cm below the inferior margin of the clavicular heads.,The endotracheal tube tip lies approximately 1.5 cm below the inferior margins of the clavicular heads. There is bilateral pulmonary hypoinflation. The interstitial markings of both lungs are increased and have become more conspicuous since the prior study. This may reflect interstitial edema of cardiac or noncardiac cause. A small left pleural effusion is suspected.,1.2.826.0.1.3680043.8.498.64957621143965855285398755535314993294
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55748384767833563596667028487371848534
+"There is a comminuted fracture of the right clavicle. The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",No acute process.,1.2.826.0.1.3680043.8.498.16208524227212648173099345924214215527
+"No displaced rib fractures are seen. The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No displaced rib fracture seen. No acute cardiopulmonary process identified.,1.2.826.0.1.3680043.8.498.62605447494486551849094913347510006061
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Low lung volumes. No pulmonary edema. Mild curvilinear opacities at the lung bases, favor mild atelectasis. No consolidative airspace disease.","Low lung volumes with mild bibasilar curvilinear lung opacities, favor mild atelectasis.",1.2.826.0.1.3680043.8.498.87653578185527997732840132028697658653
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57126770690466369933106061629705649226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. There is a displaced fracture of the RIGHT posterior third rib. No pneumothorax. No pleural effusion.,1. Displaced RIGHT upper rib fracture. 2. No pneumothorax. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82597543269983894615965703871281418186
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72228637026063195711107118057483098992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71006154803094614498195919772140812390
+"The heart is markedly enlarged, as demonstrated previously. The mediastinal contours are stable. There is vascular congestion with mild pulmonary edema. No significant pleural effusion is seen. There is no pneumothorax. The osseous structures appear unchanged.",Cardiomegaly with mild congestive heart failure.,1.2.826.0.1.3680043.8.498.39934511728577455884920686853662571324
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17951293319967805968349913283654508768
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45115792411820909623804438628863137915
+"The liver is normal in size measuring 16.2 cm in craniocaudal dimension. There is no fatty infiltration of the liver. No focal liver lesions are seen. The gallbladder demonstrates multiple small gallstones. There is no sludge, wall thickening or pericholecystic fluid. The common bile duct is normal at 3 mm. The pancreas is unremarkable. The spleen is normal in size and appearance. The right kidney measures 10.6 cm in length. The left kidney measures 11.9 cm in length. Both kidneys are normal in cortical thickness and echogenicity without evidence of stones or hydronephrosis. The abdominal aorta and IVC are normal in caliber.",1. Cholelithiasis. 2. Pancreas is normal. 3. Normal renal ultrasound.,1.2.826.0.1.3680043.8.498.72635540284600270498385765872227287004
+Left central line is been placed with the tip in the SVC. No pneumothorax. Hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions.,Left central line tip in the SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.13891505958128869491889178319517637581
+Normal cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74076783021501374091682295226611492152
+The heart is normal. The pulmonary vascularity is normal. The lungs are clear acute process. There is no pneumothorax or effusion. Mediastinal contours are unremarkable. Hilar appearance is normal. Bony structures are unremarkable.,No acute process.,1.2.826.0.1.3680043.8.498.32538652794318912670550513487911140856
+EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.56977467648324629973020341659219191025
+The lungs are mildly hypoexpanded. Mild left basilar opacity may reflect atelectasis or mild pneumonia. Mild vascular crowding is noted. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,Lungs mildly hypoexpanded. Mild left basilar airspace opacity may reflect atelectasis or mild pneumonia.,1.2.826.0.1.3680043.8.498.25073245878948811486601984664951288214
+Heart is normal size. Aortic atherosclerosis. No confluent airspace opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.58958897662356267450098865130050964449
+Tracheostomy tube unchanged. Enlargement of cardiac silhouette. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Increased LEFT basilar opacity question atelectasis versus infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Increased LEFT basilar opacity question atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.98824359579123788630297810199646825875
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.48115326804736023612731040892897372546
+There is progressive airspace disease within the right lower lobe compatible with pneumonia. Mild peribronchial thickening is again noted. The heart is mildly enlarged.,Progressive right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.35208690734670528504212001412205389414
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.75231447155894633590650206403276691483
+The heart size is normal. The endotracheal tube terminates above the carina by approximately 2.5 cm. The NG tube terminates below today's film. Diffuse bilateral airspace opacities are essentially unchanged. There is no pneumothorax. No large pleural effusion.,1. Lines and tubes as above. 2. No change in the diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.34758670344513214752971561303753807669
+The cardiomediastinal silhouette and pulmonary vasculature are normal. Lungs are clear. Bony structures are unremarkable.,No acute chest process.,1.2.826.0.1.3680043.8.498.72882262043657999044294911980146120266
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58734310177077163333741889276944392597
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25249690269900170600231102816238141837
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22527131046252946817980668279816914648
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84694808713377008043034246212541724074
+Frontal chest as well as oblique and cone-down rib images were obtained. Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is no demonstrable pneumothorax or pleural effusion. No rib fractures are evident.,No demonstrable rib fracture. Lungs clear.,1.2.826.0.1.3680043.8.498.86575830983423933094563226385404969052
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34457748161376364134752844588437806517
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11314699831979524633683937087362249048
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right jugular Port-A-Cath in place with the tip at the cavoatrial junction. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.11453947291595420447637820337194339035
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.70458643093209363916700187883417643032
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.69847119517875189365398250753372451630
+Heart size is normal. No pleural effusion or pulmonary edema. Airspace consolidation within the right midlung is identified compatible with pneumonia. The remaining portions of the lungs are clear. Review of the visualized osseous structures is unremarkable.,Right midlung pneumonia.,1.2.826.0.1.3680043.8.498.12925128751293325851736772615249662587
+The lungs are clear. The cardiomediastinal silhouette is stable. No pleural effusion is seen.,No infiltrates or effusions.,1.2.826.0.1.3680043.8.498.76420109710826391592593496481214770022
+UVC has been pulled back with the tip now in the lower right atrium approximately 7 mm above the IVC right atrial junction. OG tube is in the stomach. Lungs are clear. Cardiothymic silhouette is within normal limits. No effusions or pneumothorax. Diffuse gaseous distention of bowel without pneumatosis or free air.,UVC tip in the lower right atrium. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56256401330258039943696422826795743814
+AP and lateral views of the chest. Enteric tube is removed. Stable lung volumes. Stable cardiac size and mediastinal contours. Continued bilateral perihilar and basilar patchy airspace opacity. Small bilateral pleural effusions. No pneumothorax. No acute osseous abnormality identified.,Continued bilateral airspace disease compatible with pneumonia. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.95533548687991115314994981315909440481
+Low lung volumes. Stable enlarged cardiac silhouette. Mild interstitial prominence is similar to comparison exam. No focal consolidation. No pleural fluid. No pneumothorax. No acute osseous abnormality.,Low lung volumes and interstitial edema similar to comparison exam. No focal consolidation.,1.2.826.0.1.3680043.8.498.58412971979582878743390019310005988112
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66734993813174160237649699491511059335
+"Shallow inspiration with bibasilar atelectasis similar to prior radiograph. No focal consolidation, pleural effusion, or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.88149903819893561730187192503271113739
+There is airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion is seen. The heart is within normal limits in size.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92120789353578771715767404888255257011
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88812633320954300600636422393305118068
+Endotracheal tube in good position. Swan-Ganz catheter in the right pulmonary artery. Left chest tube in place. No pneumothorax. Pericardial drain in place. NG tube in the stomach. Bibasilar atelectasis. Negative for heart failure.,Satisfactory chest x-ray following CABG.,1.2.826.0.1.3680043.8.498.55836452348416563058849005605771690489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.54494982292136925236391061996411235649
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild degenerative changes thoracic spine.,No active disease.,1.2.826.0.1.3680043.8.498.85892958350216024587347470350436796730
+Endotracheal tube is 2.2 cm above the carina. NG tube enters the stomach. Heart is normal size. Aortic atherosclerosis. Linear areas of atelectasis or scarring in the mid and lower lungs bilaterally. No visible effusions. No acute bony abnormality.,Endotracheal tube and NG tube appear to be in satisfactory position. Areas of scarring in the lungs bilaterally.,1.2.826.0.1.3680043.8.498.69236837613562819181547422084090186896
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.78181239538832734809415228427430638027
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.37197331090974571790492754951549976745
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable. No diagnostic pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.42001393816308373353423609959115909038
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35733170811848778734058602206145965366
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.24186349913610581637726375642478771784
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Linear density is noted in the right base consistent with atelectasis. No sizable effusion is seen. No bony abnormality is noted.,Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.91841686281867023899048738005344386659
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96458895311775245810915401334926448460
+There is a small left pleural effusion. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,Small left pleural effusion. No edema or consolidation. There is cardiomegaly.,1.2.826.0.1.3680043.8.498.75155226392473966367269206113911832481
+"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.51464540712257662375965103828199083980
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74585747808841416104690233789193696611
+There is a left pleural effusion with left lung base infiltrate or atelectasis. The right lung is clear. The heart is normal. A nasogastric tube passes below the diaphragm.,Left lung base infiltrate or atelectasis with left pleural effusion.,1.2.826.0.1.3680043.8.498.33911168147054970787202880314978320239
+Endotracheal tube tip 3.5 cm from the carina. NG tube crosses into the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Right chest tube and mediastinal drain. No pneumothorax. Mild atelectasis in the right lung. No edema.,Stable postoperative appearance. No pneumothorax.,1.2.826.0.1.3680043.8.498.22408990605001105887824481195890722381
+Umbilical arterial catheter remains in place with tip in the mid descending thoracic aorta. Enteric tube is in place with tip and side-port over the stomach in the left upper quadrant. Lung volumes are low. There are coarse bilateral interstitial opacities with some patchy airspace opacity in the left mid and lower lung. No pneumothorax. No pleural effusion. Cardiomediastinal contours are normal.,1. Support devices as described. 2. Stable coarse bilateral interstitial opacities with patchy airspace disease in the left mid and lower lung.,1.2.826.0.1.3680043.8.498.48955899422704963085059031018446582275
+The lungs are emphysematous but clear. No pneumothorax or pleural effusion. Heart size normal. Port-A-Cath is in place.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.57965836658873883120389701536707807701
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Mild S-shaped thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23049146867325023683177299589463882379
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98297862927133398953486049806030189789
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87059249349256849489640559432804992817
+The heart is mildly enlarged. A left subclavian pacemaker is stable in position. The single pacemaker lead is intact and unchanged. The patient is status post median sternotomy for CABG. The lungs are clear. A calcified granuloma is again noted at the left base. There is no pneumothorax. Mild degenerative changes are again noted throughout the thoracic spine.,1. Stable positioning of the pacemaker. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95381679512090986165844648178122917079
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43387632380189395283956979413380305028
+Calcified granuloma right lung. Patchy atelectasis or infiltrate at the left lung base. Heart size upper limits normal. Atheromatous aortic arch. No definite effusion. No pneumothorax. Visualized bones unremarkable.,Patchy infiltrate or atelectasis at the left lung base.,1.2.826.0.1.3680043.8.498.37151216437213829623364082488473260846
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.24198281731955876242477257000821565500
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50568345548492807567502709861549571940
+Cardiac silhouette is unchanged with prior sternotomy. No acute infiltrates are seen. Osseous structures are unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.84236721960237658897574082916410738419
+"The patient is intubated. The tip of the endotracheal tube is 2.3 cm above the carina. A right IJ central venous catheter is present. The catheter tip overlies the superior cavoatrial junction. A nasogastric tube is present. The tip lies inferior to the diaphragm, presumably within the stomach. Inspiratory volumes are low. Bibasilar opacities are present consistent with atelectasis. No pneumothorax. No pulmonary edema. No definite pleural effusion.",1. Low inspiratory volumes with bibasilar atelectasis. 2. Support apparatus as above.,1.2.826.0.1.3680043.8.498.42517316625355473537666805059299409855
+"Multiple right lateral rib fractures are again noted, including the posterior right seventh rib and lateral right eighth rib. These were described on the 3/1/2018 CT. No evidence of hemothorax or pneumothorax. Stable volume loss at the right lung base. Stable mild scarring at the right lung base. The left lung is clear. Stable mediastinal contours. Normal heart size.",1. Stable appearance of right lateral rib fractures since 3/1/2018. 2. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51760177056436472135928701131626212155
+"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. The lungs are hyperaerated consistent with emphysema. Peripheral fibrotic changes are noted particularly at the lung bases, stable since the prior CT of the chest. No acute bony abnormality is seen.",1. Mild CHF with small effusions. 2. COPD with peripheral fibrosis.,1.2.826.0.1.3680043.8.498.80688606358020668925725571827292198792
+Cardiomediastinal silhouette unremarkable for age. Marked central peribronchial thickening. localized airspace opacities in the right lower lobe. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.,Right lower lobe pneumonia superimposed upon moderate to severe changes of asthma versus bronchitis versus bronchiolitis.,1.2.826.0.1.3680043.8.498.32422184763028052003557718557357416291
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82599859652456856492456134453547215047
+The feeding tube is in place. The right internal jugular central line is stable. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and stable. Persistent right lower lobe infiltrate and small right pleural effusion. The left lung is relatively clear. No pneumothorax.,1. Persistent right lower lobe infiltrate. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.26276725558673346026088816220095221629
+Cardiomegaly with bilateral pulmonary alveolar infiltrates are noted consistent with congestive heart failure. Bilateral pleural effusions are present. These findings are consistent with congestive heart failure with pulmonary edema and bilateral pleural effusions. Superimposed pneumonia cannot be excluded.,Findings consistent with congestive heart failure with pulmonary edema and bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.36587183012375415705392900869016191924
+The cardiac silhouette appears within normal limits. No focal airspace opacity is noted. The costophrenic angles appear sharp.,No evidence of acute pulmonary disease.,1.2.826.0.1.3680043.8.498.55002282613136488914934344006627403237
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60610846773694867789692844214335362772
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29381860148191130009176522728025360055
+The lungs are well-aerated. Mild left basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,Mild left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.16453481676597495926539297370898687341
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.89150655571539955963565852184058068488
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13320135345739484721892398082101816651
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18564262972369495383193846016708771906
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43222524022756833245624166221387313970
+There is no evidence of fracture or other focal bone lesions. No evidence of pneumothorax or pleural effusion.,Negative.,1.2.826.0.1.3680043.8.498.68702647882515317549145382489116338907
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52887890186373277384140535110159506980
+Endotracheal tube tip 2.8 cm above the carina. Nasogastric tube courses below the diaphragm. Tip is not included on the present exam. Diffuse airspace disease asymmetrically involving the left lung. This may represent asymmetric pulmonary edema. Infectious infiltrate not excluded. No gross pneumothorax. Cardiomegaly. Calcified tortuous aorta.,Diffuse airspace disease asymmetrically involving the left lung. This may represent asymmetric pulmonary edema. Infectious infiltrate not excluded.,1.2.826.0.1.3680043.8.498.43731645823275944292676865514275242941
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.34924735864115055979589791840580726240
+There has been some improvement in the patient's pulmonary edema. Small bilateral pleural effusions and basilar airspace disease persist. Cardiomegaly.,Some improvement in pulmonary edema. No new abnormality.,1.2.826.0.1.3680043.8.498.22655083530217167133373303581072776337
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47808430547615957776670666076280178987
+The lungs are clear. There is no pleural effusion. Heart size is normal. Clips are noted in the right axilla.,No acute disease.,1.2.826.0.1.3680043.8.498.88002167595779479916139091359381149926
+There is an infiltrative density in the left perihilar region extending into the lingula compatible with pneumonia. The right lung is clear. There is no pleural effusion. The heart is normal.,Lingular pneumonia. This is not due to tuberculosis. The lungs are otherwise clear.,1.2.826.0.1.3680043.8.498.49385299499771113034852431351765345609
+Heart is normal in size. Lungs are under expanded. There are bilateral lower lobe infiltrates which appear worse. Small effusions are suspected. No pneumothorax.,Increasing bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.72306986602646749785318545614979148356
+There is cardiomegaly. There is ectasia of the thoracic aorta. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,Cardiomegaly. No acute findings.,1.2.826.0.1.3680043.8.498.41178423830554922801893155739397147258
+"Right upper extremity catheter tip overlies the proximal SVC. Mild cardiomegaly. Aortic atherosclerosis. Small bilateral pleural effusions, left greater than right. Patchy consolidation at the left base. No pneumothorax.",Small bilateral pleural effusions. Consolidation at the left lung base may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.38246611212027703604940394643300291200
+Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. No evidence of adenopathy. There are prominent bronchovascular markings. Mild linear opacity is noted at the lung bases consistent with atelectasis. No evidence of pneumonia or pulmonary edema. No pleural effusion or pneumothorax. Skeletal structures are demineralized but grossly intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47907708217094944677203507756120409937
+The right IJ sheath has been removed. The heart remains enlarged. Interstitial fibrotic changes are again seen throughout both lungs. A small right effusion is stable. A tiny left effusion is stable. Bibasilar atelectasis is stable. The right pneumothorax has resolved.,1. Resolved right pneumothorax. 2. Stable small effusions and bibasilar atelectasis. 3. Stable interstitial fibrotic changes.,1.2.826.0.1.3680043.8.498.18518186745606046468134500768087389275
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54684631947407477300730760275817723475
+"Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No infiltrate, pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.57913179977308533257057117224977810847
+The heart is enlarged but stable. The pacer wires are stable. The lungs are clear. No pneumothorax.,Stable cardiac enlargement. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.70647931052599969114763582263905245774
+There is thickening of the interstitial markings. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,Pulmonary vascular congestion/mild edema. No focal regions of consolidation are appreciated.,1.2.826.0.1.3680043.8.498.27625016402700002782700549776219322707
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.20422045547222812277145821554240549904
+"The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous structures are intact.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18833706579999659448630609840954347106
+There is again noted a persistent area of increased density in the RIGHT upper lobe. This is unchanged. There is also persistent increased density in the LEFT upper lobe which is also unchanged. There is also persistent scarring in the RIGHT lower lobe. COPD changes are noted. No evidence of new areas of infiltrate or new areas of focal consolidation are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is osteopenic.,1) Persistent areas of increased density in the RIGHT upper lobe and also the LEFT upper lobe. Continued follow-up is recommended. 2) COPD changes are noted.,1.2.826.0.1.3680043.8.498.39557116858648062245280835254302885089
+Dialysis catheter has been placed via the right jugular vein. The tips of the catheter are in the right atrium. I would recommend withdrawing the catheter approximately 5 cm. Stable cardiomegaly and pulmonary vascular congestion. No pneumothorax. AICD is in satisfactory position.,Dialysis catheter right atrium. Recommend withdrawing catheter 5 cm. No pneumothorax.,1.2.826.0.1.3680043.8.498.74473490672061858053901657963756253278
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89151199810113086135096971187551600894
+There is a probable nipple shadow at the left base. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aorta. No bone lesions.,No edema or consolidation. Probable nipple shadow left base; advise repeat study with nipple markers to confirm.,1.2.826.0.1.3680043.8.498.28257274543777990358033639212604153417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.16647130618672910453069198603188277389
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23964631455746642677347641790104755973
+The heart size and mediastinal contours are within normal limits. Right arm PICC line is identified with distal tip in the SVC. There is no evidence of pneumothorax. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66370813971194373079703850503732526858
+Linear densities in the lingula compatible with atelectasis. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular atelectasis.,1.2.826.0.1.3680043.8.498.39109784479406077792587564621153374898
+The chest is hyperexpanded consistent with emphysema. The lungs are clear. Heart size is normal. No effusion.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.41644503205005014005015037688652577987
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.76136931235083797504324735959754922442
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66009621050141181568301043124385479328
+The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.,No evidence of acute pulmonary disease. No significant change compared to prior study done on 07/01/2020.,1.2.826.0.1.3680043.8.498.33349409827754331685389398144737768437
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32964532315891614851658270302165868201
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57645813360531117333360203516014225597
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.35939613143499913191346145548144372031
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24077532864847873554881292058097632124
+"Heart size is normal. Atherosclerotic calcification of the aortic knob. No focal airspace consolidation, pleural effusion, or pneumothorax. No displaced fractures.",No active disease.,1.2.826.0.1.3680043.8.498.65063916005905120028632527873392512235
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.29594679809718632477358278393838799846
+The heart is enlarged. There is vascular congestion with mild pulmonary edema. No significant pleural effusion is evident. There is no pneumothorax. Feeding tube projects below the diaphragm. The patient is status post median sternotomy and aortic valve replacement.,1. Cardiomegaly with vascular congestion and mild pulmonary edema. 2. No focal airspace disease.,1.2.826.0.1.3680043.8.498.86337921740299970476847803328103458224
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.54641013842564075719311439247376465046
+"The Port-a-cath is stable. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Low lung volumes with vascular crowding and streaky basilar atelectasis. No infiltrates, edema or effusions.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.38220254675906600918095520469848593672
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.18578548147586032506416140214212666618
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93629018377811418480864309888380844774
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.87756705952411821301368580392983257196
+There is mild interstitial edema. More confluent airspace opacities are identified in the right upper lobe and right lower lobe and there are bilateral pleural effusions. The heart is enlarged. The aortic arch is calcified again.,1. Mild CHF. 2. Cannot exclude superimposed pneumonia in the right lung.,1.2.826.0.1.3680043.8.498.15260519395615819706078297284397261579
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86720942898907764797708013348562366810
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83256715905223334479515331417116127437
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49313736550443379563562421958622353447
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Right infrahilar opacity noted on prior exam has resolved. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34896844397692548269922187654961477390
+Left-sided pacemaker with 2 continuous leads overlies normal cardiac silhouette. No pneumothorax. No pulmonary edema.,1. Pacemaker placement without complication. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.51424615514328146243820978486573105683
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21645319286191590588597993019719400018
+Shallow inspiration. Normal heart size and pulmonary vascularity. Calcified and tortuous aorta. Lungs are clear. No blunting of costophrenic angles. No pneumothorax. Degenerative changes in the shoulders.,No active disease.,1.2.826.0.1.3680043.8.498.14066352467927070952205515263478175179
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.87377417767941084251753437209229693861
+The heart is enlarged. There is tortuosity and ectasia of the thoracic aorta. Low lung volumes with vascular crowding and atelectasis. No edema or effusions. No focal infiltrates.,1. Cardiac enlargement. 2. Low lung volumes with vascular crowding and atelectasis. 3. No edema or effusions.,1.2.826.0.1.3680043.8.498.35898429456864789308731528385236918209
+An endotracheal tube is in place with the tip at the thoracic inlet. The cardiothymic silhouette is normal. The lungs are clear. There is no pleural effusion or pneumothorax. The visualized bowel gas pattern is unremarkable.,1. Endotracheal tube in satisfactory position. 2. Clear lungs.,1.2.826.0.1.3680043.8.498.43250282890797807492748102478906285818
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16974529018843639898144727186111755108
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.77759500237720700999437908542177412554
+"Single portable AP chest radiograph is provided. There is a dual-lead cardiac pacer noted. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.95081695515490308794723214807053221632
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are hyperinflated consistent with COPD. No infiltrates, edema or effusions. The bony thorax is intact.",COPD but no acute pulmonary findings.,1.2.826.0.1.3680043.8.498.17708522414950372657694941749282253373
+"The heart size and mediastinal contours are within normal limits. Lung volumes are normal. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90366342595649749798856153607352465058
+"The heart is enlarged. There are moderate-sized bilateral pleural effusions, left greater than right. Bibasilar opacities are present, which may represent atelectasis or airspace disease. There is no evidence of pulmonary edema. No pneumothorax is identified. No acute bony abnormalities are seen.","Cardiomegaly with bilateral pleural effusions, left greater than right. Bibasilar atelectasis and/or airspace disease.",1.2.826.0.1.3680043.8.498.30276908703039889133112920925069972359
+Real-time imaging shows normal appearing veins with normal compressibility. Doppler evaluation shows normal venous flow with respiratory variation and augmentation with distal compression.,No evidence for deep venous thrombosis in the visualized veins.,1.2.826.0.1.3680043.8.498.59966286963622507100932690622939304014
+OG tube is in place with the side port in the stomach in good position. The lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,No acute disease. OG tube in good position.,1.2.826.0.1.3680043.8.498.97985849279808630118467887174731329990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51523160623177542312947950123653218050
+Heart size is normal. The mediastinum is unremarkable. There is linear atelectasis or scar in the lingula. The right lung is clear. No effusions. No significant bony finding.,Linear atelectasis or scar in the lingula.,1.2.826.0.1.3680043.8.498.83946375769365710972865678777544298220
+"Normal cardiac silhouette. Low lung volumes accentuate pulmonary markings. No consolidation, effusion, or pneumothorax. Bones are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36549983658601358283368339684577047410
+The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation noted. Mild central peribronchial thickening also seen. No evidence of pulmonary airspace disease or pleural effusion.,"Pulmonary hyperinflation and central peribronchial thickening, suspicious for viral bronchiolitis or reactive airways disease. No evidence of pneumonia.",1.2.826.0.1.3680043.8.498.86287793782397035259805340699613674915
+Prior CABG. Interval removal of right jugular vascular sheath. Midline trachea. Mild cardiomegaly. Small bilateral pleural effusions. Removal of right-sided chest tube. No pneumothorax. Low lung volumes. Persistent bibasilar atelectasis.,1. No pneumothorax after removal of right-sided chest tube. 2. Small bilateral pleural effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.74350690416274159591339810601081479966
+The lungs are under inflated. There is no focal consolidation or pleural effusion. The heart is normal in size. The mediastinal contours are within normal limits. The thoracic spine is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16244392699209413282988483177489871780
+"Normal heart size and mediastinal contours. Lungs clear. No gross infiltrate, pleural effusion or pneumothorax. Osseous structures unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.46556959877299756990054859654391454150
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43576112377884519112182502777246757521
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58939541429752103275877652639830556666
+Tracheostomy tube in stable position. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions are again noted. Interim slight progression from prior exam. Cardiomegaly. No pneumothorax. Diffuse dense bone metastatic disease.,1. Tracheostomy tube in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim slight progression from prior exam.,1.2.826.0.1.3680043.8.498.56651780575583880434079958146998426220
+There is parenchymal opacity in the right upper lobe consistent with pneumonia. The remainder of the lungs is clear. No effusion is seen. The heart is within normal limits in size.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.24892608513726819112982265834071643095
+"An endotracheal tube is present at the level of the sternoclavicular joints. The heart is mildly enlarged. There is no edema, infiltrate or pneumothorax. There is some left lung base atelectasis.",Stable appearance.,1.2.826.0.1.3680043.8.498.37107268002073229256273222518211030575
+"Diffuse bilateral airspace disease again noted, not significantly changed. Small bilateral effusions. Heart is borderline in size. No acute bony abnormality.",Stable diffuse bilateral airspace disease and bilateral effusions.,1.2.826.0.1.3680043.8.498.42021039827672802980731897502086603001
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable. There is mild scoliosis.,No active disease.,1.2.826.0.1.3680043.8.498.98680900353620347023472600542595161800
+Heart is normal size. Lungs are clear. No effusions. Moderate size hiatal hernia. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39823038617341123786539334368229010986
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26537268704956967938028444202492980796
+"There is no fracture, dislocation or significant localized bony change. The joint spaces are preserved without arthrosis. The soft tissue silhouettes are unremarkable.",No acute bony process. If there are continued complaints serial clinical and as indicated imaging follow up is recommended.,1.2.826.0.1.3680043.8.498.97082212875088410117790916258030055408
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18214487769551971073306539079671899503
+"Swan-Ganz catheter, mediastinal drain and left chest tube have been removed. Right jugular sheath remains. No pneumothorax. Mild left lower lobe atelectasis. Mild right lower lobe atelectasis. No significant effusion.",Mild bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.90097956165984708245016524404897934461
+There is increased density in the left lower lobe compatible with pneumonia. The right lung field is clear. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,There is observed left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.65761285954370175481389818756008052981
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37220589390797724866316444402784041962
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44189844396247267870604048949631866966
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99603550366974471562650753500491993830
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21482081946909339412636010108233659666
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.92221167461351531830373532316189018680
+ET tube terminates in the mid trachea. Enteric tube courses inferior to the diaphragm. Interval placement of a left subclavian central venous catheter with tip projecting over the superior vena cava. Stable cardiomediastinal contours. Persistent left basilar consolidation and left retrocardiac opacities. Small left pleural effusion. No pneumothorax.,New left subclavian central venous catheter with tip projecting over the superior vena cava. No pneumothorax. Persistent left basilar consolidation and left retrocardiac opacities.,1.2.826.0.1.3680043.8.498.19758882148721403176816295870743920045
+"There is central airway thickening. Focal airspace opacity is seen in the right middle lobe, consistent with pneumonia. No evidence of pleural effusion. Heart size is normal.","Right middle lobe airspace opacity, consistent with pneumonia.",1.2.826.0.1.3680043.8.498.54434876312532533846130939267482698315
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67548810101291781515752681190333411323
+"Low lung volumes. The heart is at the upper limits of normal in size, likely accentuated by technique. Normal mediastinal contours. Patchy opacity at the left lung base. No pulmonary edema. No pneumothorax or large pleural effusion. No acute osseous abnormalities are seen.","Low lung volumes with patchy opacity at the left lung base, may reflect atelectasis or aspiration.",1.2.826.0.1.3680043.8.498.49555124042554958265839100751254865254
+There is a large mass in the left upper lobe compatible with the patient’s history of lung cancer. There is extensive airspace disease in the left lower lobe and also patchy airspace disease in the right lower lobe. There is a left pleural effusion. The Port-a-cath is stable. The bony thorax is intact.,1. Large left upper lobe mass compatible with lung cancer. 2. Left lower lobe and right lower lobe pneumonia. 3. Left pleural effusion.,1.2.826.0.1.3680043.8.498.46344359018988994801053460994492990197
+"Low lung volumes. Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Vascular crowding due to low lung volumes, without overt pulmonary edema. No acute consolidative airspace disease.","Low lung volumes, without active cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.92067411254803086344163240251171160486
+"The lungs are well-aerated. There is a large right-sided pneumothorax, measuring approximately 5-6 cm in size; this is significantly increased in size from the prior PET / CT. There is no significant mediastinal shift. The left lung appears relatively clear. No pleural effusion is seen. The heart is normal in size; the mediastinal contour is within normal limits. A left-sided chest port is noted ending about the mid SVC. No acute osseous abnormalities are seen. Scattered soft tissue air is noted along the right side of the neck.","1. Large right-sided pneumothorax, measuring approximately 5-6 cm in size. 2. No mediastinal shift seen.",1.2.826.0.1.3680043.8.498.34707159586712041766133267102385382019
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.66089248261031404820158147293572323577
+The OG tube tip is in the stomach. The cardiothymic silhouette is within normal limits. The lung aeration is stable. Minimal hazy lung opacity persists but has a good appearance. No effusions or pneumothorax.,Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.20419311090939973447639071765812957615
+Cardiomediastinal silhouette is stable. Endotracheal tube in place with tip 3.5 cm above the carina. There is NG tube in place with tip in stomach. There is a left IJ central line with tip in SVC. No diagnostic pneumothorax. No acute infiltrate or pulmonary edema.,Stable support apparatus. No active disease.,1.2.826.0.1.3680043.8.498.86454403111234566515775864098079243045
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.89579544004619174143397155065301222498
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.95739172881432607131869521064233104782
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.23946698731528883921062557875850213446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74462516985246820281292317307481609483
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.26747542653710191658498622933037205913
+There is mild scarring in the left base. Elsewhere lungs are clear. Heart is upper normal in size with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,Scarring left base. No edema or consolidation. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.78760087613197253107854485937150311529
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.90808773479097951692142385510158882175
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.76241431411312082170443823876122680454
+Normal heart size and pulmonary vascularity. Tortuous thoracic aorta. Lungs clear. No pleural effusion or pneumothorax. End plate spur formation thoracic spine.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.24918964791626493435487724064940753443
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.34116427850912600399387384833952137076
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38809675944488400040517324907414253208
+"There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.80191105002447995627381789074833753022
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85877342374054643989409914783231352288
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96121331888350942417218166737449452303
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.49551507710369060875052107099897665005
+"The heart size and mediastinal contours are within normal limits. Mild peribronchial thickening is similar to prior study. No focal consolidation, pleural effusion, or pneumothorax. The visualized skeletal structures are unremarkable.",Stable bronchitic changes. No focal consolidation.,1.2.826.0.1.3680043.8.498.22482986391923831151149123154205527563
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Large hiatal hernia is noted. Left lung is clear. Stable right basilar opacity is noted most consistent with scarring. The visualized skeletal structures are unremarkable.,Stable right lower lobe opacity is noted most consistent with scarring. No significant change compared to prior exam.,1.2.826.0.1.3680043.8.498.43220851130704246504464626538291918810
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.12904747100442124469801192804765588349
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38535935819782006966033260327527064150
+Mediastinum and hilar structures normal. Cardiac pacer noted with lead tips in right atrium right ventricle. Heart size normal. Diffuse bilateral interstitial prominence again noted. Similar findings noted on prior exams. This is most consistent with chronic interstitial lung disease. No acute infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,1. Stable cardiomegaly. 2. Stable bilateral pulmonary interstitial changes. This is most consistent with chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.39500065624492244982668575138131243342
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93442537876146940670369533257944023422
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46120314390242027455410004564172070000
+Umbilical venous catheter tip is in the right atrium approximately 1.2 cm above the IVC right atrial junction. Umbilical artery catheter tip is at T7. Lungs are clear. Heart size and vascularity are normal. Normal bowel gas pattern.,Tubes and catheters in position as described.,1.2.826.0.1.3680043.8.498.44999663880445021227330219239550530897
+There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size appears mildly enlarged. There are bilateral pleural effusions and interstitial edema. Aortic atherosclerosis is noted.,1. Mild CHF.,1.2.826.0.1.3680043.8.498.40388325318954696765648686240166934257
+Left subclavian AICD lead extends to the right ventricle. Heart size upper limits normal. Atheromatous aortic arch. Lungs are clear. No effusion. No pneumothorax. Spurring in the lower thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12565498434788419684940759020768256527
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52628002322254181283648570016273982738
+"There is persistent increased density in the right perihilar region and right lung base. The heart is normal in size. The left lung is clear. There is no edema, effusion or pneumothorax.",Persistent right-sided pneumonia. Follow-up to document complete clearing is recommended.,1.2.826.0.1.3680043.8.498.88374424558266678552184458482696992569
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78325790891271588579883429170434060386
+There is central peribronchial thickening. Lung volumes are normal. No consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Central airway thickening consistent with bronchitis.,1.2.826.0.1.3680043.8.498.34268961178454872848948379726080923383
+Bilateral airspace disease has markedly worsened. There is a moderate right pleural effusion and small left effusion. Central venous catheter is in the SVC. No pneumothorax. Cardiomegaly.,Marked worsening of bilateral airspace disease.,1.2.826.0.1.3680043.8.498.95057767601132122452744338465927796998
+The lungs are well expanded. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is top normal in size. There is tortuosity of the descending thoracic aorta.,There are findings consistent with COPD. I do not see evidence of pneumonia. I cannot exclude low-grade compensated CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.92909115040334190682214026059900720049
+There has been interval worsening of bilateral air space disease. The patient has had a median sternotomy. The heart is enlarged.,Interval worsening of bilateral air space disease likely representing pulmonary edema. Pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.32548122800367798995558374446033348198
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.58395998971712951246438826688082162857
+The heart is enlarged. The pulmonary edema seen on the prior study has resolved. No focal airspace consolidation or pleural effusion is identified. There is no pneumothorax.,Resolved pulmonary edema. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96725682311412646991378014675320976827
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65474617357057351318520454277209093663
+Lung volumes are low. There is some bibasilar atelectasis. No pneumothorax or pleural effusion. Heart size normal.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.24551040355761212433841017047310444975
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45660781626508354291880316101259726394
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90249105341684688497767427794940185037
+Tip of endotracheal tube projects 2.8 cm above carina. Nasogastric tube extends into stomach. RIGHT arm PICC line tip projects over mid SVC. Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Improved aeration in both lungs with minimal residual infiltrate particularly in LEFT upper lobe. No pleural effusion or pneumothorax. Bones demineralized.,Improved pulmonary infiltrates.,1.2.826.0.1.3680043.8.498.13050956168716029715300315058524092528
+The umbilical venous catheter tip is in the right atrium and could be withdrawn 1.2 cm. The umbilical arterial catheter tip is at the T7 level. The cardiothymic silhouette is within normal limits. The lungs are clear. No pneumothorax. The bowel gas pattern is unremarkable.,1. The umbilical venous catheter tip is in the right atrium and could be withdrawn 1.2 cm. 2. The umbilical arterial catheter tip is at the T7 level. 3. Clear lungs.,1.2.826.0.1.3680043.8.498.75234354668072458635951326541822493999
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.25350510403779165331074517629336526155
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87491429368870551400331810066816321462
+The heart size is normal. There is no pleural effusion. Pulmonary interstitial prominence is identified bilaterally. No focal airspace opacities are noted. There is a surgical clip in the right upper quadrant of the abdomen.,1. Mild interstitial edema. 2. No pneumonia.,1.2.826.0.1.3680043.8.498.58435092905307471707182141375369182262
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34099153635559247983561926310423954381
+Endotracheal tube is 3.5 cm above the carina. There is mild cardiomegaly. Minimal right base atelectasis. Left lung clear. No effusions.,"Endotracheal tube 3.5 cm above the carina. Mild cardiomegaly, right base atelectasis.",1.2.826.0.1.3680043.8.498.36841756809251358815862234729241366732
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87482545315102877259967520093312712205
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.88000508165972629012171123061385195066
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80917873278429665198021628849678223677
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.98866507643969234578369733380444398814
+An endotracheal tube is again observed. The tip is approximately 1.5 cm above the carina. A nasogastric tube is present with the distal portion in the stomach. A venous catheter is again observed on the right. No pneumothorax is seen. There is increased density at the left base compatible with atelectasis. No pulmonary edema is seen. Heart size is normal.,1. No acute changes are identified. 2. There is increased density at the left base compatible with atelectasis. 3. No pulmonary edema or pleural effusion is seen.,1.2.826.0.1.3680043.8.498.35649025240332092245356434369251745032
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19677120336256450377799685383011681452
+Cardiac silhouette is mildly enlarged. No mediastinal or hilar masses. There is opacity at both lung bases consistent with pleural effusions and atelectasis. This is similar to the prior exam. Mild prominence of the interstitial markings is noted consistent with pulmonary edema. No pneumothorax. Bony thorax is demineralized but grossly intact.,"Cardiomegaly, mild pulmonary edema and bilateral pleural effusions with basilar atelectasis. Findings are similar to the prior exam.",1.2.826.0.1.3680043.8.498.42018924226189330141538792434889528397
+Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.45309758938090466614134352501983993767
+Patchy airspace disease is seen in the right upper lobe and right base. Left lung is clear. No pneumothorax or pleural effusion. Heart size is normal. No acute or focal bony abnormality.,Patchy right lung airspace disease compatible with pneumonia.,1.2.826.0.1.3680043.8.498.90658188324948024835605636936084526150
+Stable cardiomediastinal silhouette. Stable bilateral patchy airspace opacities are noted consistent with multifocal pneumonia. No pneumothorax or pleural effusion is noted. Bony thorax is unremarkable.,Stable bilateral patchy airspace opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.30562407591968357449086849410248113346
+Right-sided PICC line is unchanged. Lung volumes are low. There is some improvement in aeration of the right lung base. Bilateral pleural effusions and basilar airspace disease remains. No pneumothorax.,Improved right basilar aeration with persistent bibasilar airspace disease and effusions.,1.2.826.0.1.3680043.8.498.60043371381765779310165902397945726828
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85038647771921903767210793544324285129
+Dual lead transvenous pacemaker is in place with controller device on the left. The cardiac silhouette is minimally enlarged. The lungs are free of infiltrates. No pleural disease is evident. There is minimal degenerative spondylosis compatible with age.,"Transvenous pacemaker is in place. The cardiac silhouette is minimally enlarged. No pulmonary edema, pneumonia, or pleural effusion is evident.",1.2.826.0.1.3680043.8.498.62655329101436508968690837308289954336
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No effusions. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15366858762598736334184110576822575246
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.89075103606530182591760798663391765822
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49654512738604310813366365892990049595
+"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28516057018301147204108544760827886025
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Single lead cardiac pacemaker is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96131074211952775911157696194319657067
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96716031963768567249659405557388106399
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72717545735936325650483492929564789602
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.38494779998505546425923737227068231550
+Shallow inspiration. Heart size and pulmonary vascularity are normal. Increasing consolidation in the right lung base and perihilar region since prior study. Persistent peribronchial thickening with perihilar infiltrates. No pleural effusions. No pneumothorax.,Increasing pneumonia in the right lung. Persistent perihilar peribronchial thickening and perihilar infiltrates.,1.2.826.0.1.3680043.8.498.17658007209970324925744355303103334406
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37800514291486510712733709664831098855
+The lungs are clear. The heart is mildly enlarged. No bony abnormality is seen.,Cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.53214926467272343398051438137565346324
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97578732264933421832160232776047824409
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32022061775658421146805145784070719773
+"No rib fracture or rib lesion. Heart size, mediastinum and pulmonary vasculature within normal limits. Mild atelectasis left lung base. No pneumothorax.",No rib fracture.,1.2.826.0.1.3680043.8.498.98399260615643754051446601327754755326
+Lung volumes are low. There is some bibasilar atelectasis. No consolidative process is identified. No effusion. Heart size is normal.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.23385340892099700539123471245092149300
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.11947642137389701465575060650267122802
+"There are no acute infiltrates, effusions, or nodules. There is no pneumothorax. Heart, hilum and mediastinal structures are unremarkable. Visualized osseous structures are without fracture.",No acute disease.,1.2.826.0.1.3680043.8.498.39643095868354430044159204758490652341
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51088406127720566492798309692582549396
+The lungs are well-expanded. The interstitial markings remain increased. There is no alveolar infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,COPD. Chronically increased interstitial markings likely reflect underlying bronchitic changes. There is no alveolar pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.65410147209332813704615493344788954316
+Right IJ sheath in good anatomic position. Interim removal of Swan-Ganz catheter. Prior CABG. Cardiomegaly. No pulmonary venous congestion. Mild left base atelectasis. Small left pleural effusion. No pneumothorax.,1. Interim removal of Swan-Ganz catheter. Right IJ sheath in good anatomic position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. No pulmonary venous congestion. 3. Mild left base atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.63080366075903948636215714367095339174
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No evidence of rib fracture on the left.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55159749646742373443313380531493520648
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.47552875608651215706426908905230152924
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.36290360075832041429729649025723719952
+Endotracheal tube tip lies approximately 5 cm above the carina. A left-sided PICC line is again identified with tip overlying the lower SVC. Atelectasis at the right lung base has increased slightly in the interval. Atelectasis at the left base has improved slightly. A small left pleural effusion is suspected. No pneumothorax is seen. The heart is normal in size.,Increasing right basilar atelectasis. Improving left basilar atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.23678082459794465450954786567863441310
+Lungs are clear. No pleural effusion or pneumothorax. The cardiomediastinal contours are within normal limits. The visualized bones and soft tissues are without significant appreciable abnormality.,No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35367258983412920204152110159882857759
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32044722536682086123006384221206524873
+The lungs are adequately inflated. The perihilar lung markings are increased. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen is normal.,There are findings consistent with reactive airway disease and acute bronchiolitis. I do not see evidence of focal pneumonia.,1.2.826.0.1.3680043.8.498.80153634432231277151605702419632193577
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20679150467907089697824254411145917543
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54658252270728529648351487831460025359
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43217807059283129898335008758745055843
+There is thickening of the perihilar lung markings bilaterally compatible with bilateral perihilar interstitial pneumonia. The peripheral lung fields are clear. The chest is hyperexpanded compatible with reactive airway disease. The heart size is normal.,1. There are noted perihilar infiltrates compatible with pneumonia. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.49918814184713387371729829560435645103
+PA and lateral chest radiographs are provided. There is left lower lobe airspace disease. There is no pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.,"Left lower lobe pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.17408707569349151644684636826536235808
+"An endotracheal tube is in place with tip 6.6 cm above the carina. A nasogastric tube is seen extending into the stomach, however, the tip of the nasogastric tube extends below the lower margin of the image. Lung volumes are normal. There are patchy areas of interstitial prominence and airspace disease in the mid and lower lungs bilaterally, which may represent areas of atelectasis and/or consolidation. No definite pleural effusions. No evidence of pulmonary edema. Heart size is normal. The patient is rotated to the left on today's exam, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Mid and lower lung airspace disease bilaterally, which may represent areas of atelectasis and/or consolidation. 3. Atherosclerosis.",1.2.826.0.1.3680043.8.498.45434001844348523280040042051298140957
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43508481432462553951421980963038363545
+Large left pleural effusion has increased in size since the previous exam. There is associated atelectasis or consolidation in the left upper lobe and left base. The right lung is clear. Heart size is normal. No pneumothorax.,Large left pleural effusion with left upper lobe and left base atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.25590503231400650293786624789875141019
+Left subclavian AICD lead projects over right ventricle. Enlargement of cardiac silhouette with pulmonary vascular congestion. Mild diffuse pulmonary edema. No gross pleural effusion or pneumothorax.,Enlargement of cardiac silhouette with pulmonary vascular congestion and mild pulmonary edema.,1.2.826.0.1.3680043.8.498.28922835407774881508041170270070607884
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38730962968839021020662625128242728594
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88615394481059292099788619209677013692
+The lungs are well-expanded. The interstitial markings are increased bilaterally. The retrocardiac region is dense. The heart is top-normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,Interval extubation of the trachea and of the esophagus. Increased interstitial edema bilaterally. Persistent left lower lobe atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.56125334691449301342418881905893441331
+Endotracheal tube is 2.5 cm above the carina. Right dialysis catheter and left central line are unchanged. Low lung volumes. Cardiomegaly. No confluent airspace opacities or effusions. No acute bony abnormality.,"Endotracheal tube 2.5 cm above the carina. Low lung volumes, cardiomegaly.",1.2.826.0.1.3680043.8.498.54923967750082341842900932574205490223
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.26947200320568175148006883747527127480
+Cardiac shadow is at the upper limits of normal in size. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53117602615082495122330892712915681809
+Stable cardiomegaly given projection and technique. Aortic atherosclerosis with calcification. Consolidation within the right mid lung zone probably represents pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Emphysema. No pleural effusion or pneumothorax. Surgical changes of the right upper lung and right anterior chest wall. No acute osseous abnormality is evident.,Right mid lung zone consolidation probably represents pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Stable cardiomegaly. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.40715110398080458998044227717518671586
+There is a large hiatal hernia. There is bilateral airspace disease which is most likely due to edema. There are small bilateral effusions and bibasilar atelectasis. There is no acute bony abnormality.,1. Large hiatal hernia. 2. Bilateral airspace disease which is most likely due to edema. Small bilateral effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.76639720051898062167180485588697548092
+Normal heart size and mediastinal contours. RIGHT upper lobe infiltrate consistent with pneumonia. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,RIGHT upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.38126673999622299245578515229955455156
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68990114835763393916384219862367048766
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40201500137950332348240306993498012199
+Normal sized heart. Clear lungs. Minimal thoracic spine degenerative changes.,No acute abnormality.,1.2.826.0.1.3680043.8.498.98088106374982351476345653092834728200
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52638847123989676864512827480916211365
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.22035919345639732269311235917629052480
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54901036331501543748129678991038883102
+Stable appearance of the thoracic aortic stent graft. Stable cardiomegaly. No pulmonary edema. No pleural effusion or pneumothorax. Left retrocardiac atelectasis or scarring is similar to the prior study.,Stable appearance of the thoracic aortic stent graft. Stable cardiomegaly. No pulmonary edema. Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.19911109041985601001408860419757907585
+Stable mediastinum and cardiac silhouette. There is fine air space disease in the bilateral lower lobes similar to prior. No pleural fluid. No pneumothorax.,Bibasilar air space disease suggests pulmonary edema.,1.2.826.0.1.3680043.8.498.83076315537628144779929720732996338446
+The heart size is at the upper limits of normal. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are seen.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.32723052782830591260818874717376832426
+The lungs are clear. There is no evidence of a significant pleural effusion. No evidence of a pneumothorax. The cardiac silhouette is mildly enlarged. The mediastinal contour is normal. No significant osseous abnormalities are identified.,No evidence of an acute abnormality. There is cardiomegaly which could be secondary to cardiomyopathy and/or a pericardial effusion. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.20926921393697134391129589150300064148
+The heart is enlarged. The mediastinal contour is normal. There is linear density in the left mid lung and left base. There is no pulmonary edema or pleural effusion. The bony structures are normal.,Cardiomegaly. Linear density is identified in the left lung. This is probably due to scar. Comparison with prior chest x-ray is suggested. If none are available CT scan of the chest is suggested.,1.2.826.0.1.3680043.8.498.71534322817297746261599751107381195434
+Right IJ dialysis catheter is present with tip at the right atrium. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68904032420310744341682070158610810149
+"AP view at 9556 hours. UVC has been advanced, tip now at the level of the diaphragm. Mediastinal contours remain normal. Lung volumes in ventilation remain within normal limits. No pneumothorax.",1. UVC advanced to the level of the diaphragm. 2. Otherwise stable chest.,1.2.826.0.1.3680043.8.498.14445015059657781022270165188244767791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34740138289759639381533247181923320681
+"The heart size and mediastinal contours are within normal limits. There is evidence of moderate congestive heart failure and bilateral pleural effusions, right greater than left. The visualized skeletal structures are unremarkable.",Moderate CHF with bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.18251132148466952618171486130336578442
+"The heart size and mediastinal contours are within normal limits. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active disease.,1.2.826.0.1.3680043.8.498.21290235298150625252022412776333514194
+Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the main pulmonary artery. Left chest tube and mediastinal drain are unchanged in position. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is mildly enlarged with pulmonary vascularity within normal limits. No adenopathy.,Tube and catheter positions as described without pneumothorax. Left base atelectasis. No edema. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.24864762641178691103266877840471040880
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.99343750451066437083980295717942118659
+The lungs are adequately inflated. There is no focal infiltrate. There is linear density lateral to the right heart border that suggests subsegmental atelectasis. The heart is not enlarged. I see no pleural effusion.,I do not see definite evidence of a bulla at the right base yet I do not detect a definite bulla on this exam. There is subsegmental atelectasis on the right. Followup imaging is available upon request.,1.2.826.0.1.3680043.8.498.74492046382058135604966227646820598241
+Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.44346308423906306683322270929177838000
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.58748581683630191096787103215834102684
+The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Colonic gas is seen throughout the abdomen which is nonspecific. No bowel distention or evidence of obstruction is seen. No free air is seen on the supine view.,Nonspecific bowel gas pattern. No evidence of bowel obstruction or free air.,1.2.826.0.1.3680043.8.498.58046044857223198726186826598444516685
+The lungs are clear. The heart is within normal limits in size. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.42788136835915770409540739662985089100
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33769567818937479969060513052519946404
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.32492064286057359058617997885575063287
+There is central peribronchial thickening. There is a right upper lobe infiltrate. The cardiothymic silhouette is within normal limits. The bony thorax is grossly intact. There is no pneumothorax.,Central peribronchial thickening with right upper lobe infiltrate likely representing pneumonia.,1.2.826.0.1.3680043.8.498.25942550991467945690414318117321949241
+Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture. Left shoulder arthroplasty.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21887634574799575317929034507975682304
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.50104922044037944469714633168189531526
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.80678801238393743589942645624165007028
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25340101454438914349874728410500807116
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97594707431591661319306887416615936891
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24358896084470080035245568531820628264
+Low lung volumes with bibasilar atelectasis. Heart is normal size. No effusions or pneumothorax. No acute bony abnormality.,"Low lung volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.77355980773124305750738556391242911110
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10775514932345825116901387014016345585
+NG tube courses into the stomach and below the inferior margin of the film. There is cardiomegaly. Patchy airspace disease in the right mid and lower lung zones is identified. The left lung appears clear. No pneumothorax or pleural effusion.,Patchy right side airspace disease compatible with pneumonia. Cardiomegaly.,1.2.826.0.1.3680043.8.498.60228009900898127013537176871226728066
+"Stable cardiomegaly and mediastinal contours. Small bilateral pleural effusions are stable. No pneumothorax, pulmonary edema, or acute pulmonary opacity. Stable visualized osseous structures.",Stable small pleural effusions.,1.2.826.0.1.3680043.8.498.51304219816218051225106492490563149582
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.81062052898244243211357994654796615400
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63114106527078822315011038778067604075
+There is extensive emphysematous change on the left with extensive apical bullous disease on the left. There is scarring in the right upper lobe. There is opacity in the left lung base which is similar to the prior study and is probably due to scarring. There is a small left pleural effusion. There is no evidence of adenopathy. The heart is normal in size. The bony structures are unremarkable.,1. Extensive scarring in the left lung. 2. Extensive emphysematous change on the left. 3. No evidence of adenopathy.,1.2.826.0.1.3680043.8.498.57826667727797626823121496337240916203
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58688110992412227609422152636261938526
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.67333824715034991774214316858091928298
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17177928939950322785042440815897496560
+Heart size and mediastinal contours are within normal limits. Lungs are clear. No pleural effusion or pneumothorax seen. Osseous structures about the chest are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78626904017822639968979581652869370939
+There are bilateral hazy airspace lung opacities most evident in the right upper lobe and left mid lung consistent multifocal pneumonia. No evidence of pulmonary edema. No pleural effusion or pneumothorax. Cardiac silhouette is normal in size. No mediastinal or hilar masses. Skeletal structures are grossly intact.,New multifocal airspace lung opacities consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.47357228433620191614465911534460630671
+There is airspace consolidation in the posterior segment of the right upper lobe. There is patchy infiltrate in the anterior right base. Left lung is clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Right upper lobe and right base pneumonia.,1.2.826.0.1.3680043.8.498.40720323951087405406385783709427294379
+The heart size and mediastinal contours are within normal limits. Subtle airspace opacities at the left lung base. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,"Subtle airspace opacities at the left lung base, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.97616675816019399354704295095883644508
+There is scarring in the right base region. There is no edema or consolidation. The heart size is normal. The pulmonary vascularity reflects underlying emphysema. No adenopathy. No bone lesions. No pneumothorax.,Scarring right base. No edema or consolidation. Evidence of a degree of emphysema noted.,1.2.826.0.1.3680043.8.498.35317357896697312026319024537559058209
+Semi upright AP and lateral views of the chest. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.88411934774259505308316213938687964363
+Heart: Normal. Lungs: Bilateral airspace opacities. No pneumothorax or pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,Bilateral airspace opacities. Differential includes infection versus edema.,1.2.826.0.1.3680043.8.498.64301078234448815923077368028721258161
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No soft tissue or bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.36989227948168943716070466707379988565
+The lungs are clear but hyperaerated consistent with COPD. No active infiltrate or effusion is seen. The heart is within upper limits of normal. No acute bony abnormality is seen.,COPD. No active lung disease.,1.2.826.0.1.3680043.8.498.80598981611269937407499097145494804361
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24652455741882418041270031482415093117
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.18893724024087180758211845725563116518
+Heart size and vascularity normal. Lungs are clear without infiltrate or effusion. No acute skeletal abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81781800391808668905182480783865539068
+There is a left chest wall pacer with leads in the right atrial appendage and right ventricle. The heart is enlarged. The patient has had a median sternotomy. There is no evidence for CHF. No focal airspace opacities are identified. There is no evidence of pleural effusion or pneumothorax.,1. Cardiomegaly. 2. COPD.,1.2.826.0.1.3680043.8.498.19160631360314450075677410058904111456
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.39450812324388032067440568529218412340
+"There is cardiomegaly. Pulmonary vascular congestion is noted. No consolidative process, pneumothorax or effusion. No acute or focal bony abnormality.",Cardiomegaly and pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.23671638807854623845638825461942456230
+Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.20424562298851186490793043928701818987
+"There is hyperinflation and chronic interstitial thickening. There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact. There is evidence of prior sternotomy. A nasogastric tube is appreciated with the distal portion in the stomach.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.51531235551537002592344210788266345541
+There is cardiomegaly. Diffuse osseous metastatic disease is identified. Small bilateral pleural effusions are noted. There is no evidence of pneumothorax. Atelectasis at the right lung base is noted.,1. Small bilateral pleural effusions. 2. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.20138569071332237609190671147294847945
+Single portable AP chest radiograph is provided. There is a moderate right pleural effusion. There is no focal parenchymal opacity. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,No right pneumothorax status post right thoracentesis.,1.2.826.0.1.3680043.8.498.48924118554106243372649205123631054768
+Stable cardiomegaly. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84507573707424022259850092931416856702
+Cardiomediastinal silhouette is unremarkable. The lungs are clear without pleural effusions or focal consolidations. Pulmonary vasculature is unremarkable. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are nonsuspicious.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78369501254349982833081945649102656595
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94106195407868785859683386396451343346
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73185024883703493354003331468478568756
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.40841037687463011619843223948856789686
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29462642788931481623667145833811387491
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26406897450062165247665616476950246163
+LEFT subclavian AICD with leads projecting at RIGHT atrium and RIGHT ventricle. Enlargement of cardiac silhouette with pulmonary vascular congestion. Infiltrates identified at the mid to lower RIGHT lung likely representing pneumonia. Remaining lungs clear. No gross pleural effusion or pneumothorax. Bones demineralized.,Enlargement of cardiac silhouette with pulmonary vascular congestion post AICD. RIGHT lung infiltrates question pneumonia.,1.2.826.0.1.3680043.8.498.13367555994267287162276803565326612245
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97370360696673570861148386442698456233
+The heart is mildly enlarged. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,Mild cardiac enlargement. No acute cardiopulmonary process. No radiographic evidence for active tuberculosis.,1.2.826.0.1.3680043.8.498.86156185638452211139830717336331066574
+"Right central line is been placed with the tip in the right atrium. No pneumothorax. Cardiomegaly. No confluent opacities, effusions or edema. No acute bony abnormality.",Right central line tip in the right atrium. No pneumothorax. Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.60276487178797948220191347321284684627
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78422999121301480926323588213720415330
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82946583789605309867365652093929795712
+Heart is upper limits normal in size. Lungs are clear. No effusions. Degenerative changes in the thoracic spine. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24540376816246992025799695543306081026
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.58992286729034894955054650066722890840
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.45851427989854603161754389651453986229
+"The trachea is midline. The cardiac, mediastinal and pulmonary vascular shadows are normal. There is consolidation/atelectasis in the left lower lobe. The right lung is clear. No pleural effusion or pneumothorax is present.",Left lower lobe atelectasis/consolidation,1.2.826.0.1.3680043.8.498.88148619984966263707057381347886997652
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63144042705229582760692492144002363520
+There is dense airspace consolidation in the left lower lobe. The cardiac and mediastinal contours are within normal limits. The right lung is clear. No pneumothorax. No acute osseous abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.67939851954049745638470117180007799803
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.43809719981074501010524607196690080624
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41734476730624883883796718122844320017
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30122387070325323524141335845413510246
+Multiple right-sided rib fractures are again noted. No gross pneumothorax. Cardiomegaly. Central pulmonary vascular prominence. No segmental infiltrate.,Multiple right-sided rib fractures are again noted. No gross pneumothorax. Cardiomegaly. Central pulmonary vascular prominence. No segmental infiltrate.,1.2.826.0.1.3680043.8.498.21232096113008751072637199497118718711
+"Portable AP supine view at 9385 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Low lung volumes. Mediastinal contours are within normal limits. No pneumothorax or pleural effusion evident on this supine view. No confluent pulmonary opacity. No acute osseous abnormality identified.",1. ET tube and enteric tube appear appropriately placed. 2. Low lung volumes. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.83723660193227992951522923525509464979
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.71544096708733177214779594688028442770
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65384651795143967491436420873376231879
+"Left IJ central venous catheter tip overlies the superior vena cava. Heart and mediastinum are stable. Aorta is mildly tortuous. Minimal left basilar opacities likely represent atelectasis. Otherwise, no focal pulmonary opacities. No pneumothorax.",1. Left IJ central venous catheter tip overlies the superior vena cava. 2. Minimal left basilar atelectasis.,1.2.826.0.1.3680043.8.498.33222373326377924868868339774241267908
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11088102182549343278617502611844339822
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21253353750880533410455628874713430710
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97487148795512480284105489707854489821
+The heart size and mediastinal contours are within normal limits. Low lung volumes. Both lungs are clear. No pneumothorax. No pleural effusion. The visualized skeletal structures are unremarkable.,No acute process in the chest.,1.2.826.0.1.3680043.8.498.61059105488328801060464246841874218684
+Nasogastric tube is in place. Distention of small bowel loops appears to have increased compared to prior study. There is no evidence of free intraperitoneal air. There is no pathologic calcification. There are no fluid collections.,Nasogastric tube in place. Distention of small bowel loops which appears to have increased.,1.2.826.0.1.3680043.8.498.15440384752510813699657178723913623768
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.92989427110707790776018672778533337580
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48328258823715646330213503202940302475
+Cardiac shadow is at the upper limits of normal in size. Aortic calcifications are seen. The lungs are hypoinflated without focal infiltrate or sizable effusion. No bony abnormality is noted.,No active disease.,1.2.826.0.1.3680043.8.498.41475854927707734051854162959429906779
+The heart size is within normal limits. The lungs are clear. Hilar and mediastinal structures are normal. Bones appear normal. There are no effusions.,Negative chest x-ray.,1.2.826.0.1.3680043.8.498.82787459746594974481008306875664245557
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Left subclavian Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.84135939949425045904650444789419203379
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.94318663594229375497951105760670387552
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.97480369439870790447889677746519229889
+There is central airway thickening. There is a focal airspace opacity in the left lower lobe consistent with pneumonia. No pleural effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Central airway thickening with left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.34889856759797400276570483477546103871
+The endotracheal tube is in stable position. A nasogastric tube has been placed. The tip is in the stomach. A left IJ central venous catheter has been placed. The tip is in the SVC. No pneumothorax is seen. Bilateral pleural effusions and basilar atelectasis are again noted.,1. New left IJ central venous catheter without pneumothorax. 2. New nasogastric tube. 3. Stable endotracheal tube.,1.2.826.0.1.3680043.8.498.68229564760707055234932144913615818388
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.99129614414694582239789440642143949606
+The endotracheal tube has been removed. Aeration has diminished with increase in basilar atelectasis. Swan-Ganz catheter and left chest tube remain and no pneumothorax is seen. Cardiomegaly is stable.,Endotracheal tube removed. Slight decrease in aeration.,1.2.826.0.1.3680043.8.498.53557285238514330968655282049659760254
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67945425036632235054755037302656074721
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27456712622331648496266755925163893545
+Cardiothymic silhouette is within normal limits. There is diffuse hazy opacities throughout the lungs. No effusions. No bony abnormality.,Diffuse hazy opacities throughout the lungs which could reflect atelectasis or edema.,1.2.826.0.1.3680043.8.498.50048181271513091545544029511788839720
+There is airspace disease bilaterally primarily involving the mid and lower lung fields with probable right and possibly left pleural effusions. This pattern is most consistent with edema although pneumonia particularly at the right lung base cannot be excluded. There is cardiomegaly present. A left central venous line is present with the tip seen to the lower SVC. No bony abnormality is noted.,Probable CHF with edema and effusions. Cannot exclude pneumonia at the right lung base. Left central venous line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.35908355947976350659736359749109367475
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13490926692485266355786882776958890167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21155064264103611704199062976323457605
+"Cardiac silhouette appears moderately enlarged, even with consideration to this low inspiratory examination with crowded vasculature markings. Fullness of the hila with bibasilar strandy densities. Small RIGHT pleural effusion. No pneumothorax. Large body habitus. Osseous structures are nonsuspicious.",Stable cardiomegaly. Small RIGHT pleural effusion. RIGHT lung base atelectasis. Fullness of the hila concerning for pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.41669999861561145010263582915058665393
+An endotracheal tube is appreciated with tip at the level of the clavicles. A right-sided internal jugular catheter is appreciated with tip at the level of the superior vena cava. There is no evidence of a pneumothorax. An area of increased density projects within the left lung base. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Atelectasis versus infiltrate left lung base. 3. Surveillance evaluation recommended.,1.2.826.0.1.3680043.8.498.96318449653380690363900987159116695203
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.71682286872680444733820158617016641957
+The heart is normal in size. The mediastinal and hilar contours are within normal limits. There is an ill-defined airspace process in the left lower lobe consistent with pneumonia. No pleural effusion. The bony thorax is intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17869415237681977722555674329499156318
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70463798995663190511744397899237344493
+An enteric tube is again identified with distal tip overlying the expected region of the duodenal bulb. Normal bowel gas pattern is noted. Both lungs are clear. Cardiothymic silhouette is within normal limits.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68133733361853131665767136992481969047
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71883564184971053288803050689590366539
+The heart is enlarged. Diffuse interstitial and airspace opacities are present bilaterally. There is no significant consolidation. Postoperative changes are evident. Degenerative changes are noted at the shoulders bilaterally. No definite acute fractures are evident. There is no pneumothorax. No definite pleural effusions are seen.,1. Cardiomegaly with moderate to severe pulmonary edema. 2. No definite acute traumatic findings. 3. Postoperative changes of the chest.,1.2.826.0.1.3680043.8.498.42708483892514941801416934456876384420
+Heart and mediastinal contours are within normal limits. Lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.71522504403215116321948521638613757192
+An AP semierect portable film of the chest made 1/14/10 at 1205 hours is compared to previous study of 1/14/10 at 4005 hours and now shows a right PICC line with tip in the superior vena cava an estimated 5 cm above the right atrium. There is no pneumothorax. There is mild cardiomegaly. The lungs show mild diffuse peribronchial thickening but no active infiltrate. There is no pleural effusion.,Right PICC line tip in superior vena cava 5 cm above right atrium. No pneumothorax. Mild cardiomegaly. No acute infiltrate.,1.2.826.0.1.3680043.8.498.50147917531084096711571874100890374110
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.31432707075653111241867262205072048480
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are hyperinflated. No infiltrates, edema or effusions. The bony thorax is intact.",COPD. No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.12774286103710846827187137688278862109
+The cardiomediastinal silhouette is stable. Lungs grossly clear without acute infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. There are no acute bony findings.,No significant interval change. No acute process.,1.2.826.0.1.3680043.8.498.91460697025631580812522121147550407072
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93099040443257630848462184268543950003
+"There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The cardiac silhouette is markedly enlarged and unchanged in size. The visualized skeletal structures are unremarkable.",Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.48064974311757707346801638188531419842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69068871968564658026124690177852488052
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10128488930956924908810398991106904394
+Normal sized heart. Clear lungs. Minimal scoliosis.,No acute abnormality.,1.2.826.0.1.3680043.8.498.11515302690781091925969050125002833209
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.57804588874681192261831778909079825271
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72367009250022755335565363528895679168
+There is abnormal soft tissue density in the left paratracheal and left hilar regions. The right lung is clear. There is no pleural effusion or pneumothorax. The heart and pulmonary vascularity are normal. The bony thorax exhibits no acute abnormality.,Abnormal mediastinal and left hilar and paratracheal densities worrisome for lymphadenopathy or mass. Contrast-enhanced chest CT scanning is recommended.,1.2.826.0.1.3680043.8.498.27107351141858530181363756008543912884
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.74703632053993988609499333993551389713
+Patchy opacity in the right upper lobe suspicious for pneumonia. Left lung is clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.92974200037434124516349624841880742450
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. No bullet fragments are identified.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.15525371142731110865491658030023416962
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.41395553384577537298046446656404997764
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73908551882278163326296972771756368803
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18748138489800168728554080863057806745
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13832168005688824341325301855745379544
+"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, consistent with mild congestive heart failure. The lungs are hyperaerated consistent with COPD. No acute bony abnormality is seen.",Mild CHF with small effusions. COPD.,1.2.826.0.1.3680043.8.498.21290716840873311166140549494990570672
+Endotracheal tube and NG tube in stable position. Left PICC line stable position. Heart size stable. Diffuse bilateral pulmonary infiltrates/edema again noted. Slight worsening from prior exam. No pleural effusion or pneumothorax.,1. Lines and tubes in stable position. 2. Diffuse bilateral pulmonary infiltrates/edema again noted. Slight worsening from prior exam.,1.2.826.0.1.3680043.8.498.65276364327442484592345491165133133054
+"The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. Again noted is bilateral diffuse interstitial markings, which may be secondary to chronic interstitial lung disease. There is no definite evidence of acute infiltrate. The bilateral costophrenic angles appear sharp. The visualized bony thoracic cage appears intact.","Stable diffuse bilateral interstitial markings, which may be secondary to chronic interstitial lung disease. No definite focal infiltrate or pleural effusion.",1.2.826.0.1.3680043.8.498.28559204916565729877584673255830680055
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34852416363244206997968072417022240177
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.15405785477130691342526478079128412898
+Linear scarring or atelectasis at the right lung base. Mild elevation of the right hemidiaphragm. No consolidation or mass. No pneumothorax or pleural effusion. Cardiomediastinal silhouette within normal limits. No acute osseous abnormality.,Linear scarring or atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.69412317910056504015617159772428284292
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86405372895862222829113655910819822138
+"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but there is no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.64801128938621302324958992430774771915
+Cardiac shadow is within normal limits. Elevation of left hemidiaphragm is noted. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85201282062975857972588297261849377285
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32312593025933142535680072160726397323
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.87381775754703863218083049728116840602
+Endotracheal tube is in satisfactory position. Left IJ central line tip projects over the right atrium. Nasogastric tube enters the stomach. The heart size and mediastinal contours are stable. There is persistent patchy airspace disease at both lung bases which may reflect atelectasis or pneumonia. Small bilateral pleural effusions are suspected. There is no pneumothorax.,1. No significant change in bibasilar airspace disease or small pleural effusions. 2. Support system and lines are unchanged in position.,1.2.826.0.1.3680043.8.498.25306003692526391146210746507800644716
+The lungs are clear. No pneumothorax is seen. Mediastinal contours appear normal. The heart is mildly enlarged. Median sternotomy sutures are noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.94404619641145664099174456398187728665
+Heart and lungs normal. No rib fractures or lesions. No pneumothorax or hemothorax.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.78404410809677152157738054615785711143
+The lungs are clear. There is no evidence of a significant pleural effusion. No evidence of a pneumothorax. The cardiac silhouette is normal in size. The mediastinal contour is normal. No significant osseous abnormalities are identified.,No evidence of an acute abnormality. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.72704029007683374018095426276996888220
+Enteric tube courses inferior to the diaphragm. Stable cardiomegaly. Moderate right and small left pleural effusions with underlying pulmonary consolidation. No pneumothorax. Regional skeleton is unremarkable.,Stable cardiomegaly. Persistent moderate right and small left pleural effusions with underlying opacities.,1.2.826.0.1.3680043.8.498.42613862503444277763702143513725527205
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87884064971484854789433425265047654250
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87672329375900823178417859952612013056
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56172840350505277737949076874154671562
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27894426836281191174853105272064515438
+Stable right apical pneumothorax. Small right pleural effusion is unchanged. Port-A-Cath is in the SVC.,Stable right apical pneumothorax.,1.2.826.0.1.3680043.8.498.44066172926077470389352929553470498554
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.67466848424012238600546713487801117371
+The cardiomediastinal contours are within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No acute finding in the visualized skeleton.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.50513963748618527381498787601400059073
+"Portable AP semi upright view at 9555 hours. Endotracheal tube tip in good position between the level the clavicles and carina. Enteric tube courses to the abdomen, tip not included. Chronic moderate right pleural effusion with veiling opacity in the right lung. Evidence of right lung base atelectasis. No pneumothorax. Stable pulmonary vascularity without overt edema. Stable cardiac size and mediastinal contours.",1. Stable lines and tubes. 2. Stable ventilation with moderate right pleural effusion and right lung base atelectasis.,1.2.826.0.1.3680043.8.498.41493229440911612660501619425031624174
+Normal cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99114286899466581198969812768302262670
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.66772027930221648379893594776449817324
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones appear mildly demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.19730262745214463285578756735758666492
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.81486345813724389626919021439076361395
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58698435315154684555983937853983342379
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73522605844599094949947531572369210563
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.31095774367604006112429089200045222073
+Lungs are clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74601916257424091218003280077633183767
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.10266704468268281300462631973539074680
+Single portable AP chest radiograph is provided. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There are bilateral small pleural effusions. There is no pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.65473998129138343596673428747455017167
+"The heart is enlarged. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly. No acute chest findings.,1.2.826.0.1.3680043.8.498.50149069602520022692367886273653006331
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.19536176140904582349787741419992372055
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.24072301468712504856657611912216806209
+"Right subclavian Port-A-Cath, tip SVC. Left subclavian pacemaker stable. Right lower lobe lung mass unchanged. No pneumothorax. No pleural effusion.",No pneumothorax following Port-A-Cath placement.,1.2.826.0.1.3680043.8.498.92291837555359923227030558151092645812
+There is peribronchial thickening. Heart size and pulmonary vascularity are normal. No focal airspace consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.42028226019446764663556907358373763688
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Aortic atherosclerosis is noted. No acute bony abnormality.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.79694985484004073349339983122999768839
+"Right PICC line is in place. The tip is in the mid SVC, unchanged. Tracheostomy tube is in place. Heart is normal size. No focal airspace opacities or effusions.",Right PICC line tip mid SVC. Otherwise no change.,1.2.826.0.1.3680043.8.498.75759834166793217515981083494869891057
+The lungs are clear. The heart size is upper normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.59109382459475196231833871214882774569
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40059082762691631620342365674929009969
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82441117193960085335441589135015564575
+The heart size and mediastinal contours are within normal limits and stable. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51405135076345497386441267189584225198
+There is chronic elevation of the right hemidiaphragm. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.77699969501170512524840199359518933360
+The right pleural effusion has decreased in size. No pneumothorax is identified. A moderate left effusion is again seen. There is vascular congestion. The heart is enlarged. Pacemaker is stable.,Decrease in size of right effusion after thoracentesis. No pneumothorax.,1.2.826.0.1.3680043.8.498.57958582572480145486535751981565455673
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63513538003042852157834464802715533717
+"The cardiomediastinal silhouette is unremarkable. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50306457498774032423517244331474987186
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31788643394097599133794298006818827312
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.82222772203579869446014403270751110499
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59920551944615110287842139754544614792
+Left upper extremity catheter tip overlies the proximal right atrium. Mild cardiomegaly. Diffuse bilateral interstitial opacities. No focal consolidation or pulmonary edema. No pleural effusion or pneumothorax.,"1. Diffuse bilateral interstitial opacities, possibly due to interstitial edema or atypical/viral pneumonia. 2. Mild cardiomegaly.",1.2.826.0.1.3680043.8.498.86864292112458716220447883023854131642
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36787975840195260292858472427518481092
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27235798949009462836067507451614451882
+"Endotracheal tube terminates 5.5 cm above the carina. Left subclavian venous catheter terminates in the mid SVC. No pneumothorax. Cardiomegaly with left basilar opacity, likely atelectasis.",Endotracheal tube terminates 5.5 cm above the carina. Left subclavian venous catheter terminates in the mid SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.84739447003019394569664280242582367544
+Calcified granuloma in the right lower lobe is stable. Lungs are otherwise clear. No pneumothorax or effusion. Heart is normal in size.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82996720210107867913542537046322731802
+Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Mild cardiomegaly. Bibasilar atelectasis. No visible effusions or edema. No acute bony abnormality.,"Endotracheal tube and NG tube in expected position. Mild cardiomegaly, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.25965984804848357055376404283331433772
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33868928820709861582732463335132399377
+Portable AP semi upright view at 3975 hours. Larger lung volumes. Stable cardiomegaly and mediastinal contours. Calcified aortic atherosclerosis. Allowing for portable technique the lungs are clear. No pneumothorax or pleural effusion. Negative visible bowel gas pattern. No acute osseous abnormality identified.,1. No acute cardiopulmonary abnormality. 2. Aortic Atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.70090308573626359615574206974495794380
+The heart and mediastinal contours are within normal limits. The lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.28083840532507633623606850214214418478
+Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. Tortuosity of the thoracic aorta is noted.,1. No acute cardiopulmonary abnormalities. 2. Tortuosity of the thoracic aorta.,1.2.826.0.1.3680043.8.498.40370550329938871347089414297025653713
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Patchy infiltrative changes are noted in the right upper lobe consistent with acute pneumonia. No sizable effusion is seen. No bony abnormality is noted.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.29563266588083633698901570746240207009
+Mediastinum and hilar structures normal. Right base atelectasis and or infiltrate. Left lung is clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Mild right base atelectasis and or infiltrate.,1.2.826.0.1.3680043.8.498.86285228488817263557983852515795380284
+The cardiomediastinal silhouette is stable. There is no active infiltrate or pleural effusion. There is a left central venous catheter with tip in the SVC. There is no diagnostic pneumothorax.,No acute infiltrate or pleural effusion. No pulmonary edema.,1.2.826.0.1.3680043.8.498.14725583737724981906249515952007675816
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.18817800462322538668064388555566315372
+"There is patchy opacity at the lung bases, left greater than right. Although this may represent atelectasis, pneumonia is a definite consideration. The lungs are hyperaerated consistent with COPD. The heart is mildly enlarged.","Patchy opacities at the lung bases, left greater than right. Possible atelectasis but cannot exclude pneumonia. COPD.",1.2.826.0.1.3680043.8.498.13519284091512391912560887303411454243
+Heart/Mediastinum: Cardiomediastinal silhouette appears grossly unremarkable. Lungs: No dense consolidation or definite acute infiltrate. No pneumothorax. Pleural effusions: No definite significant effusion seen. Bones: Grossly unremarkable. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.88354670267680410156257041626532479582
+Diffuse bilateral interstitial opacities and small right pleural effusion again noted. There has been little interval change since the prior study. No pneumothorax. Heart size is normal. No acute bony abnormality.,Unchanged appearance of the chest with diffuse bilateral pulmonary opacities and small right pleural effusion.,1.2.826.0.1.3680043.8.498.69148528745413668470484004044711790528
+No active infiltrate or effusion is seen. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.55987309331109998250538355373747481293
+There is no evidence of fracture or other focal bone lesions. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax.,Negative.,1.2.826.0.1.3680043.8.498.88625243480583352446277963446610511296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96084044466521452970635428372235444317
+Endotracheal tube is seen 18 mm proximal to carina. Nasogastric tube is seen coursing into the stomach with stable right internal jugular Swan-Ganz catheter ending at the main pulmonary artery. Mediastinal drains and right chest tube are in satisfactory position. Low lung volumes with subsegmental atelectasis at the lung bases. No pneumothorax. No edema. Heart size is accentuated by low lung volumes and portable technique. Post CABG changes.,1. Post CABG with satisfactory support devices as described. 2. Low lung volumes with mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.14737097433526133652467040299221106872
+There is central peribronchial thickening. No consolidation or pleural effusion. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Central bronchiolitis. No consolidation.,1.2.826.0.1.3680043.8.498.66516800533593673513890011911495855730
+Cardiac pacemaker. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.96681621008293434332196321195556680186
+Patient is rotated. Heart size is accentuated by technique. Mediastinal contours are within normal limits. No pneumothorax or pleural effusion. No acute displaced rib fracture.,No acute findings.,1.2.826.0.1.3680043.8.498.25011058043505081843801429888073567421
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99781974873402092529156273347825717017
+"There is diffuse haziness of the mid and lower lung fields. There is prominence of the pulmonary vasculature. There are no focal air space infiltrates. There is no pneumothorax. Heart is enlarged, hilum and mediastinal structures are unremarkable. There is evidence of prior sternotomy. Visualized osseous structures are without fracture.",Pulmonary edema. Cardiomegaly. Status post sternotomy.,1.2.826.0.1.3680043.8.498.89948410105990751686142629235197471599
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable. Specifically, no definite sternal abnormalities identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.89192572433089166162499927707370343441
+Lungs are clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81799802775449634167635761619769550296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Status post coronary artery bypass graft. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97490342726111607166740186593035803467
+"Shallow inspiration. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31396465980191567876063435839746082875
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49579280121543767490532878270592987490
+New airspace disease noted in the left mid and lower lung concerning for pneumonia. Right lung clear. Heart is upper limits of normal in size. Patient is status post MVR. No effusions.,Left mid and lower lung airspace disease concerning for pneumonia.,1.2.826.0.1.3680043.8.498.51769692087147313444124525973436587853
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94064100041681507318514821004503490342
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57184442115789040905752303442118115953
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29165630930599216124722733873853151072
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.82523539416069720869788097513656469295
+The lungs are clear. No pneumothorax or pleural effusion is seen. The heart size is normal. The aorta is tortuous and uncoiled. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.21235768191454561742659118006960539152
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32737501307358745867850602743055198351
+There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions. No pneumothorax.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.22203028553456348406838617686203756653
+Heart and mediastinal contours normal. Lungs hyperaerated consistent with COPD. No active airspace disease or pleural fluid. Osseous structures intact.,COPD - no active disease.,1.2.826.0.1.3680043.8.498.48726348817104127582727585625597880618
+The cardiac silhouette is normal size and shape. Mediastinal and hilar contours appear normal. No pulmonary infiltrates or masses are evident. No pleural abnormality is evident. Bones appear average for age.,No acute or active cardiopulmonary or pleural abnormalities are identified.,1.2.826.0.1.3680043.8.498.88175167342731586645122018867410303731
+There is scarring in the left base. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. There is degenerative change in the thoracic spine.,Scarring left base. No edema or consolidation.,1.2.826.0.1.3680043.8.498.40072014433715590215846528540492506646
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.37423231769782990839410925361827055453
+There is again noted increased density at the lung bases compatible with bibasilar atelectasis. There is prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. The heart is enlarged. The general appearance of the chest is consistent with congestive heart failure. No definite pneumonia is identified. No new infiltrates are seen as compared to the prior exam.,1. The chest again shows changes consistent with congestive heart failure. 2. There is increased density at the lung bases consistent with atelectasis. 3. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.97808115567184686846220379393463140573
+Cardiothymic shadow within normal limits. No definite pulmonary infiltrates or pleural fluid. Lung volumes are normal. No significant peribronchial thickening.,No active disease.,1.2.826.0.1.3680043.8.498.64158777542380329155334991025175014924
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51583431972941123609016408749677009140
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40846814397218840189562162371942475507
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20177004693679871616465521408636116717
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14477348455488516030952454123733651940
+"The cardiomediastinal silhouette appears to be stable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. There is interval placement of a left-sided central line catheter noted, with distal tip overlying the SVC. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact.","No evidence of acute pulmonary disease. Interval placement of a left-sided central line catheter, with distal tip overlying the SVC. No pneumothorax.",1.2.826.0.1.3680043.8.498.30105961448153457286677216659025727189
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26159838962390058167562161271779402831
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24694864931003910906269543518104869963
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.94270039692634389918330931774363603210
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.89691517847567455256809579011906641512
+Cardiomediastinal silhouette is normal. No pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,Normal chest.,1.2.826.0.1.3680043.8.498.78028814452826993767633192067152714513
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.70229042629226662219846579062660061970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16374862896559013084566902668484974716
+There is increased density at the left base compatible with a left pleural effusion. Underlying atelectasis and pneumonia may also be present. The right lung field is clear. The heart is enlarged. No pulmonary edema is seen.,1. There is increased density at the left base compatible with a left pleural effusion. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.61920924486620752878263432510148706591
+"Dual lead pacemaker is in place with leads in the region of the right atrium and right ventricle. The heart is enlarged. Mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. Pacemaker in place. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.45675088425875672357150463375266555705
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right subclavian central venous catheter tip is in the SVC. No pneumothorax. There is mild left lower lobe atelectasis.,Satisfactory tube and line placement. No pneumothorax. Mild left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.93121922920223039806048068032528916386
+"Two right chest tubes are stable. No pneumothorax. The cardiac silhouette, mediastinal and hilar contours are stable. Persistent small right pleural effusion and overlying atelectasis. Stable surgical changes involving the right lung. The left lung remains relatively clear. There is minimal streaky left basilar atelectasis.",1. Stable right chest tubes. No pneumothorax. 2. Persistent small right pleural effusion and overlying atelectasis.,1.2.826.0.1.3680043.8.498.81258863892770617755640595393916935772
+Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Swan-Ganz catheter is in the main pulmonary artery. Intra-aortic balloon pump is in place with the tip at the aortic arch. There is cardiomegaly with vascular congestion and mild interstitial edema. No effusions.,Mild CHF. Support devices in expected position.,1.2.826.0.1.3680043.8.498.34957932411880023528847716404101915596
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49216881662156954493742273344061162381
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.86468422593016543330210619860834593497
+The lungs are clear of acute infiltrate or congestion. There is no gross cardiomegaly or pleural effusion.,No acute pulmonary disease,1.2.826.0.1.3680043.8.498.22226214034896415167736840651750664860
+The heart is moderately enlarged. Pulmonary vascularity is within normal limits. Mild interstitial edema is present. Tiny bilateral pleural effusions are suspected. There is no evidence of focal consolidation or pneumothorax. No acute osseous abnormalities are seen.,Cardiomegaly with mild interstitial edema and probable tiny bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.32959836320147546719309074005866640299
+Cardiac shadow is stable. A pacing device is again seen. The lungs are well aerated bilaterally with minimal left basilar atelectasis. No sizable effusion is seen. No acute bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.78412219176899918706543274185681681170
+The patient's endotracheal tube is seen ending 2-3 cm above the carina. An enteric tube is noted extending below the diaphragm. A right-sided central venous line is noted ending about the distal SVC. The lungs are well-aerated. Right-sided pneumonia is again noted. There has been no significant change from the prior study. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,1. Endotracheal tube seen ending 2-3 cm above the carina. 2. Right-sided pneumonia again noted.,1.2.826.0.1.3680043.8.498.91007096884067909391482215536503273217
+Low lung volumes. No appreciable edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Low lung volumes. No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.85798508615987831904085502892765153960
+Lower lung volumes from prior exam. Increased hazy opacity in the left lung base consistent with pleural effusion and associated atelectasis/consolidation. Small right pleural effusion is similar to prior exam. Vascular congestion with mild progression from prior exam. Unchanged heart size and mediastinal contours. No pneumothorax.,1. Increased hazy opacity in the left lung base consistent with combination of pleural effusion and atelectasis/consolidation. Small right pleural effusion is similar to prior exam. 2. Vascular congestion with mild progression from prior exam.,1.2.826.0.1.3680043.8.498.66316743084091468805873636950180211630
+The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The interstitial markings are coarse. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,COPD. No pneumonia nor CHF. The known right upper lobe mass is not evident on this study.,1.2.826.0.1.3680043.8.498.80583897616581358390953736750498689406
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.53893233043718918877820605737779148287
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.79343175668682445683223954899320338388
+Single portable AP chest radiograph is provided. The endotracheal tube is in unchanged position. There is a left-sided central venous catheter with the tip projecting over the SVC. There is bilateral diffuse interstitial thickening likely representing interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology. There is a small right pleural effusion. Stable heart and mediastinum. The osseous structures are unremarkable.,Please see above.,1.2.826.0.1.3680043.8.498.62396317953860073517831514286890986308
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76175253420963889864135692023991516560
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18056019358322984423023861720894051803
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48527417140620794819734659369795896202
+Left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex. Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36590747492877884027134033716415822599
+No pneumothorax or focal pleural thickening is present. No depressed rib fracture is identified.,No acute findings.,1.2.826.0.1.3680043.8.498.96526182339661280970409427400645186858
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57831973511515226088046203022440909295
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51519257873628782493458752346255230623
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.76070625272291677374089443866172522021
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The lungs are hyperinflated. The previously noted subcutaneous emphysema has resolved.,1. No acute cardiopulmonary abnormalities. 2. COPD.,1.2.826.0.1.3680043.8.498.31702447421536500483382202628540569871
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.73527439845855664092495432985693917654
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate or pleural effusion. Bones unremarkable. No pneumothorax.",Peribronchial thickening which could reflect bronchitis or asthma. No acute infiltrate.,1.2.826.0.1.3680043.8.498.63976020268688520465900679092091739876
+"Left upper lobe mass is again noted, similar to the prior study. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.",Stable left upper lobe mass. No active disease.,1.2.826.0.1.3680043.8.498.81397979263042258161185699666786375476
+The heart is markedly enlarged. There is vascular congestion without overt failure or focal airspace consolidation. The previously seen basilar airspace disease has resolved in the interval. No pneumothorax.,1. Cardiomegaly with vascular congestion. 2. Improved basilar airspace disease.,1.2.826.0.1.3680043.8.498.40301599598448311273414840844570031141
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21365772362297105436293544528935396990
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62750881825707455207178540419091499797
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.90898303660673149188534534136852750993
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21809973328754346182030761527450711080
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93277201822035155267127153025528950435
+Patient is rotated. Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. Low lung volumes. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.41199410946474589604385118551891940401
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11884379653210663592404806892543845707
+"The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits. No significant osseous abnormality is appreciated.",No radiographic evidence of acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27603390047165257958084406808166091661
+Cardiac and mediastinal contours appear normal. The lungs appear clear. No pleural effusion is identified.,No significant abnormality identified.,1.2.826.0.1.3680043.8.498.23267718365756899857033098583949445138
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86766318358527512186309287548105910365
+"Normal heart size and mediastinal contours. Low volume chest without opacity. No edema, effusion, or pneumothorax.",Negative low volume chest.,1.2.826.0.1.3680043.8.498.71089332546089767778895824717054985126
+"The lungs are well-aerated. Small bilateral pleural effusions are noted, with bibasilar airspace opacity, concerning for mild pulmonary edema. No pneumothorax is seen. The heart is borderline normal in size. No acute osseous abnormalities are seen.","Small bilateral pleural effusions, with bibasilar airspace opacity, concerning for mild pulmonary edema.",1.2.826.0.1.3680043.8.498.93419270633930834446976479379263974745
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20022441557470357030750190449114169623
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87843828565636951656004649548823730898
+There is cardiomegaly present. There does appear to be a small right pleural effusion present. No definite bony abnormality is seen. A permanent pacer is present with AICD lead.,Cardiomegaly and small right effusion with AICD.,1.2.826.0.1.3680043.8.498.67865878515117404396874739181597459745
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84476720161733728886366610272289129986
+Elevated right diaphragm with atelectasis at the right base. Probable small right pleural effusion. No consolidation. Stable cardiomediastinal silhouette. No pneumothorax.,1. Elevated right diaphragm with probable atelectasis at the right base. Small right pleural effusion. 2. No interval consolidation.,1.2.826.0.1.3680043.8.498.65314146745163742816750774519667906705
+"There is cardiomegaly present with mild pulmonary vascular congestion and small effusions, most consistent with mild congestive heart failure. No bony abnormality is seen.",Mild CHF with small effusions.,1.2.826.0.1.3680043.8.498.70484560022420723793411157884675119612
+There is elevation of the left hemidiaphragm. There is gaseous distention of the visualized portions of the stomach. No focal regions of consolidation or focal infiltrates are appreciated. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.32135701307125001079240089754828955436
+The trachea is midline. The heart size is normal. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.64558357842638747283152046996968729460
+"Cardiomediastinal silhouette projects within normal limits in size and contour. No confluent airspace disease, pneumothorax, or pleural effusion. No displaced fracture. Unremarkable appearance of the upper abdomen.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78142388099668424118695512403658401913
+Stable cardiomediastinal silhouette with mild cardiomegaly. No pneumothorax. No pleural effusion. No pulmonary edema. Multiple calcified pleural plaques are similar. No acute consolidative airspace disease.,Stable mild cardiomegaly without pulmonary edema. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.98690052358197738337779944150160890549
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.55831529786333307715692382146955717090
+"The lungs are hypoexpanded. Vascular crowding and vascular congestion are seen. Mild left basilar opacity may reflect atelectasis or mild pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is borderline normal in size; calcification is noted within the aortic arch. No acute osseous abnormalities are seen. Clips are noted within the right upper quadrant, reflecting prior cholecystectomy.",Lungs hypoexpanded; mild left basilar opacity may reflect atelectasis or mild pneumonia. Lungs otherwise grossly clear. No displaced rib fractures seen.,1.2.826.0.1.3680043.8.498.75465031050311792184500551773053794595
+Endotracheal tube and enteric tube are unchanged. Prior CABG. Stable heart size. Diffuse bilateral airspace opacities are similar to prior study. Small right pleural effusion. No pneumothorax.,Stable diffuse bilateral airspace disease. Findings may represent edema or a diffuse inflammatory process.,1.2.826.0.1.3680043.8.498.21119718387230343529556467901255325964
+The lungs are adequately inflated. There is increased density at the right lung base. There is a small right pleural effusion. The left lung is clear. The heart and pulmonary vascularity are normal. There is tortuosity of the ascending and descending thoracic aorta. There is calcification in the wall of the aortic arch. The mediastinum is normal in width. There is multilevel degenerative disc disease of the thoracic spine.,Right lower lobe pneumonia. Small right pleural effusion. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy. Thoracic aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46585223007981951786518879244886202818
+There are low lung volumes with bibasilar atelectasis. Heart is mildly enlarged. No effusions. Degenerative changes in the thoracic spine.,"Low volumes, bibasilar atelectasis.",1.2.826.0.1.3680043.8.498.35642857222713715334712197693357999120
+The lungs are well-expanded. There is no focal infiltrate. There is linear density at the left lung base which suggests atelectasis or scarring. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,"There is no evidence of CHF nor of pneumonia. There is minimal linear density at the left lung base which suggests atelectasis or scarring. When the patient can tolerate the procedure, a PA and lateral chest x-ray would be of value.",1.2.826.0.1.3680043.8.498.66677727975149932042342898388978974606
+Lungs are adequately inflated without focal consolidation or effusion. There is no evidence of consolidation in the lungs. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70144407330968738137462740617197493832
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94364165651156431312201765077582133007
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76000565993892957180769650242051641444
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78472944043320430616908096368336402218
+"The heart is normal in size. The aorta is calcific. The lungs are under expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",Underexpanded lungs but no acute process.,1.2.826.0.1.3680043.8.498.35969625094940440991490560704285532102
+A single portable view of the chest was obtained. There are scattered interstitial opacities in the central portions of the lungs. There is a linear area of opacity in the right lung base. There is mild cardiomegaly. The pulmonary vasculature is normal. There is no pneumothorax. There is no acute bone lesion. Postop changes of the right shoulder are noted.,There is a linear area of opacity in the right lung base which may represent atelectasis or scarring. There are chronic interstitial opacities in the central portions of the lungs which may represent chronic bronchitis. There is no evidence of pneumonia. There is no evidence of CHF.,1.2.826.0.1.3680043.8.498.40750562502398740163186275445752381504
+Two views of the chest demonstrate emphysematous changes of the lungs. Few linear densities at the left lung base are suggestive for atelectasis. Heart size is within normal limits. The trachea is midline. No evidence for pleural effusions.,No acute chest findings.,1.2.826.0.1.3680043.8.498.11424121653625034903309850123547436449
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.58231879132844779934064171010761956260
+"Umbilical venous catheter has been pulled back, tip now overlying the level of T8. Orogastric tube is in place, tip overlying the level of the stomach. Cardiothymic silhouette is normal. The lungs are clear. Bowel gas pattern is nonobstructive.",Repositioned umbilical venous catheter.,1.2.826.0.1.3680043.8.498.44336176034635646446737478224303955435
+Heart size is normal. There is dense opacity at the LEFT lung base consistent with infiltrate and atelectasis. Small LEFT pleural effusion is identified. The RIGHT lung is clear. No pulmonary edema.,LEFT LOWER lobe infiltrate and atelectasis.,1.2.826.0.1.3680043.8.498.89990732356902980243621435537243862367
+The lungs are clear. Mediastinal contours appear normal. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,No active lung disease.,1.2.826.0.1.3680043.8.498.49061709630073803197421116142121800528
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13726923411731790465821916847767223254
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.42045856526709182995992651015361735457
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23605579617990922973448219780179046356
+An orogastric tube is in place with the tip located in the region of the mid body of the stomach. Slightly worsening aeration of the lungs bilaterally. The lungs are hyperinflated. Cardiothymic silhouette is within normal limits. The lung fields demonstrate some mild prominence of the interstitial markings with mild bibasilar volume loss. No pleural effusions are seen. Bony structures are intact. The visualized portion of the bowel gas pattern is unremarkable.,Findings compatible with mild RDS with some areas of focal volume loss as noted above.,1.2.826.0.1.3680043.8.498.28764102452794814793737218885523620225
+Right lung is clear. No pleural effusion or pneumothorax. The heart is normal in size.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85073099703884366523756950942230506263
+"Endotracheal tube is 3.5 cm above the carina. NG tube enters the stomach. Right central line tip is in the SVC. There is cardiomegaly with diffuse bilateral airspace disease and bilateral effusions, slightly improved since prior study. No acute bony abnormality.",Slight improvement in bilateral airspace disease and bilateral effusions.,1.2.826.0.1.3680043.8.498.85610405824372937333105312494677913048
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.61709493427034680667769918074106317961
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.96855839532578633328025760539340009133
+The heart size is within normal limits. There is marked tortuosity of the thoracic aorta. The patient is status post left mastectomy and left axillary dissection. There is marked hyperinflation. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are seen.,1. COPD. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.17815965217530286496646129009451220884
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pleural effusions. No pneumothorax. Visualized bony thorax intact.,Normal chest.,1.2.826.0.1.3680043.8.498.57716525042876827531974832480267454146
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.71121887592238863948777969974019451919
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Atherosclerosis of thoracic aorta is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43074406029785789545148904906406865178
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.52446228630758831441780488698064077673
+The heart size is normal. The lungs are clear. The visualized soft tissues and bony thorax are unremarkable.,Negative one-view chest.,1.2.826.0.1.3680043.8.498.59647475881420559851833241676101539875
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.15350199038426226764856410964867682302
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66822419837961096319746342232445664822
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84601862844304634736184631416419967888
+OG tube is in place with the tip in the stomach. There is mild gaseous distention of the stomach. The bowel gas pattern is otherwise unremarkable. No evidence of pneumatosis or free air.,Mild gaseous distention of the stomach. The remainder of the bowel gas pattern is unremarkable.,1.2.826.0.1.3680043.8.498.16484831762037966469889613424301202541
+Portable AP upright view of the chest demonstrates a normal cardiac silhouette. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.53805616829696421779838618090543644840
+The lungs are clear. Heart size is normal. Aortic atherosclerosis is noted. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease. Atherosclerosis.,1.2.826.0.1.3680043.8.498.51180992218039430905398928707198490779
+Heart size is at the upper limits of normal. Lung volumes are low but clear. No pleural effusion. No edema.,No acute disease,1.2.826.0.1.3680043.8.498.76735877949259875882991826797727453609
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59886548369417118231319166281806731420
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.42896053651288193989788466789634502399
+"Interval removal of Swan-Ganz catheter. Left chest tube remains in place, as well as mediastinal drains. No pneumothorax. Changes of CABG and valve repair. Mild cardiomegaly. Bibasilar atelectasis.",Interval removal of Swan-Ganz catheter. Bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.27336163660373916450169966707728653302
+There is linear atelectasis in the left lung base. The lungs are otherwise clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.75191878352955358171484924344942442638
+"Left chest port terminates in the mid SVC. Small bilateral pleural effusions, left greater than right. Mild cardiomegaly. Diffuse bilateral interstitial opacities, likely edema. No pneumothorax.",Mild cardiomegaly with mild interstitial edema and small bilateral effusions.,1.2.826.0.1.3680043.8.498.15750276515544500386170907777790251510
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.18517590057834269231363202062371981444
+"Endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Bilateral pleural effusions persist, larger on the right than the left. Bilateral areas of pulmonary opacity persist, worse on the left than the right. No worsening is seen since the prior study.",Endotracheal tube and nasogastric tube well positioned. Persistent bilateral pulmonary opacities and bilateral effusions.,1.2.826.0.1.3680043.8.498.67571143116361307692761252058394392988
+Stable normal sized heart and changes of COPD and chronic bronchitis. Stable ill-defined opacity in the right upper lobe. Stable diffuse peribronchial thickening. Stable mild scoliosis and mild thoracic spine degenerative changes.,Stable right upper lobe pneumonia or patchy ill-defined mass. Followup chest radiographs are recommended after completion of antibiotics to ensure clearing. Stable COPD and chronic bronchitis.,1.2.826.0.1.3680043.8.498.49547892026831098951517430125775093845
+"The heart size and pulmonary vascularity are normal. The mediastinal and hilar structures are grossly unremarkable. There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures are age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68652443841307909137848948861498793820
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.56730457204775557099267203883282354909
+Patchy bilateral airspace opacities. No pneumothorax or pleural effusion. Cardiac silhouette is mildly enlarged. No acute osseous abnormality.,Patchy bilateral airspace opacities compatible with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.21587461128180079238190985161381726170
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42438628831516061095205831599554411310
+Shallow inspiration. The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49423107921540804174324122467151634941
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10371670508143600121782335545775082663
+There is atelectatic change in the lung bases. There is also a degree of interstitial edema. There is a small right pleural effusion. Heart is enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,"Evidence a degree of congestive heart failure. Bibasilar atelectasis. Superimposed pneumonia in the bases, however, cannot be excluded radiographically.",1.2.826.0.1.3680043.8.498.21345468552845871931370773660007599288
+Right arm PICC line tip is in the SVC. Heart size is normal. There is no pleural effusion or pulmonary edema. Atelectasis is identified at the left lung base. No airspace consolidation.,1. Right arm PICC line tip is in the SVC. 2. Left base atelectasis.,1.2.826.0.1.3680043.8.498.17941116777438698280442495141687260679
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91859848649193652128192337006228732734
+The heart size and mediastinal contours are within normal limits. Small hiatal hernia is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21306188216433086648834808441584926021
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.49004552804152487462508184192388412378
