report_id,ground_truth,M2Tr-Generation,1,2,3,4,5,6,7,8 13,the cardiac silhouette is borderline enlarged . there is no focal opacity . mediastinal contours are within normal limits . there is no large pleural effusion . no pneumothorax .,the heart size is normal . the mediastinal contour is within normal limits . the lungs are free of any focal infiltrates . there are no nodules or masses . no visible pneumothorax . there is calcified granuloma in the left lower lobe . no visible pleural fluid . the xxxx are grossly normal . there is no visible free,,,,,,,, 1965,there is moderate cardiomegaly . there are bilateral interstitial increased since the previous exam . no focal airspace pleural effusions or pneumothorax . no acute bony abnormalities .,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardio mediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality . no evidence of rib fractures .,,2,,,,1,, 3570,normal heart size mediastinal contours . subsegmental atelectasis versus scarring in the right midlung and left lower lobe . no focal airspace disease . no pleural effusion or pneumothorax . low lung volumes . visualized bony structures are unremarkable in appearance .,the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothorax or pleural effusions . the xxxx are intact .,,2,,,,,, 1085,the lungs demonstrate low lung volumes but are clear bilaterally . no evidence of focal or pleural effusion . mild streaky opacities in the left upper lobe on frontal projection are xxxx or scar . cardio mediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,1,,,,,, 3651,blunting of the costophrenic xxxx xxxx represents scarring . no pleural effusion is identified on the lateral view . there is no focal consolidation . no pneumothorax is present . the cardiomediastinal silhouette is within normal limits are in the pulmonary vasculature is normal .,the trachea is midline . the cardiomediastinal silhouette is normal . the lungs are without evidence of acute infiltrate or effusion . there is no evidence of tuberculous disease . there is no pneumothorax . the visualized bony structures reveal no acute abnormalities .,,1,,,,,, 1685,hyperinflated lungs with mildly flattened posterior diaphragm . no focal alveolar no definite pleural effusion seen . heart size within normal no typical findings of pulmonary edema .,normal heart size and mediastinal contours . the lungs are clear . there is no pneumothorax or pleural effusion . the xxxx are unremarkable .,,2,,,,,, 1117,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size . there is airspace opacity in the posterior left lower lobe . there is focal opacity in the right upper lobe which suggests scar granulomatous calcification . there is no pneumothorax or pleural effusion .,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,1,,,,,, 2314,the lungs are xxxx . xxxx opacities are present in the right costophrenic xxxx . no focal infiltrates . heart size normal .,heart size within normal limits . no focal airspace disease . no pneumothorax or effusions .,,1,,,,,, 2082,the heart is enlarged . there is pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities . the xxxx pulmonary edema . there is no pneumothorax or large pleural effusion . there are no acute bony findings .,there is a right upper lobe opacity . cardiomediastinal silhouette is normal . pulmonary vasculature and xxxx are normal . no pneumothorax or large pleural effusion . osseous structures and soft tissues are normal .,,5,,,,,, 699,stable enlargement of the cardiac stable mediastinal contours . increased interstitial markings in the central lungs and right greater than left . xxxx opacity on the lateral view over the heart also present on the previous exam suggesting chronic subsegmental atelectasis or scarring . no definite pleural effusion seen .,the heart and cardiomediastinal silhouette are normal in size and contour . there is no focal air space pleural or pneumothorax . the osseous structures are intact .,,5,,,,3,, 1855,heart size within normal limits . there is focal left lateral base airspace disease . there is a num mm nodular opacity in the right midlung . no pneumothorax . no pleural effusion . no displaced rib fractures . there is an apparent deformity of the right humeral surgical neck . this is not seen on the comparison .,normal heart size and mediastinal contours . the lungs are clear . there is no pneumothorax or pleural effusion . the xxxx are unremarkable .,,2,,,,,, 491,cardiomediastinal silhouette is stable and within normal limits . there is improved lung volumes bilaterally with persistent bibasilar without focal or effusion . no acute bony abnormality identified .,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardiomediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,,1,,,,1,, 1860,the cardiac and mediastinal silhouettes are normal . the lungs are and clear . there is no focal airspace opacity . there is no pneumothorax or effusion . there is dextrocurvature of the