+There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.19711457781226056113839698310381436729
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. No bullet fragments are identified.",No acute cardiopulmonary process seen. No displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.83254501089263335900739969585861485164
+There is diffuse interstitial opacity throughout the lungs bilaterally. Heart size is normal. No pulmonary edema. No pleural effusions. Degenerative changes are seen in the thoracic spine.,1. Diffuse interstitial lung disease. 2. No pulmonary edema.,1.2.826.0.1.3680043.8.498.13165579889143192213505898819839185721
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22423856857418168155098001494140161385
+The lungs are adequately inflated and clear. The cardiac silhouette is top-normal in size. The pulmonary vascularity is normal. There is a large hiatal hernia. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84738829567138963695159056720366440551
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.37352001806826552792399272174184987045
+"Cardiomediastinal silhouette unremarkable and unchanged. Prominent central peribronchial thickening, unchanged. Prominent central lymph nodes, unchanged. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.",Stable changes of sarcoidosis and/or bronchitis. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14803552329898590644585281395617595210
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.56248190091731157557498533953359456401
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44789261081485997512566324786051430700
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.95985676028272574011222332947024063333
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.84310950164712926665969818200266320875
+Endotracheal tube tip is 1.8 cm above the carina. Nasogastric tube tip and side port are in the stomach. Umbilical venous catheter tip is in the inferior vena cava. No pneumothorax. Lungs are clear. The cardiothymic silhouette is normal. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.91178094513626959840684427549615807424
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,Negative exam.,1.2.826.0.1.3680043.8.498.78345248061383058116199156049662323372
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48961602706366951352189199415268131453
+Right IJ central venous line with tip over central SVC. No pneumothorax. There is a diffuse hazy airspace density consistent with multifocal pneumonia. Clinical correlation is recommended. No pleural effusion or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.,1. Right IJ central venous line with tip over central SVC. No pneumothorax. 2. Diffuse bilateral airspace densities.,1.2.826.0.1.3680043.8.498.59174223603948752332092216646910942255
+There is diffuse interstitial prominence throughout both lungs. There is a small left pleural effusion. There is a small right pleural effusion. The heart is not enlarged. Atherosclerotic calcification is present. The bony structures show osteopenia.,Bilateral pulmonary edema with bilateral pleural effusions. The appearance is a dramatic change from the previous erect view of the chest.,1.2.826.0.1.3680043.8.498.34500717959750552098833812340838743017
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48778204406073079803022254191634261727
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33601261649053492685964795863995536396
+Endotracheal tube is present with the tip 3.5 cm from the carina. Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No bony abnormality.,1. Endotracheal tube in good position. 2. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34859019270113586525425055958927308363
+There is a power port present with the tip of the catheter in the superior vena cava. There is increased density in the RIGHT upper lobe consistent with a mass or infiltrate. Fibrosis is not excluded. The lungs otherwise appear to be clear. There is no effusion or pneumothorax. The heart is normal in size.,RIGHT upper lobe pneumonia versus mass. Fibrosis is not excluded.,1.2.826.0.1.3680043.8.498.82797958045835185740099151408702997195
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55748919089556764132547725768778268702
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26640622554356251034645869200158664738
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27659467433013093547036940141388446997
+There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.66096522203297605844752695634017847114
+"Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81232165102929727029935699297165212623
+Patient is rotated. Increased opacities in the left mid lower lung zone with pleural effusion. Right lung is clear. Unchanged heart size and mediastinal contours allowing for differences in technique. No pneumothorax.,Increased left lung opacities consistent with pneumonia and pleural effusion.,1.2.826.0.1.3680043.8.498.93165488731464754545950127152190981181
+There is increased atelectasis at the left lung base. Low lung volumes are present. Heart size is within normal limits. There is no evidence of pulmonary edema. No definite pleural effusions.,Increased left basilar atelectasis.,1.2.826.0.1.3680043.8.498.91012838593259912518272772281065032454
+The lungs are hypoinflated. There is no focal infiltrate. There is linear density lateral to left heart border suggesting atelectasis. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is bilateral pulmonary hypoinflation. I do not see evidence of pneumonia. There may be subsegmental atelectasis or scarring lateral to the cardiac apex.,1.2.826.0.1.3680043.8.498.58138163721000195792523116582326651614
+There is elevation of the left hemidiaphragm. The heart is mildly enlarged. Aortic calcifications are present. The lungs are clear. No pneumothorax. No pleural effusion.,Cardiomegaly without edema.,1.2.826.0.1.3680043.8.498.54349814256575897108973161868388327652
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.84677043844386822742180553084923668404
+"There is a left-sided pacemaker generator noted with atrial and ventricular leads in place. The heart is enlarged. The aorta is tortuous. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is elevation of the left hemidiaphragm. Degenerative changes are seen in the spine.",No acute process. Elevated left hemidiaphragm.,1.2.826.0.1.3680043.8.498.28090848679709897236443224004706386392
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43294273999981683025342549726903173183
+There is focal airspace disease in the right middle lobe consistent with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.29452432048817631414928412742771144874
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.86564109275736871867433662007695904538
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.50479054494255480091973363485701978097
+"The nodular density previously observed is no longer seen and is consistent with the nipple markers. The lung fields are clear. No pneumonia, pneumothorax, or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.43704958724531320469224251250473704402
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.87334366413802744137244578771418259078
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13711435987096957543899165220645195897
+Heart: Normal. Lungs: The lungs are clear. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.,Normal one view chest,1.2.826.0.1.3680043.8.498.81700406352177812089673677309643769956
+The lungs are clear. There is no pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.69484610100859635860218814667089076283
+"The cardiac silhouette is moderately enlarged. The mediastinal contour and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",Cardiomegaly. No active pulmonary disease.,1.2.826.0.1.3680043.8.498.10011310081109727355634887848394525992
+There is central airway thickening with focal airspace disease in the right lower lobe compatible with pneumonia. No pleural effusion. Lung volumes are normal.,Central airway thickening with right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.73961741349002680226696820950988317523
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42119974866156260601613532179217566096
+The heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is patchy opacity in the left lung base which may represent atelectasis or early infiltrate.,1. Low lung volumes. 2. Suspect left base opacity which may represent atelectasis or early infiltrate.,1.2.826.0.1.3680043.8.498.26743941756482573777725968184290141750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No pleural effusion. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99826458287250606673727682910222889748
+Mediastinum and hilar structures normal. Lungs are clear. Heart size normal. No pleural effusion or pneumothorax. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92500226015216214865241077691729564858
+Post CABG. Heart enlarged. No congestive heart failure. Lungs clear. No definite rib fractures. No pneumothorax.,1. Post CABG. 2. Cardiomegaly. 3. No active disease.,1.2.826.0.1.3680043.8.498.36350474139062133539496740358781220226
+Endotracheal tube and NG tube in stable position. Cardiomegaly with bilateral pulmonary infiltrates/edema again noted. Interim improvement from prior exam. Small left pleural effusion. No pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema. Interim improvement from prior exam. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.72713958042014202582685125931982202100
+The lung volumes are low. The heart size is enlarged. There is mild interstitial edema. Atelectasis is noted at the lung bases. No consolidation is evident.,1. Cardiomegaly and mild edema compatible with congestive heart failure. 2. Low lung volumes and mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31686452265731900164469342418011905215
+"Right internal jugular central venous catheter with tip terminating at the superior cavoatrial junction. Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation. Small left pleural effusion. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta.","1. Support apparatus, as above. 2. Low lung volumes with bibasilar areas of atelectasis and/or consolidation and small left pleural effusion. 3. Mild cardiomegaly with pulmonary venous congestion, but no frank pulmonary edema.",1.2.826.0.1.3680043.8.498.89450211605807209094154783452158578591
+Confluent right perihilar opacity on the frontal view appears to primarily affects the right upper lobe. No pleural effusion. Lung parenchyma elsewhere within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. Normal for age visible bowel gas and osseous structures.,Right upper lobe pneumonia/bronchopneumonia. No pleural effusion. No other confluent pulmonary opacity. No definite peribronchial thickening. Normal for age visible bowel gas and osseous structures.,1.2.826.0.1.3680043.8.498.11989636876418946775609696998667549805
+Trachea is midline. Heart size normal. There is bilateral hilar adenopathy. Right upper lobe air space consolidation is most prominent in the right perihilar region. Lungs are otherwise clear. No pleural fluid.,1. Right upper lobe pneumonia. 2. Bilateral hilar adenopathy.,1.2.826.0.1.3680043.8.498.88109890659282387941666130331558430277
+There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity within normal limits. There is atherosclerotic calcification in the aorta. No adenopathy. No bone lesions.,No edema or consolidation. Stable cardiomegaly. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.12265245947748295203891317701284943201
+There is bibasilar atelectasis. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.48884192518460494427922812769173769871
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21734096155932849154036531666825222899
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.96109129233851579269719098071640563847
+Cardiomediastinal silhouette is stable. No acute infiltrate or pleural effusion. No pulmonary edema. Stable degenerative changes thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54495724537370460628449953097293504940
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94001680562064107134579577673630670646
+Low lung volumes. Streaky atelectasis at the bases. No consolidation. Normal heart size. No pneumothorax.,Low lung volumes with streaky bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.81916778267998675127912419778366587889
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13792143263965840375416524136371244696
+There is interval development of left lower lobe consolidation obscuring the left hemidiaphragm and left cardiac border. Left effusion is also suspected. Lung volumes are decreased. No pneumothorax.,1. New left lower lobe airspace disease concerning for pneumonia with associated effusion. 2. Decreasing lung volumes.,1.2.826.0.1.3680043.8.498.53397967355899076549583955664034885513
+There is improvement in the previously seen pulmonary edema with the exception of a very small residual interstitial pattern. There are small bilateral pleural effusions with bibasilar atelectasis. The heart is enlarged. No pneumothorax.,1. Interval improvement in congestive heart failure pattern with small effusions and bibasilar atelectasis persist. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.33360506733936875919974787125314675426
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.39169090495300075512956227983946326342
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27314327520006686113830380293615252758
+There is hyperinflation of the lungs compatible with COPD. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.51578504751708794735736931381683034787
+No active infiltrate or effusion is seen. The heart is within normal limits in size. No bony abnormality is noted.,No active lung disease.,1.2.826.0.1.3680043.8.498.75087886138515504621074639057549396648
+The lungs are reasonably well inflated. There remain bilateral pleural effusions. The left hemidiaphragm remains obscured. The cardiac silhouette is top normal in size. The pulmonary vascularity is mildly prominent centrally. A dual-lumen dialysis type catheter is in place with the tip in the region of the right atrium.,There has been mild interval improvement in the appearance of both lungs since the previous study. Bilateral pleural effusions remain.,1.2.826.0.1.3680043.8.498.85575557822185004525678985784121122000
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43014306057202251810394999230300397893
+Upper normal heart size. Emphysematous and bronchitic changes compatible with COPD. Right lower lobe mass and adenopathy again identified. Small right pleural effusion. Minimal right basilar atelectasis. No pneumothorax. Bones demineralized.,COPD changes with right lower lobe mass and adenopathy again identified. Small right pleural effusion and minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.68266795716081071415305734271760272015
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.42442958146372656636078105186869934297
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72558275259680945683302554370787234351
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Osseous mineralization normal. BB placed at site of symptoms lower LEFT chest. No rib fracture or bone destruction.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.99765730017430939741074174702845278419
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Elevation of the left hemidiaphragm with associated atelectasis. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60355702341770083572882141948295937194
+There is a small RIGHT apical pneumothorax. A RIGHT chest tube remains in place. There is noted a mass in the RIGHT upper lobe as seen on previous exam. There is increased density in the RIGHT lung base which may represent atelectasis and/or infiltrate. The LEFT lung field is clear. A Port-A-Cath is present with its tip in the superior vena cava.,1. Small RIGHT apical pneumothorax. 2. Mass in the RIGHT upper lobe. 3. Increased density in the RIGHT lung base which may represent atelectasis and/or infiltrate.,1.2.826.0.1.3680043.8.498.17923030839517340733308027106056328899
+"Linear scarring or atelectasis in the lingula. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion, or acute airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.42852327849134378382366033699707891782
+"Mild cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs are hypoinflated. Chronic scarring at the left lung base. Mild elevation of the right hemidiaphragm. No focal infiltrates identified. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality. Surgical clips overlie the right upper quadrant.",1. Chronic left basilar scarring. No superimposed active cardiopulmonary disease identified. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.68149134452344947499284275345383535761
+"There is emphysematous changes of the lungs. There is no focal consolidation, pleural effusion, or pneumothorax. Stable cardiac silhouette. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.37619509372691341525973719158422073803
+"Cardiothymic silhouette within normal limits in size and contour. Lung volumes adequate. No confluent airspace disease pleural effusion, or pneumothorax. Mild central airway thickening. No displaced fracture. Unremarkable appearance of the upper abdomen.",Nonspecific central airway thickening may reflect reactive airway disease or potentially viral infection. No confluent airspace disease to suggest pneumonia.,1.2.826.0.1.3680043.8.498.63911743003988904659601551063791853302
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23889367672898367806979248533413406033
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21175771100342881445256330227076936306
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21811599149979290572586924666972158572
+The right subclavian central venous catheter tip is in the distal SVC. There is no pneumothorax. Diffuse bilateral airspace disease is again noted and appears worsened.,1. Central line tip in distal SVC. No pneumothorax. 2. Worsening aeration to the lungs.,1.2.826.0.1.3680043.8.498.27539590980110304668838374994764989479
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.88834360486451002130186280404677770893
+There is a new area of consolidation in the right lower lobe compatible with pneumonia. Also new area of atelectasis in the left lower lobe. Heart is normal size. No effusions. No acute bony abnormality.,Bibasilar atelectasis and right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.70791351045302388471475149496399280774
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93759646516442961898349804396731415104
+"Portable AP upright view at 4589 hrs. Left chest dual lead transvenous pacemaker appears stable. Sequelae of median sternotomy. Stable cardiac size and mediastinal contours. Calcified aortic atherosclerosis. Mildly increased density at the left lung base most resembles atelectasis. Elsewhere, no pneumothorax, pulmonary edema, or consolidation. Small left pleural effusion not excluded.",Mildly increased left lung base opacity most resembles atelectasis. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.95717655412775766903912740949575974399
+There is opacity within the left lower lobe consistent with pneumonia. The lungs are hyperaerated consistent with COPD. The heart is within upper limits of normal. There are degenerative changes throughout the thoracic spine.,Left lower lobe pneumonia. COPD.,1.2.826.0.1.3680043.8.498.11985881535901013139428258910762862935
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52404473908117273978042131318085360317
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.44220928059383000797439514912841889381
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58262070956484053154019728217801615478
+Endotracheal tube is appreciated with the tip at the level of the clavicles. The patient has taken a shallow inspiration. There is thickening of the interstitial markings. An area of increased density projects within the LEFT lung base. The cardiac silhouette is moderately enlarged. The patient is status post median sternotomy and coronary artery bypass grafting. The visualized bony skeleton is unremarkable.,1. Endotracheal tube at the level of the clavicles. 2. Atelectasis versus infiltrate versus possible scarring LEFT lung base. 3. Findings likely representing an element of pulmonary fibrosis.,1.2.826.0.1.3680043.8.498.27745933737245011171219414150814013194
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98537828559707959958419909919767666745
+Stable cardiac and mediastinal contours. Left chest tube has been removed. Left apical pneumothorax has resolved. Persistent linear opacities left lung base. Right lung is clear. No pleural effusion. Regional skeleton is unremarkable.,Interval removal left chest tube. Small left apical pneumothorax has resolved. Persistent scarring or atelectasis left lung base.,1.2.826.0.1.3680043.8.498.47647773760554907047382023501734623717
+Mild cardiomegaly is noted. No pneumothorax or pleural effusion is noted. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86448573685571834215946549638897537362
+"There is patchy opacity at the lung bases, most consistent with atelectasis and/or pneumonia. There are prominent interstitial markings present which may also indicate a degree of interstitial edema. The heart is mildly enlarged. No bony abnormality is seen.",Patchy opacities at the lung bases most consistent with atelectasis and/or pneumonia. Question of interstitial edema.,1.2.826.0.1.3680043.8.498.61474553800676899261855733734392527419
+"No focal consolidation, pleural effusion, pneumothorax. Mild cardiomegaly. Atherosclerotic calcification of the aorta. No acute osseous pathology.",No active disease.,1.2.826.0.1.3680043.8.498.94402436995872141240159487756863476989
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right-sided PICC line is unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13807804737697979638898383408743825343
+"Again noted is chronic interstitial coarsening and bronchiectasis. Patchy airspace disease is seen at the right lung base, improved since prior study. No significant consolidation. No pleural effusion or pneumothorax. Heart size is normal.","Improved aeration at the right lung base with continued patchy opacities, likely due to scarring and atelectasis.",1.2.826.0.1.3680043.8.498.95955597110234868685855305216098178259
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71117030665207521097114558615585015367
+"Heart is normal size. Increasing bibasilar opacities, likely atelectasis. No effusions. No acute bony abnormality.",Increasing bibasilar atelectasis or infiltrates.,1.2.826.0.1.3680043.8.498.62286398739805526030766157177641596237
+The heart size is normal. The lungs are clear. No consolidation identified. No pleural effusion is seen.,"Normal chest. No evidence of acute process; specifically, no consolidation.",1.2.826.0.1.3680043.8.498.76827865752195463243906385770196987522
+"Portable upright AP view 6061 hours. Stable sequelae of median sternotomy. Stable tortuosity of the thoracic aorta. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion, or confluent airspace opacity. Stable visualized osseous structures.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.47798450332536567870477235065672846835
+There is cardiomegaly. No pleural effusion or pulmonary edema. No airspace consolidation identified.,Cardiomegaly.,1.2.826.0.1.3680043.8.498.14422806850306657741358131375894935710
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. There is upper thoracic levoscoliosis.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10723008223060629701987215450350235775
+"There is no focal consolidation, pleural effusion, or pneumothorax. Mild peribronchial cuffing may represent reactive small airway disease versus viral infection. Clinical correlation is recommended. The cardiothymic silhouette is within normal limits. No acute osseous pathology.",No focal consolidation.,1.2.826.0.1.3680043.8.498.80411774744957875002540107501024876325
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.33662392889191683551368773350635312572
+"Endotracheal tube is 5.5 cm above the carina. Mild vascular congestion. No confluent opacities, effusions or edema. Heart is normal size. No acute bony abnormality.",Endotracheal tube 5.5 cm above the carina. Mild vascular congestion.,1.2.826.0.1.3680043.8.498.25210754902074157662402689992589073783
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34159883239174063448901052706238244340
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.49516774530410270005668655482947465108
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51494797537530073717306562487815577176
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59217238111969414941247707917294298381
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93193708620080779484895061735406838695
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98271380708537706025947446840050241807
+There is airspace consolidation in the right middle lobe compatible with pneumonia. The left lung is clear. Heart size is normal. No pneumothorax or pleural effusion.,Right middle lobe pneumonia. Recommend followup films to clearing.,1.2.826.0.1.3680043.8.498.45543210126442133306533593170865753367
+Cardiac shadow is within normal limits. Postsurgical changes are noted. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No acute bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98805568917144202802642711878469284731
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.34909745441151801448153997676810610063
+There is central airway thickening. Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.61533386523552292792285272267166335247
+There remains increased density at the RIGHT lung base consistent with pneumonia. The infiltrate at the LEFT lung base has improved somewhat. The lungs are otherwise clear. The heart is not enlarged.,There are findings consistent with pneumonia at the RIGHT lung base and to a lesser extent at the LEFT lung base. There has not been dramatic change since the study of 30 December. Continued follow-up films are recommended.,1.2.826.0.1.3680043.8.498.40804220839340784700414671057364119606
+"Heart enlarged. No definite heart failure. There are prominent markings at the right lung base which were not present previously. This could be acute or chronic. In addition, however, there is a possible right lower lobe pneumonia. This needs clinical correlation.",1. Cardiomegaly without definite heart failure. 2. Cannot rule out right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.32652879970193980068553835158291363058
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.15283451850596420242195926306383504571
+"Interval removal of Swan-Ganz catheter. Left chest tube remains in place, unchanged. No pneumothorax. Cardiomegaly. Bibasilar atelectasis. Mild vascular congestion.",Interval removal of Swan-Ganz catheter. No pneumothorax. Vascular congestion and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.52994876542430475883510592108008227604
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.27456718431703027044267563800119254187
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.31651451338448240056864099704280250681
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.16697132028503979216240743342889075834
+"The heart is normal. No focal consolidation, pleural effusion or pneumothorax. No aggressive osseous lesions.",No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.99259853402779761015247102242785766149
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29251306319684643280862274495518822415
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17973836296830051199159700953502461430
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51465255254232147115445959017565640411
+Small left pleural effusion and left basilar airspace disease persist. The right lung is clear. There is cardiomegaly. No pneumothorax. Atherosclerosis noted.,No change in left effusion and left basilar airspace disease. No new abnormality.,1.2.826.0.1.3680043.8.498.21794864797918762918592561449363498439
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17326595977620687646415157990922949200
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82054892316149615087101779221353068147
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92326437482234760895420174459647478157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31907531735019081383511598854913505241
+Heart size is normal. The patient has had prior CABG. There is abnormal density in both lung bases that could be due to atelectasis and/or pneumonia. Upper lobes are clear. No evidence of heart failure. No significant pleural effusion.,Bibasilar atelectasis and/or pneumonia.,1.2.826.0.1.3680043.8.498.88390120745327985430693504927549374449
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64149994027351382726677266416661235951
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. There is an area of ill-defined airspace opacity in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion. The bony thorax is intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.15602293015946650144451767162441727683
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58543313401819565105700682616801858199
+Trachea is midline. Heart size normal. Thoracic aorta is tortuous. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.80420927694489438618652258827535387769
+Cardiomediastinal silhouette unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No pneumothorax. No pleural effusions. Visualized bony thorax intact.,Normal examination.,1.2.826.0.1.3680043.8.498.91703902025698669103595299987538080641
+Endotracheal tube and NG tube in stable position. Left upper lobe mass lesion again noted. Progressive right upper lobe infiltrate. Bibasilar atelectasis. No pleural effusion or pneumothorax. Heart size stable.,1. Lines and tubes in stable position. 2. Left upper lobe mass again noted. Progressive right upper lobe infiltrate. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.14612083451202588468856706657953044486
+The lungs are well-expanded. The interstitial markings remain diffusely increased. The hemidiaphragms are obscured. The heart is normal in size. The pulmonary vascularity is not engorged. The endotracheal tube tip lies 3.5 cm above the carina. The esophagogastric tube tip projects below the inferior margin of the image. The right-sided PICC line tip projects over the midportion of the SVC.,Stable appearance of the lungs with diffuse interstitial and alveolar opacities compatible with pneumonia or CHF. The support tubes are in reasonable position.,1.2.826.0.1.3680043.8.498.84901220142998436221340734870102772730
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14908155513946688142190422529980466928
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.69578846375559219254211445036905624687
+There is little change in cardiomegaly and pulmonary vascular congestion with edema. Aeration has improved slightly. A permanent pacer remains.,Slightly better aeration. Persistent edema.,1.2.826.0.1.3680043.8.498.62282668124604957993440398246354857066
+Small left pleural effusion and left basilar airspace disease have worsened since the examination 3 days ago. The right lung is clear. Heart size is normal. No pneumothorax. No acute bony abnormality.,Worsened left lower lobe pneumonia and associated small left effusion.,1.2.826.0.1.3680043.8.498.83522482600798339429529813059381906571
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87545468806470307010783161157978822629
+Right arm PICC line tip is in the SVC. Heart size is normal. There is plate-like atelectasis in the right midlung. No airspace disease is identified. There is no pleural effusion or edema.,1. PICC line tip is in the SVC. 2. Right midlung atelectasis.,1.2.826.0.1.3680043.8.498.12362840742718813109079226608623003269
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55817430041465500297661217604370270401
+The lungs are well-expanded. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,The findings are consistent with congestive heart failure with mild pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.69295072554610835812283840248396013539
+Low lung volumes. Cardiomegaly. Pulmonary venous congestion and bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior study. No pleural effusion or pneumothorax.,1. Cardiomegaly. Pulmonary venous congestion bilateral pulmonary infiltrates/edema again noted. Similar findings noted on prior study. Findings consistent with CHF. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.84724613627297319354317209544687181884
+Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal.,No acute disease.,1.2.826.0.1.3680043.8.498.63258830535538267180880891910490684791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.64941926369248592261394615203446978989
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98708222858744206181717414675923487338
+Lung volumes within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent airspace opacity. No osseous abnormality identified.,No focal pneumonia identified.,1.2.826.0.1.3680043.8.498.37669043331550099375454637889645412918
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72290504680825955457429446881066381979
+Cardiomegaly with pulmonary venous congestion with bilateral interstitial prominence. Right lower lobe infiltrate. Small right pleural effusion. No pneumothorax. No acute bony abnormality.,1. Cardiomegaly with pulmonary venous congestion and bilateral interstitial prominence. Findings suggest mild CHF. 2. Right lower lobe infiltrate consistent with pneumonia.,1.2.826.0.1.3680043.8.498.95550246634454471777904609019440068207
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.26494280571057529151285319579744269839
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96465087998776112848199324382986412889
+Right central venous line is identified with distal tip in the superior vena cava. No pneumothorax identified. Normal heart size. No pleural effusion or edema. No airspace densities.,1. Right central venous line tip is in the superior vena cava. 2. No pneumothorax.,1.2.826.0.1.3680043.8.498.88889527610278390161883738548767671273
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size; a pacemaker is noted at the left chest wall, with leads ending at the right atrium, right ventricle and coronary sinus. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.18049973421402414505362072734227523894
+The heart size is normal. The lungs are clear. No free intraperitoneal gas is seen. Surgical clips are noted in the right upper quadrant. Nonspecific nonobstructive bowel gas is present. No suspicious bowel wall thickening is seen. No pneumatosis is present. No portal venous gas is identified.,Unremarkable bowel gas. No acute cardiopulmonary abnormality or suspicious bowel gas pattern.,1.2.826.0.1.3680043.8.498.67867500388543702656617305843202637015
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54416114560295045638271965952877717197
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. Central airway thickening is noted.,1. No evidence for pneumonia. 2. Central airway inflammation.,1.2.826.0.1.3680043.8.498.31101580487916328983032307206845837036
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Biapical scarring greater on LEFT. Central peribronchial thickening. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with biapical scarring greater on LEFT. No acute infiltrate.,1.2.826.0.1.3680043.8.498.82627976474302642846513496494885121743
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22513836711607119246217111813538284826
+"Normal heart size and mediastinal contours. No edema, effusion, or pneumothorax. No osseous findings.",No evidence of acute disease.,1.2.826.0.1.3680043.8.498.85415300459421112279255529878871616784
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71579983664281505142934391046581110266
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,1. Cardiomegaly. No pulmonary venous congestion. 2. No acute pulmonary disease.,1.2.826.0.1.3680043.8.498.68933394744054513798626397118977941612
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70159418257584883200703651093213391424
+"The endotracheal tube terminates approximately 3.6 cm above the carina. The enteric tube extends below the left hemidiaphragm. The heart size is normal. There are bilateral hazy airspace opacities, slightly worse on the right. There is no pneumothorax. No large pleural effusion.",1. Lines and tubes as above. 2. Worsening bilateral airspace opacities consistent with the patient's history of viral pneumonia.,1.2.826.0.1.3680043.8.498.82982165458538167387159993823309612631
+"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.83926560652684662704827380773139789458
+"The heart size and mediastinal contours are within normal limits. Pulmonary hyperinflation again seen, consistent with COPD. Both lungs are clear. No evidence of pleural effusion. No mass or lymphadenopathy identified. Surgical clips again seen in the upper abdomen.",COPD. No active disease.,1.2.826.0.1.3680043.8.498.97820704308152329327695116402068910997
+"Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion, or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.35810613385375645956008794504484827907
+Shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. The lungs are clear. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.90297751319992599264219822902109369309
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46141807047364309214231972090316738132
+There is a new airspace infiltrate involving the right upper lobe compatible with pneumonia. The left lung is clear. There is no pleural effusion. The heart size and mediastinal contours are stable.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.77165757956959728371035818591440417933
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.75916174207731321753562750478629285567
+There is again noted increased density bilaterally in both lungs. The findings are compatible with bilateral pneumonia. There has been little or no appreciable interval change since the prior exam. No definite pulmonary edema is seen. No pleural effusion is noted. The heart is upper limits for normal in size.,There are bilateral interstitial and alveolar infiltrative changes consistent with pneumonia.,1.2.826.0.1.3680043.8.498.59209531858987859933622148318055439463
+The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. No evidence of pleural effusion.,Resolution of bilateral pulmonary infiltrates. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99080491017494800569384552795304329325
+The lungs are clear. No pneumothorax or pleural effusion. There is cardiomegaly. Atherosclerosis noted. No fracture is identified.,Negative for fracture. Cardiomegaly without acute disease.,1.2.826.0.1.3680043.8.498.26895266709742457329664642947014547639
+"Two views of the chest show a normal size cardiomediastinal silhouette. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13177371775939085737915893355784642150
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.89422533140780273028436544512806824739
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.88233078042041160139371511261880399090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21027525100715779972562231236400440547
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. There is blunting of the left costophrenic angle.,Small left pleural effusion versus pleural scarring. No edema or consolidation.,1.2.826.0.1.3680043.8.498.18620336057646757423085165855764538083
+"Low lung volumes are present, causing crowding of the pulmonary vasculature. The heart is mildly enlarged. There is central airspace opacification suggesting pulmonary edema. No pleural effusions are identified. There is no pneumothorax.",1. Cardiomegaly and mild pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.94629175397395020209474147703976793749
+Small left pleural effusion with left lower lobe atelectasis or infiltrate. No pneumothorax. Stable cardiomediastinal silhouette. No acute bony abnormality.,Small left pleural effusion with left lower lobe atelectasis or infiltrate. No change.,1.2.826.0.1.3680043.8.498.33064421462241471937825802418034685931
+Cardiomegaly is noted with the patient status post CABG. Mild bilateral interstitial prominence is present unchanged from prior exam. These changes could be related to mild congestive heart failure or chronic interstitial lung disease. Mild basilar atelectasis is present. Small bilateral pleural effusions cannot be excluded.,1. Mild congestive heart failure versus chronic interstitial lung disease. 2. Mild basilar atelectasis. 3. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.73852957113254425223421051299599274002
+Lungs are adequately inflated without focal consolidation or effusion. No evidence of pneumothorax. Cardiomediastinal silhouette is within normal. There are degenerative changes of the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84238719681898283154188771823669640314
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No osseous abnormalities are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90975274781253670139248783615896752667
+There is a large hiatal hernia present. This is unchanged. Bilateral air space disease is again noted and may have worsened slightly. There is cardiomegaly.,Large hiatal hernia. Probable slight worsening of bilateral air space disease.,1.2.826.0.1.3680043.8.498.21930001887561395280034759125163533970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63466098540633173760330831283740684453
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98575077946533926886630439950778962101
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.41410692686438824785549961494211442262
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.28859435595919208574891277115355592065
+"Multiple lateral right rib fractures are identified which were not seen previously. These involve the fourth, fifth, sixth, seventh, eighth and ninth ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.",Multiple right lateral rib fractures.,1.2.826.0.1.3680043.8.498.79231171761439765363755220663119908341
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.85242653942358074009309187361503966421
+There is central airway thickening. No focal airspace opacities or effusions. Cardiothymic silhouette within normal limits. Bony structures unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.59691669220706362011334997386473017410
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. Bone mineralization is within normal limits. No displaced right rib fracture identified. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality or displaced right rib fracture identified.,1.2.826.0.1.3680043.8.498.67711326424239614257795392272662805986
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84122129817549110545918235353357410294
+Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart is enlarged with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aortic arch. No bone lesions.,Central catheter tip in superior vena cava. No pneumothorax. No edema or consolidation. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.32617352112560131653992016567275093216
+Endotracheal tube placed with tip measuring 4.9 cm above the carina. Right central venous catheter with tip over the cavoatrial junction region. No pneumothorax. Heart size and pulmonary vascularity are normal. Increasing opacity in the left upper lung suggesting pneumonia. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Appliances appear to be in satisfactory location. Left upper lung infiltrate.,1.2.826.0.1.3680043.8.498.69611950835577999962293416342922928028
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53454573058332716584553325449395745629
+An endotracheal tube is appreciated with the tip at the level of the clavicles. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. There is blunting of the costophrenic angles. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases as well as small effusions. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.12978897351124143884841497084458966939
+Trachea is midline. Heart size stable. Lungs are somewhat low in volume with minimal bibasilar atelectasis. No pleural fluid. Degenerative changes are seen in the spine.,No acute findings.,1.2.826.0.1.3680043.8.498.27176651286882005059388345250816359730
+There is increased opacity at the left lung base which may be due to atelectasis or pneumonia. Mild linear scarring in the mid upper lung fields is stable. Cardiomegaly is stable.,Increasing opacity at left lung base. Atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.85900277788832401171433272083984398556
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Surgical clips in the right chest wall.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93179618896752130877006923693732528906
+There is atelectatic change in the lung bases. There is a small right pleural effusion. There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions.,Bibasilar atelectasis with small right pleural effusion. No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.94086132508453421781538865354840354865
+Mediastinum and hilar structures normal. Cardiomegaly with pulmonary venous congestion bilateral interstitial prominence. Findings consistent with CHF. Similar findings noted on prior exam. No prominent pleural effusion. No pneumothorax. No acute bony abnormality.,Stable cardiomegaly. Diffuse bilateral interstitial prominence again noted. Findings most consistent with CHF. Similar findings noted on prior exam.,1.2.826.0.1.3680043.8.498.93074201127590946586537741188354326631
+Eventration of the left hemidiaphragm is unchanged. Elevated right diaphragm. Cardiac enlargement with vascular congestion. Negative for edema or effusion. No focal consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54072156651869375725338634167698215892
+There is no evidence of intracranial hemorrhage or extra-axial fluid collection. There is no mass-effect or midline shift. No evidence of acute infarction. Mild to moderate parenchymal volume loss is again noted. The ventricles are not significantly changed in size or configuration. The calvarium is intact.,No acute intracranial pathology. No significant change from,1.2.826.0.1.3680043.8.498.95583054113481069455714521945481415085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No significant pleural effusion. The visualized skeletal structures are unremarkable.,No pneumothorax.,1.2.826.0.1.3680043.8.498.62400817110092168972044166201743140054
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43449075470752237120149342490300239258
+There is increased density at the left lung base suggestive of atelectasis or minimal infiltrate. There is no effusion or pneumothorax. The cardiac silhouette is normal. The bony structures appear to be intact.,Left lung base atelectasis.,1.2.826.0.1.3680043.8.498.48009063991435443302691709049584211063
+The lungs are clear. The cardiac silhouette and visualized bony skeleton are unremarkable.,Chest radiograph without evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30428349794440269967102395981742304398
+Tracheostomy tube appears well positioned. Left-sided pacemaker is unchanged in position. Vascular congestion is seen. Increased interstitial markings raise concern for pulmonary edema. No pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is borderline enlarged. No acute osseous abnormalities are identified.,1. Tracheostomy tube appears well positioned. 2. Vascular congestion and borderline cardiomegaly. Suspect mild interstitial edema.,1.2.826.0.1.3680043.8.498.72849855684940645830403561034156101992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27535941575193376564516185528379074070
+The lungs are mildly hyperinflated. There is no focal infiltrate. There is no pleural effusion. The heart and pulmonary vascularity are normal. There is tortuosity of the descending thoracic aorta. There is moderate thoracolumbar scoliosis. There are degenerative changes of the shoulders.,COPD. There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10715671633769400593730556788594558716
+Examination of the chest in single portable upright view with comparison to examination 3/29/1996 demonstrates for left lower lobe infiltrate or atelectasis obscuring left hemidiaphragm. There is a right-sided pacemaker with two leads. Poststernotomy changes are identified. The heart is enlarged. The aorta is atherosclerotic. The lungs are hypoinflated. There is no pneumothorax. The bones are unremarkable.,1. Cardiomegaly. 2. Hypoinflation. 3. Left lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.50362080610164275811051456787865986824
+Low lung volumes with bibasilar atelectasis. Mild vascular congestion. Heart is accentuated by the low volumes and portable study. No visible effusions. No acute bony abnormality.,"Low lung volumes, worsening since prior study. Bibasilar atelectasis. Mild vascular congestion.",1.2.826.0.1.3680043.8.498.68655121262598406115924242750504777581
+"Endotracheal tube, NG tube, right PICC line stable position. Mediastinum and hilar structures normal. Heart size stable. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.97221436491932048379099019033542986276
+"Small left apical pneumothorax is again noted, not significantly changed since prior study. Left base atelectasis present. Right lung is clear. Heart is normal size. No effusions.",Stable small left apical pneumothorax. Left base atelectasis.,1.2.826.0.1.3680043.8.498.28038449322947522411941611229565456455
+Mediastinum and hilar structures normal. Lungs are clear. Previously identified left mid lung field infiltrate has cleared. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53273110194974584190806649005440235616
+Cardiomediastinal silhouette unremarkable. Improved aeration in both lungs with increased lung volumes. Interval development of focal airspace consolidation in the right upper lobe. No pleural effusions. OG tube tip in the fundus of the stomach.,1. Right upper lobe atelectasis. 2. Improved RDS pattern since the examination 2 days ago.,1.2.826.0.1.3680043.8.498.67316001233323302249912715385869068079
+There is a patchy infiltrate in the right lower lobe which is similar to the prior study. The lungs are hyperinflated. Heart size and vascularity are normal. Left lung is clear. No significant bony abnormality.,Persistent right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.74277936091251101909956877099753321343
+"Two views of the chest show a normal size cardiomediastinal silhouette. A right sided Port-A-Cath is seen with its tip in the superior vena cava. There is no evidence of consolidation, mass or pleural effusion. The bones are unremarkable.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93144270578756617955958103782970149361
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.92374893785745301027135963366217007898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.36323358340808874141334934442935059793
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74261802211630835374294615462604591849
+Right central line is been placed with the tip in the SVC. No pneumothorax. Cardiomegaly. Lungs clear. No effusions or edema. No acute bony abnormality.,Right central line tip in the SVC. No pneumothorax. No acute findings.,1.2.826.0.1.3680043.8.498.99134116269309066957815027867464471078
+There is consolidation of the left lung base with associated pleural fluid. The right lung is clear. No pneumothorax. Heart size is normal. The patient is status post CABG.,Left lower lobe pneumonia and associated small left pleural effusion.,1.2.826.0.1.3680043.8.498.66239873215777734975723948277370329611
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77970875121245994315977630645597952903
+The heart appears normal in size. Mild bilateral hilar prominence. Mild peribronchial thickening. No gross pneumothorax. There is no dense consolidation. No acute fracture.,Mild bronchitis. No dense consolidation.,1.2.826.0.1.3680043.8.498.34707314626198354483584430255780180372
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23483739525834983864147934444418674528
+The cardiac silhouette is within normal limits. The lungs are clear. The pulmonary vasculature is normal in caliber.,No acute cardiopulmonary process. Stable appearance of the chest.,1.2.826.0.1.3680043.8.498.31373199336955068849961351247032841874
+Single portable AP chest radiograph is provided. There is a hazy opacity of the right lower lung concerning for an infiltrate. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right lower lung hazy opacity concerning for pneumonia. Recommend followup radiography is recommended to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.78745327583011648064254438646880303826
+There is an endotracheal tube present with the distal tip at the level of the aortic knob. There is mild cardiomegaly. There is mild pulmonary venous congestion. There is no evidence of an pleural effusion or pneumothorax. No acute infiltrate.,Mild congestive heart failure.,1.2.826.0.1.3680043.8.498.72391843824162278648776158626152857546
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.31627755093895467204315819878861147990
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94466303090845920854361819812042448905
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30030219875970707565624653394407541299
+Endotracheal tube is 2.5 cm above the carina. Right jugular catheter tip is in the SVC. There is a left chest wall pacer device with leads in the right atrial appendage and right ventricle. The heart size is enlarged. Bilateral pleural effusions and interstitial edema is again noted. There is atelectasis at both lung bases.,"1. Stable appearance of the chest. 2. Cardiac enlargement, pulmonary edema and bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.94056161023908585072532566643133115177
+"Cardiomediastinal silhouette unremarkable and unchanged. Mild hyperinflation. Prominent central peribronchial thickening, more so than on the prior examination. Lungs otherwise clear. No pleural effusions. Visualized bony thorax intact.",Hyperinflation and moderate changes of acute bronchitis and/or asthma.,1.2.826.0.1.3680043.8.498.22026682172186231449074309108198551037
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16297200380652973177920817401245590599
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.28422307395050177613512310854092195887
+"The heart size and mediastinal contours are within normal limits. Atherosclerosis of thoracic aorta is noted. No pneumothorax or pleural effusion is noted. Mild patchy airspace opacities are noted in both lungs, right greater than left, concerning for multifocal pneumonia. The visualized skeletal structures are unremarkable.","Mild patchy bilateral lung opacities are noted, concerning for multifocal pneumonia. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.28664149245748651797162165619038554401
+Heart/Mediastinum: The cardiomediastinal silhouette appears grossly unremarkable. Lungs: No visualized consolidation or acute infiltrate. No pneumothorax. Pleural effusions: No visualized effusion. Bones: Mild thoracic spondylosis. Visualized upper abdomen: Grossly unremarkable.,No definite acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.61031789469920921180559935402232692506
+There is mild atelectasis at the lung bases. The lungs are otherwise clear. No effusions. Heart size is normal.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.63741112646856569975200017419247307937
+There is a left sided pacemaker present. There is increased density at the right lung base which could be secondary to fibrosis or atelectasis. There is no effusion or pneumothorax. The lungs are hyperinflated consistent with COPD. CABG changes are present. The heart is normal in size.,1. COPD. 2. Fibrosis. 3. Linear density at the right lung base. Follow-up is recommended.,1.2.826.0.1.3680043.8.498.97812767482648200539272625123784013769
+"Patchy bilateral airspace opacities in a mid lower lung zone predominant distribution, left greater than right, increased from prior exam. Unchanged heart size and mediastinal contours. No pneumothorax or evidence of pneumomediastinum. No pleural fluid. No pulmonary edema. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities in a mid-lower lung zone predominant distribution, left greater than right, increased from prior exam. Pattern consistent with COVID-19 pneumonia.",1.2.826.0.1.3680043.8.498.47471606696830422570651727979904630107
+Cardiac shadow is enlarged. Aortic calcifications are again seen. The right-sided pleural effusion has increased in the interval from the prior exam. Underlying atelectasis is likely present as well. The left lung remains clear. No bony abnormality is noted.,Increasing right-sided pleural effusion with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.98851260569199150956242499595718126657
+There is a right arm PICC line with tip in the projection of the SVC. The lung volumes are low. There is atelectasis at both lung bases. No airspace consolidation. No pleural effusions or pulmonary edema.,1. Low lung volumes. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.96923827978537204656591425499894557838
+Endotracheal tube is 2.2 cm from the carina. The lungs are clear. Heart size and mediastinal contours are normal. No pleural fluid or pneumothorax. No pulmonary edema. No osseous abnormalities.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.89000488666519566125687682297440417739
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits. New left-sided pacemaker device in place with lead tips projecting over the expected location of the right atrium and right ventricular apex.,"1. New left-sided pacemaker in place, as above. 2. No pneumothorax or other acute complicating features.",1.2.826.0.1.3680043.8.498.54906879840508993536314914045968514104
+"The cardiomediastinal contours are normal. Low lung volumes with bibasilar atelectasis. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.66601494001514351757170674531449763787
+Cardiac shadow is enlarged. A right-sided jugular central line is again seen and stable. The lungs are well aerated with evidence of central vascular congestion and mild interstitial edema. Small bilateral pleural effusions are noted as well as left basilar atelectasis.,Changes consistent with CHF and left basilar atelectasis.,1.2.826.0.1.3680043.8.498.90330812527728132310217387997721698459
+Cardiac shadow is stable. Tracheostomy tube and right jugular central line are again seen and stable. Diffuse bilateral airspace opacities are again identified and stable. No new focal abnormality is seen. No bony abnormality is noted.,Stable airspace opacities bilaterally.,1.2.826.0.1.3680043.8.498.26697758911897142682928444342907657432
+Mediastinum and hilar structures normal. Lungs are clear. Previously identified right lower lobe infiltrate has cleared. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77498092099681674850227366381379803281
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24082162824541703045553755806049804332
+The previously noted right lower lobe pneumonia has now cleared. No new infiltrates are seen. Heart size is normal. The mediastinal and osseous structures show no significant abnormalities.,1. The lung fields are clear. 2. The previously present right lower lobe pneumonia has now cleared.,1.2.826.0.1.3680043.8.498.35449052333732067488318984497185282055
+"The lungs are well-aerated. Increased central lung markings may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Increased central lung markings may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.36956130819572753089008477941310234847
+Tracheostomy remains in good position. Diffuse bilateral airspace disease unchanged. No pneumothorax. Small left pleural effusion.,No significant change in diffuse bilateral airspace disease.,1.2.826.0.1.3680043.8.498.18835252260779961850984965336386418406
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43653209159930195949531388076914124485
+There is mild peribronchial thickening. Small retrocardiac consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Small retrocardiac consolidation concerning for pneumonia. This is best seen on the lateral view. There is background bronchial thickening which may be viral or reactive small airways disease.,1.2.826.0.1.3680043.8.498.21557325571892656843672221265510114686
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal. Left chest port in place.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26370788592661159631926337469020218238
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Postoperative changes of prior CABG are observed. A double lumen venous catheter is now present with the tip projected over the superior aspect of the right atrium. No pneumothorax is seen.",1. The lung fields are clear. 2. A venous catheter is now present. 3. No pneumothorax or pleural effusion is seen.,1.2.826.0.1.3680043.8.498.77925623815099717356041447392830441928
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.18890602185064324579469249335110237518
+The heart size is normal. There is mild aortic tortuosity. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are demonstrated.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67105206160917755667422949386117589850
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71497126893637604460995370978071308311
+The heart and mediastinum are within normal limits. No focal pulmonary opacities. Previously noted nodular density overlying the right lower lung is not seen on today's exam.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19660064621902940178407933067633274768
+Postoperative changes in the right upper lobe are stable. Left upper lobe scarring is stable. Volume loss in the left lung is stable. The heart is normal in size. No pneumothorax. No pleural effusion.,No significant change.,1.2.826.0.1.3680043.8.498.54684557021394762673387445343574819544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.29887812752259331668040986729455997382
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.49936580617724581592800772028144536852
+Right internal jugular central venous catheter terminates at the cavoatrial junction. No pneumothorax. Lungs are essentially clear. No pleural effusion. The heart is normal in size.,No pneumothorax. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66628479674174054256009153274648413859
+There is cardiomegaly with mild vascular congestion and bibasilar atelectasis. Pacemaker is unchanged.,Cardiomegaly and mild vascular congestion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.29081780227241752579910997385171877861
+There is no fracture or dislocation. There are no significant localized bony changes. The joint spaces are preserved. The soft tissue silhouettes are unremarkable.,No acute bony process.,1.2.826.0.1.3680043.8.498.41700807866468669013755402883839757034
+Cardiomegaly. Tortuous ectatic thoracic aorta. No pulmonary vascular congestion or active lung process. No pleural effusion or pneumothorax. No acute osseous abnormality.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32018953588844045332888936885533610568
+"The heart is enlarged. There has been a previous median sternotomy. There is no heart failure, infiltrate or edema.",Cardiomegaly. No acute abnormality.,1.2.826.0.1.3680043.8.498.86236492809971652106388747949696535259
+The lungs are reasonably well inflated. The interstitial markings are increased diffusely. Confluent density in the right upper lobe is present. The cardiac silhouette is top normal in size. The pulmonary vascularity is indistinct. I see no pleural effusion.,There are findings consistent with interstitial and alveolar edema of both lungs. This may reflect pneumonia or CHF. I see no pleural effusion. Followup films are recommended.,1.2.826.0.1.3680043.8.498.79705359077820661093742097390986553869
+Heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.94228571679029479314290118816005287442
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38893439531426376225257512120420194817
+The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. No foreign body is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50685111257405111834102862341653318686
+The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88128805463165211762931318566633419455
+Mediastinum and hilar structures normal. Heart size normal. Lungs are clear. No pleural effusion or pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41706079742964104650551150424556418931
+There is peribronchial thickening. Suspect left lower lobe opacity concerning for pneumonia. Right lung clear. Heart is normal size. No effusions or bony abnormality.,Central airway thickening. Suspect left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.58234635026356340998605067363907213733
+There is mild cardiomegaly. The lungs are well expanded. Bilateral infiltrates in the right lung and left lower lobe appear similar. There is a small right pleural effusion.,Bilateral infiltrates appear similar. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.14791436748463026491434864890687535298
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84861012085220344495988817021098961215
+Two views of the chest show a small to moderate size right pleural effusion with associated air space opacity that likely represents compressive atelectasis. The heart is enlarged with a prominent left ventricle. The interstitial markings are increased bilaterally. The mediastinal contours are normal. The patient is status post median sternotomy and CABG. A pacemaker is present with the leads overlying the right atrium and ventricle.,Right pleural effusion with associated compressive atelectasis. Mild interstitial pulmonary edema. Pneumonia not excluded.,1.2.826.0.1.3680043.8.498.54693228811125101631294133490705691339
+Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.64078816050990795646275045059482763535
+The lungs are well-expanded. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion. The mediastinum is normal in width. The bones are osteopenic.,There are findings consistent with low-grade CHF. I do not see evidence of pneumonia.,1.2.826.0.1.3680043.8.498.72559152041892658508975969446944769099
+The patient has had median sternotomy and CABG. The heart is enlarged. There is interstitial pulmonary edema and small bilateral pleural effusions. No focal consolidation or pneumothorax identified.,1. Cardiomegaly and pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.31629516258329188560566791118668011260
+The heart size is normal. There is no pleural effusion or pulmonary edema. Atelectasis is identified at the left lung base. Diffuse osseous metastatic disease is identified. There is no evidence of subdiaphragmatic free air.,1. Left base atelectasis. 2. Diffuse osseous metastatic disease.,1.2.826.0.1.3680043.8.498.91051377220617610386249439748521374514
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.65647509634374695577294746737021260023
+There is cardiomegaly. COPD changes are present. Bibasilar scarring or atelectasis present. No effusions. No acute bony abnormality. Severe degenerative changes in the shoulders.,"Cardiomegaly, COPD. Bibasilar atelectasis or scarring.",1.2.826.0.1.3680043.8.498.11794496272022747666882317158607673251
+Two left chest tubes are stable. A tiny left pneumothorax is stable. The left pleural effusion and left lower lobe consolidation are stable. The right lung is clear.,No significant interval change.,1.2.826.0.1.3680043.8.498.27048591964569959857388492530179433022
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68882336571621623172056773821889519563
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,1. Cardiac enlargement. 2. Mild cardiac failure.,1.2.826.0.1.3680043.8.498.32069564146120402828774807014376697963
+Heart and mediastinal contours normal. Lungs clear. No change in Port-A-Cath.,No active disease.,1.2.826.0.1.3680043.8.498.12651431411671425608823459307853915344
+Small right-sided pneumothorax is similar. 2.0 cm of apical pleural retraction. The visceral pleural line extends to the right lateral chest wall. Pneumomediastinum is unchanged. Midline trachea. Normal heart size. Atherosclerosis in the transverse aorta. Possible trace right pleural fluid. Right base atelectasis is similar. Subcutaneous emphysema in the right chest wall is decreased.,1. No significant change in approximately 5% right apical pneumothorax. 2. Similar pneumomediastinum. 3. Similar right base atelectasis.,1.2.826.0.1.3680043.8.498.44881022550229108302293212306794524675
+There is continued elevation of the left hemidiaphragm. Left basilar atelectasis present. Heart is normal size. Right lung is clear. No effusions. No acute bony abnormality.,Left basilar atelectasis.,1.2.826.0.1.3680043.8.498.26170282453209483933778715344634307350
+The current exam shows increased density at the lung bases compatible with bibasilar atelectasis. No definite pleural effusion is seen. No pulmonary edema is noted. Heart size is normal.,1. No pleural effusion is identified. 2. There is increased density at the lung bases consistent with atelectasis.,1.2.826.0.1.3680043.8.498.31953826979517540703073742980219234170
+Swan-Ganz catheter has been removed. Right internal jugular venous access sheath remains in place. Bilateral chest tubes and mediastinal drain have been removed. No visible pneumothorax. Mild atelectasis in the lower lungs. No edema or effusion.,Mild bilateral lower lobe atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.84703055895329212456253438228876393663
+"Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active disease.,1.2.826.0.1.3680043.8.498.61330735965751980895455965289882139094
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25503029128208127062527907892856184095
+Interval removal of left chest tube. No pneumothorax. Swan-Ganz catheter has been removed with the introducer left in place. Changes of CABG. There is cardiomegaly with vascular congestion and low lung volumes. Increasing left base atelectasis. Small left effusion.,Interval removal of left chest tube without pneumothorax. Increasing left base atelectasis. Small left effusion.,1.2.826.0.1.3680043.8.498.29317908490934275735705795320703788704
+"Upper limits normal heart size again noted. There is blunting of the left costophrenic angle on today's examination. Minimal left basilar atelectasis/scarring again noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, or pneumothorax. No acute bony abnormalities are identified.",Probable small left pleural effusion with minimal left basilar atelectasis/scarring.,1.2.826.0.1.3680043.8.498.63731053550438739788950065124217878333
+The heart is mildly enlarged. The mediastinal contour is normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.71155625140214004466120402038085298139
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87968105601836684738907514730523589180
+"There is again noted density about the LEFT hilum. This density has decreased in size since the prior exam. There is also noted a substernal density to the LEFT of the trachea. This is suspicious for mass or adenopathy. The RIGHT lung field is clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. There is a slight thoracic scoliosis.",1. There is again noted density at the LEFT hilar area. The findings are compatible with mass or adenopathy although atelectasis could produce similar findings. 2. No pneumonia is seen. 3. No pleural effusion is noted. 4. Heart size is normal.,1.2.826.0.1.3680043.8.498.33329658509762257822421971942865893222
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Clips are noted within the right upper quadrant, reflecting prior cholecystectomy.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.17103026959672244542195474500090861600
+There is improvement in the bilateral lower lobe infiltrates. There is no infiltrate or heart failure. The lungs are otherwise clear.,Improvement in bilateral lower lobe infiltrates.,1.2.826.0.1.3680043.8.498.37905283904997624422282912750668560669
+The heart is enlarged. The mediastinum is unremarkable. The hila show no obvious abnormalities. Diffuse interstitial changes are seen throughout the lungs with some patchy changes in the right lower lobe. Small bilateral effusions are present. No pneumothorax is seen.,1. Cardiomegaly with diffuse interstitial changes throughout the lungs with patchy right basilar changes suggesting superimposed atelectasis or infiltrate. 2. Small bilateral effusions.,1.2.826.0.1.3680043.8.498.71434643945349811322823596597984662578
+Patchy bilateral airspace disease in a peripheral predominant distribution. Heart is normal in size. No pneumothorax or pleural effusion. No acute osseous abnormalities are seen.,Patchy bilateral airspace disease in a peripheral predominant distribution consistent with pneumonia. Pattern of airspace opacities can be seen with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.39004149388326681460748206993153109187
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20010160836193448324403386878930001107
+"There is patchy density in the left midlung. The right lung is clear. The heart is at the upper limits of normal in size. Atherosclerotic calcification is present. There is no edema, effusion or pneumothorax.",1. Findings suggest left midlung pneumonia. Follow-up is recommended. 2. Degenerative changes are present in the spine. 3. Old left rib fractures.,1.2.826.0.1.3680043.8.498.59149722788542070604363229376428568915
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.58128522196726774124371999580387909957
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.91304282000488277033330229217115633946
+The cardiac silhouette is normal size and shape. The lungs are well aerated and free of infiltrates. No pleural abnormality is evident. Osteophytes are seen in the spine.,No acute or active cardiopulmonary process is identified.,1.2.826.0.1.3680043.8.498.86822550269639022388590525510438042733
+The cardiac silhouette is within normal limits for size. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes. Pacer noted.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.61940441478713771561352609021423808407
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20971554836398276739751840976396395404
+Heart size is normal. There is no pleural effusion or pulmonary edema. Chronic asymmetric elevation of the right hemidiaphragm is again noted. Scar versus plate-like atelectasis is identified at the left lung base. No airspace consolidation.,1. Scar versus plate-like atelectasis at the left lung base. 2. No evidence for pneumonia.,1.2.826.0.1.3680043.8.498.73487453622981490344825236514963809765
+The cardiothymic silhouette is within normal limits. The lung fields demonstrate a mild increase in density at the right lung base which may represent an area of focal atelectasis. No definite pleural fluid is seen. The left lung appears clear. No pneumothorax is identified. Bony structures appear intact. The visualized portion of the bowel gas pattern is unremarkable.,No definite pneumothorax identified. Question mild right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.21973238467417182213945802923262891271
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.69700620318893402107810678110875607419
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. The chest is hyperexpanded compatible with a history of COPD.",1. The lung fields are clear. 2. COPD.,1.2.826.0.1.3680043.8.498.45252201659286441236141737884360985044
+Normal cardiac silhouette given projection and technique. Aortic atherosclerosis with calcification. Clear lungs. No pleural effusion or pneumothorax. Enteric tube tip extends below the field of view into the abdomen. No acute osseous abnormality is evident.,No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.99686232374000961131137853577654641359
+Single portable AP chest radiograph is provided. There is an endotracheal tube with the tip 6.5 cm above the carina. There is a right-sided central venous catheter in satisfactory position. There is left upper lobe and left lower lobe airspace disease most concerning for pneumonia. There is no pleural effusion or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,Left upper and left lower lobe airspace disease most concerning for pneumonia.,1.2.826.0.1.3680043.8.498.45233678272667325492250909648550099791
+Bilateral pulmonary infiltrates are more prominent/widespread in the interval. Stable cardiomegaly. The hila and mediastinum are normal. No pneumothorax. No other changes.,Worsening bilateral pulmonary infiltrates consistent with worsening multifocal pneumonia.,1.2.826.0.1.3680043.8.498.98510086352225693037282606809242339912
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.27313724493450008026874937932064271525
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.59097113637246407505416895162272797676
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.34937161824353600607945978402891112629
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35020428580510053179711854372641437530
+There is diffuse bilateral interstitial thickening. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.,"1. Diffuse bilateral interstitial thickening, which could be due to pulmonary edema, interstitial pneumonia, or interstitial lung disease.",1.2.826.0.1.3680043.8.498.61642448939592061226657790771539985100
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.94306301362286433884214153713768050780
+"An AP erect portable film of the chest made on 1/27/6 at 7333 hours is compared to a previous routine study of 02/24/07 and shows cardiomegaly and a pacer defibrillator system which appears to be in good position within the right atrium, right ventricle, and coronary sinus. There is no edema. There is no pneumothorax. There is no consolidation. Heart is moderately enlarged.",Cardiomegaly. No edema. No acute infiltrate. Defibrillator system appears to be in good position.,1.2.826.0.1.3680043.8.498.89563119189195314252216125295509356702
+"Tracheostomy tube is present. The lungs are well expanded and demonstrate no evidence of focal airspace disease, pleural effusion, or pneumothorax. The pulmonary vasculature is unremarkable. The cardiomediastinal silhouette is within normal limits.",No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20839815294945563878430796471082830910
+An umbilical venous catheter is in place and the tip is located at the inferior cavoatrial junction. An orogastric tube is in place and the tip is located in the region of the mid body of the stomach. The cardiothymic silhouette is within normal limits. The lung volumes are low and there are diffuse hazy opacities throughout both lungs. No definite pleural effusions are seen. The bowel gas pattern is unremarkable.,1. Support apparatus as above. 2. Low lung volumes with diffuse hazy opacities compatible with RDS.,1.2.826.0.1.3680043.8.498.22341040132534339671623110302971016855
+No change in hazy opacities at the lung bases attributed to pleural effusions. The heart mediastinum and hilar structures are unchanged. The osseous structures are normal.,No interval change.,1.2.826.0.1.3680043.8.498.45086366093250573783326223951230767738
+"Cardiothymic silhouette is normal. There is bronchial thickening. There is mild pulmonary hyperinflation. No infiltrate, collapse or effusion.",Bronchitis and bronchiolitis.,1.2.826.0.1.3680043.8.498.57699760202439300694442679901961969960
+"Right PICC line is in place with the tip at the cavoatrial junction. Left pacer is unchanged. Cardiomegaly with vascular congestion. No confluent opacities, effusions or edema. No acute bony abnormality.","Right PICC line tip at the cavoatrial junction. Cardiomegaly, vascular congestion.",1.2.826.0.1.3680043.8.498.14469586916529371703419599795521127184
+"Lungs remain clear. Heart size normal. Mediastinum, hila, pleura and osseous structures appear intact (anchor sutures proximal visualized currently visualized proximal superior vena cava visualized on 5/1/1994 CT visualized currently.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.46779744206526338667651286591698496147
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92190819260663801623003823240558648690
+There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.52953199452159651876391721463544376799
+The lungs are hyperinflated consistent with COPD. There is no focal infiltrate. There is no effusion. There is no pneumothorax. The bones are osteopenic. There is no evidence of edema.,COPD. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13115439268992085981959009358971152587
+"The heart size and mediastinal contours are stable. There is aortic atherosclerosis. Diffuse chronic interstitial lung disease appears unchanged. There is no superimposed airspace disease, edema, pleural effusion or pneumothorax. The bones appear unchanged.",Stable chronic interstitial lung disease. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29251795134740007947125337664860191179
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.67453204054330578292933044875539264842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41247930636946941195228903080366816560
+Interval removal of right IJ sheath. Sternotomy wires are unchanged. Interval removal of Swan-Ganz catheter. Lungs are somewhat hypoinflated with continued bibasilar opacification likely atelectasis and small effusions. No evidence of pneumothorax. Stable cardiomegaly. Remainder of the exam is unchanged.,Persistent bibasilar opacification likely atelectasis and small effusions. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.77655437535516908695794945359733126015
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14008441741781733295315984147321499223
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Subtle linear infiltrate at the RIGHT lung base. Remaining lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.","Subtle linear infiltrate at the RIGHT lung base, improved since previous exam.",1.2.826.0.1.3680043.8.498.38034029782187923890070467427542122218
+"The endotracheal tube, nasogastric tube, right IJ central venous catheter are stable. Bilateral airspace disease is stable. No pneumothoraces are seen.",No significant interval change.,1.2.826.0.1.3680043.8.498.57508579893896682570569961411815848281
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.56622219737253326681788536960618624203
+The lungs are mildly hyperinflated. There is no focal infiltrate. The perihilar lung markings are mildly prominent. The cardiothymic silhouette is normal. The trachea is midline. There is no pleural effusion or pneumothorax. The bony thorax is unremarkable.,Hyperinflation consistent with reactive airway disease and acute bronchiolitis. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.60632412427332664209982833814633864759
+Cardiothymic silhouette is normal. There are mild streaky perihilar densities. Lung volumes are normal. There are no focal consolidations or pleural effusions. Visualized osseous structures have a normal appearance.,Findings consistent with retained fetal fluid.,1.2.826.0.1.3680043.8.498.77636345452192933751667226300928548523
+The heart size and mediastinal contours are within normal limits. Previously seen bilateral pulmonary infiltrates have resolved since previous study. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40018186645562022681501405705435215740
+"Left single lead pacer remains in place, unchanged. There is cardiomegaly. Left lower lobe atelectasis or infiltrate. Mild vascular congestion. No overt edema. Small left effusion. No acute bony abnormality.","Cardiomegaly, vascular congestion. Left lower lobe atelectasis or infiltrate with small left effusion.",1.2.826.0.1.3680043.8.498.42952509100246578370585008348283076754
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.86601852976127388305247402821360692637
+There are atelectatic changes in both lower lungs. No evidence for pulmonary edema. Heart size normal. No pleural effusions.,Bilateral atelectasis - new since prior study.,1.2.826.0.1.3680043.8.498.54856549520486542432204243357407330352
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.99722073906856849728545710943210373880
+The trachea is midline. The heart is at the upper limits of normal in size. The lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.75233956294632540026712356664444925206
+"Cardiac silhouette normal in size, unchanged. Left subclavian biventricular pacemaker unchanged and intact. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax. Visualized bony thorax intact.",1. No acute cardiopulmonary disease. 2. Stable left subclavian biventricular pacemaker since 10/11/2012.,1.2.826.0.1.3680043.8.498.41835507175781638791094058040666273797
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Endotracheal tube is noted in satisfactory position. No bony abnormality is noted.,No acute abnormality seen.,1.2.826.0.1.3680043.8.498.63459021453422593502306858337105437274
+"Compared to chest x-ray from yesterday, the patient is slightly rotated, but no definite pneumonia is seen. The aorta is mildly elongated and dilated. The heart size is stable.",No active lung disease.,1.2.826.0.1.3680043.8.498.96097556615098732673533171146276889118
+"Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. Enteric tube in place with tip and side-port below the diaphragm. Low lung volumes. The heart is normal in size. Normal mediastinal contours. No pulmonary edema, focal airspace disease, pleural effusion or pneumothorax. No acute osseous abnormalities are seen.",1. Endotracheal tube at the thoracic inlet. Retraction of 2.5 cm would place it at the thoracic inlet. Tip and side-port of the enteric tube in the stomach. 2. Low lung volumes without acute abnormality.,1.2.826.0.1.3680043.8.498.67407933085301460331539353198336638674
+The heart is moderately enlarged. The pulmonary vasculature is within normal limits. The lungs are hyperaerated consistent with COPD. A small left effusion is present. No pneumothoraces are seen. No focal consolidation is seen.,Cardiomegaly without CHF. Small left effusion. COPD.,1.2.826.0.1.3680043.8.498.42712476188766410765564993004354568616
+The heart size and mediastinal contours are within normal limits. No pneumothorax or pleural effusion is noted. Right lung is clear. New ill-defined opacity is seen in left midlung concerning for pneumonia. The visualized skeletal structures are unremarkable.,Probable left upper lobe pneumonia. Followup radiographs are recommended after antibiotic therapy to ensure resolution and rule out underlying neoplasm.,1.2.826.0.1.3680043.8.498.78138626915397619834742230601423004489
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78726758009494624471128024960768013627
+Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46424567671099928922523495815269533973
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30026417740417054115058530916354518560
+The heart is enlarged. The pulmonary vascularity is normal. The mediastinal and hilar structures are grossly unremarkable. There are infiltrates in the right mid and lower lung unchanged from prior study. No pleural effusion is present. There is a scoliosis of the lumbar spine.,1. Unchanged appearance of right mid and lower lung infiltrates consistent with pneumonia. 2. Cardiomegaly. There is no evidence of CHF.,1.2.826.0.1.3680043.8.498.43694627787446831807225183217604126230
+The ET tube tip is stable. The Swan-Ganz catheter tip is in the right pulmonary artery. A left IJ central line tip is at the cavoatrial junction. There is no pneumothorax. Mild atelectasis is present at both lung bases.,Left-sided central line tip at cavoatrial junction. No pneumothorax.,1.2.826.0.1.3680043.8.498.32691351971781624123604807081649887752
+"The lungs are clear. The heart is within normal limits in size. However, there is prominence of the left hilum and left paratracheal region. Adenopathy is a definite consideration and CT of the chest with IV contrast media is recommended to assess further. No bony abnormality is seen.",1. No active lung disease. 2. Prominent left hilum. Cannot exclude adenopathy. Recommend CT of the chest with IV contrast media.,1.2.826.0.1.3680043.8.498.82428178685816652498958395535475411492
+The heart size and mediastinal contours are within normal limits. There is linear scarring or atelectasis at the right lung base. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25497146485971035142065043592574349920
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.29810573107783182729984354974510713614
+The lungs are clear. Heart size is normal. There is no pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.25939006803861706920279405866464307116
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.44860252357457062674301736425833269171
+The heart is enlarged. There is a left pleural effusion. There is a left lower lobe infiltrate. The upper lungs are clear.,1. Left lower lobe infiltrate. 2. Left effusion. 3. Cardiomegaly.,1.2.826.0.1.3680043.8.498.50054399246907788370731178906132307213
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66691522882374560067405338659197061976
+"Prior CABG. Cardiomegaly with bilateral perihilar and lower lobe opacities, likely edema. Layering effusions. Findings are worsened since prior study. No acute bony abnormality.","Cardiomegaly with bilateral perihilar and lower lobe opacities, likely edema/ CHF. Layering effusions.",1.2.826.0.1.3680043.8.498.70230184158317172009167875804383556330
+Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or airspace consolidation. Moderate to large right and small left pleural effusions. No evidence of pulmonary edema. Heart size is mildly enlarged. Upper mediastinal contours are within normal limits. Aortic atherosclerosis. Orthopedic fixation hardware in the lower cervical spine.,"1. The appearance of the chest suggests mild congestive heart failure, as above. 2. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.11514274749744209229169069578415434074
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93157932957076332943478125929050651060
+Right-sided PCVC tip is oriented in a cephalad direction over the right IJ vein. No pneumothorax. Lungs are mildly hyperaerated.,Right PCVC tip over IJ vein.,1.2.826.0.1.3680043.8.498.48838343962631837811838043964202134365
+Small to moderate left pleural effusion and small right pleural effusion are again seen and appear decreased in size. Basilar airspace disease on the left also appears improved. No pneumothorax. Heart size upper normal.,Decrease in small to moderate left effusion and small right effusion. Improved basilar airspace disease.,1.2.826.0.1.3680043.8.498.32871310458967401639951657228438949378
+There is chronic elevation of left hemidiaphragm. Bowel distention in the upper abdomen is again noted. Heart size is normal. Right-sided power port remains in place. No focal airspace disease is seen. No evidence of pulmonary edema.,No evidence of acute cardiopulmonary disease. Chronic elevation of left hemidiaphragm.,1.2.826.0.1.3680043.8.498.94596854602029522790944148371973549186
+PA and lateral views of the chest obtained on two images. The heart is normal in size. The lungs are clear without focal consolidation or confluent infiltrate. No pleural effusion or pneumothorax. No acute osseous abnormality.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.22524769571576271221228961961462528438
+"Left-sided PICC line with the tip projecting over the SVC. Small bilateral pleural effusions, right greater than left. Bilateral diffuse interstitial thickening. No pneumothorax. Stable cardiomegaly. No acute osseous abnormality.",1. No left pneumothorax status post left thoracentesis. 2. Findings concerning for mild pulmonary edema.,1.2.826.0.1.3680043.8.498.72507338546491154272270095033510089679
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. New patchy opacities throughout the mid to lower lungs bilaterally, most prominent in the peripheral mid right lung.",New patchy opacities throughout the mid to lower lungs bilaterally compatible with COVID-19 pneumonia.,1.2.826.0.1.3680043.8.498.91455745105216243613748071243875192972
+"There is a dual lead left-sided pacemaker in place. The heart size is top-normal. The mediastinal contour is unremarkable. Aortic atherosclerosis is noted. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90022124608120412696934392497433395872
+Prior CABG. Cardiomegaly with normal pulmonary vascularity. Mild bibasilar atelectasis and/or infiltrates with small bilateral pleural effusions. No pneumothorax.,1. Prior CABG. Stable cardiomegaly. 2. Mild bibasilar atelectasis and/or infiltrates with small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.41086956497784869074000474958369878167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83978919774077369805386285019175375190
+Left effusion and airspace disease have worsened. There is new airspace opacity in the right lung. Heart size is normal. No pneumothorax.,Increased left effusion and basilar airspace disease. New patchy airspace opacity right lung base also identified which could be due to atelectasis or progressive pneumonia.,1.2.826.0.1.3680043.8.498.28398975965359111200927635257486864312
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18360728694206169901141458479061845429
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.56360074618900954601385796107842233785
+Right upper lobe mass and right perihilar mass/adenopathy again noted. Patchy right lower lobe airspace disease is unchanged. There are small bilateral pleural effusions. No evidence of pneumothorax. The heart is normal in size. Stable appearance of the mediastinum. The osseous structures are unremarkable. Stable right chest wall port catheter.,No significant change in appearance of the chest since the prior exam. Persistent right upper lobe and right lower lobe airspace disease. Stable right hilar mass/adenopathy.,1.2.826.0.1.3680043.8.498.35969025115248261839610181245080883620
+There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the left lung base and the cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus focal infiltrate left lung base as well as possibly a small left effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.36515414735222570520455339930250954776
+Cardiothymic silhouette is within normal limits. Lungs are clear. No pneumothorax. No pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52583687355487095820709958079500693595
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77725682689341430495055361792981605362
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16885639798756389702630423111653734159
+Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.39351366868773659535401446477939836644
+Normal cardiac silhouette. Chronic elevation of the RIGHT hemidiaphragm. Linear atelectasis at the RIGHT lung base. The LEFT lung is clear. No pulmonary edema. No pneumothorax.,1. Chronic elevation of the RIGHT hemidiaphragm with linear atelectasis at the RIGHT lung base. 2. No pulmonary edema or pneumonic consolidation.,1.2.826.0.1.3680043.8.498.89394566651812866217891062251404553624
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82289486206120542401299639132686740439
+"Heart: Normal. Lungs: There is suggestion of bilateral perihilar/ infrahilar peribronchial thickening, as well as suggestion of minimal scattered reticulonodular airspace opacities throughout both lungs. Mediastinum: Normal. Pleural effusions: None. Bones: There is no suspicious lytic or sclerotic lesions throughout the visualized bony structures. Visualized upper abdomen: Normal.","Findings suggestive of minimal congestive heart failure/pulmonary edema, however, cannot entirely exclude atypical infectious process.",1.2.826.0.1.3680043.8.498.49850233258431966605605209151728276162
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.38488616472809397408538334083614717631
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Swan-Ganz catheter has its tip in the right main pulmonary artery. Left chest tube is in place. No pneumothorax. There is mild basilar atelectasis.,Satisfactory postoperative radiograph.,1.2.826.0.1.3680043.8.498.23378258151856476963550450731076301868
+"Endotracheal tube, left central venous catheter, and nasogastric tube are unchanged. There has been interval increase in pulmonary edema and bilateral pleural effusions. Bibasilar atelectasis is again noted. Cardiomegaly is unchanged.",Increasing pulmonary edema and bilateral effusions.,1.2.826.0.1.3680043.8.498.35331249892230900284072788021616034999
+Left-sided pacemaker overlies normal cardiac silhouette. The cardiac silhouette is mildly enlarged. Small bilateral pleural effusions are present. There is interstitial edema. No focal consolidation. No pneumothorax.,"Mild cardiomegaly, interstitial edema and small effusions suggest congestive heart failure.",1.2.826.0.1.3680043.8.498.76438755948574794090954110778725970445
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Bibasilar atelectasis and small pleural effusions. Remaining lungs clear. No pneumothorax. Bones demineralized.,Bibasilar atelectasis and small pleural effusions.,1.2.826.0.1.3680043.8.498.86947556296275751667252760908693521488
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51618632011746983385265127724578303249
+The heart size and mediastinal contours are within normal limits. Both lungs are clear.,No active disease.,1.2.826.0.1.3680043.8.498.62689169550666508390044166759483496146
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.15566397628487079070272722793662172290
+The cardiac silhouette is normal. Hilum are unremarkable. Lungs are well aerated. Trachea is midline. Diaphragms are well visualized. Osseous structures unremarkable. No pleural thickening. No pleural effusions.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.36972977925851777688659791732264424844
+The lungs are clear. The heart is within normal limits in size. Mild thoracolumbar scoliosis is again noted.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.91203917529094154859476560083354804115
+Shallow inspiration. Heart size and pulmonary vascularity are normal. Diffuse interstitial changes throughout both lungs with peribronchial thickening. Findings are new since previous study and likely represent interstitial pneumonia or possibly edema. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,New diffuse interstitial changes in the lungs.,1.2.826.0.1.3680043.8.498.12161474094666943420308068900993505301
+Mediastinum and hilar structures normal. Nodular density noted over the left lung base most likely nipple shadow. Repeat PA lateral chest x-ray with nipple markers suggested. No focal infiltrate. No pleural effusion or pneumothorax. Degenerative changes thoracic spine.,"1. Questionable nodular density left lung base, most likely nipple shadow. Repeat PA lateral chest x-ray with nipple markers suggested. 2. No acute cardiopulmonary disease otherwise noted.",1.2.826.0.1.3680043.8.498.43026589014398964872695769325683882456
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.77023124829727680137117248956806311940
+The lungs are mildly hyperinflated but clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,Hyperinflation consistent with COPD or reactive airway disease. There is no pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.36327390630828532303412383122889252449
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.47614786502231016396041993025161665093
+The airspace consolidation throughout the right lung is present. Patchy airspace opacities are present in the left lung base. The right lung apex is obscured by the patient's head. The heart is mildly enlarged but stable.,1. Asymmetric right greater than left patchy airspace opacities. Pneumonia is suspected. 2. Stable mild cardiomegaly.,1.2.826.0.1.3680043.8.498.59286364360398914803313204936116706507
+The heart is enlarged. There is no evidence for pulmonary edema. Interstitial markings are diffusely coarsened. No focal airspace consolidation.,Cardiomegaly with chronic interstitial lung changes.,1.2.826.0.1.3680043.8.498.37063809770858871442729225448597851718
+Tracheostomy tube is midline. Heart size is grossly stable. Lungs are somewhat low in volume with mild interstitial prominence bilaterally. No definite pleural fluid. No pneumothorax.,Mild interstitial prominence may be due to vascular crowding. Mild edema cannot be excluded.,1.2.826.0.1.3680043.8.498.29898012265048799368099148490439073524
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60143799686840985605876622609163653935
+"Patchy opacities in the left upper and lower lung, suspicious for pneumonia. Suspected small left pleural effusion. No frank interstitial edema. No pneumothorax. The heart is top-normal in size. Postsurgical changes related to prior CABG.",Multifocal pneumonia in the left lung.,1.2.826.0.1.3680043.8.498.50027901498458253555588151569242249009
+Low lung volumes. Bibasilar opacities likely reflect atelectasis. Heart is normal in size. No pneumothorax. No pleural effusion.,Low lung volumes with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.51914749269207100852381930063429694974
+"The heart is enlarged. There has been prior open heart surgery. There is no heart failure, infiltrate or effusion.",Cardiac enlargement. No acute abnormality.,1.2.826.0.1.3680043.8.498.45644285506289736910548762796909036838
+Right internal jugular central venous sheath has tip over the SVC. Lungs are adequately inflated with minimal linear density over the lung bases likely atelectasis. No effusion. Cardiomediastinal silhouette and remainder of the exam is unchanged.,Mild bibasilar linear atelectatic change.,1.2.826.0.1.3680043.8.498.20899018351840661023338749689078777792
+There is mild cardiomegaly. Calcified mediastinal nodes are noted. Scattered granulomas are seen. No acute infiltrates are seen. No concerning osseous lesions are identified.,No acute infiltrates throughout the chest.,1.2.826.0.1.3680043.8.498.92269957237393604672570059540017095759
+Portable upright AP view 6067 hours. Severe cardiomegaly. Pulmonary vascular congestion without overt edema. No pneumothorax. No consolidation or definite effusion. Atherosclerotic calcification of the aortic arch. Osteopenia.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.64493335171911299440664904430122177819
+Endotracheal tube terminates 3.5 cm above the carina. Nasogastric tube is followed into the stomach. Heart is enlarged. There is mild interstitial edema. No definite pleural fluid.,1. Endotracheal tube and nasogastric tube in satisfactory position. 2. Cardiomegaly with mild interstitial edema.,1.2.826.0.1.3680043.8.498.65221129470996954831037319794095796344
+"Left AICD remains in place, unchanged. Prior CABG. Cardiomegaly. No confluent airspace opacities, effusions or edema. No acute bony abnormality.",Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.16760873687530936634297039232534494346
+The lungs are adequately inflated. The interstitial markings are increased. The cardiac silhouette is top normal in size. The pulmonary vascularity is not clearly engorged. I see no pleural effusion.,There are mildly increased interstitial markings which may reflect interstitial edema of cardiac or noncardiac cause. A followup PA and lateral chest x-ray would be of value when the patient can tolerate the procedure.,1.2.826.0.1.3680043.8.498.15283365129827500975888588721897386100
+Mediastinum and hilar structures normal. Cardiomegaly with pulmonary vascular prominence and mild interstitial prominence. Mild congestive heart failure cannot be excluded. No pleural effusion or pneumothorax. No acute bony abnormality.,Cardiomegaly with mild pulmonary venous congestion and interstitial prominence. Mild congestive heart failure cannot be excluded.,1.2.826.0.1.3680043.8.498.75219860817406334621012627128283984919
+There is opacity at the lung bases consistent with atelectasis and small effusions. No pneumothorax is seen. The heart is within normal limits in size. Subcutaneous air is noted in the left lower neck.,Basilar atelectasis and small effusions. No pneumothorax.,1.2.826.0.1.3680043.8.498.67281407983516604920368087205682743821
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.96335310854321332528515523858692151002
+There is a small right pleural effusion with right base atelectasis. Left lung is clear. Heart is normal size. No acute bony abnormality.,Small right pleural effusion with right base atelectasis.,1.2.826.0.1.3680043.8.498.17286166466070543815617634245296593051
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.10280823775200107138415991367270804751
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which could reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.27620120295964773954875279674291336701
+"Heart size and pulmonary vasculature are within normal limits. No acute infiltrate, effusion, or pneumothorax.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.64265366099768073214345619228517277025
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57078830152968481779804107313404093747
+There is a right subclavian pacemaker. The heart size is normal. Atherosclerotic calcifications are noted at the aortic arch. The lungs appear clear. There is no evidence of pneumothorax. No acute bony abnormalities are identified.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52419170672986818615802231397942412000
+There is bibasilar atelectasis. No pneumothorax. No significant effusion. Heart size is mildly enlarged. Vascularity is normal. Multiple right rib fractures are noted.,Mild bibasilar atelectasis. No significant effusion or pneumothorax.,1.2.826.0.1.3680043.8.498.38690952551543627990494575395023677156
+Endotracheal tube and enteric tube have been removed. Swan-Ganz catheter terminates in the main pulmonary artery. Intact sternotomy wires. Left chest tube and mediastinal drain are in place. Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. No pulmonary edema. Mild left basilar atelectasis.,1. No pneumothorax. 2. Mild left basilar atelectasis.,1.2.826.0.1.3680043.8.498.72386795467507351394852505668928527021
+"Cardiomegaly, stable. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs normally inflated. Patchy multifocal airspace opacities seen involving the right upper and lower lobes, suspicious for pneumonia. Superimposed pulmonary edema seen involving the upper lungs. Small bilateral pleural effusions. No pneumothorax. No acute osseous finding. Surgical changes related to prior CABG.","Patchy multifocal airspace opacities involving the right upper and lower lobes, suspicious for pneumonia. Superimposed pulmonary edema involving the upper lungs. Stable cardiomegaly. Aortic atherosclerosis.",1.2.826.0.1.3680043.8.498.17540416100888085621604056196003019040
+There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. There is aortic atherosclerosis. Patient is status post mitral valve replacement. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation. Stable cardiac prominence. There is aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.69331802886850208850293276102434629871
+Prior aortic valve replacement. Cardiomegaly. Mild left base atelectasis. Right lung is clear. No effusions or edema. No acute bony abnormality.,Mild left base atelectasis. Mild cardiomegaly.,1.2.826.0.1.3680043.8.498.70444345790387592794723003316600128567
+The lungs are adequately inflated. There is no focal infiltrate. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.29018806049842798395510528679081152275
+The endotracheal tube tip lies approximately 2.0 cm above the carina. The interstitial markings of both lungs remain increased. The heart is not enlarged. The pulmonary vascularity is indistinct. A permanent pacemaker is in place. The esophagogastric tube tip lies in the region of the gastric cardia or proximal stomach.,"1. There are persistent bilateral alveolar infiltrates in both lungs. These are not greatly changed since the study of 24 August, 2000. 2. The endotracheal tube tip lies approximately 2.0 cm above the carina.",1.2.826.0.1.3680043.8.498.40083824866256200423079551209044580922
+Cardiac shadow is stable. Diffuse bilateral airspace opacities are noted consistent with acute infiltrative change. A right-sided PICC line is noted in satisfactory position. No bony abnormality is noted.,Bilateral airspace opacities consistent with acute infiltrate.,1.2.826.0.1.3680043.8.498.89584955216727060035735328969680274246
+Heart is normal size. Lungs clear. No effusions. No acute bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.10490360160726929007941811081472847859
+Rotated to the LEFT. Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Patchy infiltrates in the mid to lower lungs bilaterally consistent with multifocal pneumonia and history of COVID-19. No gross pleural effusion or pneumothorax. Bones demineralized.,Patchy BILATERAL pulmonary infiltrates consistent with multifocal pneumonia and history of COVID-19.,1.2.826.0.1.3680043.8.498.22198066198487352579984726857219821166
+Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Mild lung hyperexpansion of bronchitic change without acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.77985313492383575979721696292854715816
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at the left lung base. The lungs are otherwise clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.22157387117600823333447543101876495601
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43849418569472649960690787234349945186
+Low lung volumes. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99175655739229495817700880910940424749
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.18193698554083339642014134973445661727
+Two views of the chest were obtained. The lungs are clear. The heart size and pulmonary vascularity are normal. There is a moderate size hiatal hernia. There is mild thoracic spondylosis.,There is a moderate size hiatal hernia. There is no acute appearing radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.79481613040067355976413932963236049797
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67960307112504277540151186210903260453
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66080543375007349728623768078772821579
+There is a right chest wall port a catheter with tip in the projection of the SVC. The heart size appears normal. No pleural effusion or edema. No airspace consolidation.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97585715412079270457476979082794982348
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37811060402141808718340946360553094497
+There is a new large right-sided pneumothorax with complete collapse of the right lung. Endotracheal tube tip is 1.5 cm above the carina. Orogastric tube is in place with its tip in the mid stomach. Left-sided chest tube is unchanged in position. There is improved aeration of the left lung with mild perihilar atelectasis.,1. New large right pneumothorax with complete collapse of the right lung. 2. Improved left lung aeration.,1.2.826.0.1.3680043.8.498.65203291460014111992192199887059993291
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or effusion. EKG leads and wires overlie the chest. No acute osseous abnormality identified.,No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.72937664769697489828960191369071793019
+The lungs are clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.91254352427654249468765075506407362716
+Right IJ dialysis catheter in similar position. Interval removal of the endotracheal tube and enteric tube. There are bilateral pleural effusions and associated atelectasis of the lower lobes. Pneumonia is not excluded. Clinical correlation is recommended. There is no pneumothorax. There is stable cardiomegaly. No acute osseous pathology.,1. Interval removal of the endotracheal tube and enteric tube. 2. Stable bilateral pleural effusions and associated atelectasis.,1.2.826.0.1.3680043.8.498.54596644461620627140234323291598317983
+Two views of the chest demonstrate a normal cardiomediastinal silhouette. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax. No osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.90371862182691910518978463460047816275
+The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. There is a scoliosis deformity which is convex to the right. The visualized osseous structures are otherwise unremarkable.,1. No acute cardiopulmonary abnormalities. 2. Scoliosis.,1.2.826.0.1.3680043.8.498.78890548074351224702286577687196792842
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61121710488195374190445609196946128727
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30417969571593954318527438580514852661
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.47077788213289357133416692682073233345
+There is patchy airspace disease in the left upper lobe and left lower lobe most consistent with pneumonia. Right lung is clear. Heart is normal size. No effusions. No acute bony abnormality.,Patchy left upper and lower lobe airspace opacities most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.16326642344386030943762664598198734614
+The heart size and mediastinal contours are stable. There is aortic atherosclerosis. The basilar airspace opacities have mildly worsened compared with the most recent examination. There is no edema or significant pleural effusion. There is no pneumothorax. There are stable degenerative changes throughout the spine.,Mild worsening of basilar airspace opacities consistent with pneumonia.,1.2.826.0.1.3680043.8.498.77593107599523654287898151398402542009
+Heart size is normal. There is no pleural effusion or pulmonary edema. The lung volumes are low. Patchy opacities are identified at both lung bases. There is a more focal opacity in the right upper lobe.,1. Low lung volumes. 2. Bilateral lower lobe opacities which may represent atelectasis or infection. 3. Right upper lobe opacity which may represent atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.14639834204587922388172820542879784942
+The lungs are clear. There is no pleural effusion or pneumothorax. Stable cardiomegaly. Median sternotomy wires and CABG vascular clips. No acute osseous pathology.,No active disease.,1.2.826.0.1.3680043.8.498.80133538333123662853971303458759818227
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72909414923070224278756956142899310375
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98624988639486144100773545960223094614
+Endotracheal tube is in place with the tip 2.2 cm from the carina. There is cardiomegaly. Aortic atherosclerosis is noted. There is pulmonary vascular congestion with mild pulmonary edema. No pneumothorax or pleural effusion. No acute bony abnormality.,1. Endotracheal tube in good position. 2. Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.38352485918536697486410149148437767390
+There is peribronchial thickening. No focal consolidation. No pleural effusion or pneumothorax. Heart and mediastinal contours are unremarkable. No acute osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.62668663423174380343040416421409459328
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24212280162589616669223177909359278723
+Linear atelectasis in the lingula. Right lung is clear. Heart is normal size. No effusions or acute bony abnormality.,Lingular atelectasis. No active disease.,1.2.826.0.1.3680043.8.498.80663844499262796134918969889669569368
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54478387910867861964944387822635632966
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34965876975560455659639356960753467202
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72856292247953393397341081241210681622
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen. Mild degenerative change is noted along the thoracic spine.",Mild vascular congestion; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.87533389726023494526388256603441856350
+The heart and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56939720079543157721144589153936943368
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44498923441157475063957585871607239487
+Normal sized heart. Clear lungs. Normal appearing right ribs without fracture or pneumothorax.,No acute abnormality.,1.2.826.0.1.3680043.8.498.22417585420272965050256638038349492168
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.48319751920813140943372338782321294709
+"Enlargement of cardiac silhouette. Mediastinal contours and pulmonary vascularity normal. Minimal atelectasis at RIGHT base. Lungs otherwise clear. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Enlargement of cardiac silhouette with minimal RIGHT basilar atelectasis.,1.2.826.0.1.3680043.8.498.94881626893212889085139748149807711440
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50500635160277089765556019081954309742
+Both lungs are clear. Cardiothymic silhouette is within normal limits. There is no evidence of pleural effusion or pneumothorax. The bowel gas pattern is normal.,No active disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.21194607488806596536146443911032168033
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Mild dextroscoliosis of the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18303583218420039337466598569872828303
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85908112684401299047179794813254367586
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54240308911614694981341177710464634524
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71725988096333681255761155310670892685
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.97890678914578134372446848889650412402
+Right IJ dialysis catheter is unchanged. Prior CABG. Cardiomegaly. Bilateral pleural effusions with bibasilar atelectasis. Mild vascular congestion. No acute bony abnormality.,"Stable cardiomegaly, vascular congestion and bilateral effusions with bibasilar atelectasis. Findings are similar to prior study.",1.2.826.0.1.3680043.8.498.95982250661841495959626377447640604327
+No pneumothorax. No pleural effusion. Nodular opacity at the right lung base. Borderline cardiomegaly. No edema.,No pneumothorax post bronchoscopy. Nodular opacity at the right lung base corresponding to the pulmonary nodule on chest CT.,1.2.826.0.1.3680043.8.498.33000550889864238331778380971134695454
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55699630556276505661459340930887629066
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23504824489178567541191365526835555498
+"Endotracheal tube, nasogastric tube, and right internal jugular central line are stable. Lungs are clear. No pneumothorax.",Stable chest.,1.2.826.0.1.3680043.8.498.37714443903086695589386579047947883193
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.57625206180763893974541516110150192296
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.70224480440756510689207421079048125749
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.79694803453960211874188014604216693166
+"Patient showed normal heart, mediastinum and central vascularity. Lungs are clear. No acute bony findings identified.",No active cardiopulmonary findings,1.2.826.0.1.3680043.8.498.88381131229243419154711802440472237188
+Patient is rotated. Heart is normal in size. Thoracic aorta is calcified. Left basilar airspace opacification. Lungs are otherwise clear. No definite pleural fluid. No pneumothorax.,Left basilar airspace opacification may represent atelectasis. Pneumonia is not excluded.,1.2.826.0.1.3680043.8.498.69808467373406969085615232361134135167
+The heart is mildly enlarged. The aorta is tortuous. There is COPD with scarring in the lung bases. There is no acute infiltrate or edema. There is no effusion. Multiple thoracic compression fractures are noted of indeterminate age.,COPD. Cardiac enlargement. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12965650150906520345661461314862106602
+Normal heart size and mediastinal contours. No acute infiltrate or edema. No effusion or pneumothorax. No osseous findings.,Negative chest.,1.2.826.0.1.3680043.8.498.30438255680370876969354645372180262889
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45980164743025318038509830917205067094
+Semi upright AP and lateral views of the chest. Small to moderate left pleural effusion appears stable. There is improved ventilation at the left lung base. Small right pleural effusion is suspected. Stable cardiomegaly and mediastinal contours. No pneumothorax or pulmonary edema. No acute osseous abnormality identified.,1. Small to moderate left pleural effusion appears stable. 2. Suspect small right pleural effusion. 3. Otherwise stable chest with mild atelectasis.,1.2.826.0.1.3680043.8.498.60045809243644169821087663086314947162
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild interstitial changes are again identified and stable. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,Stable interstitial changes. No acute abnormality noted.,1.2.826.0.1.3680043.8.498.68962140037210388876987872575629652442
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.78399801756354011905344465977195668421
+Endotracheal tube tip is about 3.8 cm superior to the carina. Esophageal tube tip is below the diaphragm but incompletely visualized. Right subclavian central venous catheter tip over the SVC. Similar appearance of bilateral interstitial and alveolar airspace opacities. Small pleural effusions. No pneumothorax. Stable cardiomediastinal silhouette.,1. Similar appearance of bilateral airspace disease which may reflect edema or infection. 2. Support lines and tubes as above.,1.2.826.0.1.3680043.8.498.91165307667020997037386363216509663200
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14959248862647001828883878550636290823
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44614264139402313338018999478158585779
+Heart size and mediastinal contours are normal. Both lungs are clear. There is no evidence of pneumothorax or pleural effusion. A comminuted fracture through the mid left clavicle is noted.,1. No active cardiopulmonary disease. 2. Comminuted left mid clavicle fracture.,1.2.826.0.1.3680043.8.498.47876882807866839690061004646106479808
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.50172936096653127767341990022338905797
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62068037376033907647189877365193028692
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48856794127804384831065693889018966971
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Bony thorax is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51484534565616747738554548134389868491
+No fracture or other bone lesions are seen involving the ribs. No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.38458174091448358266524495679862200623
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48639541726142694547993216016919691000
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81660130205630591101178447246572541496
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.41812224975519293217963939647220662620
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21378627197369522152628825289592016166
+The heart is enlarged. The mediastinal silhouette is normal. The lungs are clear. No effusions. No bony abnormalities.,Cardiomegaly. No active disease.,1.2.826.0.1.3680043.8.498.91891798564769919650568705548704402284
+Cardiac shadow is stable. Endotracheal tube is noted in satisfactory position. Gastric catheter is noted coiled within the stomach. Diffuse bilateral infiltrative changes are noted consistent with the patient's given clinical history of metastatic disease. Small right-sided pleural effusion is noted. No pneumothorax is seen.,Bilateral infiltrative changes consistent with metastatic disease. Small right-sided pleural effusion is noted. Endotracheal tube and gastric catheter are noted in satisfactory position.,1.2.826.0.1.3680043.8.498.51864630033205087609962318960728226767
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15878559140106816319848840394221638346
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62225851581217998026016676609106939719
+"Stable large right lung bulla. Stable cardiac size and mediastinal contours. Stable patchy airspace opacity in the right mid and lower lung. No pneumothorax, pulmonary edema, pleural effusion or new pulmonary opacity. Stable visualized osseous structures.",Stable chest with right lung bulla and residual right mid and lower lung airspace opacity. Favor residual pneumonia. Recommend post-treatment radiographs to document resolution.,1.2.826.0.1.3680043.8.498.35545924643098379622921393008974932221
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart, mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.68141818238190307842776873210884113166
+"The heart is normal in size. The lungs are under expanded. Linear atelectasis at the right base is similar. There is no acute infiltrate, effusion or pneumothorax.",Underexpanded lungs with linear atelectasis at the right base.,1.2.826.0.1.3680043.8.498.54546800375269786541157971259642754750
+There is multifocal airspace disease in the right upper lobe and left mid and lower lung zones consistent with pneumonia. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the superior segment of the left lower lobe. Heart size normal. No adenopathy. These results will be called to the ordering clinician or representative by the Radiologist Assistant, and communication documented in the PACS or Clario Dashboard.",1.2.826.0.1.3680043.8.498.30307396042676965772361115917209333876
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72595519701601094802947683403644089320
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69042959355365062455070862451833635461
+"Heart: Normal. Lungs: There is suggestion of bilateral perihilar, peribronchial thickening and borderline hyperinflated lungs. Mediastinum: Normal. Pleural effusions: None. Bones: Normal. Visualized upper abdomen: Normal.",Findings suggestive of transient tachypnea of the newborn.,1.2.826.0.1.3680043.8.498.58438681737095184053463227314906558884
+The heart is enlarged. There is left lower lobe atelectasis. No pneumothorax is seen.,1. No pneumothorax post bronchoscopy. 2. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.32996008271837053789882625575446189285
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.53467728763783484930070740380023646522
+"There is no significant pulmonary consolidation, pulmonary edema, pleural effusion, nor pneumothorax. The cardiomediastinal silhouette is within normal limits. No grossly displaced rib fracture is noted.",1. No acute cardiopulmonary abnormality is noted.,1.2.826.0.1.3680043.8.498.71866161059870370267207940421218997103
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.90689116779312439227372701527861437854
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91815682296434113789518827190763389327
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50647436850388250288641671152067681237
+"There is underlying emphysematous change. There is persistent airspace consolidation in the left lower lobe with patchy infiltrate in the right middle lobe. Compared to most recent study, there is slightly more consolidation in the left lower lobe. Elsewhere lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.",Persistent airspace consolidation in the right middle lobe and left base consistent with pneumonia with slightly more infiltrate in the left base compared to most recent study. There is also a small area of infiltrate in the right upper lobe. There is a degree of underlying emphysema.,1.2.826.0.1.3680043.8.498.62462808445538849398985012754163671452
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.93415355750004052254616233520646479953
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.94991434750378130804427788221899120825
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51740911263693214964818630529410076394
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99582973686082602621327226811010917328
+"Left chest tube remains in place with no pneumothorax currently seen. Left basilar atelectasis and probable small left pleural effusion are stable. The lungs are otherwise clear. Stable slight cardiomegaly noted. Mediastinum, hila, remaining pleura and osseous structures are stable and unremarkable.",1. Stable left basilar atelectasis. 2. Stable slight cardiomegaly. 3. Otherwise no active disease.,1.2.826.0.1.3680043.8.498.73226452346975532070426871490958579640
+The lungs are well-expanded. The interstitial markings are increased. The cardiopericardial silhouette is enlarged. The pulmonary vascularity is engorged. I see no pleural effusion.,There are findings consistent with congestive heart failure and pulmonary interstitial edema. Followup films are recommended following therapy to assure improvement.,1.2.826.0.1.3680043.8.498.35803257492747963468409422758595613949
+Left arm PICC has its tip in the SVC 2 cm above the right atrium. The lungs are not as well aerated with mild basilar atelectasis. Heart size is stable.,Left arm PICC tip in SVC 2 cm above right atrium.,1.2.826.0.1.3680043.8.498.92923316875969530331103206723005625423
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45017628590604549437638627446574350984
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Bronchitic changes with right middle lobe and lingular bronchiectasis again identified. Minimal linear scarring in right upper lobe. No acute infiltrate, pleural effusion or pneumothorax. Bones unremarkable.",Bronchitic changes with stable appearance of bibasilar bronchiectasis.,1.2.826.0.1.3680043.8.498.28893508107827226468726972112323874013
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57683413088059642228569342218921080034
+Lungs are clear. Lung volumes are normal. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.57044688776920016381539561334530309594
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70483502899590416095291311519086581270
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98894825421255366622875745326638282440
+Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate again noted. Interim improvement from prior exam. Left lung is clear. Heart is normal size. No acute bony abnormality.,Moderate to large right pleural effusion with right lower lobe atelectasis or infiltrate. Interim improvement from prior exam.,1.2.826.0.1.3680043.8.498.49761737484444739376802874288085803298
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Calcified pulmonary nodule left lung base consistent with granuloma. No focal infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.65069442474767630198316983718690379770
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42868541261119903910418245182951100047
+Left jugular central line tip is in the SVC. No pneumothorax is identified. The lungs are clear. Heart size is normal.,1. No acute cardiopulmonary disease. 2. Tip of the central line is in the SVC.,1.2.826.0.1.3680043.8.498.42748517808251582981613043839266813421
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Mild right basilar infiltrate is seen projecting in the right lower lobe. No bony abnormality is noted.,Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.36215360854145455744906436534540913298
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51975784039417948742188291106352343960
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen; no displaced rib fractures identified.,1.2.826.0.1.3680043.8.498.51003702938383133912184850774984298226
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23366516959197387528478043825831413701
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30565687764914091951644556835328041266
+PA and lateral view of the chest demonstrate a normal cardiac silhouette. Pulmonary hila and vessels are within normal limits. Costophrenic angles are clear. Lungs are clear of any focal mass or consolidation. There is no pneumothorax. There are no osseous abnormalities.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27243268035216416673174440156132269607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.34103646721670985371117763109642010875
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44172087993586901916539521113150863327
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.12622594760882957938692303818731429011
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.93492158138195245365695709238369963080
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.52197938283286438689411491363685235410
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.58648432114018027371162796355090382701
+Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Central catheter tip in superior vena cava. No pneumothorax. No edema or consolidation.,1.2.826.0.1.3680043.8.498.17596211850587179339800094275212808495
+There is a focal area of patchy density in the left lower lobe posteriorly consistent with pneumonia. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No bone abnormality.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.92230715615210921890013545745881075547
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34827190640930347948473811984531533080
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10275758825355127914606857520376066511
+Port-A-Cath tip is in the superior vena cava. No pneumothorax. There is scarring in the right upper lobe. There is a small right pleural effusion. There is atelectatic change in the left base. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. There is atherosclerotic calcification in the aorta.,Scarring right upper lobe. Small right pleural effusion with atelectasis left base. No consolidation. Heart upper normal in size. Port-A-Cath tip in superior vena cava.,1.2.826.0.1.3680043.8.498.57165005913973264814296134910383026888
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66289658550836587601496569372739554989
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62094812175952865302208376952336138231
+No pneumonia is seen. There are somewhat prominent perihilar markings with some peribronchial thickening which can be seen with bronchitis. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No pneumonia. Possible bronchitis.,1.2.826.0.1.3680043.8.498.72502128665459266486293439767271656428
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.81463595479174404504015708446173151788
+Stable enlarged cardiac silhouette. There is increase in patchy airspace disease compared to prior. No pneumothorax.,1. Increase in bilateral patchy airspace disease suggests pulmonary edema over multifocal pneumonia. 2. Cardiomegaly.,1.2.826.0.1.3680043.8.498.87420511170194286511520591449752158938
+"There is a persistent large mass in the right mid lung, not significantly changed compared to the earlier chest x-ray of 02/24/2000. No pneumothorax seen. Left lung remains clear. Heart size and mediastinal contours are stable. Osseous structures about the chest are unremarkable.",1. No evidence of pneumothorax status post bronchoscopy. 2. Persistent large mass in the right mid lung.,1.2.826.0.1.3680043.8.498.35119154684805141083167419765890362215
+The chest is hyperexpanded consistent with emphysema. The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,Emphysema without acute disease.,1.2.826.0.1.3680043.8.498.33310329762587913192601422424221729015
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. Thoracolumbar scoliosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67780528374755214437532306721296439684
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44773557353961220064733975040480769033
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There are small bilateral pleural effusions. Multifocal airspace opacities are identified within the right upper lobe and right lower lobe. There is also a left lower lobe opacity.,1. No change in aeration the lungs compared with previous exam. 2. Findings are consistent with multifocal pneumonia.,1.2.826.0.1.3680043.8.498.67904176671646907514544664555204036547
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18311761897330976739008345357384681929
+There is a right chest wall porta-catheter with tip in the SVC. Heart size is normal. No pleural effusion or edema. No airspace consolidation. Spondylosis is noted within the thoracic spine.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.76208940856848143791532220509026576713
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart is enlarged but appears stable as compared to the prior exam. The mediastinal and osseous structures show no significant abnormalities.",1. No acute changes are identified. 2. There is stable cardiomegaly.,1.2.826.0.1.3680043.8.498.25111209513635321442426702892464574039
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.58147851446432893148783662174853589476
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23763957329285900890189051720786063670
+The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Increasing consolidation in the left lower lobe likely reflects a combination of pulmonary contusion and atelectasis. Small left pleural effusion. Multiple left-sided rib fractures again noted. No pneumothorax. Unchanged comminuted displaced left mid clavicle fracture.,1. Increasing left lower lobe consolidation likely reflects a combination of pulmonary contusion and atelectasis. 2. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.11203692974180290357740604956907617508
+"Stable lung volumes. Regressed patchy opacity at the right lung base, but there are residual streaky opacity. No pneumothorax or pulmonary edema. Small right pleural effusion is regressed. Stable cardiac size and mediastinal contours. Calcified atherosclerosis of the aorta. Osteopenia. Stable visualized osseous structures.",1. Regressed but not completely resolved right pleural effusion and patchy opacity at the right lung base. Residual right lung base opacity could reflect atelectasis or scarring. 2. No new cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.52319890431441856066503205662238310867
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31773356060274990366842599242430364058
+There is peribronchial thickening bilaterally consistent with bronchitis. No consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.70536974768077929462395303474000699752