thoracic spine . there is xxxx deformity of the vertebral body . levocurvature of the lumbar spine with significant degenerative change is also noted .,the xxxx examination consists of frontal and lateral radiographs of the chest . cardiac silhouette is not enlarged . there has been apparent interval increase in low density at the left xxxx . calcified granuloma is again seen in the right upper lobe . there is no pleural effusion or pneumothorax .,,,,,,,, 1193,stable enlarged cardiac silhouette . persistent bilateral lower lobe airspace not significantly xxxx compared to prior . no pleural effusion or pneumothorax . no acute bony abnormality .,heart size is within normal limits . aorta is tortuous . remainder of the cardiomediastinal silhouette is normal . lungs are clear bilaterally without pleural effusion or pneumothorax . no bony abnormalities .,,2,,,,1,, 2190,lungs are clear . no pleural effusions or pneumothoraces . heart and mediastinum of normal size and contour . degenerative changes in the spine . spinal is in xxxx with tip overlying the vertebral body .,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal . no change calcified xxxx node .,,,,,,,, 3192,the heart is normal in size . mild fullness of the left small interval change from prior exam . throughout the chest xxxx representing emphysematous change . scattered bilateral calcified granulomas . no pneumothorax . large hiatal increased from prior exam .,heart size is normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions or pneumothoraces . the hilar and mediastinal contours are normal .,,2,,,,2,, 569,the heart size and pulmonary vascularity appear within normal limits . the left hemidiaphragm remains elevated . right base densities are again noted which appear improved . previously seen left pleural effusion has resolved . there to be some left base opacities which may represent atelectasis . surgical clips and suture lines are noted in the mediastinum .,there are no focal areas of consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there is no evidence of pneumothorax . osseous structures intact .,,3,,,,3,, 404,artifact in the region of the central upper abdomen . no focal areas of consolidation . no pleural effusions . no evidence of pneumothorax . heart size within normal limits . osseous structures intact .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear . there is no pleural line is no pneumothorax or costophrenic xxxx are seen .,,,,,,,, 1249,the lungs are clear without evidence of focal airspace disease . there are calcified granulomas in the left lower lobe . there is no evidence of pneumothorax or large pleural effusion . the cardiac and mediastinal contours are within normal limits . the xxxx are unremarkable .,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,,,,,,, 745,the lungs are clear . there is no pleural effusion or pneumothorax . the heart is not significantly enlarged . there are atherosclerotic changes of the aorta . arthritic changes of the skeletal structures are noted .,the xxxx examination consists of frontal and lateral radiographs of the chest . the cardiomediastinal contours are within normal limits of normal limits . pulmonary vascularity is within normal limits . no focal pleural or pneumothorax identified . the visualized osseous structures and upper abdomen are unremarkable .,,,,,,,, 2537,frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette . aortic xxxx . normal mediastinal pulmonary xxxx and central airways and aeration of the lungs . there is right xxxx patchy opacity and atelectasis or scarring . there is no pleural effusion or pneumothorax . right apical calcified granuloma noted .,the heart size and pulmonary vascularity appear within normal limits . a large hiatal hernia is noted . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen . degenerative changes are present in the spine .,1,1,,,,,, 2363,heart size is upper limits of normal . the pulmonary xxxx and mediastinum are within normal limits . there is no pleural effusion or pneumothorax . there is right basilar air space opacity .,left picc line and tube remain normal in size . heart size and vascularity is within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is noted .,1,1,,,1,,, 759,the lungs are clear . the cardiomediastinal silhouette is within normal limits . there is ectasia of the thoracic aorta . no pleural effusion is identified .,the cardiac contours are normal . the lungs are clear . thoracic spondylosis .,,,,,,,, 380,the xxxx examination consists of and lateral radiographs of the chest . external monitor leads xxxx the thorax . the cardiomediastinal contours are within normal limits . pulmonary vascularity is within normal limits . no focal pleural or pneumothorax identified . the visualized osseous structures and upper abdomen are unremarkable .,heart size and mediastinal contour are normal . pulmonary vascularity is normal . lungs are clear . no pleural effusions or pneumothoraces .,,,,,,,, 