+Single portable AP chest radiograph is provided. There is right middle lobe airspace disease most concerning for pneumonia. There is a right-sided Port-A-Cath in satisfactory position. There is left lingular airspace disease which may reflect atelectasis versus developing infiltrate. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.,"Right middle lobe and left lingular airspace disease concerning for multilobar pneumonia. Recommend followup radiography to document complete resolution following adequate medical therapy. If there is not complete resolution, then recommend further evaluation with CT of the chest to exclude underlying pathology.",1.2.826.0.1.3680043.8.498.79287388844234989962213218602718033068
+"Endotracheal tube terminates in the mid intrathoracic trachea. Left IJ central venous catheter tip overlies the superior vena cava. Enteric tube courses inferior to the diaphragm. The heart and mediastinum are stable. There are mild heterogeneous opacities at the lung bases, left greater than right. These are increased from prior.","1. Stable support apparatus. 2. Increased basilar opacities, left greater than right, may represent atelectasis. Early infection or aspiration not excluded.",1.2.826.0.1.3680043.8.498.54978013909886590163299537399813928566
+"The lung fields are clear. The heart, mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.75088953920159160858524697216063383089
+Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the stomach. The heart size is normal. The lungs are hyperinflated. There are no large pleural effusions. There is no pneumothorax. There is no acute osseous abnormality.,Stable support devices. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.57505384525641785315232384357894414712
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.33173407053214160722864266587306161905
+"PA view of the chest demonstrates a left upper lobe opacity, which may represent pneumonia. Heart size is normal. No pleural effusion or pneumothorax. No free air under the diaphragms. Air-filled loops of bowel in the abdomen are noted.",1. Left upper lobe opacity may represent pneumonia. 2. Non-obstructive bowel gas pattern.,1.2.826.0.1.3680043.8.498.34484562371493320936450269351819793574
+"The cardiac and mediastinal silhouettes are within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16411569173502178086720610171764372283
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20810467092104130814590919621672803476
+Heart size is normal. There are no effusions or edema. No focal airspace opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33130205206639752209278692391931742583
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28063001606835487378204596133856808414
+Trachea is midline. Cardiothymic silhouette is within normal limits for size and contour. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.87174426114970348731423028416359738579
+"Low volumes and atelectasis. No consolidation, features of edema, pneumothorax, or effusion. Pulmonary vascularity is normally distributed. The cardiomediastinal contours are unremarkable. No acute osseous or soft tissue abnormality.",Low volumes and atelectasis. No other acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.13750286881116468883049342990977880873
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. The review of the visualized osseous structures is unremarkable. Hiatal hernia is again noted.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.16393025618060151914379423481258223605
+The cardiothymic silhouette is within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.,Bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.85942086097895118552081568987953837137
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.82608448324297597399560023672535033801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51717538333274601808764260272684531143
+The endotracheal tube tip lies approximately 1.0 cm below the inferior margin of the clavicular heads. The lungs are reasonably well inflated. The interstitial markings are increased. The retrocardiac region on the LEFT is increased in density and the LEFT hemidiaphragm is obscured. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct.,There are findings which likely reflect atelectasis or developing infiltrate at the LEFT lung base. There are findings which likely reflect an element of low-grade CHF. Continued followup films would be of value.,1.2.826.0.1.3680043.8.498.21016404163171557133540900988851073131
+There is airspace consolidation in the left lower lobe and also patchy airspace disease in the right lower lung. Findings are consistent with pneumonia. No associated pleural effusion. Heart size is normal.,"Bilateral lower lobe airspace disease, left greater than right. Findings are consistent with pneumonia.",1.2.826.0.1.3680043.8.498.20255257358805126466044460892015628005
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.12656244019243944099180801091213755641
+"ET tube is present with the distal tip at the level of the aortic knob. The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.43227017598572762344941373420222252243
+Unchanged elevation of the right diaphragm. Linear atelectasis at the right base. No consolidation or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active disease. Linear atelectasis at the right base.,1.2.826.0.1.3680043.8.498.61881799512861600056354553301006559643
+The lungs are mildly hyperinflated. There is no focal infiltrate. The interstitial markings are increased bilaterally. The cardiac silhouette is top normal in size. The pulmonary vascularity is not engorged. There is a hiatal hernia present. I see no pleural effusion. The bones are osteopenic.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. There may be an element of low grade compensated CHF present.,1.2.826.0.1.3680043.8.498.86082173661381894721899975999274905302
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62387428776977427932107533307558099439
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.29024595835658360620969844951177783289
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.21575394392194921449726760657225849646
+Portable semi upright AP view 3268 hours. Stable cardiomegaly and mediastinal contours. Pulmonary vascular congestion with increased interstitial markings and peripheral lines. No pneumothorax or pleural effusion. No consolidation.,Slight interval progression of pulmonary interstitial edema.,1.2.826.0.1.3680043.8.498.28671785566289975718995149461750245772
+Extensive airspace opacity throughout the left upper and mid lung. The right lung is relatively clear. Inspiratory volumes are low. Stable cardiac and mediastinal contours. No pneumothorax. No acute osseous abnormality.,1. New extensive airspace opacity in the left upper and mid lung concerning for pneumonia. Asymmetric pulmonary edema is also possible. 2. Low inspiratory volumes.,1.2.826.0.1.3680043.8.498.18458804317692953210901622672593252923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50214292544811184962857174670662971189
+EKG leads project over the patient's chest. Heart size is difficult to evaluate on the AP projection. Calcification of the aortic knob is seen. There is no evidence of congestive heart failure or acute infiltrates. The costophrenic angles are sharp and the trachea is midline. Hila structures outline normally.,No acute disease.,1.2.826.0.1.3680043.8.498.27602063421215175172428600946836612832
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.46999187139592157624514360768960388910
+Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.14075106263729164957484472586833028127
+"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. No noncalcified lung nodules are identified. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.68501787029288007878415722542773682207
+"Lungs are adequately inflated with mild prominence of the perihilar markings with peribronchial thickening. No focal consolidation or effusion. Cardiothymic silhouette, bones and soft tissues are normal.",Findings which can be seen in a viral bronchiolitis versus reactive airways disease.,1.2.826.0.1.3680043.8.498.19727058309307814498829255876361470669
+Lung volumes are low. Patchy opacities at both lung bases are suggestive for pneumonia. There is no evidence for pulmonary edema. Heart size is probably within normal limits for portable technique. No pleural effusions.,"Low lung volumes with patchy bibasilar infiltrates, left side greater than right.",1.2.826.0.1.3680043.8.498.68460523605177254436970264325385353767
+Tracheostomy tube is in place. There are patchy airspace opacities in the mid and lower lungs bilaterally. No pneumothorax. No pleural effusion.,1. Tracheostomy tube in place. 2. Patchy airspace opacities in the mid and lower lungs which may reflect atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.93311793071695935340838879691912225812
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38078987084093798366941376920901950378
+The lungs are clear. No pleural abnormality is seen. The heart size is normal. The mediastinum appears intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.13593571733144300367935593118382879064
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50873005642397607940201274713171501741
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38169383461401653694933839297937754729
+"Endotracheal tube tip at the clavicular heads. The orogastric tube reaches the stomach. Left PICC with tip at the upper cavoatrial junction. Bilateral pneumonia which is mildly improved. No edema, effusion, or pneumothorax. Normal heart size.",1. Unremarkable hardware positioning. 2. Mild improvement in bilateral pneumonia.,1.2.826.0.1.3680043.8.498.83075191470301543521296847409945121835
+Cardiomediastinal silhouette is within normal limits. Lungs are clear. Bony thorax is unchanged.,No evidence for active disease in the chest.,1.2.826.0.1.3680043.8.498.97501566435365283983430677063253900958
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15025591143024461525139721194211548133
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96209604999496094080576781844877786677
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.42016958211404547328380663994510346308
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14899990095442802575984072634944668438
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Chronic elevation of RIGHT diaphragm. Lungs clear. No pleural effusion or pneumothorax. Multiple RIGHT rib fractures again identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.97829945716540909859862986677259121397
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. Degenerative changes thoracic spine.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58940732007213805887853544745329713066
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64956146363175759909519816040951539671
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. VP shunt is identified over the right chest.,No active disease.,1.2.826.0.1.3680043.8.498.63782457590754888537038822666602708300
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.79937640727797718856500324197845132919
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27230232584045943075784134555778938511
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.58124668652624252573030657661351001768
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50663613850704200219716576711801340384
+Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55527911784419741461271895092005610116
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39926200280770849289999987965430330602
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16062057331609697999530545311378355426
+Cardiothymic silhouette within normal limits. Tracheal air column midline and patent. Lungs are normally inflated with symmetric lung volumes. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality. Orogastric tube extends into the mid body of the stomach.,1. No radiographic evidence for active cardiopulmonary disease. 2. Orogastric tube within the mid body of the stomach.,1.2.826.0.1.3680043.8.498.19441620936491690815529697540926759049
+"Left subclavian Port-A-Cath, tip at high SVC. No pneumothorax. Enlargement of cardiac silhouette. Pulmonary vascular congestion. Bibasilar atelectasis. Underlying COPD. No gross failure or consolidation.",No pneumothorax following Port-A-Cath insertion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.10208511406413972844554892736436461580
+The lungs are adequately inflated. There is no focal infiltrate. The heart is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67273832381469961496086261417514082816
+Left lower lobe consolidation has partially cleared. Right lung remains clear. Heart is normal size. No effusions or acute bony abnormality.,Partial clearing of left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.45502897879904583858157683590930224704
+The endotracheal tube has been removed. Aeration has improved slightly with little change to slight improvement in basilar atelectasis. Swan-Ganz catheter and left chest tube remain. Cardiomegaly is stable.,Endotracheal tube removed. Slightly better aeration.,1.2.826.0.1.3680043.8.498.11560546672335468049786116643621618121
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27181128091157306326318545237705229726
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.36888227543529728111870210889836026963
+The orogastric tube tip overlies the gastric bubble. Both lungs are clear. The cardiothymic silhouette and pulmonary vasculature are within normal limits. There is no evidence of pneumothorax or pleural effusion bilaterally. The visualized upper abdomen is unremarkable.,"Stable, good aeration bilaterally.",1.2.826.0.1.3680043.8.498.84522189611339920204677072618636252939
+There is airspace disease in the left lower lobe consistent with pneumonia. The right lung is clear. No pleural effusion or pneumothorax. Heart size normal.,Left lower lobe pneumonia. Recommend followup films to clearing.,1.2.826.0.1.3680043.8.498.65288490727405317891117340718060125123
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38398583572341836709601258156886847517
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.51571942484081360193824604446653381484
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.77245877628819845903452587613606770060
+Interval placement of a left internal jugular central venous catheter with the tip in the proximal SVC. Endotracheal tube is in place with the tip 2.6 cm above the carina. Enteric tube in place with the distal side port in the stomach. Stable cardiomediastinal silhouette. Normal pulmonary vascularity. Unchanged patchy opacity at the left lung base. No pleural effusion or pneumothorax. No acute osseous abnormality.,1. New left internal jugular central venous catheter with the tip in the proximal SVC. 2. Unchanged left lower lobe atelectasis versus infiltrate.,1.2.826.0.1.3680043.8.498.39009322797118293549594422981732936185
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.23185715428394797109080937347959572599
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.36907626075221895982502449970469076112
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67908926285353616820223449328386087589
+"There is no evidence of intracranial hemorrhage. The extra-axial CSF spaces are grossly normal. There is no evidence of midline shift, and the ventricular system is normal in size and configuration. There is no evidence of skull fracture. Moderate partial opacification of the paranasal sinuses and mastoid air cells is noted. The paranasal sinuses are normally aerated. The subcutaneous tissues appear unremarkable and symmetric.",No evidence of intracranial hemorrhage. No evidence of acute intracranial abnormality. Remainder of findings as described above.,1.2.826.0.1.3680043.8.498.14077022896209766476131788754086431152
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.97380499947917630203200461409438857160
+There is persistent increased density in the left lung base as well as blunting of the left costophrenic angle. No new focal regions of consolidation or new focal infiltrates are appreciated. The cardiac silhouette and visualized bony skeleton are unremarkable. A right sided central venous catheter is appreciated with the tip projecting in the region of the superior vena cava.,1. Persistent left lower lobe infiltrate versus atelectasis. 2. Small left effusion versus chronic scarring. Continued surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.12811971947612752330985638425993584079
+Endotracheal tube is 3.5 cm above the carina. Nasogastric tube extends into the abdomen. Right jugular Swan-Ganz catheter tip in the proximal right pulmonary artery region. Right chest tube is in place. No evidence for a pneumothorax. Right basilar densities suggest atelectasis. Left lung is clear. Heart size is within normal limits.,Postoperative chest with right chest tube and no evidence for a pneumothorax. Right basilar densities suggest atelectasis. Support apparatuses as described.,1.2.826.0.1.3680043.8.498.45686752848273291192621655147932657328
+Endotracheal tube is 1.8 cm above the carina. UVC catheter tip is in the right atrium approximately 7 mm above the IVC right atrial junction. OG tube tip is in the stomach. Diffuse hazy opacities throughout the lungs compatible with RDS. No effusions or pneumothorax. Cardiothymic silhouette is within normal limits.,Endotracheal tube 1.8 cm above the carina. Diffuse hazy opacities throughout the lungs compatible with RDS.,1.2.826.0.1.3680043.8.498.52527261708684282064974669177204372267
+"Enlargement of cardiac silhouette post CABG. Mediastinal contours and pulmonary vascularity normal. Atherosclerotic calcification aorta. Moderate LEFT pleural effusion with significant atelectasis of the lower LEFT lung. Minimal central peribronchial thickening. No acute infiltrate, RIGHT pleural effusion or pneumothorax. Bones demineralized.",Moderate LEFT pleural effusion and basilar atelectasis. Enlargement of cardiac silhouette post CABG.,1.2.826.0.1.3680043.8.498.55846321137800903247669476332798123384
+"Endotracheal tube terminates 2.5 cm above the carina. The heart is normal in size. Aortic atherosclerosis. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",1. Endotracheal tube terminates 2.5 cm above the carina. 2. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15033993432730595258104012411292739149
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43857601483342807057903261697306094505
+Cardiac and mediastinal silhouettes are within normal limits. Tracheal air column midline and patent. Lungs are normally inflated. Mild scattered peribronchial thickening. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. Visualized osseous structures and soft tissues within normal limits.,"Mild scattered peribronchial thickening, which can be seen in the setting of acute bronchiolitis and/or reactive airways disease. No focal infiltrates to suggest pneumonia.",1.2.826.0.1.3680043.8.498.95960430996318497690796019567491193791
+"Patient is rotated. Heart size is grossly stable. There is severe emphysema. Linear opacities are again seen in both lung bases, consistent with atelectasis or scarring. No definite airspace disease. No evidence of pleural effusion. No pneumothorax.",1. No acute findings. 2. Stable bibasilar scarring or atelectasis. 3. Severe emphysema.,1.2.826.0.1.3680043.8.498.68885588275941473361945457486117485209
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.66527801592020466071245541386956144521
+The lungs are well-expanded and clear. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormalities.,There is no evidence of pneumonia nor CHF.,1.2.826.0.1.3680043.8.498.58090812038365183408492065903095205530
+"Since 1/2/3 portable chest x-ray, no right pneumothorax is seen with lesser inspiration. Right fifth rib fracture is again noted. The lungs are otherwise clear. Heart size is normal.",Since 1/2/3: 1. Submaximal inspiration. 2. No pneumothorax. 3. Right fifth rib fracture.,1.2.826.0.1.3680043.8.498.55015924773385116907339706996324488739
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28961426105074092729356135303962844006
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.85580779732298417189626945669208866348
+"Endotracheal tube, NG tube, right IJ line in stable position. Heart size normal. Low lung volumes with basilar atelectasis. No pleural effusion or pneumothorax.",1. Lines and tubes in stable position. 2. Low lung volumes with basilar atelectasis.,1.2.826.0.1.3680043.8.498.49315859536571871414854194266851928823
+Multiple right rib fractures are again noted. There is pleural thickening along the right lateral chest wall. Atelectasis at the right lung base. Heart is normal size. Left lung is clear. No effusions. No pneumothorax.,Multiple right lateral rib fractures with pleural thickening. Right basilar atelectasis.,1.2.826.0.1.3680043.8.498.59297768296725725596943769818383786869
+There is airspace disease in the right mid and lower lung. There is mild airspace disease on the left. There is cardiomegaly. There is no pleural effusion. The findings are most consistent with acute pneumonia. Followup chest x-ray is recommended to exclude underlying malignancy.,"Bilateral airspace disease, right greater than left. Findings most consistent with pneumonia.",1.2.826.0.1.3680043.8.498.74899992922219656708949305367619472354
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.28506634986684099071751597421825793829
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.71517712042255948852069709467365003428
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35571869381571834267625524549687781037
+Heart size is normal. Mediastinal shadows are normal. The lungs are clear. The vascularity is normal. No effusions. Ordinary degenerative changes affect the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31627810555336704893019755262643937956
+The heart size is normal. No congestive heart failure or acute infiltrates. Costophrenic angles are sharp and the trachea is midline. Hila structures outline normally. No significant bony abnormality is identified.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86353975822460912865834985027974685235
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48393727832252242714274638347107388094
+There is opacity within the right middle lobe consistent with pneumonia. The lungs are hyperaerated consistent with emphysema. Mediastinal and hilar contours are unremarkable. The heart is within upper limits of normal. No bony abnormality is seen.,1. Right middle lobe pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.49050784394835469690166803530980685347
+Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58281187415851301719498138832947222878
+Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69173076589768194370799083866087209074
+Cardiomediastinal silhouette is unremarkable. No acute infiltrate or pleural effusion. No pulmonary edema. Mild elevation of the left hemidiaphragm. There is gaseous distension of the stomach.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94835360806523350868920094212085322572
+There is a mid inspiration. The lung fields reveal no active process. The heart and mediastinum is physiogic in size and contour.,No active process,1.2.826.0.1.3680043.8.498.47393807764944207023656497685186271049
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33338592298716016411248565305636580887
+Low lung volumes are present and taking this into consideration heart size is upper limits of normal. Some crowding of the basilar bronchovascular markings is seen and no focal infiltrates or signs of focal airspace disease are suggested. No pleural fluid is seen. Bony structures appear intact.,Low lung volumes with crowded basilar vascular markings. No definite focal infiltrates seen.,1.2.826.0.1.3680043.8.498.13587293343496043121064869948307854123
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33581655472071750114847211654553333092
+"Endotracheal tube is well positioned with tip approximately 3 cm above the carina. Enteric tube passes below the diaphragm. Heart size and mediastinal contours are grossly stable. Bilateral perihilar and bibasilar opacities, stable compared to the most recent exams, compatible with pulmonary edema. Probable bilateral pleural effusions. No pneumothorax seen.","1. Stable pulmonary edema. 2. Probable bilateral pleural effusions. 3. Stable opacities at each lung base, likely atelectasis.",1.2.826.0.1.3680043.8.498.76444262983999818122255845546841257844
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98300402732852981850996784170240867320
+There is atelectasis at the right lung base. The heart size is enlarged. Pulmonary vascularity is normal. No effusions. No acute osseous abnormality.,Cardiomegaly. Atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.45277220386570218314238985999056196356
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54880517737133482077916275166764793982
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.25747764747379047256597078710137099373
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68698193782457711779233041404124538405
+The heart is normal in size. The lungs are under expanded. There are bilateral infiltrates which appear worse. Small effusions are suspected.,Worsening bilateral infiltrates.,1.2.826.0.1.3680043.8.498.35189375384600530529690948660775334438
+There is a right-sided PICC line with tip in the projection of the superior vena cava. The heart size is enlarged. There is no pulmonary edema. No pleural effusions are noted.,1. Cardiomegaly. 2. No evidence for CHF.,1.2.826.0.1.3680043.8.498.34944646527496685622695882744703907444
+"Lung volumes are low. There are bibasilar opacities which may reflect areas of atelectasis and/or consolidation, with superimposed small bilateral pleural effusions. Pulmonary venous congestion, without frank pulmonary edema. Mild cardiomegaly. Upper mediastinal contours are within normal limits. Atherosclerosis in the thoracic aorta. Right upper extremity PICC with tip terminating in the superior cavoatrial junction.",1. Low lung volumes with bibasilar areas of atelectasis and/or consolidation and superimposed small bilateral pleural effusions. 2. Mild cardiomegaly. 3. Atherosclerosis.,1.2.826.0.1.3680043.8.498.51267872928651050801244519495097804512
+Lung volumes are stable and within normal limits. Stable mild scarring at the lung bases. No consolidative airspace disease. No pleural effusions. No evidence of pulmonary edema. Heart size is normal. Upper mediastinal contours are within normal limits. Aortic atherosclerosis.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.89578171133807804187249502291279897657
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. Both lungs are clear. No visible pleural effusions or pneumothorax. No acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77607996768119869461347207008026224236
+Cardiothymic silhouette within normal limits. No definite focal airspace opacity suspicious for bacterial pneumonia. Central airway thickening is present. Hyperinflation. No pleural effusion.,Central airway thickening is consistent with a viral or inflammatory central airways etiology.,1.2.826.0.1.3680043.8.498.41706052348652554753819666109964880261
+The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.92724327750108287456095959025790372602
+ET tube is in place with the tip in good position at the level of the clavicular heads. Left-sided pacemaker is again noted. There is cardiomegaly. No pneumothorax. Small left effusion and basilar atelectasis noted.,1. ET tube in good position. 2. Cardiomegaly. 3. Small left effusion and basilar atelectasis.,1.2.826.0.1.3680043.8.498.19816178819225709589063348518840175021
+Right IJ approach dialysis catheter is in place with the tip in the lower superior vena cava. No pneumothorax. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No acute or focal bony abnormality.,Right IJ approach dialysis catheter in good position. No acute disease.,1.2.826.0.1.3680043.8.498.42200198092327716377573136546130767074
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29525567856621701175573751968176408914
+"No evident fracture or dislocation. Appearance suggests rotator cuff pathology involving both the right and left. Visualized ribs and lung well-inflated and well-aerated. Lungs are well-aerated without focal consolidation, pleural effusion or pneumothorax.",1. No acute cardiopulmonary process. 2. Suggestion of rotator cuff pathology involving the shoulder.,1.2.826.0.1.3680043.8.498.29236935795512028265236862169785054573
+Cardiothymic silhouette is within normal limits. Lungs are under aerated. Patchy airspace opacities are noted in the right lower lobe. Left lung is clear. No pneumothorax or pleural effusion.,Right lower lobe consolidation. Follow-up studies until resolution are recommended after appropriate antibiotic therapy.,1.2.826.0.1.3680043.8.498.80135950968285981405908063516930654051
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75871433879250211470109046769638171383
+The lungs are clear. Heart is upper normal in size with pulmonary vascularity normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Heart upper normal in size.,1.2.826.0.1.3680043.8.498.76243169026914749824605023515158305483
+The heart size is normal. A large hiatal hernia is again noted. The previously demonstrated left lung base pneumonia has resolved. No new infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,1. No acute cardiopulmonary process. 2. Hiatal hernia. 3. Resolution of left basilar pneumonia.,1.2.826.0.1.3680043.8.498.26971514578046252869201021025146140308
+There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is enlarged. There are postop changes of median sternotomy and CABG procedure. There is mild interstitial edema. There is asymmetric airspace opacity within the right upper lobe which may represent asymmetric edema or pneumonia.,1. Cardiac enlargement and pulmonary edema. 2. Asymmetric airspace disease right upper lobe may represent asymmetric edema or pneumonia.,1.2.826.0.1.3680043.8.498.27289834557850637139494455262650104807
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.16513209625918680159491790772303674738
+Right arm PICC line is unchanged. Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Degenerative changes in the thoracic spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36352262716540629153112522899687700313
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease,1.2.826.0.1.3680043.8.498.11121135652655382236558168201262692703
+"The cardiomediastinal silhouette is within normal limits. Hyperexpansion of the lungs is again seen, consistent with COPD. There is no evidence of focal infiltrate or pulmonary edema. No pleural effusion is seen. Mild degenerative changes are noted in the thoracic spine.",COPD. No acute cardiopulmonary disease identified.,1.2.826.0.1.3680043.8.498.80610183556964273765419072887246113565
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35411393249490360496310931336945892136
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83031446543687151659945661760374816221
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88724427027885425525627349809264160090
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46828949405715708199536841212292068760
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.28958263602265463284604748020871419473
+The lungs are adequately inflated. There is no focal infiltrate. No pneumothorax or pneumomediastinum is observed. The cardiothymic silhouette is normal. The trachea is midline. The bony thorax exhibits no acute abnormality. The gas pattern in the upper abdomen is normal.,There is no evidence of pneumonia nor CHF. No pneumothorax or pneumomediastinum is observed.,1.2.826.0.1.3680043.8.498.27953614922148599877685296585546180860
+The cardiopericardial silhouette is within normal limits for size. The lungs are clear. Dedicated views of the right ribs demonstrate no evidence for acute fracture. There is no pneumothorax.,No acute cardiopulmonary disease or right-sided rib fracture.,1.2.826.0.1.3680043.8.498.23037770020359940398889375966441132508
+There is cardiomegaly. There is a moderate left pleural effusion. There is interstitial pulmonary edema. There is a focal airspace opacity in the left upper lobe concerning for pneumonia. Patchy airspace opacities are also noted at the right lung base.,1. Cardiomegaly and interstitial edema. 2. Left pleural effusion and left upper lobe airspace disease. Question pneumonia.,1.2.826.0.1.3680043.8.498.98288933984029421430313734658382850171
+The heart size and vascularity are normal and the lungs are clear. No osseous abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.53264493985871643321130147312975718798
+The lungs are clear. No pleural effusion. Heart size normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.26218582770990401680696734153773343962
+Heart size and pulmonary vascularity are normal and the lungs are clear. Slight tortuosity of the thoracic aorta. No osseous abnormality.,No significant abnormalities.,1.2.826.0.1.3680043.8.498.23105631089405534123951903262375433678
+Right PICC line and feeding tube are unchanged. Stable cardiomegaly. Low lung volumes. Left base atelectasis. No visible effusions or acute bony abnormality.,"Low lung volumes, left base atelectasis. Stable cardiomegaly.",1.2.826.0.1.3680043.8.498.61510181418822251023258163992937158199
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88713760437586570526524118518825186232
+Patchy left lower lobe retrocardiac opacity is suspicious for pneumonia. Right lung is clear. Normal heart size and vascularity. No effusion or pneumothorax. No osseous abnormality.,Possible left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.41624033110911922620646054416671576577
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.14414656824858700369595989426920215579
+There is elevation of the right hemidiaphragm. Right base atelectasis is noted. The lungs are otherwise clear. No pneumothorax or pleural effusion. Heart size is normal. Dual lead pacing device is in place. Leads terminate in the right atrium and right ventricle.,1. No acute cardiopulmonary disease. 2. Right base atelectasis. 3. Pacemaker in place without complicating features.,1.2.826.0.1.3680043.8.498.94934296537580052995759529187797856679
+"Lung volumes are stable and within normal limits. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No osseous abnormality identified.","Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.12631460710127848234295473303618183945
+There is increased density in the LEFT hemithorax suggestive of a diffuse infiltrate versus atelectasis. There is thickening of the interstitial markings as well as peribronchial cuffing. The cardiac silhouette is enlarged indicative of cardiomegaly. The patient is rotated to the LEFT. The visualized bony skeleton is osteopenic.,"1. Findings consistent with pulmonary edema. 2. Asymmetric edema versus infiltrate, LEFT hemithorax. 3. Repeat evaluation is recommended if clinically warranted.",1.2.826.0.1.3680043.8.498.41492532430609102605203377318919213685
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80826449661584685605589255052396834183
+"The lungs are clear and negative for focal airspace consolidation, pulmonary edema or suspicious pulmonary nodule. No pleural effusion or pneumothorax. Cardiac and mediastinal contours are within normal limits. Aortic atherosclerosis in the transverse aorta. No acute fracture or lytic or blastic osseous lesions. The visualized upper abdominal bowel gas pattern is unremarkable.",No active cardiopulmonary disease. Aortic Atherosclerosis (ICD10-170.0),1.2.826.0.1.3680043.8.498.70841374793118004977829343830282255982
+There is no edema or consolidation. Heart is upper normal in size with pulmonary vascularity within normal limits. Pacemaker leads are attached to the right atrium and right ventricle. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.75079344240117777081411285165270675332
+The heart is enlarged. There is no pleural fluid or pulmonary edema. No airspace opacities are identified.,1. Cardiac enlargement without heart failure. 2. No active disease.,1.2.826.0.1.3680043.8.498.58224603724923829054462516463047554903
+An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.,No active disease.,1.2.826.0.1.3680043.8.498.44109014564052160220866972809329726437
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.71211466416199399483205494951215909713
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21073170648677497901555826421678133358
+Endotracheal tube tip is at the thoracic inlet. Normal cardiothymic silhouette. Lungs are clear. Normal appearing bones.,Endotracheal tube tip at thoracic inlet.,1.2.826.0.1.3680043.8.498.45413676472055735753527214854462283908
+Endotracheal tube is 2.2 cm from the carina at the thoracic inlet. The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Endotracheal tube in place. Clear lungs.,1.2.826.0.1.3680043.8.498.46835492021121749760327545118567388314
+"Heart is normal size. Aortic atherosclerosis. Linear densities at the left base, likely atelectasis. Right lung clear. No effusions. No acute bony abnormality.",Left base atelectasis.,1.2.826.0.1.3680043.8.498.83644495099307953969324979347249597074
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.59011448955328377914389119538646170500
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47656976848635941625855990396969566270
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43007194232771698351135977303539023558
+No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.39392947411213255979391539104752780394
+"The heart size is normal. There is a right-sided pneumothorax, measuring approximately 2.2 cm in thickness. There is a linear opacity in the right midlung zone, which may represent atelectasis or possibly a pulmonary laceration. There is subcutaneous emphysema along the right lateral chest wall. The left lung is clear. There is no significant pleural effusion.",1. Small right-sided pneumothorax. 2. Right midlung zone opacity is likely atelectasis.,1.2.826.0.1.3680043.8.498.92916122511593601922822447056172453374
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33393019802581720289651274371648366949
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47787047674070020693573955773738918213
+Heart size is normal. Mediastinal shadows are normal. There is bronchial thickening. There is patchy infiltrate in the right lower lobe consistent with pneumonia. No dense consolidation or lobar collapse. No effusions. No bony abnormalities.,Bronchitis and right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.67871514423741350973607056269548184720
+Heart size is normal and the vascularity is normal. The lungs are clear without infiltrate or effusion. There is no mass or adenopathy.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29066604504774457267075916345004075693
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70832905075374287164415961364749705493
+Endotracheal tube is in place with tip 5.5 cm above carina. Nasogastric tube is in place with tip off the film. Right-sided PICC line tip overlies the level of the superior vena cava. Heart size is normal. The lungs are free of focal consolidations and pleural effusions. No evidence for pneumothorax.,No evidence for acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17430839299886879139558410987878892119
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19631617492330667242425709802746795301
+Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.43116668843197647351241662142969636522
+Heart is normal size. There is peribronchial thickening. No confluent opacities or effusions. No acute bony abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.19583615360887723456558304231623476956
+Grossly unchanged enlarged cardiac silhouette and mediastinal contours. Lung volumes remain reduced with associated bibasilar opacities favored to represent atelectasis. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Similar findings of hypoventilation and bibasilar atelectasis without superimposed acute cardiopulmonary disease. Specifically, no evidence of edema or pneumonia.",1.2.826.0.1.3680043.8.498.66368765220455384060397158716292722204
+"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No bony abnormality.",Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.82339105447695209488742950971100889537
+"Lungs appear clear. Cardiothymic image appears normal. Mediastinum, hila, pleura and osseous structures appear normal for age.",Stable - no active disease.,1.2.826.0.1.3680043.8.498.85078238586268511839648620782865695526
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20770782087232950438651235362368888947
+"The cardiomediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No evidence of acute traumatic injury to the thorax.,1.2.826.0.1.3680043.8.498.97371100884676269386188582637752767424
+There is central airway thickening with some atelectasis in the right lung base. No consolidative process. No effusion. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.26115230453387113544275219682481784411
+The heart size and mediastinal contours are within normal limits. Endotracheal and nasogastric tubes are unchanged in position. No pneumothorax is noted. Stable bibasilar opacities are noted concerning for atelectasis or infiltrates with minimal associated pleural effusions. The visualized skeletal structures are unremarkable.,Stable support apparatus. Stable bibasilar opacities as described above.,1.2.826.0.1.3680043.8.498.40826935023839136745841176463452118912
+Heart size is normal. Mediastinal shadows are normal. The left lung is clear. There is abnormal density in the right middle lobe consistent with atelectasis or pneumonia. No effusions. No bony abnormalities seen.,Right middle lobe atelectasis and or pneumonia.,1.2.826.0.1.3680043.8.498.13327975534031834292198863343282548650
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,Negative. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.70195950481863686200298677549415848541
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12883261618898194574282767601369733071
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24306934192839918171124669395927550327
+"There is central airway thickening. Focal airspace opacity is seen in the right upper lobe, consistent with pneumonia. Mild lingular opacity is also seen, which may be due to atelectasis or infiltrate. No evidence of pleural effusion. Heart size is normal.","Right upper lobe airspace opacity, consistent with pneumonia. Mild lingular atelectasis versus infiltrate.",1.2.826.0.1.3680043.8.498.10852907616978874125218878094899974502
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92524657177347231458618274298018596020
+The heart is moderately enlarged. Diffuse interstitial infiltrates are seen suspicious for interstitial edema. No focal consolidation is identified. There is no evidence of pleural effusion on this single frontal view. No pneumothorax is identified.,Cardiomegaly and diffuse interstitial edema.,1.2.826.0.1.3680043.8.498.31788566212762708070846127006665562080
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Right-sided PICC line.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26590142802410384716860596911366256731
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75048956028719327392042518284801090962
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32067474859492037615160050896902686947
+"Endotracheal tube terminates 3.5 cm above the carina. Enteric tube courses into the abdomen with tip and side port within the stomach in the left upper quadrant. Left-sided PICC line terminates over the lower SVC. The cardiomediastinal silhouette is within normal limits. Bilateral airspace consolidations are again noted, greatest in the left lung base, not significantly changed from the prior study. No sizable pleural effusion or pneumothorax is identified.","1. Unchanged bilateral airspace disease, greatest in the left lung base. 2. Support devices as above.",1.2.826.0.1.3680043.8.498.29111099330909091609326170931991043823
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The bony thorax is intact.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63816457094122471499489422410511352289
+An area of increased density projects within the LEFT hilar region extending along the fissure. This is appreciated best on the PA view. This finding is consistent with a focal infiltrate likely within the superior segment of the LEFT lower lobe. The cardiac silhouette and visualized bony skeleton are unremarkable. There is no evidence of a pleural effusion or pneumothorax.,Findings consistent with a focal infiltrate likely within the superior segment of the LEFT lower lobe. Repeat surveillance evaluation is recommended if clinically warranted.,1.2.826.0.1.3680043.8.498.23666873024628649881931485374120730287
+The heart size and mediastinal contours are within normal limits. Patchy opacities are noted in both lungs. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,Patchy bilateral lung opacities suspicious for multifocal pneumonia.,1.2.826.0.1.3680043.8.498.21377887595490011288989527366378662675
+There is more opacity now occupying the left hemithorax with shift of the mediastinum to the left. This is most consistent with progression of left lung collapse. A left pleural effusion is again noted. The right lung is clear. Heart size is difficult to assess. Port-A-Cath remains.,Increase in opacity of the left hemithorax consistent with progression of left lung collapse.,1.2.826.0.1.3680043.8.498.65508777776810180021796321959458372927
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.27633826982342488858862130186422644420
+"Right chest tube remains in place, unchanged. Small right apical pneumothorax again noted, unchanged. Right lung atelectasis again noted. Subcutaneous emphysema on the right. Left Port-A-Cath is unchanged. Left lung is clear. Heart is normal size.",No significant change. Small right apical pneumothorax with right chest tube in place.,1.2.826.0.1.3680043.8.498.33399600258416466777645846861392914306
+Cardiac silhouette is normal in size. No mediastinal or hilar masses. No evidence of adenopathy. Mild linear opacity at the lung bases consistent with atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax. Skeletal structures are grossly intact.,No active disease.,1.2.826.0.1.3680043.8.498.25372655935310468810790331893654745893
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.34554200377038396307064215284964031838
+There is parenchymal opacity at both lung bases right greater than left most consistent with atelectasis and effusion. Pneumonia particularly at the right lung base cannot be excluded and follow-up chest x-ray is recommended. There is a small pleural effusion present. The heart is within normal limits in size. No bony abnormality is seen.,Basilar opacities right greater than left most consistent with atelectasis and effusion. Cannot exclude pneumonia at the right lung base. Recommend follow-up.,1.2.826.0.1.3680043.8.498.28587626666552150509869498163371056954
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.33699587128976432708621169933001784472
+There is patchy infiltrate in the right middle lobe and lingula consistent with pneumonia. Heart size is normal. No pleural effusions or pulmonary edema.,Lingular and right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.64555560571002381718672771500688362876
+Heart: Normal. Lungs: No airspace opacities. No pneumothorax. No pleural effusion. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.86867079798402520208692400618533400106
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. No pneumothorax.,No acute disease.,1.2.826.0.1.3680043.8.498.36556107275286574320176596098860244672
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.70054175265521214239112727556630639474
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35179560587778550493763164673104979860
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Small hiatal hernia noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease. Small hiatal hernia.,1.2.826.0.1.3680043.8.498.93332338125143799941883288441284380231
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84468331015816470669509472395792893029
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92506520442647658197885673086371149601
+"The lungs are clear without focal infiltrate, edema, pneumothorax or pleural effusion. The cardiopericardial silhouette is within normal limits for size. Imaged bony structures of the thorax are intact.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95539528658044747472462001283836388167
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40055113378937856289394298873813674750
+There is no significant displacement of the sternum. There is no significant retrosternal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. The heart is normal in size.,No evidence of displaced fracture.,1.2.826.0.1.3680043.8.498.18629890294926521961025303119768936708
+"Endotracheal tube terminates 5 cm above the carina. Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Enteric tube courses into the stomach. Multifocal patchy opacities in the right upper and lower lobes, suspicious for pneumonia. Left lung is essentially clear. The heart is normal in size.",Endotracheal tube terminates 5 cm above the carina. Right IJ venous catheter terminates in the mid SVC. No pneumothorax. Multifocal pneumonia in the right lung.,1.2.826.0.1.3680043.8.498.82615028415542950110034058776235703539
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified. The sternum appears intact.,No evidence of sternal fracture or other active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.77025465987978692657592889462562362349
+Heart size is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No acute findings.,1.2.826.0.1.3680043.8.498.39836307610354707900142241881289380008
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.18228549970713095697600188409090120711
+The lungs are hypoinflated. The interstitial markings are coarse. There is no alveolar infiltrate. There is no pleural effusion. The cardiac silhouette is top-normal in size. The pulmonary vascularity is not engorged. There is tortuosity of the descending thoracic aorta. There is multilevel degenerative disc disease of the thoracic spine.,"Chronic bronchitic changes. No definite acute pneumonia nor CHF. If the patient's cough and hemoptysis persist, chest CT scanning would be a useful next imaging step.",1.2.826.0.1.3680043.8.498.89446018528694040163728178369944540046
+Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.54184241492472127530835833299724832188
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39475764712749265092739619888249617110
+There is a right chest wall port a catheter with tip in the right atrium. Left chest wall AICD is noted with leads in the right atrial appendage and right ventricle. The heart size appears normal. There is no pleural effusion or edema. Chronic interstitial lung disease is identified compatible with the patient's history of COPD. Superimposed scarring and fibrosis is identified within the right upper lobe. There is a new opacity within the right upper lobe which is suspicious for pneumonia.,1. New right upper lobe opacity suspicious for pneumonia. 2. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.40276845048142577509247562397555572846
+Normal cardiothymic silhouette. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Regional skeleton is unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93152912132176842449430128204214396623
+"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.",Mild peribronchial thickening. No dense consolidation.,1.2.826.0.1.3680043.8.498.61434748442082104601683487426757531186
+Cardiac silhouette is moderately enlarged. No mediastinal or hilar masses. Clear lungs. No convincing pleural effusion and no pneumothorax. Bony thorax is grossly intact.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62967189592477898421103647989628891136
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52141444715986006435154720759535760178
+AP portable semi upright view 6976 hours. Stable feeding tube which is looped in the stomach. Stable right PICC line. Stable cardiac size and mediastinal contours. Stable lung volumes. Patchy airspace opacity throughout the right lung and at the left lung base is not significantly changed. No pneumothorax. Small right pleural effusion.,Stable lines and tubes. Stable bilateral airspace disease.,1.2.826.0.1.3680043.8.498.30914740602136046200091562437371425865
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43942242992262416787153328323736643692
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.30258792238471870778698694676659166423
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33588044102250114180072767576955571693
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.59437491251826752356097835948390183749
+The lungs are reasonably well inflated. The interstitial markings remain increased bilaterally. There are bilateral pleural effusions layering posteriorly. The cardiac silhouette remains enlarged. The pulmonary vascularity is engorged. The right internal jugular venous catheter tip projects over the midportion of the SVC. The bony structures are unremarkable.,CHF with pulmonary interstitial edema and bilateral pleural effusions. There has not been significant interval change since the previous study.,1.2.826.0.1.3680043.8.498.52254772147028909873243511191101280436
+There is increased density at the LEFT lung base which can be consistent with LEFT basilar pneumonia. Some atelectasis at the RIGHT lung base is present. There is pulmonary vascular congestion. Atherosclerotic calcification is noted in the aortic arch. The bones are osteopenic.,1. Findings suggestive of LEFT basilar pneumonia. 2. Atelectasis at the RIGHT lung base. 3. Osteopenia. 4. Atherosclerotic calcification.,1.2.826.0.1.3680043.8.498.33605871071563336637043974153631114259
+There has been some improvement in the alveolar density of both lungs. Chronic interstitial disease persists. No worsening or new findings.,Improved.,1.2.826.0.1.3680043.8.498.66682091556766238668456623093951180995
+"There is a right-sided dual lumen central venous catheter with its tips in the right atrium. The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.37626633643365338133923374431944298913
+The lungs are well-aerated. Mild peripheral left-sided airspace opacity could reflect overlying soft tissues. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.74939511589912638714835831866667245803
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35674017340143673770660494228321234147
+The lungs remain very low in volume with areas of atelectasis bilaterally. No confluent airspace opacities are seen. There is no evidence of pleural effusion. The heart is normal in size and contour. The upper abdomen and osseous structures are normal. VP shunt catheter along the right anterior chest is unchanged.,Low lung volumes with areas of scattered atelectasis. No other significant interval change.,1.2.826.0.1.3680043.8.498.38568364441611042607208550155118389326
+Lungs are essentially clear. No focal consolidation. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18764389714302346556077064410081969634
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11392534566649057264959313466130252673
+Heart size is normal. No pleural effusion or pulmonary edema. There is airspace consolidation within the left lower lobe and right lower lobe consistent with pneumonia. Central airway thickening is noted. The visualized osseous structures are unremarkable.,Bilateral lower lobe airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.19714489881930728096022456642490472361
+Cardiac shadow is stable. The lungs are well aerated bilaterally. Mild granular changes are again identified throughout both lungs consistent with RDS. Nasogastric catheter is noted within the stomach. Umbilical venous catheter is again noted at the inferior aspect of T7 relatively stable from the prior exam. The bowel gas pattern is within normal limits. No free air is noted.,Stable appearance of the chest and abdomen when compared with the prior day.,1.2.826.0.1.3680043.8.498.76999064846664415170830869924084305583
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95269152814732953507168547999245697505
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56890541196686028813601402688847015620
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. There is no evidence of pneumothorax or pleural effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18944704240198542436779288032966828699
+Normal heart size and mediastinal contours. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.68849800777505346003748971890366138649
+Endotracheal tube is now 3.5 cm above the carina. Nasogastric tube enters the stomach. The lungs are clear. No effusions.,Tubes well positioned. Lungs now clear.,1.2.826.0.1.3680043.8.498.89754349487625254948079395255330475148
+The heart size and mediastinal contours are normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. There is central airway thickening. Airspace disease within the right lower lobe is noted.,Right lower lobe airspace disease worrisome for pneumonia.,1.2.826.0.1.3680043.8.498.21747053806667298550873540450111646597
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62303140187180259399311600254899564167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98888591444536474322886190730092541041
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Pulmonary vasculature and the cardiomediastinal silhouette are within normal limits.,No radiographic evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10940583559531415977731271836309622626
+"Single portable AP chest radiograph is provided. There is interval placement of a right-sided central venous catheter with the tip projecting over the cavoatrial junction. There is no pneumothorax. There is elevation of the right hemidiaphragm. There is right basilar atelectasis. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.52121897705845238259078263614720082031
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32734917185632164714066451539063131995
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.50594938667733090848369030732631830565
+LEFT chest wall pacemaker/ICD apparatus appears stable in position. Stable cardiomegaly. Central pulmonary vascular congestion and mild bilateral interstitial prominence. Probable small LEFT pleural effusion. No pneumothorax seen. Osseous structures about the chest are unremarkable.,1. Cardiomegaly with central pulmonary vascular congestion suggesting some degree of CHF/volume overload. 2. Probable small LEFT pleural effusion.,1.2.826.0.1.3680043.8.498.24534050495276237993355976345495725937
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.54529640250966305515455623463632314751
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46100729161383475792899520666173512533
+There is improvement in aeration of both lungs. Bibasilar atelectasis remains. There is no pneumothorax. The heart size is stable.,Improved aeration with residual bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.98967160711619811201739334880188484705
+The heart size is normal. There is no heart failure. The lungs are clear and there is no infiltrate or mass.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53215473587342530800518052712363590434
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.75653980381717876883595184431156243664
+The heart is enlarged. The pulmonary vascularity is congested. Diffuse interstitial infiltrates are present. Patchy basilar airspace infiltrates are seen. There is no pneumothorax. A small right pleural effusion is present.,1. Cardiomegaly with pulmonary vascular congestion. 2. Diffuse interstitial infiltrates with patchy basilar airspace infiltrates. Small right effusion.,1.2.826.0.1.3680043.8.498.62036607776763618553816492672097874955
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73994998111044034545892527800546231116
+Mediastinum and hilar structures are normal. Cardiomegaly with normal pulmonary vascularity. Right middle lobe atelectatic changes and/or infiltrate noted. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Right middle lobe atelectatic changes and/or infiltrate. 2. Cardiomegaly, no CHF.",1.2.826.0.1.3680043.8.498.93747489628957276166016159703428562141
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.77131824681519823610260169405558895500
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.49482555751801988397525416103056156905
+The cardiomediastinal silhouette appears to be stable. There is evidence of a CABG. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. Again noted is a left-sided cardiac pacing device in place.,No evidence of acute pulmonary disease. Stable cardiomegaly. Status post CABG. No significant change compared to prior study done on 1/53/2006.,1.2.826.0.1.3680043.8.498.44555679285865205555014738420525599462
+"The umbilical venous catheter tip is in the right atrium. The umbilical artery catheter tip is at T8-9 level. The cardiothymic silhouette is within normal limits. No confluent airspace opacities, effusions or pneumothorax. The bowel gas pattern is unremarkable.",Umbilical venous catheter tip in the right atrium. Umbilical artery catheter tip at T8-9. No acute findings.,1.2.826.0.1.3680043.8.498.72637850893172486269416205898488146194
+The cardiothymic silhouette appears within normal limits. No focal airspace disease suspicious for bacterial pneumonia. Central airway thickening is present. No pleural effusion.,Central airway thickening is consistent with a viral or inflammatory central airways etiology.,1.2.826.0.1.3680043.8.498.31298498250157945323998603100175534523
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or hemothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.61275877752027908853111756700213304813
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.70801604598516726018154883254316224452
+The heart is enlarged. There is pulmonary vascular congestion without overt edema. No effusions are seen. No focal airspace opacities are identified.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.20769769418034794711316988461878963552
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93273344781704450684024032458310341251
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97384067990127485539105287011601185409
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19563061364749510344824624476524725207
+The lungs are adequately inflated. There is no focal infiltrate. The interstitial markings are mildly increased. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. There is no pleural effusion. The mediastinum is normal in width. The bony thorax exhibits no acute abnormality.,There is no evidence of pneumonia. I cannot exclude acute bronchitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.30473007111208191895437441013004028396
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93110476480749474241638418390799280150
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36811770662558033810286426819821427334
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75952131741458048075918923396966254012
+Patchy opacities in the left upper lobe and bilateral lower lobes concerning for pneumonia. Heart is normal size. No effusions or acute bony abnormality.,Patchy bilateral airspace opacities concerning for pneumonia.,1.2.826.0.1.3680043.8.498.89405423312279885764775171261467291988
+"PA and lateral chest radiographs are provided. There is bilateral diffuse interstitial thickening likely representing chronic interstitial disease, but superimposed mild interstitial edema versus interstitial pneumonitis secondary to an infectious or inflammatory etiology cannot be excluded. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",Please see above.,1.2.826.0.1.3680043.8.498.75937756338780479456269018377827984868
+The lungs are clear. There is no pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.33942799314073570213630696885028531770
+Heart and mediastinal contours normal. Lungs clear. No pleural fluid. Osseous structures and soft tissues unremarkable.,No acute or significant findings.,1.2.826.0.1.3680043.8.498.64273858823494704435512408047259028302
+The left-sided rib fractures described on the CT scan are not well demonstrated on this chest x-ray. Midline trachea. Normal heart size. No pleural effusion or pneumothorax. Mild left base atelectasis.,Left-sided rib fractures described on CT of the chest not well visualized on this chest x-ray. No pneumothorax. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24563539899106052029694764596862658489
+"Continued plate-like opacity at the left lung base, favoring atelectasis. Stable lung volumes. Stable cardiac size and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. Stable surgical clips in the left chest. Visualized tracheal air column is within normal limits. No acute osseous abnormality identified.","Stable plate-like opacity at the left lung base, favor atelectasis. Otherwise no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.86878975814457724191921445572309789992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Elevated left hemidiaphragm is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69706545511585530421769538515869779245
+There is mild atelectasis at the left lung base. No major atelectasis is identified. The endotracheal tube tip is 2.5 cm above the carina. Nasogastric tube enters the stomach. Right jugular central venous catheter tip is in the superior vena cava.,Mild left base atelectasis. No major atelectasis.,1.2.826.0.1.3680043.8.498.85083090551342158645101298374478810621
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32671641511679285610429508286730971686
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion.,Negative chest.,1.2.826.0.1.3680043.8.498.20410406756459289781694500280642232756
+There is mild peribronchial thickening. There are no focal consolidations or pleural effusions. No pulmonary edema. Visualized osseous structures have a normal appearance.,Findings consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.42757506798456079650149713853467440085
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94469085392488850684399276081590081626
+There is increased density at the left base compatible with pneumonia or atelectasis. The right lung field is clear. Heart size is normal. The chest is hyperexpanded compatible with reactive airway disease.,1. There is increased density at the left base compatible with pneumonia or atelectasis. 2. The chest is hyperexpanded.,1.2.826.0.1.3680043.8.498.30335592034281757320508306476550759074
+There is an infiltrative density seen in the left upper lobe. The infiltrative density is rounded which would favor pneumonia. No pleural effusion is seen. The cardiac silhouette is normal size and shape. Bones appear average for age.,There is a rounded infiltrative density with rounded margins seen in the left upper lobe. This density most commonly reflects round pneumonia but I cannot exclude mass or neoplasm. Recommend follow-up after therapy to ensure clearing and resolution of the density.,1.2.826.0.1.3680043.8.498.86127469577509692053809163803702639344
+Endotracheal tube and nasogastric catheter are again noted in satisfactory position. Persistent bibasilar infiltrates are identified right greater than left slightly increased when compared with the prior exam. No new focal infiltrate is seen. No bony abnormality is noted.,Slight increase in basilar infiltrates.,1.2.826.0.1.3680043.8.498.57223568871757869079213192525216244478
+Lungs are clear. Cardiothymic silhouette is normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.99327308869062217286729848483771252981
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24050997675601876051012829598266356661
+"Portable upright AP view 6061 hours. Stable left chest AICD. Stable cardiomegaly and mediastinal contours. Pulmonary vascular congestion without overt edema. No pneumothorax, pleural effusion, or consolidation.",Stable. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.11424431554592198455968291387278375783
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.18891056429716788390242062824032525182
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.67347168893103408601681496461173534031
+Low lung volumes. There is mild peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Mild bronchial thickening suggestive of viral/reactive small airways disease. No consolidation.,1.2.826.0.1.3680043.8.498.89476365115268810157602538393103106120
+Endotracheal tube is 2.5 cm above the carina. Right jugular catheter is in the right atrium. Heart size is normal. There is no pneumothorax. There is mild vascular congestion. No effusions.,Endotracheal tube in good position. Central line tip in the right atrium. No pneumothorax. Pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.65715967204020224335165177575336030599
+Lungs clear. Cardiopericardial silhouette within normal limits. No airspace disease or effusion. Bones appear unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17249294838168326490716551070121990140
+"Cardiac silhouette, mediastinal and hilar contours are within normal limits. There is peribronchial thickening and some streaky areas of atelectasis suggesting bronchiolitis. No focal infiltrates. No effusions. Bony structures are intact.",Findings suggest bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.12195793353800035751622755111714309119
+"Stable cardiomegaly. Prior CABG. Aortic atherosclerosis. Resolution of the previously seen right upper lobe consolidation. No new airspace disease. No pulmonary edema, pleural fluid or pneumothorax. No acute osseous abnormalities.",Stable cardiomegaly. No acute abnormality. Resolution of previously seen right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.91406981470689996072567680670762316326
+There is a large hiatal hernia. Bilateral pleural effusions are present. There is interstitial pulmonary edema. Lung volumes are low. Basilar atelectasis.,1. Large hiatal hernia. 2. Interstitial edema and bilateral effusions consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.66852136473853251719052211341767019653
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.97034576349785430640425270869410063791
+The cardiomediastinal silhouette is within normal limits. The lungs are well inflated and clear. There is no evidence of pleural effusion or pneumothorax. No acute osseous abnormality is identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15648986691102256222256661791796333400
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58925745313080199888206002999838614881
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21214227756535052944096199007736637330
+The cardiomediastinal silhouette appears to be unremarkable. The pulmonary vasculature is within normal limits. There is no evidence of acute infiltrate. The bilateral costophrenic angles are sharp. The visualized bony thoracic cage appears intact. There is a remote healed left-sided clavicular fracture noted. There is a questionable 1.2 cm nodular density at the left upper lung field noted.,"No evidence of acute pulmonary disease. Questionable 1.2 cm nodular density at the left upper lung field. A pulmonary nodule cannot be excluded. If clinically indicated, a follow-up noncontrast CT scan of the chest may be obtained for further evaluation.",1.2.826.0.1.3680043.8.498.49272548982802356884768476978935585916
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.43852082062160643194072725362759481058
+Patchy opacity at the left lung base. The right lung is clear. Normal heart size and mediastinal contours. No pleural fluid or pneumothorax. No acute osseous abnormalities are seen.,"Patchy left lung base opacity, may reflect atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.25937814082569108219616786029842032420
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.95846667948939475357995493950844543553
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Prior CABG noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54459939190835205223790063314180269753
+Left arm PICC line is in place. The tip is in the SVC. Heart is normal size. There is bibasilar atelectasis. No effusions. No acute bony abnormality.,Left PICC line tip in the SVC. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.70636666716903915214159111224455136608
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized bones unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52749575976815140781095153786450055799
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Subtle patchy left basilar infiltrate. Remaining lungs clear. No pleural effusion or pneumothorax.,Subtle left basilar infiltrate.,1.2.826.0.1.3680043.8.498.50899205269828003084378918765367105558
+"Right IJ approach tunneled hemodialysis catheter. Catheter tips project over the distal SVC. Stable cardiomegaly. Mediastinal contours are within normal limits. Atherosclerotic calcification present in the transverse aorta. No pulmonary edema, focal airspace consolidation, pleural effusion or pneumothorax. No acute osseous abnormality.",1. Stable cardiomegaly. 2. Right IJ tunneled hemodialysis catheter in good position. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.35061034188424213929985812229157892364
+The peripheral venous catheter has been pulled back and the tip is now located at the inferior cavoatrial junction. This is stable in position. The cardiothymic silhouette is within normal limits. The lung fields demonstrate an underlying pattern of mild RDS. No areas of focal atelectasis or infiltrate are seen.,Peripheral venous catheter placement as above.,1.2.826.0.1.3680043.8.498.47458154875748909226881195354052246556
+Cardiac shadow is stable. Large left-sided pleural effusion is again seen. No pneumothorax is noted following right-sided thoracentesis. The right-sided effusion has improved somewhat in the interval from the prior exam. No bony abnormality is noted.,No pneumothorax following thoracentesis.,1.2.826.0.1.3680043.8.498.74735858927408530210698379910307806523
+Endotracheal tube with tip approximately 4 cm above the carina. Enteric tube extends below the diaphragm with tip beyond the inferior margin of the image. Diffuse bilateral pulmonary opacities similar to prior radiograph. No large pleural effusion or pneumothorax. Stable cardiomediastinal silhouette. No acute osseous pathology.,1. Endotracheal tube above the carina and enteric tube extends into the left upper abdomen with tip beyond the inferior margin of the image. 2. Diffuse bilateral pulmonary opacities.,1.2.826.0.1.3680043.8.498.59061299345654794473896901912432626099
+There is infiltrate in the lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Lingular infiltrate, likely pneumonia. Lungs elsewhere clear. No adenopathy evident.",1.2.826.0.1.3680043.8.498.87858598283614693603849707842942279698
+The right internal jugular venous sheath has been removed. The cardiac silhouette is upper range of normal size. The patient is status post median sternotomy and CABG. There is a small left pleural effusion with left basilar atelectasis. There is minimal atelectasis in the right lung base. No pulmonary edema is seen. There is no evidence of pneumothorax.,There is a small left pleural effusion with left basilar atelectasis. There is minimal right basilar atelectasis.,1.2.826.0.1.3680043.8.498.24694462141774274718418886950584944791
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.45364281904849943831827681749910222551
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10889146197694387636104443824846159389
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51215006085460192677330738127324698027
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures are unremarkable.",Negative chest.,1.2.826.0.1.3680043.8.498.19803275596951352961234580947214889317
+The cardiac silhouette is normal. The lungs are clear. Colonic gas is unchanged. Mild-to-moderate small bowel gas is present. There is no free air.,Unchanged chest x-ray with no evidence of bowel obstruction.,1.2.826.0.1.3680043.8.498.87541059985521546643493770766131250823
+There is perihilar airspace disease most compatible with pulmonary edema. Lung volumes are low. Small bilateral pleural effusions are present. There is atelectasis at both lung bases. Cardiopericardial silhouette is mildly enlarged.,Moderate pulmonary edema with bilateral pleural effusions and basilar atelectasis. This constellation of findings is new compared to 06/28/2002.,1.2.826.0.1.3680043.8.498.90277545427050154745198267509923454216
+The heart size appears normal. Aortic atherosclerosis is noted. Small bilateral apical pneumothoraces are again noted and appear relatively unchanged from previous exam. Atelectasis is noted in the lung bases. No pleural effusion or edema.,Stable appearance of the bilateral apical pneumothorax.,1.2.826.0.1.3680043.8.498.23911712828619673455596830125704534412
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62912984326060269813746050146745929745
+The cardiothymic silhouette is within normal limits. The pulmonary vasculature is normal in caliber. The lungs are hyperinflated and there is central peribronchial thickening consistent with viral pneumonia versus reactive airways disease and acute bronchiolitis. The costophrenic angles are sharp. The aortic arch is left-sided. The bony structures appear unremarkable.,Hyperinflation and peribronchial thickening consistent with acute bronchiolitis versus viral pneumonia.,1.2.826.0.1.3680043.8.498.42089193093200961144284532177254064787
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No effusion. No displaced fracture identified.,No acute disease.,1.2.826.0.1.3680043.8.498.29626788741292899862183273818018910315
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",Negative chest.,1.2.826.0.1.3680043.8.498.36144219619880391232504318550386492210
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63503223828275028967550093355811695417
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36385313102846587641160758129365983136
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42537988830881279857222703462266381700
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.78867635646613518835482860673830287328
+There is central airway thickening but no focal airspace disease or effusion. Cardiothymic silhouette appears normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.72838578546627812528044151864595375797
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87051397405004240109486786470859672772
+The cardiac silhouette remains mildly enlarged. Lung volumes remain low with slight elevation of the right hemidiaphragm. Interstitial and ill-defined airspace opacities in both lungs have mildly improved. No sizable pleural effusion or pneumothorax is identified.,Mild improvement of bilateral lung opacities compatible with pneumonia.,1.2.826.0.1.3680043.8.498.66642906126368379558157860502764754475
+Right arm PICC remains in place with its tip in the SVC above the right atrium. The heart is mildly enlarged. The aorta is unfolded. The lungs are clear. No effusions. No significant bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63813306427602252298959936692243985525
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42119479770770337642919230281956767392
+Lungs are clear. Cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions. Trachea appears normal.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.26651489811474760876907039445370912907
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.21125682238761275436722612270458504089
+Cardiac silhouette normal in size. Thoracic aorta minimally tortuous. Hilar and mediastinal contours otherwise unremarkable. Lungs clear. Bronchovascular markings normal. Pulmonary vascularity normal. No visible pleural effusions. No pneumothorax.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20608406905249659455874880975884974171
+The lungs are well-expanded and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease. The visualized portions of the right thoracic cage is unremarkable.,1.2.826.0.1.3680043.8.498.65019240552085403108531375526033985986
+"Lung volumes are within normal limits. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified. No acute displaced fracture identified.",No acute cardiopulmonary abnormality or acute traumatic injury identified.,1.2.826.0.1.3680043.8.498.98084926093204663361132477608968186179
+"The cardiomediastinal silhouette is unremarkable. The lungs are clear. There is no evidence of focal airspace disease, pulmonary edema, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92871160455491721848673029154197658330
+There is peribronchial thickening and abnormal perihilar aeration suggesting viral bronchiolitis. No focal infiltrates. No effusions. The heart size is normal. The visualized bony structures are unremarkable.,Findings suggest viral bronchiolitis. No focal infiltrates.,1.2.826.0.1.3680043.8.498.16595580284250849537321070133811987472
+Cardiac shadow is within normal limits. The lungs are well aerated bilaterally. Previously seen infiltrative changes in the right lung have resolved in the interval. No focal infiltrate is seen. No bony abnormality is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59807328281883536502363862241076932394
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14272545943529538144552962081135553267
+"The lungs are mildly hyperinflated. On the RIGHT, there is increased density at the lung base. On the LEFT, there is adequately versus fibrosis that is not greatly changed from the prior study. The heart is not enlarged. I see no pleural effusion.",1) There is increased density at the RIGHT lung base that suggests atelectasis or developing infiltrate. 2) I do not see evidence of CHF.,1.2.826.0.1.3680043.8.498.11318798386520762182366442917854531911
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92070413169081606314174805523999222774
+Lungs are clear. The cardiothymic silhouette is within normal limits. No adenopathy. No bone lesions. Trachea appears normal.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.12824332328192178271412301883411793036
+Right PICC line is in place. The tip is in the mid to lower SVC. The heart is enlarged. There is no evidence for pulmonary edema. No pneumothorax is seen. Postoperative changes are noted.,Right PICC line tip in the mid to lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.92775980375504899601302385726911507957
+There is COPD. There is increased density in the right upper lobe which is felt to be due to pneumonia. There is no effusion. The left lung is clear.,Right upper lobe pneumonia.,1.2.826.0.1.3680043.8.498.66875875205496042531487155053471807828
+Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No acute pulmonary process identified.,1.2.826.0.1.3680043.8.498.62364268954913491204591574293032634699
+The lungs are mildly hyperinflated. There is no focal infiltrate. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.89121653994641263896358660350588941608
+"There are new patchy opacities in the right lower lobe, suspicious for pneumonia. Mild left perihilar and lower lobe interstitial opacities are also new. No pleural effusions. No pneumothorax. Heart is normal in size. Stable calcified mediastinal lymph nodes. Visualized osseous structures have a normal appearance.","New patchy infiltrates at the right lung base, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.38093961026155378957736096065811406920
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66649695893456844317454813124168087854
+Lung volumes are normal. There are diffuse hazy opacities throughout the lungs bilaterally. No definite pleural effusions. Cardiothymic silhouette is within normal limits. Pulmonary vasculature is normal. Visualized bowel gas pattern is unremarkable.,Diffuse hazy opacities throughout the lungs bilaterally. Findings are suggestive of RDS.,1.2.826.0.1.3680043.8.498.94003552079197665489306418692777060975
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.63264799341854034932734295421134184714
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.41958555343102813688321959799607431850
+The cardiac silhouette is mildly enlarged. The mediastinum is not widened or deviated. The lungs are clear with mild chronic interstitial changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.74040307735482984703398778731891521988
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51188110561732943001051704474967434213
+"Normal heart size. Normal mediastinal contour. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema. Visualized osseous structures appear intact.",No active disease.,1.2.826.0.1.3680043.8.498.28809231145631221646460532617471625589
+Tip of intra-aortic balloon pump projects 2.8 cm below aortic arch. Swan-Ganz catheter with tip projecting over proximal right pulmonary artery. Stable heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax.,No pneumothorax following intra-aortic balloon pump placement. Tip of Swan-Ganz catheter projects over proximal right pulmonary artery.,1.2.826.0.1.3680043.8.498.84252943274596244764591784313959742960
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.30485358916729151717660122965154955203
+"There is no focal consolidation, effusion, or pneumothorax. Cardiac silhouette is within normal limits. Right-sided chest port-A-cath is noted. The bony thorax is intact.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.45986250223926840138345920469829372553
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.44017183875261566573139036185725731813
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14401767820665047132482573298162953516
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.55890498053976354163315110735327904709
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.70840978794372824097068607891994469165
+"Left-sided AICD/AICD in place. Stable cardiomegaly. Mediastinal silhouette within normal limits. Lungs hypoinflated. Diffuse vascular congestion with indistinctness of the interstitial markings, compatible with pulmonary edema. Superimposed right basilar infiltrate could reflect pneumonia. No definite pleural effusion. No pneumothorax. No acute osseus abnormality.","1. Cardiomegaly with pulmonary edema. 2. Superimposed right basilar infiltrate, which could reflect pneumonia.",1.2.826.0.1.3680043.8.498.73679157487818321470160971172090453463
+Shallow inspiration. Normal heart size and pulmonary vascularity. Tortuous aorta. Lungs are clear. No pneumothorax. No blunting of costophrenic angles. Degenerative changes in the spine and shoulders.,No evidence of active pulmonary disease.,1.2.826.0.1.3680043.8.498.60647632732492187335798547111592335549
+Mediastinum and hilar structures normal. Heart size stable. Low lung volumes. No pleural effusion or pneumothorax. No acute bony abnormality.,"Low lung volumes, no acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.94584189486272240588911310461914171801
+Mediastinum and hilar structures normal. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with small right pleural effusion. Findings consistent with congestive heart failure. No pneumothorax. Right IJ line in stable position.,1. Cardiomegaly with bilateral from interstitial prominence and pulmonary vascular prominence consistent with congestive heart failure. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.20844962710665311722490105910957021164
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. There is linear atelectasis or scarring in the lingula. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.93166907056627368753192873970592818413
+Multiple pulmonary metastatic lesions throughout both lungs. This appears grossly similar to the prior CT scan allowing for differences in technique. No definite acute infiltrate although that is difficult to completely exclude given the extent of disease. Small left pleural effusion. Heart size and vascularity are normal.,Extensive metastatic disease in both lungs. No acute infiltrates.,1.2.826.0.1.3680043.8.498.73739926665486300644386131627973581950
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48032427975920614940210290084440488264
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10004824712896617214337779992443467800
+Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no consolidation or collapse. No effusions. No significant bony finding.,Bronchitis without evidence of consolidation or collapse.,1.2.826.0.1.3680043.8.498.66876917191386972124963627522103763366
+"There is a left lower lobe opacity, which is new since the previous study and concerning for pneumonia. No pneumothorax or pleural effusion is seen. The heart is normal in size. The mediastinum appears intact.",Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.94919598578063676263503621349103219729
+The left upper extremity PICC has been retracted with the tip at the cavoatrial junction. Bibasilar atelectasis is stable. The heart remains enlarged.,Left upper extremity PICC retracted into the SVC.,1.2.826.0.1.3680043.8.498.33891713485778763630815589602459704611
+Persistent opacity in the left lower lobe consistent with pneumonia. No pleural effusion. Normal heart size. No pneumothorax.,Persistent left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.55237053523224619535346748570447142341
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. Heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.23113459692457835324567735012463426048
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.62976278887989325903177839491476399419
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69983956541552391135093308869866188794
+"The cardiac and mediastinal contours are unremarkable. There is no evidence of acute consolidation, congestion, or pleural effusions. No acute displaced fracture.","No acute consolidation, congestion, or pleural effusions.",1.2.826.0.1.3680043.8.498.32783154593355992597017307825558161652
+Endotracheal tube is 5.6 cm above the carina. Right central line is been placed with the tip in the SVC. No pneumothorax. Right lower lobe airspace opacity is unchanged. No effusions.,Right central line tip in the SVC. No pneumothorax. Stable right lower lobe opacity.,1.2.826.0.1.3680043.8.498.52763200745862347716376870701591962707
+The lungs are clear. Heart size is upper normal. No pneumothorax or pleural effusion. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.90250730873073583902429095039470038063
+There is airspace disease in the left lower lobe with a small left pleural effusion. There is mild right basilar atelectasis. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No bone abnormality.,Left lower lobe pneumonia. Small left pleural effusion.,1.2.826.0.1.3680043.8.498.21647324116405752317880328019879874820
+The cardiothymic silhouette is normal. The lungs are suboptimally inflated but clear. There is no pleural effusion or pneumothorax. The osseous structures appear normal.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.17139105701395926294179090467680420897
+"Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right internal jugular central line has its tip in the SVC above the right atrium. Extensive airspace consolidation is again seen in the right lung, probably worsened since the earlier study. Left lung is clear. No pneumothorax.","Lines and tubes satisfactory. Extensive right lung airspace consolidation, probably worsened since the earlier study.",1.2.826.0.1.3680043.8.498.89694010060947549245152794027285591228
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43104478996302012556521882106395651286
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. No pleural effusion or consolidation. No confluent pulmonary opacity. No definite central peribronchial thickening. Negative for age visible bowel gas and osseous structures.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.91542077877048761658576500034889873866
+Left upper extremity PICC line tip is in the mid superior vena cava. Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67668471053776854911732983241415360465
+Endotracheal tube and nasogastric tube have been removed. Swan-Ganz catheter tip is in the proximal right pulmonary artery. Mediastinal drains and left chest tube are in place. No evidence for pneumothorax. Left basilar atelectasis. Heart size is enlarged.,Status post extubation. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.51401039681561729853575893116416779404
+Portable semi upright AP view 6836 hours. Stable left chest tube. Small volume left chest wall subcutaneous emphysema. Interval worsening of left lung ventilation with confluent perihilar and basilar opacity. No definite pneumothorax. Probable left pleural effusion. Bullet fragment projects over the left upper quadrant. Stable cardiac size and mediastinal contours. The right lung is grossly clear.,"1. Stable left chest tube. No pneumothorax. 2. Worsening left lung opacity, favor atelectasis and pleural effusion.",1.2.826.0.1.3680043.8.498.53833561492038516726508793403685756972
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60941859633838072877744007749709206832
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.35658229289286676210402162251605169553
+"Mild diffuse granular pulmonary opacity is again seen bilaterally, consistent with mild RDS. There is no evidence of focal consolidation or pleural effusion. Heart size is normal. Orogastric tube is seen with tip in the mid stomach.","Mild RDS, without significant change.",1.2.826.0.1.3680043.8.498.47419402372038310538344515787674191753
+There is a mass in the right upper lobe with post-obstructive pneumonitis of the right upper lobe. The left lung is clear. No effusion. The heart size is normal.,Right upper lobe mass with post-obstructive pneumonitis. Findings are worrisome for neoplasm.,1.2.826.0.1.3680043.8.498.91581062848297009156164651140287361653
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.46700784231759540908216403658270090076
+Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,No active disease.,1.2.826.0.1.3680043.8.498.38035041596414574229133307375371340121
+There is airspace consolidation in the right upper lobe with volume loss. There are small bilateral pleural effusions. There is mild left base atelectasis. There is mild cardiomegaly. Pulmonary vascularity is normal. No adenopathy. There is atherosclerotic change in the aorta. There is degenerative change in the thoracic spine.,Right upper lobe consolidation with volume loss. This area of consolidation is concerning for neoplasm as there has been some volume loss in this area. Small pleural effusions bilaterally. Mild cardiomegaly. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.46503425835170422266991869255111904823
+Nasogastric tube is in place with the tip located in the region of the mid body of the stomach. A left IJ central line is stable in position. The lung volumes are low. The left hemidiaphragm remains elevated. There is bibasilar atelectasis with a probable right pleural effusion. The heart size is stable.,1. Stable appearance of the chest with low lung volumes and basilar atelectasis. 2. Probable right pleural effusion. 3. Support apparatus stable.,1.2.826.0.1.3680043.8.498.58586406348551609581703773618566361678
+The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities. No focal pulmonary opacities.,Findings of reactive airways disease.,1.2.826.0.1.3680043.8.498.16204379833212219593372767406065475014
+"Upper normal heart size post CABG. Mediastinal contours and pulmonary vascularity normal. Minimal scarring at lingula. Lungs otherwise clear. No infiltrate, pleural effusion or pneumothorax. Bones appear demineralized.",Post CABG. No acute abnormalities.,1.2.826.0.1.3680043.8.498.13643993414832155481241939901868233018
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29326109843023506061307421129814842930
+"The cardiomediastinal silhouette is unremarkable. This is a low volume film. LEFT basilar atelectasis/scarring noted. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No evidence of acute abnormality.,1.2.826.0.1.3680043.8.498.59165567356060703294571311304115160611
+"Patchy airspace disease is seen in the right upper lobe and right middle lobe, suspicious for pneumonia. Left lung is clear. No evidence of pneumothorax or pleural effusion. Heart size is normal.","Right upper and middle lobe airspace disease, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.38018826302678283488048931791898768666
+Left PICC line in stable position. Cardiomegaly with diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim improvement from prior exam. No pneumothorax.,1. Left PICC line stable position. 2. Persistent cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema and bilateral pleural effusions again noted. Interim improvement from prior exam. Findings consistent with improving CHF.,1.2.826.0.1.3680043.8.498.59830253802812078778725604205655380851
+There is infiltrate in the right lower lobe consistent with pneumonia. The heart size is normal. The left lung is clear. No pleural effusion or pneumothorax. No acute osseous abnormality.,Right lower lobe pneumonia. Follow-up to clearing is recommended.,1.2.826.0.1.3680043.8.498.67075864072589679456466945666222984137
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60271555076582416829820527882496731346
+The heart is enlarged. There is pulmonary venous hypertension with mild interstitial edema. A small right pleural effusion is noted. There is right base atelectasis. The left lung is clear. The bony structures are unremarkable.,1. Cardiomegaly and mild edema. 2. Small right effusion and right base atelectasis.,1.2.826.0.1.3680043.8.498.11386263676986983955933149533539951564
+An endotracheal tube is appreciated with the tip at the level of the clavicles. There is thickening of the interstitial markings as well as an element of peribronchial cuffing. No focal regions of consolidation are demonstrated. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Endotracheal tube in an appropriate position. 2. Findings consistent with an element of pulmonary edema.,1.2.826.0.1.3680043.8.498.48338481289282892516137413791661465763
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58448043824638179675046215383035460639
+"The heart is enlarged. There are postsurgical changes of median sternotomy. There is a cardiac pacemaker. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. There is a right internal jugular Port-A-Cath with the tip in the SVC.",Cardiomegaly. No acute process.,1.2.826.0.1.3680043.8.498.37195716886475428123107617249878194929
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.98155474625776937191935875221248929478
+A new enteric tube is seen with tip in the mid stomach. Heart size is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The bowel gas pattern is normal.,New enteric tube in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.88327049973162486901001479254471287181
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.79877657802902519437122895955657338433
+OG tube is in the stomach. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. No bony abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.15858480466240658155528679707213002156
+The lung volumes are low. Heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified.,Low lung volumes.,1.2.826.0.1.3680043.8.498.50493684971057299161233399263409481033
+The heart is enlarged. There is no evidence for failure. The lungs are clear. There is no evidence for pneumonia. Degenerative changes are seen in the shoulders.,Cardiomegaly. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86057604110371503214809863969332543193
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42519460426800034896969833913174937766
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20538790876881798081687526321679982296
+"There is cardiomegaly. Bilateral pleural effusions are again noted, right greater than left. There is vascular congestion and mild interstitial edema. The findings are similar to prior study, with slight improvement in the upper lung zones.","Mild CHF pattern, stable to slightly improved from prior. Bilateral effusions, right greater than left.",1.2.826.0.1.3680043.8.498.21957868145543580488165350572032344526
+Heart size within normal limits. No definite congestive heart failure. There are chronic lung changes with some scarring at the bases. No acute process. No pleural fluid or osseous lesions.,Chronic lung changes - no active disease.,1.2.826.0.1.3680043.8.498.57641203893058036385400346951913679872
+Cardiac shadow is enlarged. Increasing consolidation is noted in the right lung consistent with the recent bronchoscopy. No pneumothorax is noted. Increasing left basilar infiltrate is seen as well. No bony abnormality is noted.,No pneumothorax following bronchoscopy. Increasing bilateral infiltrates right greater than left.,1.2.826.0.1.3680043.8.498.26346148565354672648883493601118655182
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.38301698525904254695869158432468416474
+"Heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. Airspace opacity is identified within the right middle lobe, suspicious for pneumonia.",1. Right middle lobe pneumonia. 2. Central airway inflammation.,1.2.826.0.1.3680043.8.498.51612526909002870000394563293860757234
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.80562770653363354367334935871377565301
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96562910569129625563582581665211025866
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57713158988735280922403731550279084883
+Stable normal cardiac silhouette. Left upper lobe opacity again noted consistent with mass. Small left pleural effusion. No new consolidation or pneumothorax. Stable right port catheter tip projects over lower SVC. Bones are unremarkable.,Left upper lobe mass and small left pleural effusion. No new consolidation identified.,1.2.826.0.1.3680043.8.498.14565940658465189747840260505226736419
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.81062304088335121834870468218949772173
+Small bilateral pleural effusions. Patchy airspace disease at the left base. Normal heart size. No pneumothorax.,"Small bilateral pleural effusions and patchy airspace disease at the left base, unchanged. This may represent atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.12630441819996436792883038809421654935
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Moderate scoliosis of thoracic and lumbar spine is noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20061178347713603996167688641463704655
+Tracheostomy tube and right PICC line in stable position. Cardiomegaly. Diffuse bilateral pulmonary infiltrates/edema again noted. No pleural effusion or pneumothorax.,1. Lines and tubes in stable position. 2. Persistent bilateral pulmonary infiltrates/edema.,1.2.826.0.1.3680043.8.498.72362017398802445528659788188169494836
+Lungs clear. Heart size and pulmonary vascularity normal. No effusion. Visualized bones unremarkable.,No acute disease,1.2.826.0.1.3680043.8.498.20098878641672918962155087813146687985
+"Stable cardiomediastinal silhouette with normal heart size. No pneumothorax. No pleural effusion. Lungs appear clear, with no acute consolidative airspace disease and no pulmonary edema.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20998999580479396484232781205766461786
+Cardiomediastinal silhouette within normal limits. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. No displaced fracture.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.51838969226454139151673099196738958358
+"There is persistent opacity at the right lung base, likely atelectasis and chronic interstitial coarsening. Opacity at the left lung base has improved, likely due to resolving pneumonia. There is no pulmonary edema. No pleural effusion or pneumothorax. Stable cardiomegaly.",1. Resolved left lower lobe pneumonia. Continued followup is suggested. 2. Chronic interstitial coarsening. 3. Mild atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.81869500612294402210872089084799790831
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80172710992493244459854457839362215550
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. Bilateral perihilar infiltrates are noted. No lung mass, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no significant change compared with the prior exam.",No change in bilateral infiltrates.,1.2.826.0.1.3680043.8.498.40000481164840776713791879520753030231
+Cardiac and mediastinal silhouettes are within normal limits. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95483965255530883017794381356476978666
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.88755119797166652397077125185127055970
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75650588951063416800208141900932597141
+"The lungs are clear. There is no evidence of pulmonary infiltrate or pleural effusion. A 3.5 cm opacity is seen in the right upper lung field, which is suspicious for pulmonary neoplasm. Chest CT without contrast is recommended for further evaluation. The heart size is within normal limits. No evidence of pneumothorax.",1. No acute findings. 2. Right upper lobe mass-like opacity. Chest CT without contrast recommended for further evaluation.,1.2.826.0.1.3680043.8.498.77084609628902450924430071576640607061
+Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube enters the stomach. Low lung volumes. There is patchy infiltrate in the lung bases. No dense consolidation. No effusion. Heart size upper limits normal. Regional bones unremarkable.,1. Endotracheal tube and nasogastric tube in expected location. 2. Patchy basilar infiltrate.,1.2.826.0.1.3680043.8.498.77640348878721375289971178949895328861
+The heart size and mediastinal contours are within normal limits. Atherosclerosis of the aortic arch. No pneumothorax or pleural effusion is noted. Left lung is clear. Mild right basilar opacity is noted concerning for pneumonia or atelectasis. The visualized skeletal structures are unremarkable.,Mild right basilar pneumonia or atelectasis. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.16209074048161871879584860390153659540
+There is diffuse airspace opacity involving the right lung. Minimal left lung base atelectasis noted. No pleural effusion or pneumothorax. Top-normal cardiac size. No acute osseous pathology.,Right lung airspace disease likely represents pneumonia. Asymmetric edema is not excluded. Clinical correlation is recommended.,1.2.826.0.1.3680043.8.498.95110129080030168757040840915093528937
+UVC tip is at the IVC right atrial junction. UAC tip is at T7-8. Cardiothymic silhouette is within normal limits. Lungs are clear. No effusions or pneumothorax. Normal bowel gas pattern. No bony abnormality.,No acute findings.,1.2.826.0.1.3680043.8.498.19481798111266795559484884609860544669
+Endotracheal tube tip is 2.2 cm above the carina. Nasogastric tube tip and side port are in the stomach. Central catheter tip is in the superior vena cava. No pneumothorax. There is atelectatic change in the left base. Lungs elsewhere clear. Heart is upper normal in size with pulmonary vascularity within normal limits. No adenopathy. No bone lesions.,Tube and catheter positions as described without pneumothorax. Persistent left base atelectasis. No new opacity. Stable cardiac silhouette.,1.2.826.0.1.3680043.8.498.39705837666351822161222546083293665374
+"The patient has had median sternotomy and CABG. The heart is normal in size. The lungs are clear. No edema, infiltrate or pneumothorax.",No active disease.,1.2.826.0.1.3680043.8.498.48323460963028866053484024533934018821
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32209768714391638925423187561023355348
+Single view of the chest demonstrates bilateral calcified pleural plaques. There are additional areas of patchy opacities in the right mid and lower lung. No pneumothorax. No significant pleural effusion. Cardiac silhouette is enlarged. Postsurgical changes of the mediastinum are demonstrated.,Patchy opacities in the right mid and lower lung may represent atelectasis or developing infiltrate.,1.2.826.0.1.3680043.8.498.38325669475118349457814272784396334583
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13358533225500753997062854661614810111
+"A metallic foreign body is seen in the midline at the level of the thoracic inlet, consistent with the patient's history of swallowed pen. The heart size and mediastinal contours are within normal limits. Both lungs are clear.","Metallic foreign body in the midline at the level of the thoracic inlet, consistent with the patient's history of swallowed pen.",1.2.826.0.1.3680043.8.498.24302598163520771263817237305095625319
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.58139618209588350282639374056870467272
+The lungs are adequately inflated. There is increased density in the right infrahilar region anteriorly. The left lung is clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,Right lower lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.71510461116725516495697623727446564320
+OG tube is in place with the side port in the stomach in good position. There is mild diffuse haziness the chest which could represent mild atelectasis or edema. No pneumothorax or pleural effusion. Cardiac silhouette appears normal. No bony abnormality.,Mild diffuse haziness of the chest compatible with atelectasis or edema. OG tube in good position.,1.2.826.0.1.3680043.8.498.45038688204276713874768984600186701986
+"Cardiovascular: The heart size and pulmonary vascularity are normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.18710032200681066229875213537430263458
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.55268977930070189514450380219502687749
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33283734803498477014422604265990860280
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99226930237905928851650512655617409607
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45730386519881146780948414572176550022
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",Negative chest.,1.2.826.0.1.3680043.8.498.68771357256806107464452176964485916492
+The patient has developed bibasilar airspace disease since the prior study. Small bilateral pleural effusions are present. There is vascular congestion. The heart is mildly enlarged.,1. New bibasilar airspace disease worrisome for pneumonia. 2. Small bilateral effusions and mild vascular congestion.,1.2.826.0.1.3680043.8.498.42808749539850266051537534521501500147
+"Mild cardiomegaly. Normal mediastinal contours. Mild vascular congestion. No pulmonary edema. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",Cardiomegaly with vascular congestion.,1.2.826.0.1.3680043.8.498.65411150074596351252625340375077654678
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bony abnormality.,Normal chest.,1.2.826.0.1.3680043.8.498.71501961412818427082943506207634222209
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81670045041196228299065163703966515001
+"The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.17671505562880572500987333783219066279
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.26867665414471182657367021255570734473
+The lungs are clear. Heart size is normal. No pleural effusion or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.53779878307942046701538699385074531567
+"Portable AP view at 4899 hours. Enteric tube placed, tip at the level of the gastric body. Stable cardiothymic silhouette. Larger lung volumes. Diffuse increased granular pulmonary opacity. No pneumothorax, pleural effusion or consolidation. Visible bowel-gas pattern and osseous structures are within normal limits.",1. Enteric tube placed into the stomach. 2. Larger lung volumes with diffuse pulmonary granular opacity compatible with RDS.,1.2.826.0.1.3680043.8.498.45069570121907951009109014856065541899
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.54992613892685066752374873179540039070
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67851682817970222074146701593839535396
+The heart is enlarged. There is no heart failure. The lungs are clear without infiltrate or effusion.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.62314811217561055781040332710941726348
+The heart size and mediastinal contours are within normal limits. Both lungs clear. No effusions.,No active disease.,1.2.826.0.1.3680043.8.498.37416792001971977230181848483195877380
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.79510429551287812064089399610966688185
+Lung volumes and mediastinal contours are stable and within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax or pleural effusion. Bone mineralization is within normal limits. Oblique views of the left ribs. Bone mineralization is within normal limits. No displaced left rib fracture identified. Other visible osseous structures appear intact (no other left rib fracture identified). Negative visible bowel gas pattern.,1. No displaced left rib fracture identified. 2. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.25461830607358415651632230361561388058
+The heart size and mediastinal contours are normal without evidence of mediastinal hematoma. The lungs are clear. There is no pleural effusion or pneumothorax. No acute fractures are identified.,No evidence of acute chest injury.,1.2.826.0.1.3680043.8.498.53782979526234075118592659361226276904
+The lungs are clear. Cardiomegaly is stable. There is no evidence of congestive heart failure.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.50774653743628837200586724171804807014
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39905871096921314830624144971965520368
+The lungs are under-inflated. There is no pneumothorax. The heart is enlarged. There is mild vascular congestion. Bibasilar atelectasis is noted.,Low lung volumes. No pneumothorax. Mild vascular congestion. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.45381797880677615676037217781505810069
+"Stable cardiac and mediastinal contours. Mild bronchitic changes are present in the lungs. No focal airspace consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. No acute osseous abnormality.",1. No acute cardiopulmonary process. 2. Mild bronchitic changes.,1.2.826.0.1.3680043.8.498.15656995700323656453145151595498744399
+Cardiomediastinal silhouette is stable. There is hazy airspace disease probable infiltrate/pneumonia in left upper lobe. Right lung is clear. There is right Port-A-Cath with tip in distal SVC. No pneumothorax.,Hazy airspace disease probable pneumonia in left upper lobe. Follow-up to resolution after appropriate treatment is recommended.,1.2.826.0.1.3680043.8.498.43319272266804652301289622440909402600
+Large right pleural effusion has increased in size. There is a moderate left pleural effusion which is stable. There is vascular congestion. The heart is enlarged. Mitral valve prosthesis is unchanged. Left-sided pacemaker is unchanged.,Interval increase in right effusion.,1.2.826.0.1.3680043.8.498.19728331998134325808677070936127877111
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.43024172812727955659422527770706487152
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41764760754030455523876027518167718129
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78071332099994248805456631029348701282
+There is a new moderate size left pleural effusion with left lower lobe atelectasis. The right lung is clear. There is no pneumothorax. The heart size and mediastinal contours are stable with aortic atherosclerosis. There is no evidence of heart failure.,New moderate left pleural effusion with left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.25262586137633540730567865142754629236
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.14263265795885348149904573261618300551
+Central catheter tip is in the superior vena cava. No pneumothorax. There is no edema or consolidation. The heart size and pulmonary vascularity are normal. No adenopathy. There is atherosclerotic calcification in the aortic arch.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.44456123860711712502690774412991777801
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33887687029842234135233809638676250992
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.88332612117355902787459852374685117472
+There is cardiomegaly. The patient is status post CABG. Left basilar atelectasis present. No effusions. No edema. No acute bony abnormality.,"Cardiomegaly, left base atelectasis.",1.2.826.0.1.3680043.8.498.28819428489228030658752115759751330078
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Calcified granulomas in the right lung and calcified mediastinal lymph nodes.,Negative.,1.2.826.0.1.3680043.8.498.20827710753552079418671556244166286559
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.83107819342285318931992073170611660761
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38571533034412491112773972760743750965
+Heart size is stable. Aortic atherosclerosis again noted. Interstitial and airspace opacities are stable in the left lung but improved throughout the right lung. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Interstitial and airspace disease, improved throughout the right lung but stable in the left lung. Findings may reflect asymmetric edema or infection. 2. Stable cardiomegaly. 3. Aortic Atherosclerosis (ICD10-I70.0).",1.2.826.0.1.3680043.8.498.21409495221854465789041454443964574162
+Shallow inspiration. Cardiac enlargement. No pulmonary vascular congestion. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact.,Shallow inspiration. Cardiac enlargement. No active disease.,1.2.826.0.1.3680043.8.498.23977755127338112249185253811101221353
+The heart is enlarged. There are perihilar congestive changes and bilateral pleural effusions. There is no pneumothorax. A pacemaker is present. The lungs are well expanded.,Congestive changes and bilateral pleural effusions appear similar.,1.2.826.0.1.3680043.8.498.15568700460486481931377138746814630154
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61897106022777423596766306919257924524
+The patient has taken a shallow inspiration. Areas of increased density project within the right and left lung bases. There is thickening of the interstitial markings as well as peribronchial cuffing. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Shallow inspiration. 2. Atelectasis versus infiltrate within the lung bases. 3. Findings likely representing a component of pulmonary edema. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.57151918964920676968079702925730671924
+Right-sided PICC line has been inserted and the tip is in the superior vena cava. Heart size and vascularity are normal and the lungs are clear. No bony abnormality.,"PICC line in the superior vena cava. Otherwise, normal chest.",1.2.826.0.1.3680043.8.498.39453701364925645245776756668933805919
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.20967532319536685718618309102252410098
+"The lungs are hyperinflated. Honeycomb changes are seen at the lung bases, consistent with chronic interstitial fibrosis. There are also patchy areas of lung opacity in the right mid lung and right lower lobe, which are stable. The left lower lobe opacity has improved.",1. COPD. 2. Chronic interstitial changes at the lung bases. 3. Stable areas of abnormal lung opacity on the right. The left lower lobe is improved.,1.2.826.0.1.3680043.8.498.68322627532969471484824487323951787220
+"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.73870354993918768427715005795675613629
+The heart is normal. The lungs are clear. Osseous structures intact.,No active disease.,1.2.826.0.1.3680043.8.498.24825811343607735513444604096279065257
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.81541817924993432813534756017812459235
+"AP portable chest demonstrates clear lungs, without consolidation, edema, effusion or pneumothorax. The cardiothymic silhouette is normal. The bones and soft tissues are also normal.",Normal chest.,1.2.826.0.1.3680043.8.498.68221624194050547231512199405217497179
+Endotracheal tube is 4.6 cm above the carina. NG tube enters the stomach. Heart size and vascularity are normal. Interstitial markings are accentuated bilaterally. No discrete infiltrates or effusions. No acute osseous abnormality.,Endotracheal tube and NG tube appear to be in good position. Chronic interstitial lung disease.,1.2.826.0.1.3680043.8.498.29965592095990392479163142700512254306
+The right IJ catheter sheath has been removed. The heart size is enlarged. The patient is status post median sternotomy and CABG procedure. Bilateral pleural effusions are again noted. There is no significant pulmonary edema. There is atelectasis at both lung bases.,1. Bilateral pleural effusions with overlying atelectasis. 2. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.68221133992627692082374343203514531922
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.27081508455307994851294413491587452983
+There is elevation of the left hemidiaphragm with left basilar atelectasis. Right lung is clear. Heart is upper limits normal in size. No effusions. No acute bony abnormality.,Elevated left hemidiaphragm with left base atelectasis.,1.2.826.0.1.3680043.8.498.53943199979180531913211950349818760238
+Lung volumes are low. There is linear atelectasis at both lung bases. The lungs are otherwise clear. No pleural effusions. Pulmonary vasculature is normal. Hilar and mediastinal contours are unremarkable and unchanged.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54788463632529551028627068223484591374
+Low lung volumes. No consolidation or effusion. Normal heart size. No pneumothorax.,Low lung volumes. No acute infiltrate.,1.2.826.0.1.3680043.8.498.21300725212295660130091807753917072083
+"EKG leads project over the patient's chest. The patient is status post coronary artery bypass graft surgery. Heart size is difficult to evaluate on the AP projection. Congestive heart failure persists, but appears to be slightly improved. Small bilateral pleural effusions are present.","Congestive heart failure, slightly improved.",1.2.826.0.1.3680043.8.498.39130215995153262881871982507891186739
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs minimally hyperinflated but clear. No pulmonary infiltrate, pleural effusion, or pneumothorax. Osseous mineralization normal. No definite sternal abnormalities identified.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.17460967780319372767875484247762862186
+The heart is mildly enlarged. The lungs are clear. No pneumothoraces or effusions are seen. Pulmonary vascularity is within normal limits.,Cardiomegaly without CHF.,1.2.826.0.1.3680043.8.498.88222712313129466705110186679920683880
+There is elevation of the right hemidiaphragm. Both lungs are clear. No evidence of pleural effusion. Heart size is normal. No mass or lymphadenopathy identified.,Elevation of right hemidiaphragm. No active disease.,1.2.826.0.1.3680043.8.498.61814372046771845191303206720513546303
+Mild cardiomegaly stable. Both lungs are clear. No evidence of pulmonary edema or other infiltrate. No evidence of pleural effusion. Ectasia and atherosclerotic calcification of the thoracic aorta is unchanged. Old right posterior rib fracture deformities again seen.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.71816519497828529069256391202883410211
+"There is emphysematous changes of the lungs. No focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is within normal limits. No acute osseous pathology.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41349809618933206742658645708061940304
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.50343017825179784069931095715224361262
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.16091484156025912804163886243281699470
+The lungs are clear. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.23380773675752397444790054907601818659
+The heart is normal in size. The lungs are clear. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.84190558966443795301835322489832255536
+The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29043773197047072648567366683811473070
+"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.68161224804637154260681362499841149096
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.38886060454185942609161075436512685364
+Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.27995570771763024822813115255564507067
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.99111244468208964423694848985941545934
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71285516104883423090907270745878927434
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35247409486329019471296169217186225709
+There is a new implanted defibrillator with lead overlying the right ventricle. There is no evidence of pneumothorax. Both lungs are clear. There is no evidence of pleural effusion. The heart size is normal.,New implanted defibrillator in appropriate position. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42600221855581931781270375537468834045
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37368099570928481535237104992323858519
+There is patchy airspace disease bilaterally primarily in the upper lobes but also in the right middle lobe and possibly the lingula. There does appear to be a small left effusion and possibly a small right one as well. The heart is mildly enlarged. The bones are osteopenic.,Patchy airspace disease bilaterally. Favor pneumonia. Cannot completely exclude edema. Small left effusion.,1.2.826.0.1.3680043.8.498.11339050454658555579882537380036500914
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30067965483078391274169092388063584670
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60797929047674827696571171979130923735
+There is again noted increased density at the RIGHT base compatible with a RIGHT pleural effusion. The effusion appears slightly less prominent than on the prior exam. No new pulmonary infiltrates are seen. No pulmonary edema is noted. The heart is mildly enlarged but stable as compared to the prior exam. A cardiac pacemaker is present.,1. There is a RIGHT pleural effusion which obscures approximately the lower 20% of the RIGHT lung field. The effusion appears slightly less prominent than on the prior exam. 2. No new pulmonary infiltrates are seen. 3. A cardiac pacemaker is present.,1.2.826.0.1.3680043.8.498.92080300539611001659227867208047168079
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12123247241045719057762298392001300403
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Patchy ill-defined airspace opacity in the right lower lobe suspicious for pneumonia. Streaky left basilar atelectasis. No pleural effusions. The bony thorax is intact.",Right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.14231155731507711946613114418251639629
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No bony abnormalities.,No active disease,1.2.826.0.1.3680043.8.498.97164897970474063991776415039537018421
+"AP portable upright view 8886 hours. Slightly shallow lung volumes. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. Allowing for portable technique, the lungs are clear. No pneumothorax or pleural effusion.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.44371616402147343899314072901251440807
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.98568555147887544143208226668766962832
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63960411679499075511860770408626753095
+"Heart size is normal. The mediastinum is unremarkable. There is bronchial thickening but no infiltrate, collapse or effusion. No significant bony finding.",Bronchitis without consolidation or collapse.,1.2.826.0.1.3680043.8.498.29191400945301782581049912163141801733
+The heart is upper normal in size. The lungs are clear. Pulmonary vascularity is within normal limits. No pneumothoraces or effusions are seen. Multiple surgical clips are seen at the left axilla.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52686839106487243247828858704403466570
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78174253225264209721493752709760150937
+There is thickening of the interstitial markings as well as peribronchial cuffing. An area of consolidative density projects within the left lung base. There is blunting of the right costophrenic angle. The cardiac silhouette is enlarged. The visualized bony skeleton is unremarkable.,1. Findings consistent with pulmonary edema. 2. Atelectasis versus infiltrate left lung base as well as possibly a small left effusion. 3. Small right effusion. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.25077262635696523536887520252564573315
+The lungs are mildly hyperinflated. There is no focal infiltrate. The heart is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of CHF nor pneumonia.,1.2.826.0.1.3680043.8.498.86183808626692829209072886529264789213
+There has been interval removal of the endotracheal tube and nasogastric tube. Right-sided Port-a-cath remains in place. There are low lung volumes with bibasilar atelectasis and bilateral pleural effusions. No pneumothorax.,Bibasilar atelectasis and effusions.,1.2.826.0.1.3680043.8.498.38781874624703143282339316010744942396
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.30251319830502673649339210755763996350
+There is confluent alveolar opacity in the posterior aspect of the right upper lobe. The remainder of the right lung is clear. The left lung is clear. There is no pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The bony thorax is unremarkable.,Right upper lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.63494263919397107080834058641815868987
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68439910819001270998527780282883281161
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.57776164946115204022646853596060784698
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60338138499887776513307309320588835926
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.96793337288508469548205155280189224148
+"There is a left-sided pacemaker with leads overlying the right atrium and right ventricle. There is a moderate size left pleural effusion, increased from the prior exam. This obscures the left base. No pneumothorax is identified. The right lung appears clear. Heart size is difficult to evaluate given the left basilar airspace disease. No pulmonary edema.","Moderate left pleural effusion with left basilar airspace disease, likely atelectasis. Cannot exclude pneumonia.",1.2.826.0.1.3680043.8.498.54760022704496308370913000381512977555
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25492107412127052020419217423049148831
+There is a large pneumothorax on the right. There is atelectatic change in the right upper lobe. There is no appreciable tension component. There is underlying emphysema. There is mild scarring in the left upper lobe. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Large right pneumothorax without tension component. Areas of atelectasis on the right. Underlying emphysema. No edema or consolidation. Heart size normal.,1.2.826.0.1.3680043.8.498.95216928551246181064444971081580459608
+Moderate left pleural effusion with adjacent atelectasis. Small right pleural effusion. Improved interstitial edema. No pneumothorax. Cardiomegaly.,1. Moderate left pleural effusion that is similar to 3 days ago. 2. Small right pleural effusion. 3. Improved pulmonary edema.,1.2.826.0.1.3680043.8.498.92189408680519879124320831987930654011
+Right chest tube in place. Small right apical pneumothorax. Mild right upper lobe atelectasis. The left lung is clear. Normal heart size and mediastinal contours. No pleural fluid.,Small right apical pneumothorax with chest tube in place.,1.2.826.0.1.3680043.8.498.34958427507540599576346438848013550386
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72221305830373249656009899846842605589
+Interval placement of left subclavian pacemaker with leads terminating over the right atrium and right ventricle. No pneumothorax. The heart size and mediastinal contours are stable status post CABG. The lungs are clear. There is no pleural effusion.,1. Pacemaker placement as described. 2. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26942521401450145047825019863881344143
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54980628890025835003474809192870736945
+Right arm PICC line is in place with the tip in the SVC. The lungs are clear. No effusions. Heart is normal size.,Right arm PICC line tip in the SVC. No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50288758519504625817720801138811525520
+Trachea is midline. Heart size normal. Lungs are clear. No pleural fluid.,No acute findings. No evidence of active tuberculosis.,1.2.826.0.1.3680043.8.498.85034556931454243211304825747611634015
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31251280878174923742116977698684590461
+Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube enters the stomach. Swan-Ganz catheter tip is in the right main pulmonary artery. Pacemaker leads appear the same. Left chest tube is in place. No pneumothorax. Left lower lobe atelectasis. Mild right base atelectasis.,Lines and tubes well positioned. No pneumothorax. Left lower lobe atelectasis. Mild right base atelectasis.,1.2.826.0.1.3680043.8.498.95754174675374554560939772129504163757
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.29325156831727762924238032822474405498
+Lung volumes are normal. No consolidative airspace disease. No pleural effusions. No pneumothorax. No pulmonary nodule or mass noted. Large hiatal hernia. Pulmonary vasculature and the cardiomediastinal silhouette are otherwise within normal limits.,1. No radiographic evidence of acute cardiopulmonary disease. 2. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.95049529122911683198743889650646346734
+There is increased density at both lung bases suggestive of atelectasis versus pneumonia. There is no effusion or pneumothorax. The heart is normal. The bony and mediastinal structures are unremarkable.,Bibasilar pneumonia versus atelectasis. Correlate for clinical and laboratory data.,1.2.826.0.1.3680043.8.498.86180965919348737667651038430193296475
+There is perihilar peribronchial thickening. Focal opacity at the left lung base is consistent with atelectasis or developing infiltrate. No pleural effusions are identified. No pulmonary edema.,1. Bronchitic changes. 2. Left lower lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.87650172110636533354586585932569285488
+Lungs are clear. Heart size and mediastinal contours are within normal limits. No effusion. No pneumothorax. Visualized skeletal structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.23593840653746346234523024391027278203
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.13335564634317875912622326643702609993
+Right-sided central venous port tip overlies the SVC. Low lung volumes. Elevation of the right hemidiaphragm with right basilar atelectasis. No consolidation. No pneumothorax.,Low lung volumes and elevation of the right hemidiaphragm with right basilar atelectasis.,1.2.826.0.1.3680043.8.498.27143693980800120251501405593115121006
+"Left subclavian Port-A-Cath extends to the mid SVC. No pneumothorax. Left upper lobe mass appears slightly smaller, probably by technique. Prominent left hilar region adenopathy. Right lung clear. Heart size normal. Pulmonary vascularity normal. No effusion. Visualized bones unremarkable.",Port-A-Cath to mid SVC without pneumothorax. Left upper lobe mass and left hilar adenopathy.,1.2.826.0.1.3680043.8.498.95446290163757752685289760999000707634
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25014893595245738632958708748602842653
+"The lungs are well-aerated. Mild peribronchial thickening may reflect viral or small airways disease. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild peribronchial thickening may reflect viral or small airways disease; no evidence of focal airspace consolidation.,1.2.826.0.1.3680043.8.498.94868420535684581479381373430484283750
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81104694671363951259869930168774412898
+"There is central airway thickening. Lung volumes are normal. No consolidative process, pneumothorax or effusion. Heart size is normal. No focal bony abnormality.",Central airway thickening compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.64292085765886304620405867402269295018
+There is patchy airspace consolidation throughout the lungs bilaterally. There is cardiomegaly with pulmonary venous hypertension. There is slight interstitial edema. No adenopathy. No bone lesions.,Findings indicative of congestive heart failure. Superimposed pneumonia in the lungs cannot be excluded. Both alveolar infiltrates are relatively symmetric.,1.2.826.0.1.3680043.8.498.30150910239075027660877703782097120474
+The heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Bony structures are intact.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.26324511109142743313196936060790668902
+"The cardiomediastinal silhouette is unremarkable. This is a mildly low volume film. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.18961828520535816115647865612575503906
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.37884211769959553562905047745900378898
+A right IJ central venous catheter is present with the tip in the mid SVC. No pneumothorax is seen. Mild basilar atelectasis is noted. The lungs are otherwise clear. The heart size is normal.,1. Right IJ central venous catheter tip in mid SVC. No pneumothorax. 2. Mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.10173926025316954105761278134204269836
+There is focal airspace opacity in the left lower lobe consistent with pneumonia. The lungs are otherwise clear. No pleural effusions. No pneumothorax. Heart size and pulmonary vascularity are normal. Mediastinal contours appear intact.,Left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.56963342039590514200549816366926713991
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are seen. Subcutaneous air is noted overlying the left chest wall, and at the left side of the neck.",1. No acute cardiopulmonary process seen. 2. Subcutaneous air overlying the left chest wall and left side of the neck.,1.2.826.0.1.3680043.8.498.46554990543613148980447983937297682728
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Azygos fissure incidentally noted.,No active disease.,1.2.826.0.1.3680043.8.498.28024110514954651795597204075190239783
+Cardiac shadow is stable. Increasing vascular congestion is noted with evidence of bilateral pulmonary edema as well as bilateral pleural effusions. No acute bony abnormality is noted.,Increasing CHF with bilateral effusions.,1.2.826.0.1.3680043.8.498.56089916706578182050470042715524826723
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Subsegmental atelectasis at left base. Lungs otherwise clear. No pleural effusion or pneumothorax.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.28147796221249798463574615937809950459
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95383140072916601423397666535375895248
+Heart size is normal. Mediastinal shadows are normal. The lungs are clear. No effusions. No bony abnormalities.,Normal chest,1.2.826.0.1.3680043.8.498.87562687586300550879095913618731747145
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56939135775244037131945143512576674638
+"Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. No pleural effusion. Severe elevation of the right hemidiaphragm, not convincingly changed. No pulmonary edema. No acute consolidative airspace disease.",Stable elevated right hemidiaphragm. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13232318728052982643085635731158612576
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26691483199630465797583176265235704122
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.40053340612307080831718319172713027248
+There is a left chest wall pacer device with lead in the right atrial appendage and right ventricle. The heart size is normal. There are no effusions or edema. No air space opacities are identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91196067732362565767011164500670773602
+"The heart is normal in size. The aorta is tortuous and calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No acute process.,1.2.826.0.1.3680043.8.498.19316738612730940683521058371864453671
+Mediastinum and hilar structures normal. Lungs are clear. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.78415447815514424490293229360011379510
+There has been interval worsening of pulmonary edema. Small bilateral pleural effusions are noted. Cardiomegaly is present.,1. Increasing pulmonary edema. 2. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.84050945874046347688061066391351534189
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46119806412910693171900211048950035526
+The heart size and mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. No acute osseous findings are identified.,No active cardiopulmonary process.,1.2.826.0.1.3680043.8.498.26323931284327738333925843240929821203
+The lungs are well-aerated. Right basilar airspace opacity raises concern for pneumonia. There is no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is borderline normal in size. No acute osseous abnormalities are seen.,Right basilar airspace opacity raises concern for pneumonia.,1.2.826.0.1.3680043.8.498.45926774927957818605179345089970394804
+"Low lung volumes with vascular crowding and atelectasis. Possible mild interstitial edema. Bilateral lower lobe opacities, likely atelectasis. No pneumothorax. Left PICC line is in place with the tip at the cavoatrial junction. Heart is mildly enlarged.","Low lung volumes with vascular crowding and atelectasis. Bilateral lower lobe opacities, likely atelectasis. Mild interstitial edema is suspected.",1.2.826.0.1.3680043.8.498.68574882461016689160933753593932558040
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.94191975076274806736714980221212006898
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.13453744818193982786107454701511894525
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.77331495397810527667454396639142698006
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26321749300381951096401370497609902056
+Right chest port is in place with tip in the SVC. The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95594185616991385841274105234269529795
+There is cardiomegaly and pulmonary edema. The patient has a left-sided transvenous pacemaker with leads overlying the right atrium and right ventricle. The patient is status post median sternotomy and CABG.,Cardiomegaly and pulmonary edema.,1.2.826.0.1.3680043.8.498.90035802336541404441466076802024521183
+"No radiographically apparent pleural effusion, consolidation, or pneumothorax. Low lung volumes. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality. Shrapnel in the right upper quadrant.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.12740313396439499182798577995524286536
+New left chest wall pacemaker is noted with leads in the right atrial appendage and right ventricle. No pneumothorax is seen. The overall inspiratory effort is poor with minimal bibasilar atelectasis. Mitral annular calcifications are seen. The cardiac shadow is stable.,No pneumothorax following pacemaker placement.,1.2.826.0.1.3680043.8.498.48761292699733553427263336452855695931
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.32166561708920334174823864714987927891
+Cardiothymic silhouette is within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72124202258080788542063374988158192830
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.69085505522778505480673960228558403968
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93143694915837928517962856076821617640
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.81913717786030566718664402224098645361
+"There is left upper lobe collapse and consolidation, increased since the prior study. The right lung is clear. There is no pleural effusion or pneumothorax. The heart size and mediastinal contours are stable. No osseous metastatic disease is identified.",Interval development of left upper lobe collapse and consolidation concerning for postobstructive pneumonia. Correlate clinically for underlying malignancy.,1.2.826.0.1.3680043.8.498.83544756985594584040718049876975885357
+The heart is enlarged. There is tortuosity and calcification of the thoracic aorta. The lungs demonstrate chronic lung changes with areas of pulmonary fibrosis. No definite pleural effusions or pneumothorax. The bony thorax is grossly intact.,Chronic lung changes but no definite acute overlying pulmonary process.,1.2.826.0.1.3680043.8.498.77136067162034190310664818120834746584
+An orogastric tube is seen with tip in the mid stomach. Both lungs are clear. There is no evidence of pleural effusion. Cardiothymic silhouette is within normal limits.,No acute findings.,1.2.826.0.1.3680043.8.498.84788945281142379175806771378651540303
+There is airspace consolidation in the lingula. Lungs elsewhere are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Airspace consolidation consistent with pneumonia in the lingula. Lungs elsewhere clear.,1.2.826.0.1.3680043.8.498.30810253685803431248526584715295092310
+Tracheostomy tube and feeding tube in stable position. Cardiomegaly with bilateral pulmonary infiltrates/edema again noted. Small left pleural effusion again noted. No pneumothorax.,1. Tracheostomy tube and feeding tube in stable position. 2. Persistent cardiomegaly and bilateral pulmonary infiltrates/edema. Small left pleural effusion again noted. Findings suggest CHF. Persistent left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.48441234583340429631110280153833097230
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.19434213905211069750602882368278182043
+The heart size is normal. The aorta is mildly tortuous. The lungs are clear. There is no heart failure or pleural fluid.,No active disease.,1.2.826.0.1.3680043.8.498.41563144967735528919483459491388632876
+"Endotracheal tube tip remains in satisfactory position approximately 4 cm above the carina. Left jugular central venous catheter tip remains in the upper SVC. Right arm PICC tip remains in the lower SVC. Nasogastric courses below the diaphragm into the stomach. Bilateral pleural effusions persist, right greater than left, unchanged. Airspace opacities throughout the right lung and in the left lung base are unchanged. No new abnormalities are detected.",Tubes and lines satisfactory. Stable bilateral pleural effusions and pneumonia throughout both lungs.,1.2.826.0.1.3680043.8.498.94114996631755996378081380552105801996
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94883756229697919020669179165108601338
+"The heart is mildly enlarged. The aorta is tortuous. The lungs are clear. There is no infiltrate, effusion or edema. No lung nodules are identified.",Cardiomegaly. No acute abnormality.,1.2.826.0.1.3680043.8.498.39685672539945932381119506180562567535
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.21996409076117518777147795609589529546
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74868416908817453554693996095617431614
+"Upper normal heart size. Normal mediastinal contours and pulmonary vascularity. Minimal peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Peribronchial thickening which may reflect bronchiolitis or reactive airway disease. No acute infiltrate.,1.2.826.0.1.3680043.8.498.97018432171043878331141437541167474243
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32610735005724590728297987557377679621
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77326707278259666737669810660364790270
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.24860343526211982872412956955359367519
+There is an orogastric tube with its tip in the stomach. There is persistent opacity at the right lung base which is probably due to atelectasis. The lungs are otherwise clear. There is no effusion. Heart size is normal.,New area of right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.66967433527538026465960999329328974698
+Portable AP upright view of the chest demonstrates magnification cardiac silhouette which is felt to be due to portable technique. Pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. Lungs are clear of any focal mass or consolidation. No pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.27212183819471412637886503723610426176
+"Heart is normal size. Aortic atherosclerosis. Linear densities in the left base, likely atelectasis. Right lung clear. No effusions or acute bony abnormality.",Left base atelectasis.,1.2.826.0.1.3680043.8.498.78899189251241345543326824631261606386
+There is peribronchial thickening. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,Bronchial thickening consistent with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.27860234023290943172237199305349107779
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.61947339891416144420580327388200870717
+"Extensive airspace opacities throughout both lungs, worse on the right, with low lung volumes. Stable elevation of the right hemidiaphragm. Heart mildly enlarged but stable. No visible pleural effusions.",Stable severe pneumonia throughout both lungs.,1.2.826.0.1.3680043.8.498.72161202185089515086218644475563988793
+The right upper extremity PICC is stable. The heart is normal in size. Linear opacities at the left base are stable. The lungs are otherwise clear. No pneumothoraces or effusions are seen.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.58843732796668192316594636644443154830
+The patient has a nasogastric tube in place with the side port in the stomach. There is a small right effusion and right basilar air space disease. The left lung is clear. The lungs are emphysematous. The heart size is normal.,1. Right effusion and right basilar air space disease worrisome for pneumonia. 2. Emphysema.,1.2.826.0.1.3680043.8.498.28834341723023520185319999468060186344
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.61585338260087880642806273828939492137
+Heart is normal size. Lungs are clear. No effusions. No acute bony abnormality. Aortic atherosclerosis. Degenerative changes in the spine.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50785221141173277317388946530737009946
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.38791288318828097320307788013290928004
+"Right upper lobe mass is again noted. There is no pneumothorax, pneumomediastinum or pleural effusion. The lungs are otherwise clear. The heart size is normal. A right IJ catheter is in place with its tip in the superior vena cava.",Right IJ catheter tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.12237978342864203419388137928049548758
+The heart is normal sized. The mediastinum is unremarkable. The hila show no obvious abnormalities. No pneumothorax is seen. No consolidations or pleural effusions are detected.,No acute cardiopulmonary process detected.,1.2.826.0.1.3680043.8.498.81840305086731444290565510212933864711
+"The heart size and mediastinal contours are within normal limits. Stable right middle lobe calcified granuloma. There is no evidence of pulmonary edema, consolidation, pneumothorax, nodule or pleural fluid. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57109493238143762362243545913622061604
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.60765787754397343655736872026056377207
+Single view of the chest without comparison examination shows the cardiac silhouette is mildly enlarged in size. There is no pulmonary vascular congestion. There are bibasilar reticular markings without focal lung consolidation seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Surgical changes are seen of the mediastinum with sternotomy wires.,1. Chronic lung findings with mild superimposed bibasilar atelectasis. 2. No focal lung consolidation seen.,1.2.826.0.1.3680043.8.498.81868457177078799205469241820526438681
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary infiltrate or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.22695640630561873117271946677569729074
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53415677786939405316706011794109786854
+The lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No abnormality noted.,1.2.826.0.1.3680043.8.498.34753282422406939879297361611990688974
+A right upper extremity PICC line is present with the tip seen to the lower SVC. No pneumothorax is noted. Mild basilar linear atelectasis is present. The heart is within upper limits of normal.,Right upper extremity PICC line tip in lower SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.73215003473450528056947667698586454188
+There is patchy airspace disease in the left mid lower lung most consistent with pneumonia. The right lung is clear. No pleural effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,Left mid and lower lung airspace disease most consistent with pneumonia.,1.2.826.0.1.3680043.8.498.28237416622322265464182638613336283254
+Umbilical venous catheter is seen with tip overlying the expected level of the intrahepatic IVC. Umbilical artery catheter is seen with tip at level of T7-8. Both lungs are clear. No evidence of pneumothorax or pleural effusion. Heart size is normal. Bowel gas pattern is normal.,Umbilical artery and venous catheters in appropriate position. No active lung disease. Normal bowel gas pattern.,1.2.826.0.1.3680043.8.498.93596668662936441265771748479307408331
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36805750562495197354579885301973477544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion. No pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.15425243580680609040132840706801161080
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12152083337394064157889095871580657089
+A right upper extremity PICC has been placed. The tip is in the mid SVC. Bilateral air space disease is not significantly changed. No pneumothorax is seen.,Right upper extremity PICC placement with the tip in the mid SVC. No change in bilateral air space disease.,1.2.826.0.1.3680043.8.498.74302368990044568407698740062600557619
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.71728892095883267604423608345163326772
+Low lung volumes. No focal consolidation or effusion. Normal heart size. No pneumothorax.,Low lung volumes without acute infiltrate.,1.2.826.0.1.3680043.8.498.63905507340932252913771350011723520007
+There is no pneumothorax after bronchoscopy. Prominent left hilar and mediastinal adenopathy is again noted. There is no pleural effusion. The lungs are clear.,No pneumothorax after bronchoscopy.,1.2.826.0.1.3680043.8.498.23881665793684696514462588912081940769
+Trachea is midline. Heart is enlarged. Lungs are low in volume with diffuse interstitial and airspace disease. No definite pleural fluid.,1. Diffuse interstitial and airspace disease can be seen with pulmonary edema or a viral pneumonia. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.48791305107830584223013544937112238446
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.50821601938463756767815059597557070167
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25604655464920439484201076180571870041
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.97623350516585430798431727047747814140
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.63242929992460934504054408464976137910
+There is central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection. No air space opacities are identified. The heart size is normal. There are no effusions or edema. Review of the visualized osseous structures is unremarkable.,Central airway thickening consistent with reactive airways disease versus lower respiratory tract viral infection.,1.2.826.0.1.3680043.8.498.26208616196459772796087105394442844635
+Normal sized heart. Clear lungs. No fracture or pneumothorax seen.,No acute abnormality.,1.2.826.0.1.3680043.8.498.54160350559606876593175222037474960561
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.34455708832248139891932809363358328878
+The heart is moderately enlarged. Pulmonary vascularity is within normal limits. Bibasilar atelectasis is noted. There may be a small right pleural effusion. No pneumothoraces are seen.,Cardiomegaly without CHF. Bibasilar atelectasis. Small right effusion.,1.2.826.0.1.3680043.8.498.75742656454436085078050826319156489628
+The lungs are reasonably well inflated. The interstitial markings remain increased. The retrocardiac region on the left is dense and the left hemidiaphragm is obscured. The cardiac silhouette is mildly enlarged. The pulmonary vascularity is indistinct. There are bilateral pleural effusions. There is calcification in the wall of the aortic arch.,There are findings consistent with congestive heart failure with bilateral pleural effusions and left lower lobe atelectasis. There has not been dramatic improvement since the earlier study.,1.2.826.0.1.3680043.8.498.99603557980757101287781227871208556509
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. The heart is within normal limits in size. No bony abnormality is seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.77315599244904261232484491377805074816
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.90743054824159319503429280224432408360
+Endotracheal tube 5.5 cm above the carina. Nasogastric tube extends into the stomach. The lungs are clear. No pneumothorax. No effusion. Visualized bones unremarkable.,Support hardware appears in satisfactory position. No acute disease.,1.2.826.0.1.3680043.8.498.81754589308973862818752587619893938649
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. Mild lower thoracic spine degenerative changes.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11006977885486026090600211522108482331
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",Normal exam.,1.2.826.0.1.3680043.8.498.67206299161579723309668514608799880640
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.26122104462724942502877153442124341559
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening suggesting bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.48658072144829315223342890194620296262
+No active infiltrate or effusion is seen. Mild peribronchial thickening is noted. Linear scarring at the right lung apex is stable. The heart is within normal limits in size. No bony abnormality is seen.,Stable chest x-ray. No active lung disease.,1.2.826.0.1.3680043.8.498.25707133532905304765276882673212148656
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.66221818071024279093068821716166741574
+"Stable cardiomediastinal silhouette with normal heart size. Moderate left pleural effusion, not significantly changed. No right pneumothorax. No right pleural effusion. Hazy opacities throughout the left lung are not significantly changed. Improved aeration at the left lung apex.","1. Stable moderate left pleural effusion. 2. Hazy opacities throughout the left lung, not significantly changed, suggesting aspiration or pneumonia. 3. Improved aeration at the left lung apex.",1.2.826.0.1.3680043.8.498.15346664941392023158051374164315781050
+Normal lung volumes. Normal cardiac size and mediastinal contours. Visualized tracheal air column is within normal limits. The lungs are clear. No pneumothorax or pleural effusion. No osseous abnormality identified.,"Negative, no acute cardiopulmonary abnormality.",1.2.826.0.1.3680043.8.498.93206829699437621397138401111138447987
+There is elevation of the left hemidiaphragm. Linear areas of increased density project within the left lung base. No focal regions of consolidation are appreciated. The cardiac silhouette is moderately enlarged. The visualized bony skeleton is unremarkable.,1. Atelectasis versus scarring left lung base. 2. Elevated left hemidiaphragm. 3. No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68085246283657779543868934383076991527
+There is increased density at the left lung base consistent with atelectasis/infiltrate. There is also a small left pleural effusion. The right lung is essentially clear. Heart size is stable. Elevation of the left hemidiaphragm is unchanged.,Increased left lower lobe atelectasis/ infiltrate and small left effusion.,1.2.826.0.1.3680043.8.498.68763946438128416115229718553819815261
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59973032829398330222041020615756439599
+The heart is at the upper limits of normal in size. The mediastinal and hilar contours appear normal. The lungs are clear. No pleural effusion. The bony thorax is intact.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76210892788850427377603735502753319403
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32198890931898952654979592789224830854
+Cardiac shadow is stable. Elevation of left hemidiaphragm is again noted and stable. No focal infiltrate or sizable effusion is seen. No bony abnormality is noted.,No acute abnormality noted.,1.2.826.0.1.3680043.8.498.62835155428524226011140618265913018042
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.44550328022772068058074220210418948452
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12790796644915579316376113426884272484
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Lungs are clear. No pleural effusion. Bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.76246563485965438927001018767629053800
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.17136672090184315116516817752450978638
+Shallow inspiration. Heart size and pulmonary vascularity are normal. Prominent mediastinal shadow likely representing thymus. Central peribronchial thickening and perihilar opacities likely representing bronchiolitis or reactive airways disease. No focal consolidation. No blunting of costophrenic angles. No pneumothorax.,Peribronchial changes suggesting bronchiolitis versus reactive airways disease. No focal consolidation.,1.2.826.0.1.3680043.8.498.43569636108947829620509603267425744337
+"The cardiomediastinal silhouette is unremarkable. There is elevation of the RIGHT hemidiaphragm. There is no evidence of focal airspace disease, pulmonary edema, suspicious pulmonary nodule/mass, pleural effusion, or pneumothorax. No acute bony abnormalities are identified.",No active disease.,1.2.826.0.1.3680043.8.498.99697487959989686086007840799044595252
+Swan-Ganz catheter has been removed. The right internal jugular sheath remains in place. Left chest tube and mediastinal drains are in place. No pneumothorax. Mild atelectasis at the lung bases. No pulmonary edema.,Mild bibasilar atelectasis. No pneumothorax.,1.2.826.0.1.3680043.8.498.95697209590094289764649213512198933277
+"NG tube has been pulled back and is now in the mid esophagus. The heart is enlarged. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax.",NG tube in the mid esophagus.,1.2.826.0.1.3680043.8.498.57713765146281320237203220154989086081
+Lung volumes are low. There is central airway thickening with patchy airspace disease in the right lower lobe. No effusion. Cardiothymic silhouette is normal.,Central airway thickening with right lower lobe infiltrate.,1.2.826.0.1.3680043.8.498.21612187898138380781577270916079066143
+Cardiac and mediastinal contours are within normal limits given portable AP technique. There are subtle perihilar and bibasilar opacities. Pleural spaces are normal. The visualized osseous structures are unremarkable.,Subtle perihilar and bibasilar opacities which could be due to atelectasis. Consider follow-up PA and lateral view chest radiograph.,1.2.826.0.1.3680043.8.498.47733807558219553003378625223504645562
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.51676392268327752798120378427154621275
+The heart is mildly enlarged. The aorta is tortuous. Prior CABG. A hiatal hernia is noted. The lungs are clear. No effusions. Ordinary degenerative changes affect the spine.,1. Mild cardiomegaly. 2. Hiatal hernia. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.34172497564400965486975663748795090166
+The heart size and mediastinal contours are within normal limits. No focal consolidation. No pulmonary edema. No pleural effusion. No pneumothorax. No acute osseous abnormality.,No active disease.,1.2.826.0.1.3680043.8.498.27969797305275564996157066484162430563
+The patient has had a median sternotomy. The heart is mildly enlarged. There is no heart failure. The lungs are hyperinflated with changes of COPD. There is no infiltrate or effusion. No acute fracture is identified.,COPD. No acute abnormality.,1.2.826.0.1.3680043.8.498.38388124446624407027123197403624034792
+"Endotracheal tube and nasogastric tube have been removed. Cardiomegaly is unchanged. Diffuse pulmonary edema pattern is again seen and pulmonary edema has mildly improved since previous exam. Small bilateral pleural effusions are again noted as well as atelectasis or consolidation in the lower lobes, left side greater than right. No pneumothorax visualized.",Mild improvement in congestive heart failure. Atelectasis and/or infiltrate in the lower lobes persists. Small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.87617762996353519547785135150478046240
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.72629185953257529362764499509097885866
+Cardiac shadow is stable. A pacing device is again seen. The lead is intact and stable in appearance. Bibasilar atelectatic changes are noted. Small effusions are seen posteriorly. No bony abnormality is noted.,Small bilateral pleural effusions and bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.93540650790225169375263430553780550575
+Stable cardiomediastinal silhouette. Large hiatal hernia is again noted. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Bony thorax is unremarkable.,No active cardiopulmonary disease. Large hiatal hernia.,1.2.826.0.1.3680043.8.498.35334350936788555062806987582731324267
+Heart and mediastinal contours are within normal limits. Lungs are clear. No effusions. Visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.43262717783123666452731834623617630487
+The heart is enlarged but appears stable. Stable tortuosity and calcification of the thoracic aorta. Chronic lung changes with areas of pulmonary scarring. No definite superimposed infiltrates. No pleural effusions. The bony thorax is intact.,Chronic lung changes but no definite acute overlying pulmonary process.,1.2.826.0.1.3680043.8.498.48641479567645556131504893616340177592
+The right PICC line tip is in the mid to distal SVC. The feeding tube is stable. The lung bases appear slightly better aerated with persistent areas of atelectasis. No pneumothorax is seen.,1. Right PICC line tip in the mid to distal SVC. 2. Slightly improved basilar aeration.,1.2.826.0.1.3680043.8.498.27678566150847921851009012747631925469
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. No radiopaque foreign body identified.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59353787032182505360842319173292641222
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30522673144328729690297957715087572693
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.20444797963375303929816770298294110546
+"The cardiac and mediastinal silhouettes are stable in size and contour, and remain within normal limits. The lungs are normally inflated. No airspace consolidation, pleural effusion, or pulmonary edema is identified. There is no pneumothorax. No acute osseous abnormality identified.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.75154492934721794114558605817990862492
+There is airspace consolidation in the right lower lobe. There is mild patchy infiltrate in the anterior segment of the left lower lobe. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Bibasilar airspace consolidation consistent with pneumonia.,1.2.826.0.1.3680043.8.498.10365670233509958648984090312622282128
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25948913212911110527459793022578967013
+There is improved aeration of the left lung base with residual atelectasis and effusion. There is also mild right lower lobe atelectasis and a small right effusion. The heart is normal in size. There is no pneumothorax.,Improved aeration of the left lung base. There is persistent left lower lobe atelectasis and left effusion. There is also mild right lower lobe atelectasis and small right effusion.,1.2.826.0.1.3680043.8.498.11910496211868049807432289358173187589
+"There is marked cardiomegaly. A left-sided pacemaker is present with leads projecting over the right atrium and ventricle. The thoracic aorta is tortuous and atherosclerotic. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",1. No acute pulmonary process. 2. Cardiomegaly. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.80566414387946911000700971659529749802
+There is a feeding tube with tip in the stomach. The lungs are clear. Heart size is normal. No effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.74813376560577153752326768066954659276
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No acute cardiopulmonary abnormality seen.,1.2.826.0.1.3680043.8.498.32538584967517557141845704782725688292
+The heart and mediastinal contours are within normal limits. The lung fields appear clear with no signs of focal infiltrate or congestive failure. No pleural fluid or significant peribronchial cuffing is seen. Bony structures appear intact.,No worrisome focal or acute cardiopulmonary abnormality identified.,1.2.826.0.1.3680043.8.498.41189616091091517734154353670370816378
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85452093780249281575045947933143655314
+Chest: Single view of the chest shows the cardiac silhouette and mediastinal structures are within normal limits. There is no pulmonary vascular congestion. No focal lung consolidation is seen. There is no pleural effusion or pneumothorax seen. Visualized osseous structures show no acute findings. Right ribs: Three views of the right ribs without comparison shows no acute fracture or dislocation.,1. No radiographically evident acute right rib fracture. 2. No radiographically evident acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.74990765583654161566988493411745505638
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73930023760389579252200227250228621562
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. The lungs remain hyperinflated with emphysematous changes and coarsened interstitial markings at the lung bases, similar to prior study. Right lower lobe airspace disease has improved. Small right pleural effusion has decreased in size. No left pleural effusion. No pneumothorax. No acute osseous abnormality.",1. Improving right lower lobe pneumonia. 2. Decreasing small right pleural effusion. 3. Emphysema.,1.2.826.0.1.3680043.8.498.22571307057722353819241970967256437068
+Heart is upper limits normal in size. Lungs are clear. No effusions. No acute bony abnormality.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.68787782425459550276560496974391247857
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91479030518490679663954089157254014053
+There is a large left pleural effusion with associated atelectasis. A small right pleural effusion is noted. The upper lungs are clear. There is no pneumothorax. The heart size is difficult to assess but is likely enlarged. There is no acute osseous abnormality. Aortic calcifications are noted.,1. Large left pleural effusion with associated atelectasis. 2. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.41842602393595054970439991094663487191
+Upper normal heart size consistent with pregnancy. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. No fractures identified.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.37551055140194946276862534260110172653
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.39785072664199511889353330751567082390
+The patient is rotated to the right. Both lungs are grossly clear. Heart size is within normal limits allowing for patient positioning. No evidence of pneumothorax.,No acute findings.,1.2.826.0.1.3680043.8.498.15540699035321177793250576470418607529
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92311470921989873177713932034112018109
+"The heart size and mediastinal contours are within normal limits. Aortic atherosclerosis at the arch without aneurysm. Emphysematous hyperinflation of the lungs without pneumonic consolidation, CHF, effusion or pneumothorax. Linear scarring at the right lung base. No acute osseous abnormality. Osteoarthritis of the AC and glenohumeral joints bilaterally.",No active cardiopulmonary disease. Emphysematous hyperinflation of the lungs.,1.2.826.0.1.3680043.8.498.23605526460211259541692642896229856304
+The lungs are hyperinflated consistent with COPD. There is increased density at the right lung base which could represent atelectasis or infiltrate. There is no effusion or pneumothorax. The cardiac silhouette is normal. Atherosclerotic calcification is present.,COPD with probable superimposed atelectasis versus infiltrate at the right lung base. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.94531072795834544024497159046942835470
+No fracture or other bone lesions are seen involving the ribs.,Negative.,1.2.826.0.1.3680043.8.498.32655143995611434197152804990424272456
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43276102465345191659442573056776575490
+"There is a right arm PICC line with tip in the SVC. The heart size is enlarged. There are bilateral pleural effusions, right greater than left. Patchy areas of atelectasis and infiltrate are noted in the right lung.",1. No change in aeration the lungs compared with prior exam. 2. Suspect loculated right pleural effusion.,1.2.826.0.1.3680043.8.498.84240621821758481407200459934986761034
+There is worsening bilateral pulmonary edema with bilateral pleural effusions. The heart is enlarged.,Worsening CHF.,1.2.826.0.1.3680043.8.498.25369220200008253477504511864612981212
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.72869714274696041370531551567774975008
+"The heart is not enlarged. The hilar and mediastinal contours are unremarkable. There is no congestive failure, focal consolidation, pleural fluid or pneumothorax. Visualized bony elements are intact.",No acute pathology.,1.2.826.0.1.3680043.8.498.80792789403518050600766193138055815088
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.30631584994759054074795803257660614775
+Linear scarring or atelectasis at the left base. No consolidation or effusion. Normal heart size. Aortic atherosclerosis. No pneumothorax.,No active cardiopulmonary disease. Linear scarring or atelectasis at the left base.,1.2.826.0.1.3680043.8.498.33930052480828396354462710468278947686
+There has been considerable improvement in the left lower lobe and lingular pneumonia with linear scarring remaining. The right lung is clear. No effusion is seen. Mediastinal contours are stable. The heart is within upper limits of normal. No bony abnormality is seen.,Further improvement in left lower lobe and lingular pneumonia with linear scarring remaining.,1.2.826.0.1.3680043.8.498.30289234857719984818960759281293453753
+Trachea is midline. Heart size is accentuated by AP technique. Lungs are clear. No pleural fluid.,No acute findings.,1.2.826.0.1.3680043.8.498.85277131384749279648267278654849098162
+"Contiguous 5-mm axial sections were obtained from the base of the skull inferiorly to the vertex. This scan was performed using automatic exposure control (radiation dose reduction software) to obtain a diagnostic image quality scan with patient dose as reasonably achievable. Posterior fossa shows normal cerebellar hemispheres and cerebellopontine angle cisterns. The supratentorial ventricular system is mildly dilated, however, midline in position. Mild degenerative white matter changes are present bilaterally likely on the basis of chronic small vessel ischemic change. This is slightly more prominent than on the prior CAT scan. There is no evidence of mass, hemorrhage, extracerebral collection, or acute infarct. Evaluation of the bone windows reveals no evidence of fracture or destructive process of the bony calvarium. The paranasal sinuses show no evidence of significant abnormality.",Mild degenerative white matter changes. No acute infarct or hemorrhage.,1.2.826.0.1.3680043.8.498.91497057224430513888465041719081706900
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.52148898217811211562923354120226472295
+"Since the prior study, the patient has developed a large LEFT pleural effusion. There is also likely a development of a LEFT lower lobe infiltrate. The RIGHT lung is clear. The patient has had a prior CABG. There is no evidence of a pneumothorax.",Development of a large LEFT pleural effusion and LEFT lower lobe infiltrate since 10/7/5.,1.2.826.0.1.3680043.8.498.88178422798298811484764085903823008383
+The heart and mediastinum are within normal limits. No focal pulmonary opacities.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56071018895421534538416438307848681994
+New left IJ dialysis catheter tips in the proximal SVC and right atrium. No pneumothorax. Mild cardiac enlargement. Lungs clear. No effusion.,Left IJ catheter tips in the proximal SVC and right atrium. No pneumothorax.,1.2.826.0.1.3680043.8.498.25718682321333858003522963583464827496
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax. No effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29299792948868580555616856518119604586
+"Endotracheal tube, left IJ central line, and right subclavian central line all remain. Feeding tube is in the proximal stomach. There is slight improvement in lung volumes with persistent atelectasis and/or airspace disease at the right lung base. No pneumothorax.",Slight improvement in lung volumes with residual right lower lobe atelectasis and/or airspace disease.,1.2.826.0.1.3680043.8.498.40865894196250186913827663208849487360
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81545078888168611897813139661486634260
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55879120961095022954194026176224766781
+There is subcutaneous emphysema in the right chest wall and neck. The heart size is normal. There is no pleural effusion or pulmonary edema. No airspace consolidation identified. The visualized osseous structures are unremarkable.,1. Subcutaneous emphysema in the neck and right chest wall. 2. No evidence for pneumothorax.,1.2.826.0.1.3680043.8.498.38929185816420638144324236276694650978
+The heart size is normal. There is no pleural effusion or pulmonary edema. Lung volumes are low. No airspace consolidation. The visualized osseous structures are unremarkable.,No active cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.55428620323387143300715162517728724152
+There is patchy airspace opacity in the lung bases. This could reflect atelectasis or pneumonia. No significant pleural effusion. No pneumothorax. Heart size is top-normal.,"Patchy airspace opacities in the lung bases, similar to prior study and consistent with atelectasis or pneumonia.",1.2.826.0.1.3680043.8.498.62300318231757765521047047561340529600
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.95272766033145169220586398255392565314
+The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Atherosclerotic calcification of the aortic arch. Small left pleural effusion. Linear atelectasis at the left lung base. No consolidation or pneumothorax. Surgical clips in the right upper quadrant. No acute osseous abnormality.,1. Small left pleural effusion. 2. Aortic atherosclerosis (ICD10-I70.0).,1.2.826.0.1.3680043.8.498.38187985007870585775410214093740871627
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.59348319644347806668103032937095115343
+"The heart size and mediastinal contours are normal. No masses, infiltrates or effusions are seen. No pneumothorax is evident.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.30788430337815060448950652193987215666
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.76402422908065634469433445312876520998
+"Patchy opacities are seen in the right lung, similar in the interval. The left lung is clear. No pneumothorax. The cardiomediastinal silhouette is unremarkable.","Patchy right lung opacities, likely due to pneumonia given history.",1.2.826.0.1.3680043.8.498.83284122002343894303425978792161350561
+No active infiltrate or effusion is seen. Mediastinal and hilar contours are unremarkable. Cardiomegaly is stable. There are degenerative changes in the mid to lower thoracic spine.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.93536447324013457174946795052305968559
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.11986643488660061106695065485170585137
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. The bones are normal in appearance.",Normal chest.,1.2.826.0.1.3680043.8.498.23834366151563824914321369928398348091
+The heart is upper limits normal. The mediastinal contours are normal. The lungs are clear. No edema or effusions. The visualized skeleton unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.17527137487877285885105595286489615832
+The lungs are adequately inflated. The interstitial markings are increased diffusely. The cardiac silhouette is not enlarged. The pulmonary vascularity is not engorged. There is no pleural effusion. The bones are osteopenic.,There are findings consistent with interstitial fibrosis. I do not see evidence of a focal pneumonia. I cannot exclude low-grade CHF in the appropriate clinical setting. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.76934517468041478914917722923758375127
+Supine and upright views of the abdomen and a single view of the chest were obtained. The lungs are clear. The heart size and pulmonary vascularity are normal. There is no pneumothorax. There is no pneumoperitoneum. There is no bowel obstruction. The bowel gas pattern is normal. There is no acute bone lesion.,There is no significant radiographic abnormality of the chest or abdomen.,1.2.826.0.1.3680043.8.498.85386513226527175502352511231254138157
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31576634494345563311149947001886192864
+Normal cardiac and mediastinal contours. Small right pleural effusion and consolidation right lung base. No definite pneumothorax. Left lung is clear. Regional skeleton is unremarkable.,Small right pleural effusion and right basilar consolidation may represent atelectasis or potentially contusion in the setting of trauma.,1.2.826.0.1.3680043.8.498.79621545849691834943847793039034982096
+Postoperative changes in the mediastinum. Shallow inspiration. Normal heart size and pulmonary vascularity. No focal airspace disease or consolidation in the lungs. No blunting of costophrenic angles. No pneumothorax. Mediastinal contours appear intact. Calcified and tortuous aorta. Degenerative changes in the spine and shoulders.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.67605218494928310180517443537034690243
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.67060097008678091408371670714765880020
+"Lungs are adequately inflated and otherwise clear. Cardiomediastinal silhouette, bones and soft tissues are normal.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48711293869641885711472435073586920491
+The heart size is normal. No pleural effusion or pulmonary edema. There is central airway thickening. No airspace consolidation identified. The visualized osseous structures are unremarkable.,Central airway thickening consistent with lower respiratory tract viral infection or reactive airways disease.,1.2.826.0.1.3680043.8.498.61696049847973741465580140842446283746
+There is stable moderate enlargement of the cardiac silhouette. There is ectasia and calcification of the thoracic aorta. There is increased pulmonary vascularity with bilateral pulmonary edema and bilateral pleural effusions. The airspace disease has increased in the right lung since previous study. There is atelectasis in the left lung base.,There is stable moderate enlargement cardiac silhouette. There is increased pulmonary vascularity with bilateral pulmonary edema and bilateral pleural effusions. The airspace disease has increased in the right lung since previous study. There is atelectasis in the left lung base.,1.2.826.0.1.3680043.8.498.72537067604692648074926105707421154426
+The lungs are clear. No pleural abnormality is seen. The heart and mediastinum appear intact.,No evidence of active chest disease.,1.2.826.0.1.3680043.8.498.11443503293710535607191686757206723684
+"Interim removal of right IJ sheath. Left chest tube, mediastinal drainage catheter, Swan-Ganz catheter in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with basilar atelectasis. Small bilateral pleural effusions. No pneumothorax.",1. Interim removal of right IJ sheath. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Low lung volumes with basilar atelectasis and small bilateral pleural effusions.,1.2.826.0.1.3680043.8.498.15661230037457020988771584898378138257
+"No fracture is seen. No pleural fluid or pneumothorax is present. No focal rib lesion is present. The heart is normal in size. The aorta is calcific. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. Degenerative changes are seen in the spine.",No rib fracture.,1.2.826.0.1.3680043.8.498.83140502835486180707189267092618168358
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.45728290210862499142239054369580100549
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12300982544015836199585032884870773766
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13797155804617529883053330575742266706
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. The lungs are clear. No pneumothorax. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.99721817983906424595297877874399195889
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.76592249739176710645278056313066545516
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.14117101046255416559798502932762326437
+There is airspace consolidation in the left upper lobe and left base. There is patchy airspace opacity in the right upper lobe as well. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,"Multifocal pneumonia, most notably in the left upper lobe. Heart size normal. No adenopathy. Followup PA and lateral chest radiographs recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.",1.2.826.0.1.3680043.8.498.87871991498504278509332121473128540329
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47813632829552733110262000503800927200
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.15051323357685566402858943789290900096
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41021627875117384969959099185629880836
+"The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. Pulmonary vasculature is normal. No consolidation, pleural effusion, or pneumothorax. No acute osseous abnormalities are seen.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52989173666274356915001062911671561875
+"The cardiac silhouette, mediastinal and hilar contours are stable. There are chronic underlying lung changes with superimposed bibasilar infiltrates. The lung bases are slightly better aerated than they were on the prior study. No effusions or edema. The bony thorax is intact.",Chronic underlying lung disease with superimposed bibasilar infiltrates. The infiltrates appear slightly improved in aeration.,1.2.826.0.1.3680043.8.498.50678430238333364259489144252349410540
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.51062113147338035252707363912961898737
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Mild atelectasis at the left lung base. Heart size and mediastinal contours are within normal limits.,Negative.,1.2.826.0.1.3680043.8.498.67729663867513935016123027436222143897
+The lungs are adequately inflated and clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.57228854387397310224925475510800815891
+The heart is normal in size. The lungs are clear. No pneumothorax. No acute rib fracture.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.39336398826866057709972590494448978325
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.73267276417056566173326524178565962663
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.17426795462878367725874053858690088160
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.35120334625747783445886148538373995659
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.25646778527639552464605884583041229208
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.42286784715841248246548930236330072919
+Cardiomegaly. Mediastinal silhouette within normal limits. Aortic atherosclerosis. Lungs normally inflated. No focal infiltrates. No pulmonary edema or pleural effusion. No pneumothorax. No acute osseus abnormality.,1. No active cardiopulmonary disease. 2. Mild cardiomegaly without pulmonary edema. 3. Aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.93482157879685187134928692349678950023
+Small left pleural effusion and left lower lobe airspace disease are unchanged from the prior exam. The right lung is clear. Heart size is normal. The visualized skeletal structures are unremarkable.,No change in the left lower lobe pneumonia and small left effusion.,1.2.826.0.1.3680043.8.498.70037891709583390983049685813348130099
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits. Low lung volumes with vascular crowding and atelectasis. No infiltrates, edema or effusions. The bony thorax is intact.",Low lung volumes with vascular crowding and atelectasis.,1.2.826.0.1.3680043.8.498.58624497461048276418893619281794500958
+The heart is normal in size. The lungs are clear. No pneumothoraces or effusions are seen.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.91721177386096937843311673418074386228
+There is central peribronchial thickening. No confluent airspace consolidation. No effusions. Heart size normal. Regional bones unremarkable.,"Mild central airway thickening suggesting bronchitis, asthma, or viral syndrome.",1.2.826.0.1.3680043.8.498.99842241557478783409254475163496473582
+There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the right and left lung bases. The cardiac silhouette is enlarged indicative of cardiomegaly. The visualized bony skeleton is unremarkable.,1. Pulmonary edema. 2. Asymmetric edema versus atelectasis versus infiltrate in the lung bases. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.72779106604676391176481423652994115281
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.12537659571708825008056714107956565228
+"There is central peribronchial thickening. No consolidative process, pneumothorax or effusion. Heart size is normal. No bony abnormality.",Findings compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.95959209598840796618578412950453134407
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.14139277873098477355522343070272635154
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.46192224406254942966093479809471165459
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.49330463417010051103024525469747085409
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65579394507256053034612945385630269688
+Right lower lobe consolidation is mildly improved. No pleural effusion or pneumothorax. Stable cardiomegaly. No acute osseous abnormality.,Mild improvement in right lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.17793353900578363404346908701976135435
+"The cardiac silhouette, mediastinal contour, and pulmonary vascularity are within normal limits. No lung mass, parenchymal infiltrate, pneumothorax, or pleural effusion is seen. The visualized bony structures demonstrate no significant abnormality. There is no change compared with the prior exam.",No active pulmonary disease.,1.2.826.0.1.3680043.8.498.93179932947587798687728224636353236279
+Prior CABG. NG tube noted with tip below left hemidiaphragm. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with small left pleural effusion. Findings consistent with congestive heart failure. No pneumothorax.,1. Prior CABG. NG tube noted with tip below left hemidiaphragm. 2. Congestive heart failure with pulmonary interstitial edema and small left pleural effusion.,1.2.826.0.1.3680043.8.498.47296771785464077867131597822004324965
+"Single frontal view of the chest demonstrates an unremarkable cardiac silhouette. Feeding catheter unchanged in position. No airspace disease, effusion, or pneumothorax. No acute bony abnormalities.",No acute intrathoracic process.,1.2.826.0.1.3680043.8.498.95064569252471714264799603873475494467
+The lungs are clear. The heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.90952428671958034426329866444594385463
+The heart size and mediastinal contours are stable. There is a new masslike opacity in the right lower lobe with surrounding volume loss. The left lung is clear. There is no pleural effusion or pneumothorax. Old left-sided rib fractures are noted.,"New right lower lobe masslike opacity suspicious for neoplasm. This could be due to pneumonia given the clinical symptoms, but an obstructing neoplasm cannot be excluded. Chest CT recommended for further evaluation.",1.2.826.0.1.3680043.8.498.36308995912744682982930163837974567190
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.74053763845377101756820826025237019825
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.32417077009565678696158218456871741457
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16305826219898306262695775789040690752
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.64504632556412657887833293704024383045
+Two views of the chest demonstrate normal cardiac silhouette. The pulmonary hila and pulmonary vessels are within normal limits. Pleural spaces are clear. There is patchy density in the left mid and lower lung. No definite pneumothorax.,Patchy density in the left mid and lower lung. This may represent pneumonia. Recommend followup to resolution.,1.2.826.0.1.3680043.8.498.98739691566663085659380430051168538689
+Multiple right-sided rib fractures are noted which may be old. No pneumothorax is seen. No effusion is noted. The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size.,Multiple right-sided rib fractures may be old. No definite active process.,1.2.826.0.1.3680043.8.498.38095741111658626763649383749002989926
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48155915491673110253024679829344177790
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.80034997793821169161155105792898207855
+The heart size and mediastinal contours are normal. The lungs demonstrate mild diffuse central airway thickening but no airspace disease or hyperinflation. There is no pleural effusion or pneumothorax.,Central airway thickening consistent with bronchiolitis or viral infection. No evidence of pneumonia.,1.2.826.0.1.3680043.8.498.60440338943488877855206222279771753324
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.23652624974983527794760951620328912506
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.85620191192531597491612123158244948662
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.90543906656780474752511920294278697742
+Right internal jugular central venous catheter is present with its tip in the superior vena cava. There is no pneumothorax. Low lung volumes are present. There is mild left basilar atelectasis.,Central line tip in the superior vena cava. No pneumothorax.,1.2.826.0.1.3680043.8.498.31874953693642502758436320793676985928
+There is little change in airspace disease most consistent with edema. Cardiomegaly is stable. Left central venous line is unchanged.,No significant change in edema pattern.,1.2.826.0.1.3680043.8.498.61730625763912329272088242281818502785
+Right upper lobe airspace disease has improved. There is some mild airspace disease remaining. There is some mild left lower lobe airspace disease which is unchanged. There is no effusion. There is underlying chronic lung disease.,1. Improved right upper lobe pneumonia. 2. Mild left lower lobe airspace disease is unchanged. This may be due to atelectasis or infiltrate. 3. Chronic lung disease.,1.2.826.0.1.3680043.8.498.25015522997782178030866570928360067644
+Heart and mediastinal contours are within normal limits. There is central airway thickening. No confluent opacities. No effusions. Visualized skeleton unremarkable.,Central airway thickening compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.25899034442438722846644372683220049447
+"There is again noted increased density at both lung bases, more prominent on the right and consistent with interstitial and pulmonary edema. The findings are compatible with edema and are similar to that observed on the prior exam. No new pulmonary infiltrates are seen. The heart is mildly enlarged but stable as compared to the prior exam.",1. Persistent changes consistent with pulmonary edema are observed bilaterally. 2. No new pulmonary infiltrates are seen.,1.2.826.0.1.3680043.8.498.38522388932391587793051193466204269728
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.55403176575395424406745871122782921959
+There is cardiomegaly with pulmonary venous hypertension. There is interstitial edema with a small right pleural effusion. There is no appreciable airspace consolidation. There is atherosclerotic calcification in the aorta. No bone lesions. No pneumothorax.,Findings consistent with congestive heart failure.,1.2.826.0.1.3680043.8.498.79125048308178409129639031926108844980
+Heart size appears normal for an AP portable technique. No evidence of acute pulmonary disease. No pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.,No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.42286746493763717288252906419255077402
+Left subclavian dual lead pacer device is stable. Mild cardiac enlargement. No pleural effusion or edema. No airspace consolidation.,No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.59926128009952666286017830606880772031
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.71849517036463629435982846464094711412
+Heart size is normal. There is calcification of the transverse aorta. The lungs are clear. The vascularity is normal. No effusions. No acute bony finding.,No active disease.,1.2.826.0.1.3680043.8.498.38054461932885410631421281095374795689
+There is central airway thickening. No consolidative process. No pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.39853262138682590472028643246096832225
+There is increased density at the left lung base which obscures the hemidiaphragm. This likely represents a combination of pleural fluid and atelectasis. There is also linear atelectasis at the right lung base. The cardiac silhouette is moderately enlarged. The patient has undergone previous median sternotomy and coronary artery bypass grafting. The bones are osteopenic. There is a calcified right paratracheal lymph node.,1. Cardiomegaly. 2. Left pleural effusion and associated atelectasis. 3. Linear atelectasis at the right lung base.,1.2.826.0.1.3680043.8.498.54005989900031877499482742487967554767
+Cardiac shadow is stable. A right jugular dialysis catheter is again seen and stable. Small bilateral pleural effusions are noted as well as bibasilar atelectatic changes. No pneumothorax is seen. No bony abnormality is noted.,Bibasilar atelectasis and small effusions.,1.2.826.0.1.3680043.8.498.48575248928488347746034516308949193541
+AP chest is obtained. Cardiomegaly is present. The patient has had a prior CABG. The patient has had prior LEFT shoulder surgery. There is prominence of the interstitial markings. A component of congestive heart failure and/or chronic interstitial lung disease is noted.,"1. Findings consistent with congestive heart failure and/or chronic interstitial lung disease. 2. The patient has had a prior CABG. 3. Old, right humeral neck fracture. 4. Old, right clavicular fracture.",1.2.826.0.1.3680043.8.498.61625419817521737809027556909581031383
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.43723043463855717623444590470514222830
+The nodular density seen in the left lower lung zone is compatible with the patient’s nipple. The lungs are clear. There is no pleural effusion. The heart size and mediastinal contours are stable.,No acute chest findings. No pulmonary nodule.,1.2.826.0.1.3680043.8.498.64039612280315047451894467976259228877
+The patient is markedly rotated to the right. Pulmonary edema is again seen and may have worsened slightly. There is also some worsening in the right lung base which may be due to atelectasis or pneumonia. A large hiatal hernia is again noted.,Probable worsening of pulmonary edema and worsening of right lower lobe atelectasis versus pneumonia.,1.2.826.0.1.3680043.8.498.31307448276332051598046907668284400349
+No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Both lungs are clear. Heart size and mediastinal contours are within normal limits. Elevation of the left hemidiaphragm.,Negative.,1.2.826.0.1.3680043.8.498.24891260547781905366755636318555105904
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.85365551984770239646002586309403702197
+Heart size is normal. There is no heart failure. There is mild atelectasis in the lung bases. No acute infiltrate. There is chronic lung disease.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.66542389377510810722544373493659535108
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53082053908422528878945391723990007757
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. No focal pulmonary infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,"1. Cardiomegaly, no CHF. 2. No acute pulmonary disease.",1.2.826.0.1.3680043.8.498.26770812600215916293855999384724380480
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42195868821662537387446219798598777609
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.31779240638235852527590117370667694666
+There is prominence of the superior mediastinum. The aortic knob is indistinct. There is cardiomegaly. The lungs are clear. No pneumothorax. No pleural effusion. No rib fracture.,1. Prominent superior mediastinum. Cannot exclude vascular injury. 2. Cardiomegaly. 3. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.93964320328597260066485339923516874018
+The heart and mediastinum are within normal limits. There are mild perihilar reticular opacities and bronchial cuffing.,Findings suggesting mild reactive airways disease.,1.2.826.0.1.3680043.8.498.68225926073737081996635280370470865108
+Right arm PICC tip is in the lower SVC. Stable cardiomegaly. Lungs are clear. No effusion or pneumothorax. Degenerative changes in the spine.,Stable cardiomegaly. No acute disease.,1.2.826.0.1.3680043.8.498.34886202210425426689708669475789445000
+The heart size is normal. The lung volumes are low. There is no pneumothorax. No large pleural effusion. There is no acute osseous abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19412392739146511200674206970642814811
+Grossly unchanged cardiac silhouette and mediastinal contours. The lungs remain hyperexpanded with mild diffuse slightly nodular thickening of the pulmonary interstitium. No focal airspace opacities. No pleural effusion or pneumothorax. No evidence of edema. No acute osseus abnormalities.,"Mild lung hyper expansion of bronchitic change without acute cardiopulmonary disease. Specifically, no evidence of pneumonia.",1.2.826.0.1.3680043.8.498.70671443757873681880156352072747470876
+An endotracheal tube is appreciated with the tip at the level of the clavicles. A left sided central venous catheter is appreciated with the tip at the level of the superior vena cava. There is thickening of the interstitial markings as well as peribronchial cuffing. Areas of increased density project within the lung bases. There is blunting of the costophrenic angles. The cardiac silhouette is within normal limits. The visualized bony skeleton is unremarkable.,1. Support lines and tubes as described above. 2. Findings consistent with pulmonary edema. 3. Atelectasis versus infiltrate versus asymmetric edema within the lung bases as well as small effusions. Surveillance evaluation is recommended.,1.2.826.0.1.3680043.8.498.89923685955009695668973168329485739133
+"Normal heart size. Atelectatic type opacity at the bases. No effusion or pneumothorax. Enteric tube in place, tip in the region of the gastric body.",Atelectasis at the bases.,1.2.826.0.1.3680043.8.498.26229315100382848746777875004581962690
+No focal opacity or pleural effusion. Normal cardiomediastinal silhouette. No pneumothorax.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10474584353905774618103616901340698478
+Small left apical pneumothorax is stable. Small left pleural effusion with left base atelectasis is increased. Tiny right pleural effusion. Heart is normal size.,"Stable small left apical pneumothorax. Small bilateral pleural effusions, left greater than right with left base atelectasis.",1.2.826.0.1.3680043.8.498.92001341020116298061174393016669038711
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.74332350569016874332717874889886197121
+A right internal jugular central line has been placed. Its tip is at the SVC. No pneumothorax. Low lung volumes. Bibasilar atelectasis.,Central line to the SVC - no pneumothorax.,1.2.826.0.1.3680043.8.498.18751461129951387659083648479421443407
+There is chronic elevation of left hemidiaphragm with chronic atelectasis at the left lung base. The right lung is clear. Heart size and vascularity are normal. No effusions. No acute osseous abnormality.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.42752160788980128592574347171590026899
+The lungs are hypoexpanded. Minimal left basilar atelectasis is noted. There is no evidence of pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.,"Lungs hypoexpanded, with minimal left basilar atelectasis. Lungs otherwise clear.",1.2.826.0.1.3680043.8.498.97821789079668880986475341239456976795
+"Heart is normal size. Linear densities in the lingula, likely scarring. Right base atelectasis. No effusions. No acute bony abnormality.",Right base atelectasis. No effusions.,1.2.826.0.1.3680043.8.498.27575763690643168093460174679134877423
+The heart is enlarged. Pulmonary edema is present. Bilateral pleural effusions are present. The patient is status post CABG. No pneumothoraces are seen. Focal opacity at the right lung base may represent atelectasis or airspace disease.,1. Cardiomegaly and pulmonary edema. 2. Bilateral pleural effusions. 3. Right basilar atelectasis versus airspace disease.,1.2.826.0.1.3680043.8.498.13709545949531682801392443728862982316
+Low lung volumes. Bibasilar atelectasis. Heart is upper limits normal in size. No effusions. No acute bony abnormality.,Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31148680392284649116799698171594697070
+There is a right chest wall pacer device with lead in the right atrial appendage and right ventricle. Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. No pulmonary nodules or masses noted.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.62932050267459264318035860310971580774
+Tracheostomy tube and left IJ line in stable position. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with bilateral pleural effusions. These findings are consistent with congestive heart failure with pulmonary edema. Basilar atelectasis. Superimposed pneumonia cannot be excluded. No pneumothorax. Cardiac pacer noted in stable position.,1. Tracheostomy tube and left IJ line in stable position. 2. Cardiomegaly with bilateral pulmonary infiltrates/edema and bilateral pleural effusions. Findings suggest congestive heart failure with pulmonary edema. Basilar atelectasis. Superimposed pneumonia cannot be excluded.,1.2.826.0.1.3680043.8.498.52949693723105430010961771740838172546
+The lungs are adequately inflated. There is no pneumothorax or pleural effusion. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. The right internal jugular venous catheter tip projects over the junction of the middle and distal thirds of the SVC. The bony thorax exhibits no acute abnormality.,There is no postprocedure complication following placement of the right internal jugular venous catheter.,1.2.826.0.1.3680043.8.498.26470235801275504238172254861226541492
+The lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. Remote right seventh rib fracture is unchanged. No acute fracture is identified.,No acute disease.,1.2.826.0.1.3680043.8.498.81253857125735091243361926183304580930
+Examination of the chest in single portable upright view with comparison to examination from the previous day demonstrates for left lower lobe infiltrate or atelectasis obscuring left hemidiaphragm. There are small bilateral effusions blunting the costophrenic angles. Lungs are hypoventilated. Implanted defibrillator overlies left hemithorax.,1. Left lower lobe infiltrate or atelectasis. 2. Hypoventilation with small effusions.,1.2.826.0.1.3680043.8.498.62799381723499974139398345151208913357
+Cardiac shadow is stable. A nasogastric catheter is noted extending into the stomach. A new right jugular dialysis catheter is noted with the tip in the right atrium. No pneumothorax is noted. Bibasilar atelectatic changes are noted.,No evidence of pneumothorax following dialysis catheter placement.,1.2.826.0.1.3680043.8.498.10672620711793549383302444769416298501
+"The endotracheal tube is 3.5 cm above the carina. The NG tube is coursing down the esophagus and into the stomach. The right upper extremity PICC line is stable. The heart is normal in size. The mediastinal and hilar contours are within normal limits and unchanged. Low lung volumes with vascular crowding and streaky basilar atelectasis but no infiltrates, edema or effusions.",1. Stable support apparatus. 2. Low lung volumes with vascular crowding and streaky basilar atelectasis.,1.2.826.0.1.3680043.8.498.10414968312277632289202537304190211343
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. Visualized skeleton unremarkable.,No acute disease.,1.2.826.0.1.3680043.8.498.24929296164709078831577890680354589495
+There is mild pulmonary vascular congestion. There is also a possible early infiltrate at the left base suspicious for pneumonia. Cardiomegaly is stable.,Cardiomegaly and pulmonary vascular congestion. Suspicious for early left lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.60277974537645697071662040006880154274
+Esophageal probe now terminates at the level of the GE junction. Increased patchy opacity in the right upper lobe. Left lung is essentially clear. No pleural effusion or pneumothorax. The cardiothymic silhouette is within normal limits. Enteric tube terminates in the mid gastric body.,"Increased patchy opacity in the right upper lobe, suspicious for pneumonia.",1.2.826.0.1.3680043.8.498.75802855878187578022703014099137190691
+"Normal mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.72097420797706529131728512210283320702
+LEFT subclavian pacemaker with leads projecting over RIGHT atrium and RIGHT ventricle. Upper normal heart size. Atherosclerotic calcification aorta. Mediastinal contours and pulmonary vascularity normal. Lungs clear. No pleural effusion or pneumothorax. Bones demineralized.,No acute abnormalities.,1.2.826.0.1.3680043.8.498.44315607251433875212321661987001908387
+The cardiomediastinal contours are stable. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures appear unremarkable.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.94219701884386480748461276164023126680
+The lungs are adequately inflated and clear. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax exhibits no acute abnormality.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.92779184358267574349425900438840981355
+Endotracheal tube is in good position. Swan-Ganz catheter is in the main pulmonary artery. Left chest tube is in place. There is no pneumothorax. There is mild bibasilar atelectasis. No heart failure.,Satisfactory postoperative chest x-ray.,1.2.826.0.1.3680043.8.498.11774659326803219053479130324898627282
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.20495400525348284233583429351290895608
+Stable cardiac and mediastinal contours. Patient is status post median sternotomy with evidence of multivessel CABG. The right lung remains clear. Persistent left basilar opacity which may reflect a combination of a small left pleural effusion and associated left basilar atelectasis and/or infiltrate. No pulmonary edema. No pneumothorax. No acute osseous abnormality.,"1. Persistent left basilar opacity which may reflect a combination of a small left pleural effusion and associated left basilar atelectasis and/or infiltrate. 2. Otherwise, no new acute cardiopulmonary process.",1.2.826.0.1.3680043.8.498.69957301152517882194349083010269221042
+Endotracheal tube tip is 5.5 cm above the carina. Orogastric tube enters the stomach. The lungs remain well aerated.,Endotracheal tube and orogastric tube well positioned. Lungs remain well aerated.,1.2.826.0.1.3680043.8.498.55493231756881796178487589311765253816
+Degree of inspiration is shallow. There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions. No pneumothorax.,No edema or consolidation. Shallow degree of inspiration.,1.2.826.0.1.3680043.8.498.69617918182417783254726214896266234283
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.66503584888650658527539705665741311787
+"No radiographically apparent pleural effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal in size. The osseous structures are without an acute osseous abnormality.",No radiographic evidence of an acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.85703868045666753804898102262216696155
+The lungs are clear. The cardiovascular structures are unremarkable.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80978050471877406498834923224490886159
+Endotracheal tube is noted with its tip above the carina. The lungs are poorly expanded and demonstrate no evidence of focal airspace disease. There is increased reticular opacity at both lung bases suggestive of atelectasis. Small pleural effusions are suspected. The pulmonary vasculature is engorged and indistinct. The cardiomediastinal silhouette is within normal limits.,Mild interstitial edema with small effusions.,1.2.826.0.1.3680043.8.498.52052733470881151552571485040357149191
+"Lung volumes are low. The patient is rotated to the left on today's examination, resulting in distortion of the mediastinal contours and reduced diagnostic sensitivity and specificity for mediastinal pathology. The heart size is mildly enlarged. There is pulmonary vascular congestion with indistinctness of the pulmonary vasculature, compatible with pulmonary edema. No definite pleural effusions are confidently identified.",1. Cardiomegaly with pulmonary edema. 2. Low lung volumes.,1.2.826.0.1.3680043.8.498.44453391981227591316709300226205207422
+The lungs are adequately inflated. The interstitial markings are coarse but stable. The heart and pulmonary vascularity are normal. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53705837881180329322893175756589095510
+Mediastinum and hilar structures normal. Low lung volumes with mild basilar atelectasis. No focal alveolar infiltrate. No pleural effusion or pneumothorax. Heart size normal. No acute bony abnormality.,Low lung volumes with mild basilar atelectasis.,1.2.826.0.1.3680043.8.498.59986458976628461159476648927473290131
+"Endotracheal tube, NG tube, left pacemaker, and right central venous catheter are stable. Bibasilar airspace disease and left effusion are stable. No pneumothorax.",Stable bilateral airspace disease and left effusion.,1.2.826.0.1.3680043.8.498.12948697003896540647010441882390432007
+Heart and mediastinal contours are within normal limits. No focal opacities or effusions. No acute bony abnormality.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.48615263285628607368198698300933427317
+The lungs are clear. Heart size is normal. No pneumothorax or pleural fluid. No acute or focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.81000192743452946740967477918974614707
+"Cardiovascular: The heart size is at the upper limits. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.69020255060692878727113492365484654096
+"The previously demonstrated airspace opacities have nearly resolved. There is ill-defined airspace opacity in the right upper lobe, suspicious for subtle pneumonia. No pneumothorax. No large pleural effusion. The heart size is stable. Aortic calcifications are noted. There is no acute osseous abnormality.",1. Near complete resolution of the previously demonstrated airspace opacities. 2. There is a persistent ill-defined opacity in the right upper lobe which is suspicious for a subtle infiltrate. Continued follow-up to resolution is recommended.,1.2.826.0.1.3680043.8.498.53400745580319172136105214122401012779
+Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax or pleural effusion. No confluent airspace disease. Coarsened interstitial markings persist. No displaced fracture. Degenerative changes of the spine.,Negative for acute cardiopulmonary disease,1.2.826.0.1.3680043.8.498.62722979232914610565974241293204956971
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and scoliosis noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.16525915953497226712248656689927317143
+The cardiomediastinal silhouette is within normal limits. Lungs grossly clear without focal infiltrate. Pulmonary vascularity likely within normal limits. No pneumothorax or large effusion appreciated on this portable examination. Bony thorax is intact.,No definite acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.55191401306810645645534969663812353643
+The lungs are clear. The cardiomediastinal silhouette is stable. No pleural effusion is seen.,No infiltrates or effusions.,1.2.826.0.1.3680043.8.498.81920639164364785388807095819057832682
+"The heart is enlarged. There is perihilar peribronchial thickening. Left lung base opacity obscures the hemidiaphragm, consistent with atelectasis and/or pleural effusion. There are no focal consolidations. No evidence for pulmonary edema.",1. Cardiomegaly. 2. Bronchitic changes. 3. Left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.77157920565482829917747829353649711589
+Endotracheal tube is in satisfactory position. Nasogastric tube enters the stomach. Right-sided PICC line tip is in the SVC. There is bilateral perihilar atelectasis and interstitial edema. No visible effusion.,Worsening aeration due to edema/atelectasis.,1.2.826.0.1.3680043.8.498.84671006451104507217551318939519598165
+Endotracheal tube is 2.2 cm from the carina. The lungs are symmetrically inflated. No consolidation. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No osseous abnormalities.,"Endotracheal tube in place, now 2.2 cm from the carina. Clear lungs.",1.2.826.0.1.3680043.8.498.19698357784999285684821757366983827659
+"Cardiomediastinal silhouette unchanged in size and contour. Cardiac pacing device on the left chest wall with 2 leads in place, unchanged. Low lung volumes. No confluent airspace disease. No pleural effusion or pneumothorax. No displaced fracture.","Low lung volumes, with no evidence of acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.87722751743608903732811263241261839964
+Stable heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.96112410561457934534718469711541977610
+Stable cardiomegaly. Atherosclerosis of thoracic aorta is noted. Stable mild central pulmonary vascular congestion is noted with probable associated mild bilateral pulmonary edema. Stable mild bilateral pleural effusions are noted with associated atelectasis. No pneumothorax is noted. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC.,"Stable cardiomegaly, mild pulmonary edema, and bilateral basilar atelectasis with associated pleural effusions. Interval placement of right internal jugular catheter with distal tip in expected position of the SVC.",1.2.826.0.1.3680043.8.498.89280673686280645506268843900666190382
+Right upper extremity central venous catheter tip projects over the mid SVC. Tracheostomy tube at the thoracic inlet. Low lung volumes. Diffuse bilateral interstitial opacities are similar to prior exam. Unchanged heart size and mediastinal contours. No pneumothorax.,1. Right upper extremity central venous catheter tip projects over the mid SVC. 2. No pneumothorax. 3. Similar appearance of diffuse bilateral interstitial opacities.,1.2.826.0.1.3680043.8.498.20408260725598146958840024305748329648
+"There is patchy density at both lung bases, consistent with atelectasis or pneumonia. No significant pleural effusion. No displaced rib fracture is identified. No pneumothorax. Cardiac size is normal. The thoracic aorta is calcified and tortuous. The bones are osteopenic.",1. No evidence for acute abnormality. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.48441138626307552820208703200135292790
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.49166777131242359309680360180941840569
+Normal cardiac and mediastinal silhouettes. Infiltrates identified in right upper lobe. Remaining lungs clear. No pleural effusion or pneumothorax. Osseous structures unremarkable.,Right upper lobe infiltrate.,1.2.826.0.1.3680043.8.498.44144787203639265293727932556668377306
+The heart size is mildly enlarged. Pulmonary edema is superimposed on chronic interstitial lung disease. Patchy opacities are present at both lung bases. There is no evidence of pneumothorax. No acute fractures are identified.,1. Cardiomegaly and pulmonary edema compatible with congestive heart failure. 2. Probable bibasilar atelectasis. Early infiltrates cannot be excluded.,1.2.826.0.1.3680043.8.498.45591198966905829546749508745295789414
+Stable cardiomediastinal silhouette. Status post coronary artery bypass graft. Tracheostomy is unchanged in position. No pneumothorax is noted. Stable bilateral diffuse interstitial densities are noted throughout both lungs concerning for chronic interstitial lung disease with superimposed edema or inflammation. No significant pleural effusion is noted. Bony thorax is unremarkable.,Stable bilateral diffuse interstitial densities are noted concerning for chronic interstitial lung disease with superimposed edema or inflammation.,1.2.826.0.1.3680043.8.498.60185698681465897077056671237527655487
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33986376462541372646605659414398264572
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pulmonary hyperinflation or pleural effusion. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28817874792268940403354539759237492860
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Mild peribronchial thickening. No pulmonary infiltrate, pleural effusion, or pneumothorax. Bones unremarkable.",Mild bronchitic changes without infiltrate.,1.2.826.0.1.3680043.8.498.91613882716036855079808346727660844100
+A dialysis catheter is again noted in the right IJ. The patient has had a median sternotomy. There is mild cardiomegaly. There is a small left pleural effusion with left lower lobe atelectasis. The lungs are otherwise clear. There is no evidence of pulmonary edema. No pneumothorax.,1. Mild cardiomegaly. 2. Small left effusion with left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.51050034411334297865877164124764098639
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No effusions. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36730027738035132817744182629125777624
+Heart size is normal. The mediastinum is unremarkable. The lungs are clear. No effusions. No significant bony finding. Nodular shadows on the right are unchanged. The larger 1 cm nodule appears to be calcified.,No active cardiopulmonary disease. Stable nodular shadows on the right. The larger 1 cm nodule appears to be calcified.,1.2.826.0.1.3680043.8.498.16619526995957865391988920101415266890
+"Interim extubation and removal of NG tube. Swan-Ganz catheter, mediastinal drainage catheter, left chest tube in stable position. Prior CABG. Stable cardiomegaly. Low lung volumes with mild basilar atelectasis. No pleural effusion or pneumothorax.",1. Interim extubation and removal of NG tube. Remaining lines and tubes including left chest tube in stable position. No pneumothorax. 2. Prior CABG. Stable cardiomegaly. 3. Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.34379112197140127863889294905332611849
+"Single portable AP chest radiograph is provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. Normal cardiomediastinal silhouette. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.54788577923624800057803538008107734934
+The patient is status post left upper lobe resection. There is significant loss of volume in the left hemithorax with shift of the mediastinum to the left. There is scarring change in the right upper lobe with retraction of the right hilum superiorly. There is no evidence for pulmonary edema.,1. Postoperative changes from left upper lobe resection. 2. Chronic scarring changes in the right upper lobe.,1.2.826.0.1.3680043.8.498.40293119140529738721915020579902945640
+"There is mild basilar atelectasis present. Compared to a portable film from yesterday, this is mild. No effusion is seen. The heart is within normal limits in size.",Mild bibasilar linear atelectasis. No definite pneumonia.,1.2.826.0.1.3680043.8.498.19524190859466942612873518556916861619
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.46719927482934050374720322304792881669
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28491821970534751438807880934926786550
+"The heart is enlarged. There is central vascular congestion with patchy perihilar opacities bilaterally. More confluent airspace opacities are noted at the lung bases, right greater than left. Small bilateral pleural effusions are present. No pneumothorax is identified. No acute osseous abnormality is seen.","Cardiomegaly with findings of congestive heart failure including small bilateral pleural effusions, central vascular congestion, and bilateral perihilar and basilar airspace disease, which may reflect asymmetric edema or pneumonia.",1.2.826.0.1.3680043.8.498.62348700964500887565377817339654736672
+"There is adequate inspiration. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. No displaced fracture is seen.",No acute cardiopulmonary process,1.2.826.0.1.3680043.8.498.43488736392257437115950876056732970301
+The heart is enlarged. Lung volumes are low. There is bibasilar atelectasis. No overt edema. No focal consolidations. No pleural effusions.,1. Cardiomegaly. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.31006659246223135059020252516528390211
+Heart is borderline in size. Lungs are clear. No effusions. No acute bony abnormality. No pneumothorax.,No active disease.,1.2.826.0.1.3680043.8.498.17685698487579200344800383547747198435
+There is worsening aeration of both lungs consistent with worsening pulmonary edema. The heart is obscured by the pulmonary densities. Small bilateral pleural effusions are present.,Worsening pulmonary edema.,1.2.826.0.1.3680043.8.498.95731899261127464895418406867347812923
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.54766526564122663303338492914843941192
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The Port-A-Cath is stable. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.47159141605629652226275412916766836187
+Lungs are clear. No pleural effusion or pneumothorax. The heart is normal in size. Visualized osseous structures are within normal limits.,No evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.13809493626278516083806300191058446723
+There is hyperinflation of the lungs compatible with COPD. Biapical and scarring in the upper lobes. No confluent airspace opacities. Heart is normal size. No visible effusions or acute bony abnormality.,COPD/chronic changes. No active disease.,1.2.826.0.1.3680043.8.498.60362455917615660109925334221105602113
+"Cardiovascular: The heart size is enlarged. The pulmonary vascularity is normal. Mediastinal: The mediastinal and hilar structures are grossly unremarkable. Lungs: There are no consolidating infiltrates, effusions, or pneumothoraces. No noncalcified pulmonary nodules are seen. Osseous structures: Age-appropriate.",Cardiomegaly. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.83527898769775404204729089729234932370
+"No focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. Pulmonary vasculature is unremarkable. No acute osseous findings.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.94544534009543500735425074828204860152
+The heart is normal in size. The lungs are under-inflated. Chronic interstitial changes are seen. The heart is normal in size. The patient has developed patchy density in the left mid lung zone. Increased density at the right base is also noted. No pneumothoraces are seen. Post-operative changes are noted.,New patchy densities in both lungs. Considerations include atelectasis or developing airspace disease.,1.2.826.0.1.3680043.8.498.92436200527683847323326834076129705705
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable. Aortic atherosclerosis.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.42880781885987936499880247097097020114
+The heart is enlarged with a tortuous and calcified aorta. The pulmonary vessels are slightly congested. No pneumothorax is visualized. A small right pleural effusion is present with associated atelectasis. A pacing device is present with the tips of the leads in the right atrium and right ventricle. Median sternotomy wires are present.,Cardiomegaly with pulmonary vascular congestion. Small right pleural effusion with associated atelectasis. Superimposed pneumonia cannot be excluded. Previous median sternotomy. Pacing device in place.,1.2.826.0.1.3680043.8.498.23506889269356403264620046845326437397
+Monitoring leads overlie the patient. Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.63437325165114251911776545460810929458
+The lungs are clear. The heart is mildly enlarged. The pulmonary vascularity is normal. No adenopathy. No bone lesions.,Mild cardiomegaly. No edema or consolidation.,1.2.826.0.1.3680043.8.498.65896235713549567293283944595363330184
+There has been improvement in the pulmonary edema pattern. Cardiomegaly persists. COPD. Prior CABG. No pneumothorax.,Improved pulmonary edema.,1.2.826.0.1.3680043.8.498.14952281285840231664059581141723920365
+The lungs are adequately inflated. There is no focal infiltrate. The heart is top normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,I do not see evidence of acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.32071087297795679452398035608603201750
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.28823010648195820006966101030269635694
+The heart is mildly enlarged. The aorta is unfolded. The lungs are clear. No effusions. No acute bony finding.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.41131360335589691856938799111445026735
+"Normal heart size, mediastinal contours, and pulmonary vascularity. Lungs clear. No pleural effusion or pneumothorax. Bones unremarkable.",No acute abnormalities.,1.2.826.0.1.3680043.8.498.84891717405498741471443114355274965310
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No pneumothorax. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.30438571343609303443680117324697519229
+The heart is enlarged. There is a pacemaker. There is vascular congestion without frank edema. No effusions. No focal airspace opacities.,Cardiac enlargement with vascular congestion.,1.2.826.0.1.3680043.8.498.14443263581321276595435176327425656555
+New right central venous catheter is seen with tip overlying the cavoatrial junction. No evidence of pneumothorax. Heart size is stable. Diffuse interstitial infiltrates show no significant change. No evidence of pulmonary consolidation or pleural effusion.,New right central venous catheter in appropriate position. No evidence of pneumothorax. Stable cardiomegaly and pulmonary interstitial edema pattern.,1.2.826.0.1.3680043.8.498.59491328079947018165876992326933031785
+The right-sided chest tube has been removed. There is a small right apical pneumothorax. Subcutaneous emphysema is again noted. The heart size is normal. Aortic calcifications are again noted. There is no significant pleural effusion. There is no left-sided pneumothorax.,1. Interval removal of the right-sided chest tube. 2. Small right apical pneumothorax. 3. Subcutaneous emphysema in the right chest wall.,1.2.826.0.1.3680043.8.498.83147299726940644108763643704758910326
+"Semi upright AP and lateral views of the chest. Stable right PICC line. Shallow lung volumes. Stable cardiomegaly and mediastinal contours. No pneumothorax, pulmonary edema, pleural effusion or consolidation. No confluent airspace opacity.",Stable. No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.34116780231567684040451052435857491557
+The left chest tube has been removed. No pneumothorax is seen. There is increased density at the left base compatible with atelectasis. There is also minimal atelectasis at the right base. No pleural effusion is seen. Heart size is normal.,1. No pleural effusion is identified. 2. No pneumothorax is seen. 3. There is increased density at the left base compatible with atelectasis.,1.2.826.0.1.3680043.8.498.44801025104387225981075562701609964394
+Cardiac shadow is stable. Postsurgical changes are again seen. Right jugular sheath has been removed in the interval. Mild bibasilar atelectatic changes are again noted. Small effusions are noted posteriorly. No bony abnormality is noted.,Small bilateral pleural effusions with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16502515349967807740677912388888036839
+The lungs are reasonably well inflated. The interstitial markings are increased. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen appears normal. The bony thorax is grossly normal.,There are findings which likely reflect an element of reactive airway disease and acute bronchiolitis. I do not see evidence of pneumonia. I cannot exclude an element of aspiration of developing.,1.2.826.0.1.3680043.8.498.63187226783209164724317024748987375571
+"Two views of the chest show that the lungs are clear. No parenchymal consolidation, pulmonary edema or pleural effusion is identified. The heart size is normal. No significant skeletal abnormality is detected.",No significant radiographic abnormality of the chest.,1.2.826.0.1.3680043.8.498.23348411148197091294672238744268411958
+The right IJ catheter sheath has been removed. The heart size is enlarged. The patient is status post median sternotomy CABG procedure. Bilateral pleural effusions are again noted left greater than right. There is no significant pulmonary edema. There is atelectasis at both lung bases.,1. No significant change in pleural effusions. 2. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.82873549778558568617958521758384180470
+Cardiomediastinal silhouette unchanged in size and contour. Fullness in the central vasculature with mild interlobular septal thickening. No pneumothorax. No confluent airspace disease. No pleural effusion. No displaced fracture.,Evidence of mild edema.,1.2.826.0.1.3680043.8.498.79982204721951225789749076908897083278
+"The lungs are well-aerated. Mild vascular congestion is noted. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",Mild vascular congestion noted; lungs remain grossly clear.,1.2.826.0.1.3680043.8.498.11261142690434014673850289519977685588
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.89172183041348211864673646868825829932
+"The lungs are well-aerated and clear. There is no evidence of focal opacification, pleural effusion or pneumothorax. The heart is normal in size; the mediastinal contour is within normal limits. No acute osseous abnormalities are seen.",No acute cardiopulmonary process seen.,1.2.826.0.1.3680043.8.498.84795075039468721470086085344985827814
+The heart is at the upper limits of normal in size. The mediastinal contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,No active cardiopulmonary process demonstrated.,1.2.826.0.1.3680043.8.498.78213396347427369605380032418230520627
+There is right lower lobe airspace disease which may reflect atelectasis versus pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. The osseous structures are unremarkable.,Right lower lobe airspace disease which may reflect atelectasis versus pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.60027741224323140395205644056568240551
+"There is mild ventricular prominence of the lateral ventricular periphery. There is no evidence for hemorrhage, mass effect, or extra-axial fluid collections. There is no evidence of acute infarct in a major vascular distribution. The brainstem and cerebellum are unremarkable. No skull abnormalities are seen. There is no significant change compared with the prior exam.",No evidence of acute stroke.,1.2.826.0.1.3680043.8.498.54364824602170793570519290622724618115
+Cardiomediastinal silhouette unchanged in size and contour. No evidence of central vascular congestion. No pneumothorax or pleural effusion. Coarsened interstitial markings persist. Improved aeration of the lungs with no confluent airspace disease. No displaced fracture.,"Improved appearance of the lungs, with no evidence of acute cardiopulmonary disease.",1.2.826.0.1.3680043.8.498.49795246910426929858848273177671945764
+Stable cardiac and mediastinal contours. No consolidative pulmonary opacities. No pleural effusion or pneumothorax. Thoracic spine degenerative changes.,No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.67699605392732940840737506812616155018
+The current exam shows increased prominence of the pulmonary vascularity compatible with pulmonary vascular congestion. There is thickening of the interstitial lung markings consistent with interstitial edema. No pneumonia is seen. The heart is mildly enlarged but is stable in size as compared to the prior exam. No pleural effusion is seen.,1. The chest shows changes consistent with congestive heart failure as noted above. 2. No pneumonia is seen.,1.2.826.0.1.3680043.8.498.37815515209924764418870502040801201021
+"Patchy bilateral airspace opacities in a mid lower lung zone predominant distribution, similar to prior exam. Heart is normal in size. Mediastinal contours are unchanged. No pneumothorax or evidence of pneumomediastinum. No significant pleural effusion. No pulmonary edema. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities in a mid-lower lung zone predominant distribution consistent with pneumonia, pattern typical of COVID-19. Overall appearance is unchanged from prior exam.",1.2.826.0.1.3680043.8.498.68003130892916836366687504626547077765
+"Normal mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.14549010342462562315813476556809315917
+Nasogastric tube extends into stomach. Right jugular Swan-Ganz catheter tip projects over proximal right pulmonary artery. Enlargement of cardiac silhouette. Minimal elongation of aorta. Bibasilar atelectasis. Lungs otherwise clear. No pleural effusion or pneumothorax.,No pneumothorax following Swan-Ganz catheter placement. Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.19084463594795112974417989606816004596
+Lungs are clear. Heart size is normal. No pneumothorax or pleural effusion. No bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.27359011234792279661341079052464514092
+There is airspace consolidation in the right middle lobe. The lungs are otherwise clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,Consolidation right middle lobe.,1.2.826.0.1.3680043.8.498.44613759235340753629047996359958289340
+The lungs are reasonably well inflated. The interstitial markings are increased bilaterally. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. The left hemidiaphragm is obscured. There is a small right pleural effusion. The bony thorax exhibits no acute abnormality.,CHF with mild pulmonary interstitial edema and small right pleural effusion. Probable left basilar atelectasis or pneumonia.,1.2.826.0.1.3680043.8.498.73166141524656115370296033419719044068
+The lungs are clear and well expanded. Heart and pulmonary vessels are normal. No significant abnormalities are noted in the regional skeleton.,No active disease. No active tuberculosis.,1.2.826.0.1.3680043.8.498.89749948968004065903316923016754204128
+There is increased airspace disease at the left lung base. Patchy airspace disease is also seen in the right mid and lower lung zones. Low lung volumes are again noted. Cardiomegaly is stable. Tracheostomy tube remains in place.,"Increasing bilateral airspace disease, left side greater than right.",1.2.826.0.1.3680043.8.498.87773590226583303704834037442728066500
+The lungs are hyperinflated consistent with COPD. There is increased density in the RIGHT upper lobe which is new. The heart is not enlarged. There is no pleural effusion.,1. COPD. 2. Increased density in the RIGHT upper lobe which could be secondary to underlying pneumonia. Followup PA and lateral views would be recommended.,1.2.826.0.1.3680043.8.498.62782066712673533202371346367604870801
+Mediastinum and hilar structures normal. Heart size normal. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes left shoulder.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.57162830406524293045144220633433356545
+The lungs are mildly hyperinflated. There is confluent density in the left upper lobe consistent with pneumonia. The interstitial markings are increased diffusely. The cardiac silhouette is normal in size. I see no pleural effusion. The pulmonary vascularity is not engorged. The right internal jugular venous catheter tip lies in the region of the midportion of the SVC.,There are findings consistent with left upper lobe pneumonia and likely superimposed acute bronchitis. I do not see significant pulmonary vascular congestion.,1.2.826.0.1.3680043.8.498.13112073969651505880974782828772781529
+Right subclavian Port-A-Cath is in place with the tip in the upper SVC. No pneumothorax. Minimal atelectasis at the left base. No pleural effusion. Normal heart size.,Right subclavian Port-A-Cath placement with the tip in the upper SVC. No pneumothorax.,1.2.826.0.1.3680043.8.498.29523060238458243743542290602445110119
+Endotracheal tube is in satisfactory position. Stable left lower lobe airspace opacity. Stable mild right lower lobe atelectasis. Normal sized heart.,1. Stable left lower lobe pneumonia. 2. Stable mild right basilar atelectasis.,1.2.826.0.1.3680043.8.498.84574567934261937468062766015167959974
+"The heart size and mediastinal contours are within normal limits. A moderate size hiatal hernia is again noted. There is no focal infiltrate, pulmonary edema, or pleural effusion. The visualized skeletal structures are unremarkable.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.35202639594233398959584671329494300370
+"Lung volumes at the upper limits of normal. Cardiac size and mediastinal contours are within normal limits. Visualized tracheal air column is within normal limits. No pneumothorax, pulmonary edema, pleural effusion or confluent pulmonary opacity. No acute osseous abnormality identified.",No acute cardiopulmonary abnormality.,1.2.826.0.1.3680043.8.498.71410565455230187911924506698148117996
+There is no edema or consolidation. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.76057597525512058996514658828800292474
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. Right internal jugular Port-A-Cath is noted with distal tip in expected position of the SVC. The visualized skeletal structures are unremarkable.,Right internal jugular Port-A-Cath is noted with distal tip in expected position of the SVC. No pneumothorax is noted.,1.2.826.0.1.3680043.8.498.93679505904076662246998623284095004999
+"There is central airway thickening. No consolidative process, pneumothorax or effusion. Lung volumes are normal. Heart size is normal. No bony abnormality.",Central airway thickening compatible with a viral process reactive airways disease.,1.2.826.0.1.3680043.8.498.85068669401559092133473146271081529590
+There is cardiac enlargement with a stable pattern of mild edema. Low lung volumes. Bibasilar atelectasis is noted. No large effusion or pneumothorax.,Stable mild CHF. Low volume exam with bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.84005805106496517411914239455627113019
+There is consolidation in the right middle lobe compatible with pneumonia. Left lung is clear. Heart size is normal. No pleural effusion. No pneumothorax.,Right middle lobe pneumonia. Followup PA and lateral chest X-ray is recommended in 3-4 weeks following trial of antibiotic therapy to ensure resolution and exclude underlying malignancy.,1.2.826.0.1.3680043.8.498.34763134279750273371697203805450841873
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The cardiothymic shadow is normal in size. The mediastinal and osseous structures show no significant abnormalities.",No significant abnormalities are noted.,1.2.826.0.1.3680043.8.498.46340918712705829124635582574934233968
+"No fracture or other bone lesions are seen involving the ribs. There is no evidence of pneumothorax or pleural effusion. Coarse reticular opacities are again seen throughout both lungs, stable since previous exam. Symmetric biapical pleural thickening is stable. Heart size and mediastinal contours are within normal limits.",No evidence of left rib fracture. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.80413531118854236047524917450253528615
+There is peribronchial thickening consistent with bronchitis. There are no consolidative infiltrates or effusions. Heart size and vascularity are normal. No osseous abnormality.,Bronchitic changes.,1.2.826.0.1.3680043.8.498.78991257123561277764220908110667972671
+Right hilar mass is stable. Volume loss in the right lung is stable. A feeding tube has been placed. The tip is in the stomach. No pneumothorax is seen. The left lung is under-inflated and grossly clear.,Feeding tube placement. Otherwise no significant change.,1.2.826.0.1.3680043.8.498.67203182185487174560996628292159674470
+There is hyperinflation of the lungs compatible with COPD. Heart is normal size. No confluent airspace opacities or effusions. No acute bony abnormality.,COPD. No active disease.,1.2.826.0.1.3680043.8.498.53420074764588308916087791005449489920
+Mediastinum and hilar structures normal. Heart size normal. Interim clearing of right middle lobe infiltrate. No pleural effusion or pneumothorax. No acute bony abnormality.,Interim clearing of right middle lobe pneumonia.,1.2.826.0.1.3680043.8.498.50950865324199655343189022020457674042
+The heart and mediastinum are normal. The lungs are clear. There is elevation of the left hemidiaphragm with blunting of the left costophrenic angle and mild scarring at the left base. There is no acute process. The bony thorax is intact.,Chronic changes at the left base - no active disease.,1.2.826.0.1.3680043.8.498.25151684474440007012819795207237919673
+"The lung fields remain clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.52191564618586201201506787690853610369
+The lungs are clear. Mediastinal contours appear normal. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.50691156733347010343502082436889953867
+The heart is mildly enlarged. There is vascular congestion without pulmonary edema. No consolidation is identified. There is no pleural effusion or pneumothorax.,Cardiomegaly and vascular congestion.,1.2.826.0.1.3680043.8.498.35950027423701908917208802745784313490
+"Right arm PICC tip is in the lower SVC. There is been development of asymmetric airspace disease, right greater than left. No pleural effusion. Heart size is normal.","Asymmetric airspace disease, right greater than left. This may represent asymmetric edema or pneumonia.",1.2.826.0.1.3680043.8.498.90473632101201468151071288981063242961
+The lungs are clear. No pneumothorax or pleural effusion. Heart size normal. No focal bony abnormality.,Negative chest.,1.2.826.0.1.3680043.8.498.81760676778929946507505261527984003223
+The lungs are mildly hypoinflated. There is no focal infiltrate. The cardiothymic silhouette is normal in appearance. I see no pleural effusion. The gas pattern in the upper abdomen is normal.,I do not see evidence of pneumonia. I cannot exclude an element of acute bronchiolitis in the appropriate clinical setting.,1.2.826.0.1.3680043.8.498.58765929918241720758594846055271218186
+Single view of the chest was obtained. The heart size is within normal limits. The pulmonary vascularity is normal. Lung volumes are normal. Emphysematous changes are again seen. No lobar areas of consolidation are present. No pleural effusions are present. There are no pneumothoraces. The osseous structures are stable.,1. No acute pulmonary process. 2. Emphysema.,1.2.826.0.1.3680043.8.498.87895030754452331439651027833204640029
+Endotracheal tube has its tip 3 cm above the carina. Nasogastric tube enters the stomach. Right internal jugular central line has its tip in the SVC 2 cm above the right atrium. There is worsening of consolidation in both lower lobes consistent with pneumonia. Upper lobes are essentially clear. No apparent effusion.,Lines and tubes well positioned. Worsening of bilateral lower lobe pneumonia.,1.2.826.0.1.3680043.8.498.31576677821196755324776513450155247872
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.62263937122896798699457387937578154364
+There is no evidence of active infiltrate or effusion. Mild linear scarring is noted at the lung bases. The heart is within normal limits in size. No bony abnormality is seen.,No active lung disease.,1.2.826.0.1.3680043.8.498.69123918010156919178084124984935382544
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.19647533450261754442991569840639826193
+Cardiothymic silhouette is within normal limits. There is mild hazy lung opacity consistent with atelectasis. No effusion or pneumothorax. No bony abnormality.,Mild hazy lung opacity consistent with atelectasis.,1.2.826.0.1.3680043.8.498.92050787724478090408803819558029315578
+There is increased density at the left lung base suggestive of atelectasis or infiltrate with a small left pleural effusion. The heart is enlarged. The lungs are otherwise clear. There is no edema. There is no pneumothorax.,Left lung base atelectasis versus infiltrate with a small left pleural effusion. Follow-up to document complete clearing is suggested.,1.2.826.0.1.3680043.8.498.65387371710428928143468245527889293872
+The lungs are well-expanded and clear. The heart is top-normal in size. The pulmonary vascularity is not engorged. The mediastinum is normal in width. There is no pleural effusion. The bony thorax is unremarkable.,There is no active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.88332477332742920500537152523273912492
+There is elevation of the right hemidiaphragm. Patchy opacity at the left lung base is likely due to atelectasis. The lungs are otherwise clear. There is no pleural effusion. Heart size is upper normal. No focal bony abnormality.,Patchy left basilar airspace disease is likely due to atelectasis rather than pneumonia.,1.2.826.0.1.3680043.8.498.93846424726632196343564426267268858192
+"Stable mediastinum and cardiac silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax. Chronic interstitial lung disease.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.20875008876973925825792974141241692912
+The heart remains enlarged. There is improved pulmonary edema. Small bilateral pleural effusions persist with left lower lobe atelectasis. No pneumothorax.,1. Resolved pulmonary edema. 2. Small bilateral effusions and left lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.84451075160596257339642279796573068258
+There is elevation of the left diaphragm. There is bibasilar atelectasis. No pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. Prior median sternotomy. The osseous structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.81122325736925567665931711952941327093
+"The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits and unchanged. The lungs are hyperinflated. Chronic emphysematous and bronchitic lung changes are again noted and appear stable. No infiltrates, edema or effusions. The bony thorax is intact.",Stable mild cardiac enlargement. Stable changes of COPD. No acute pulmonary findings.,1.2.826.0.1.3680043.8.498.30622932477590264503568009667400642522
+Upper normal heart size. Mediastinal contours and pulmonary vascularity normal. Patchy infiltrates in the mid to lower RIGHT lung consistent with pneumonia. LEFT lung clear. No pleural effusion or pneumothorax. Bones demineralized.,Patchy infiltrates in the mid to lower RIGHT lung consistent with pneumonia.,1.2.826.0.1.3680043.8.498.55672810747552215014720660097943244443
+"The patient has been extubated and the nasogastric tube removed. Stable cardiac and mediastinal contours. Elevation of the left hemidiaphragm is similar compared to prior. No pulmonary edema, pleural effusion or pneumothorax. No focal airspace consolidation. No acute osseous abnormality.",1. Interval extubation and removal of nasogastric tube. 2. Low inspiratory volumes. 3. No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.65870631445706490427439765823773219638
+The cardiac silhouette is mildly enlarged. The mediastinum and pulmonary vasculature are within normal limits. Both lungs are clear. A small left pleural effusion is noted. No gross bony abnormalities are identified.,Stable chest x-ray with no evidence of acute cardiac or pulmonary process.,1.2.826.0.1.3680043.8.498.62746578785903878373956150954993760330
+"Interval resolution of left mid lung patchy airspace opacity. The lungs are clear. Cardiac and mediastinal contours are within normal limits. No evidence of pleural effusion, pulmonary edema or pneumothorax. No suspicious pulmonary nodule. No acute osseous abnormality.",No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.28742574533125312661653672777537813669
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.27888037160590314323335514176133239516
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pleural effusion or pneumothorax. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.94093515750799921415654307944526138461
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.45954746895224934179285958547629528721
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.64316183805759421701739479296327583344
+"Endotracheal tube, NG tube, and Swan-Ganz catheter are unchanged. There is increasing bibasilar atelectasis. Mild vascular congestion. Heart is normal size. No pneumothorax.",Increasing bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.36966270212788469363120372502081066530
+Left upper lobe mass again noted. No pneumothorax is identified. Left lung atelectasis is noted. Right lung is clear. Heart size is normal.,No pneumothorax after left chest mass biopsy.,1.2.826.0.1.3680043.8.498.89335251981963142510362783991265049667
+Lungs are clear. Heart size and pulmonary vascularity are normal. No adenopathy. No bone lesions.,No edema or consolidation.,1.2.826.0.1.3680043.8.498.39885473019792211963922916934461454275
+Cardiomediastinal silhouette is normal. The lungs are clear without pleural effusions or focal consolidations. Trachea projects midline and there is no pneumothorax. Soft tissue planes and included osseous structures are non-suspicious.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.10982652013571373111773341470135819846
+Lungs are clear. No pneumothorax or pleural effusion. Heart size is normal. No focal bony abnormality.,No acute disease.,1.2.826.0.1.3680043.8.498.13438872162871735620632616900266086148
+Heart size is normal. No pleural effusion or pulmonary edema. No airspace consolidation identified. There is a mild elevation of the left hemidiaphragm. Mild multilevel thoracic spondylosis is identified.,1. No acute cardiopulmonary abnormalities.,1.2.826.0.1.3680043.8.498.33896208562910729566734317888843089314
+The heart is enlarged. There is no evidence for CHF. There is improved aeration of the left lung base. There is a small left effusion.,1. Cardiomegaly. No CHF. 2. Improved left lower lobe aeration.,1.2.826.0.1.3680043.8.498.69262083331130540106068965800745443747
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.86009236015167695834400125992969994983
+"The cardiac silhouette, mediastinal and hilar contours are within normal limits and stable. The lungs are clear. No pleural effusion. The bony thorax is intact.",No acute cardiopulmonary findings.,1.2.826.0.1.3680043.8.498.46650917267549360572617190438447853458
+The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Small right pleural effusion. Right basilar atelectasis. No consolidation. No pneumothorax. No acute osseous abnormality.,Small right pleural effusion with adjacent atelectasis.,1.2.826.0.1.3680043.8.498.81324873049797292204360051476637945918
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.52401674528166647168334519673507630618
+The patient is rotated to the right. The UVC tip is in the mid right atrium. The heart is normal in size. The lungs are under inflated and grossly clear. No pneumothoraces or effusions are seen.,Low UVC placement.,1.2.826.0.1.3680043.8.498.89861951351551017622350218242766600088
+Heart size is normal. Aortic atherosclerosis. Patchy density at the lung bases most likely represents atelectasis. Pneumonia is possible. No evidence of heart failure or effusion. No significant bone finding.,Mild patchy density at the lung bases most likely represents atelectasis.,1.2.826.0.1.3680043.8.498.54582852499625454326109305969802470282
+There is a left-sided Port-a-Cath with the tip in the projection of the superior vena cava. There is a large mass in the right upper lobe which is unchanged when compared with the prior study. There is also some atelectasis of the right upper lobe. The left lung is clear. There is no pneumothorax.,1. Status post Port-a-Cath placement. 2. No pneumothorax. 3. Large right upper lobe mass.,1.2.826.0.1.3680043.8.498.25785026689650372083668060828125850861
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. Post operative changes of prior CABG are observed. Monitoring electrodes are present.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.49060244010743414843124501168337432863
+"Stable mediastinum and heart silhouette. Costophrenic angles are clear. No evidence effusion, infiltrate, or pneumothorax.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.34610815787715854848657313843760065455
+There is patchy airspace opacity in the lung bases. Lungs elsewhere are clear. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. No bone lesions.,"Patchy airspace opacity in the lung bases, felt to represent superimposed pneumonia with a degree of underlying atelectasis. No consolidation. Stable cardiac prominence. No adenopathy evident.",1.2.826.0.1.3680043.8.498.31218831018294113331905712123723641405
+Stable cardiomediastinal silhouette. Left-sided pacemaker is unchanged in position. No pneumothorax or pleural effusion is noted. No acute pulmonary disease is noted. Degenerative changes of the left shoulder are noted.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.56091178112355688591078675630610993999
+Endotracheal tube is 2.5 cm above the carina. There is a moderate right pleural effusion with right lower lobe atelectasis. Heart is mildly enlarged. No acute bony abnormality.,Endotracheal tube 2.5 cm above the carina. Right lower lobe atelectasis and right effusion.,1.2.826.0.1.3680043.8.498.33159605900770500803652209789439433533
+A single view of the chest shows the lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.24475263466526534018744964248005861763
+Cardiothymic silhouette is normal. Both lungs are clear. No evidence of pneumothorax or pleural effusion.,No active disease.,1.2.826.0.1.3680043.8.498.51958883586395923823149962274099599431
+"There is no fracture, dislocation or significant localized bony change. The joint spaces are preserved without arthrosis. The soft tissue silhouettes are unremarkable.",No acute bony process. If there are continued complaints serial clinical and as indicated imaging follow up is recommended.,1.2.826.0.1.3680043.8.498.72093543895251988614376618275364135490
+There is an old healed fracture of the right clavicle. There is no evidence of an acute right rib fracture. The heart size and pulmonary vascularity are normal. The lungs are clear. No pneumothorax.,No acute right rib fracture. Old healed fracture of the right clavicle. No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.53400632354516331180563873317159586678
+"Cardiovascular: The heart is normal sized. The pulmonary vascularity appears normal. Mediastinum: The mediastinal contour and hilar configuration are within normal limits. Lungs: There are no consolidating infiltrates, pleural effusions, or pneumothoraces. Lung volumes are appropriate. Osseous structures: Age-appropriate.",No acute cardiopulmonary process.,1.2.826.0.1.3680043.8.498.78368550059928739778863598293272406094
+The cardiac silhouette is enlarged. A right internal jugular central venous catheter is present with the tip in the superior vena cava. There is no pneumothorax. The lungs appear to be clear.,Cardiomegaly. No evidence of complication following placement of the central venous catheter.,1.2.826.0.1.3680043.8.498.28575690154503371348915342972430685611
+Heart and mediastinal contours are within normal limits. There is central airway thickening without focal airspace opacity or effusion. Visualized skeleton unremarkable.,Findings compatible with viral or reactive airways disease.,1.2.826.0.1.3680043.8.498.48249489774989536725325513987564247847
+"Intact sternotomy wires. Stable cardiomediastinal silhouette with top-normal heart size. No pneumothorax. Trace bilateral pleural effusions, similar. No pulmonary edema. Mild bibasilar atelectasis, decreased. No new consolidative airspace disease.","1. Mild bibasilar atelectasis, decreased. 2. Trace bilateral pleural effusions.",1.2.826.0.1.3680043.8.498.22482523387554473688720617174677058696
+"Heart is normal size. Linear densities in the lung bases, likely atelectasis. No effusions. No acute bony abnormality.",Bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.16581270179331383730461051701526638948
+Left arm PICC extends to the low SVC. No pneumothorax. Lungs clear. Heart size upper limits normal. No effusion.,Left arm PICC to low SVC.,1.2.826.0.1.3680043.8.498.15616708742642629110061223210181299688
+"There is little change in diffuse edema pattern throughout both lungs. There are bilateral pleural effusions, left greater than right. Heart size is difficult to assess.",No significant change in diffuse edema pattern and effusions.,1.2.826.0.1.3680043.8.498.28214940889057599267466796646385956335
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No pneumothorax or pleural effusion is noted. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.87456988854578633225152428852601858581
+Heart: Stable cardiomegaly. Lungs: No pneumothorax or pleural effusion. No focal consolidation. Pulmonary vascularity is within normal limits. Mediastinum: Normal. Bones: Osseous structures are intact. Visualized upper abdomen: Normal.,1. No acute cardiopulmonary findings. 2. Stable cardiomegaly.,1.2.826.0.1.3680043.8.498.13255694571756780973466193792196775037
+The lungs are mildly hyperinflated but clear. The cardiac silhouette is normal in size. The pulmonary vascularity is not engorged. I see no pleural effusion.,There is mild hyperinflation which may be voluntary or could reflect underlying COPD. I do not see evidence of CHF nor of pneumonia.,1.2.826.0.1.3680043.8.498.95138814873460248950696173868426118320
+Swan-Ganz catheter has been removed with the introducer left in place. Chest tubes have been removed without resulting pneumothorax. Bibasilar atelectasis is stable. The heart remains enlarged.,Chest tube removal without pneumothorax. Stable bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.86344600616761115945070795683788857638
+The heart is enlarged. The mediastinal and hilar contours are grossly normal. There is a moderate sized right pleural effusion and overlying right basilar atelectasis. The left lung is clear. No pulmonary edema is seen.,Cardiomegaly and right effusion with overlying atelectasis.,1.2.826.0.1.3680043.8.498.57423720440252449406696529865894266766
+Cardiac pacer noted with lead tips in right atrium right ventricle. Prior CABG. Cardiomegaly with pulmonary vascular prominence and bilateral interstitial prominence with bilateral pleural effusions. Findings consistent with congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions. No pneumothorax.,1. Cardiac pacer with lead tips in right atrium and right ventricle. Prior CABG. Congestive heart failure with pulmonary interstitial edema and bilateral pleural effusions. Findings have improved slightly from prior study.,1.2.826.0.1.3680043.8.498.81913459187166106792530965268599513336
+There is mild atelectatic change in the right base. There is no edema or consolidation. Heart is mildly enlarged with pulmonary vascularity normal. No adenopathy. There is atherosclerotic calcification in the aorta. There is postoperative change in the right shoulder. There is evidence of pleural plaques.,Mild right base atelectasis. No edema or consolidation. Stable cardiac silhouette. Stable aortic atherosclerosis.,1.2.826.0.1.3680043.8.498.81932729967019492166802842811039308626
+There is some patchy atelectasis at the lung bases. The lungs are otherwise clear. No pleural effusion. Heart size normal.,Mild bibasilar atelectasis.,1.2.826.0.1.3680043.8.498.88114456360213268151820355928353903706
+Trachea is midline. Heart is at the upper limits of normal in size. Biapical pleural thickening. Lungs are hyperinflated but clear. No pleural fluid.,COPD without acute finding.,1.2.826.0.1.3680043.8.498.66932763600073091278685301210086324063
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pneumothorax or pleural effusion. The visualized skeletal structures are unremarkable.,No active disease.,1.2.826.0.1.3680043.8.498.65399405521067573273680746436197158639
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.29586182098588219622719143728959064624
+"There is increased density at the lung base on the left suggestive of atelectasis or pneumonia. There is shallow inspiration. The lungs are otherwise clear. The heart is at the upper limits of normal in size. There is no edema, effusion or pneumothorax.",Left lung base pneumonia.,1.2.826.0.1.3680043.8.498.50387901556605038277296719429753271345
+The lungs are clear. Heart size is normal. No pleural effusion.,No acute disease.,1.2.826.0.1.3680043.8.498.94503346615120021472678796437781086315
+Normal heart size and mediastinal contours. Pulmonary vascular congestion. Question developing perihilar infiltrates bilaterally. No gross effusion or pneumothorax. Bones unremarkable.,Pulmonary vascular congestion with question developing perihilar infiltrates.,1.2.826.0.1.3680043.8.498.87353152995028210645687387524454059629
+Endotracheal tube is 2.5 cm from the carina. The heart is enlarged. There is vascular congestion and a right pleural effusion. There is also right lower lobe atelectasis. No evidence of pneumothorax. No acute osseous abnormalities.,1. Endotracheal tube in good position. 2. Cardiac enlargement with vascular congestion. 3. Right pleural effusion and right lower lobe atelectasis.,1.2.826.0.1.3680043.8.498.65301721377682772540306501652035561443
+Heart size is normal. Moderate central airway thickening is present. No focal airspace disease is evident. The visualized soft tissues and bony thorax are unremarkable.,"Moderate central airway thickening without focal airspace disease. This is nonspecific, but can be seen in the setting of an acute viral process.",1.2.826.0.1.3680043.8.498.31840946116503994569146524535826651433
+The lungs are clear. The heart and pulmonary vessels are normal. The bony and mediastinal structures are unremarkable. There is no effusion. There is no pneumothorax or evidence of congestive failure.,No acute cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.33762255546111212716311680079392277514
+There is slight increase in bilateral air space disease. This is more prominent in the right upper lobe and right base. There is also some left base atelectasis.,Increasing bilateral air space disease.,1.2.826.0.1.3680043.8.498.55599021825829375068580945867368022248
+"PA and lateral chest radiographs are provided. There is no focal parenchymal opacity, pleural effusion, or pneumothorax. The heart and mediastinum are unremarkable. The osseous structures are unremarkable.",No acute disease of the chest.,1.2.826.0.1.3680043.8.498.13281550242097420467335131601344084626
+"The heart is normal in size. The lungs are well expanded. There is no acute infiltrate, effusion or pneumothorax. No bony abnormality is seen.",No acute process.,1.2.826.0.1.3680043.8.498.39397413962728631351904067577808815775
+The lungs are well-expanded. The cardiac silhouette is enlarged. The pulmonary vascularity is not engorged. I see no pleural effusion.,There are findings consistent with COPD. I do not see evidence of pneumonia nor of CHF. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.46227789994506770591272169746427525690
+Multiple left rib fractures again noted. No pneumothorax. Small left pleural effusion with left lower lobe atelectasis or contusion. Right lung is clear. Heart is normal size. Prior CABG.,Multiple left rib fractures. Small left pleural effusion with left lower lobe atelectasis or contusion.,1.2.826.0.1.3680043.8.498.98594438868371350176131351708761515870
+Heart size is normal. The patchy infiltrates seen previously have resolved. There is mild persistent atelectasis at the left lung base. The right lung is clear. No evidence of edema. No pleural effusions.,Resolution of infiltrates. No acute process.,1.2.826.0.1.3680043.8.498.55399408931380549211533257132546497638
+The patient has had previous median sternotomy and coronary artery bypass grafting. The heart is enlarged. There is pulmonary vascular congestion with mild interstitial edema. No consolidation or collapse. No effusions. No significant bony finding.,Cardiomegaly and mild edema.,1.2.826.0.1.3680043.8.498.97159737154248414336416517649874920943
+"The heart is normal in size. The aorta is tortuous. The lungs are hyperinflated. There is no acute infiltrate, effusion or pneumothorax. There is biapical pleural scarring. The bones are normal in appearance.",COPD. No acute process.,1.2.826.0.1.3680043.8.498.57868963767169362260505502751099742851
+"There is a mid inspiration. There is mild prominence of the bronchovascular markings in the medial basilar aspect of the lung fields. No consolidation, pneumothorax, effusion, or congestion is seen. The heart and mediastinum are physiologic in size and contour.",No active process,1.2.826.0.1.3680043.8.498.17060097062183879444464873788147380875
+There is moderate cardiomegaly present. The bones are osteopenic and there are degenerative changes throughout the thoracic spine. No active infiltrate or effusion is seen. No acute bony abnormality is noted.,Stable cardiomegaly. No active lung disease.,1.2.826.0.1.3680043.8.498.93559559062427987096842133749916330526
+Endotracheal tube and NG tube removed. Swan-Ganz catheter is in the central right pulmonary artery unchanged. No pneumothorax. Cardiac enlargement with mild vascular congestion. Bibasilar atelectasis.,Endotracheal tube removed. No significant interval change.,1.2.826.0.1.3680043.8.498.16876193536638150388199611840537241508
+Right IJ dialysis catheter is noted with tip overlying the right atrium. Left-sided pacemaker again noted. The heart is enlarged. The patient is status post prior median sternotomy. There is no pneumothorax. No large pleural effusion. No focal infiltrate. No acute osseous abnormality.,1. Cardiomegaly. 2. Well-positioned right-sided dialysis catheter.,1.2.826.0.1.3680043.8.498.72421939831602412618906850473876956634
+The lungs are mildly hypoinflated. The interstitial markings are increased. The cardiac silhouette is enlarged. The pulmonary vascularity is engorged. I see no definite pleural effusion.,There are findings consistent with an element of low-grade CHF superimposed upon COPD. I do not see evidence of pneumonia. A followup PA and lateral chest x-ray would be of value.,1.2.826.0.1.3680043.8.498.72964190369198905411243517078517760822
+"The heart size and mediastinal contours are within normal limits. Normal pulmonary vascularity. Unchanged mild elevation of the right hemidiaphragm. No focal consolidation, pleural effusion, or pneumothorax. No acute osseous abnormality.",No active disease.,1.2.826.0.1.3680043.8.498.29138323811390177595921819302655780204
+"Patchy bilateral airspace opacities in a peripheral predominant distribution, slightly progressed from prior exam. Heart is normal in size. Mediastinal contours are unchanged. No pleural fluid or pneumothorax. No evidence of pneumomediastinum. No acute osseous abnormalities are seen.","Patchy bilateral airspace opacities consistent with COVID pneumonia, slightly progressed from exam 3 months ago.",1.2.826.0.1.3680043.8.498.19945872050958301286262773807393168035
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. No evidence of pleural effusion. Thoracic spine degenerative changes and mild scoliosis are stable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.59830398196003640925532712898988398286
+Cardiac shadow is stable. The left lung is clear. Right-sided pleural effusion is again noted with mild increased fluid following thoracentesis. No pneumothorax is noted. No bony abnormality is seen.,No pneumothorax following right thoracentesis.,1.2.826.0.1.3680043.8.498.14381046919357237163178950904960603922
+The central airway thickening. No focal airspace disease or effusion. Heart size normal. No focal bony abnormality.,Findings compatible with a viral process or reactive airways disease.,1.2.826.0.1.3680043.8.498.19121786265840595564896048484459343925
+"The lung fields are clear. No pneumonia, pneumothorax or pleural effusion is seen. The heart size is normal. The mediastinal and osseous structures show no significant abnormalities.",No acute changes are identified.,1.2.826.0.1.3680043.8.498.58972095748028738005116846292713056557
+Heart is enlarged. Aorta is ectatic and calcified. There are new infiltrates in the right upper lobe and right lower lobe. There is a small right pleural effusion. Left lung is grossly clear. No pneumothorax.,New right lung infiltrates. Small right pleural effusion.,1.2.826.0.1.3680043.8.498.58492766486840333362537154670811320877
+The heart and vascularity are unremarkable. No pneumothorax or focal consolidation is identified.,No acute cardiopulmonary finding.,1.2.826.0.1.3680043.8.498.29775012514931758892608964826000808038
+The heart size and mediastinal contours are within normal limits. Both lungs are clear. The visualized skeletal structures are unremarkable.,No active cardiopulmonary disease.,1.2.826.0.1.3680043.8.498.36022657057818195009854937685296922631
+Endotracheal tube tip is 5.6 cm above the carina. Nasogastric tube enters the stomach. The lungs remain hyperinflated. No worsening or new findings.,Endotracheal tube and nasogastric tube well positioned. Hyperinflation consistent with COPD.,1.2.826.0.1.3680043.8.498.81416886309946122883866239383126429032
+Swan-Ganz catheter and chest tube removed. No visible pneumothorax. Stable postoperative heart size. Low volumes with increased atelectasis. Small left effusion.,Increased atelectasis after hardware removal. No visible pneumothorax.,1.2.826.0.1.3680043.8.498.92854208990672010171426246938828149196
+Stable cardiomegaly. Mild pulmonary vascular congestion and interstitial edema again noted. Scarring and chronic interstitial lung disease again noted. Small bilateral pleural effusions again noted. No pneumothorax. No acute osseous abnormality.,Stable cardiomegaly and mild interstitial edema.,1.2.826.0.1.3680043.8.498.50730238236776320731688229216758151176
+Right PICC line is unchanged. Continued volume loss and elevation of the right hemidiaphragm. Patchy right upper lobe airspace disease again noted. This is similar to prior study. No confluent opacity on the left. Heart is normal size. No effusions.,No significant change. Continued right upper lobe atelectasis or infiltrate.,1.2.826.0.1.3680043.8.498.64236539818714267990460761825669827211
+Mediastinum and hilar structures normal. Cardiomegaly with normal pulmonary vascularity. Low lung volumes. Mild basilar atelectasis. No pleural effusion or pneumothorax. Surgical clips right chest.,"1. Cardiomegaly, no CHF. 2. Low lung volumes with mild basilar atelectasis.",1.2.826.0.1.3680043.8.498.11506409275741591924565391645184986836
+The heart and mediastinum are stable. There is a small left pleural effusion. Mild left basilar opacities are likely secondary to atelectasis. The right lung is clear.,"1. Small left pleural effusion. 2. Mild left basilar opacities are likely secondary to atelectasis. However, followup PA and lateral chest radiograph is suggested.",1.2.826.0.1.3680043.8.498.15555148548831655105953170288409183962
+Endotracheal tube and NG tube are noted in good anatomic position. Diffuse bilateral pulmonary infiltrates are noted. Findings are stable as compared to the exam of yesterday. Superimposed pneumonia cannot be excluded. Small bilateral pleural effusions are present. Cardiac pacer is noted in stable position.,Stable chest x-ray with bilateral pulmonary alveolar infiltrates.,1.2.826.0.1.3680043.8.498.59607338886970912318808117963189377681