2924,the heart size is normal . the mediastinal contour is within normal limits . the lungs are free of any focal infiltrates . there is a small calcified granuloma within the left upper lobe . there are no nodules or masses . no visible pneumothorax . no visible pleural fluid . the xxxx are grossly normal . there is,no pleural effusion or focal airspace disease . heart size within normal limits . cardiomediastinal silhouette is clear . bony structures appear intact .,,,,,,,, 661,spinal in xxxx . lungs are clear without focal airspace disease . no pleural effusions or pneumothoraces . heart and mediastinum of normal size and contour . degenerative changes in the thoracic spine .,no focal areas of consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence of pneumothorax . osseous structures intact .,,,,,,,, 3993,the heart is mildly enlarged . left hemidiaphragm is elevated . there is no acute infiltrate or pleural effusion . the mediastinum is unremarkable .,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,2,,,,,, 3155,heart size mildly enlarged with enlarged right atrium . no focal alveolar no definite pleural effusion seen . no pneumothorax .,the heart is normal in size and contour . there is no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion or pneumothorax . the xxxx are intact .,,1,,,,,, 3442,normal cardiomediastinal contours . low lung volumes with minimal left basilar opacities . no pneumothorax or pleural effusions .,frontal and lateral views of the chest show normal size and configuration of the cardiac silhouette . normal mediastinal pulmonary xxxx and central airways and lung volumes . no pleural effusion .,,1,,,,,, 3746,compared to prior xxxx stent has been removed . cardiomediastinal silhouette is stable and within normal limits . stable mild atherosclerotic calcifications of the aortic xxxx are noted . there are mildly low lung volumes without focal or effusion identified . no acute bony abnormality seen .,the heart size is normal . the mediastinal contour is within normal limits . the lungs are free of any focal infiltrates . there are no nodules or masses . there is calcified granuloma in the left lingula . no visible pneumothorax . no visible pleural fluid . the xxxx are grossly normal . there is no visible free intraperitoneal,,1,,,,1,, 800,the lungs and pleural spaces show no acute abnormality . heart size is pulmonary vascularity within normal limits . marked tortuosity of the thoracic aorta . there are degenerative changes of the joints bilaterally with of the and extensive cystic change . no displaced rib fractures are visualized . diffuse osteopenia of the thoracic spine,stable cardiomediastinal silhouette . pulmonary vascularity is within normal limits . lungs are expanded and clear of focal airspace disease . negative for pneumothorax or pleural effusion . xxxx are grossly intact .,,1,,,,,, 2743,there are no acute osseous abnormalities . degenerative changes throughout the thoracic spine . normal heart size . calcific aorta . normal vascular markings . no focal area of pleural or pneumothorax .,heart size and mediastinal contour are normal . mild tortuosity of the aorta . pulmonary vascularity is normal . lungs are clear . no pleural effusions or pneumothoraces . degenerative changes in the thoracic spine .,,,,,,,, 3066,the heart is normal in size . the mediastinum is unremarkable . mild emphysematous changes without focal consolidation . there is no pleural effusion . xxxx lingular scarring or atelectasis noted .,the heart is normal in size . the mediastinum is unremarkable . the lungs are hypoinflated . small bilateral pleural effusions are seen .,2,2,,,,,, 1739,there is a cortical irregularity along the anterior of the sternum . in there is a focal retrosternal . the cardiac silhouette is within normal limits . the thoracic aorta is the mediastinal contours are within normal limits . there is no pneumothorax . there is no large pleural effusion . there is streaky,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,2,,,,,, 681,heart size and pulmonary vascularity appear within normal limits . right picc line is in xxxx . the tip has the left vein . there has been interval development of several focal opacities in the left and right mid lung . no pneumothorax or pleural effusion is seen .,the lateral view is due to patient . normal heart size and mediastinal contours . no focal airspace consolidation . no pneumothorax or large pleural effusion . visualized osseous structures are unremarkable in appearance .,,3,,,,1,, 2355,pa and lateral views the chest were obtained . there are low lung volumes on the frontal which heart size and lung markings . the heart size is upper limits normal or mildly enlarged . mediastinum normal . the pulmonary vasculature is within normal limits . there is left lung base atelectasis on frontal xxxx xxxx secondary,moderate cardiomegaly . mild bilateral interstitial opacities consistent with emphysema . no focal airspace consolidation . no pleural effusions or pneumothoraces . heart size and pulmonary vascularity are within normal limits .,2,2,,,,,1, 145,right costophrenic xxxx is blunted . in the left lower lobe a patchy infiltrate is present . the pulmonary xxxx are normal .,redemonstration of the left basilar patchy unchanged from exam . lungs are otherwise clear . no evidence of pneumothorax or pleural effusions present . there is a focal calcified nodules in the left upper stable in appearance from xxxx of xxxx . the cardiomediastinal silhouette is unremarkable . no bony destruction identified .,,,,,1,,, 2138,normal heart size . stable tortuous thoracic aorta . prior granulomatous disease . healed rib fractures appear stable . focal opacity is noted in the left midlung overlying the posterior rib which xxxx represents rib . no pneumothorax or pleural effusion .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,1,,,,,, 1226,the heart size is within normal limits . trachea is midline . no pleural effusions or pneumothorax . cardiomediastinal contours are normal . there is focal consolidation in the posterior segment of the right lower lobe . no bony or soft tissue abnormalities .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,1,,,,,, 2275,the cardiomediastinal silhouette is within normal limits for size and contour . there is a right middle lobe nodule which is than adjacent xxxx is most xxxx calcified . the lungs are normally inflated without evidence of focal airspace pleural or pneumothorax . degenerative endplate changes of the spine .,unchanged elevation of the right hemidiaphragm . the trachea is midline . negative for pleural effusion or focal airspace consolidation . the heart size is midline sternotomy xxxx . the heart size is normal .,1,1,,,,,, 1346,there is a right chest xxxx with catheter tip at the cavoatrial junction . heart size is at the upper limits of normal . lungs are grossly clear . no pleural effusion or pneumothorax . there are diffuse degenerative changes of the spine .,heart size is moderately enlarged but stable . the lungs are normally inflated without evidence of focal airspace pleural or pneumothorax . osseous structures are within normal limits for patient age .,,1,,,,,, 1972,there is a xxxx airspace opacity in the left upper lung . heart size within normal limits . mild calcification of the aortic xxxx . no pneumothorax or pleural effusions .,heart size is normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions or pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity .,,1,,,,,, 3382,prominent interstitial markings . there are small bilateral pleural effusions . no pneumothorax or focal consolidation . normal heart size . catheter tubing present in the upper . there is bilateral acromioclavicular degenerative joint right greater than left .,no focal pneumothorax or definite pleural effusion . heart size and pulmonary vascularity within normal visualized osseous structures appear intact .,,3,,,,,, 1570,evaluation for pneumothorax is limited due to of the pulmonary apices . no visible pleural xxxx . no focal air space opacities or pleural effusion . cardiomediastinal silhouette is within normal limits . no free subdiaphragmatic air . mild degenerative changes of the thoracic spine . osseous structures are grossly intact .,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal .,,,,,,,, 2209,the heart is normal in size . the mediastinum is unremarkable . emphysematous changes are identified . the lungs are otherwise grossly clear .,there are low lung volumes . the cardiac silhouette and mediastinal contours are within normal limits . there is tortuosity of the thoracic aorta . no pneumothorax . no large pleural effusion .,,1,,,,,, 3118,no pleural or focal airspace disease . heart size normal . cardiomediastinal silhouette stable . nodular densities consistent with chronic granulomatous disease . bony structures appear intact .,the cardiac and mediastinal silhouettes are within normal limits . the lungs are and clear . there is no focal airspace consolidation or effusion . there is irregularity of the posterior right rib . there is no pneumothorax .,1,1,,,,,, 1158,heart size remains slightly large . aorta remains tortuous . pulmonary xxxx remain normal . no infiltrates or masses in the lungs .,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen . the left hemidiaphragm is noted . the visualized osseous structures are unremarkable .,1,,,,,,, 292,the heart is normal in size and contour . there is a vague area of airspace disease identified within the right midlung on the pa view . this is not on the lateral view . there is no pneumothorax or effusion .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,1,,,,,, 387,heart size is normal . there is left hilar enlargement with partial opacification of the left upper lobe suggestive of hilar mass with obstructive atelectasis . questionable small right midlung nodule . negative for pneumothorax or pleural effusion . bony thorax is unremarkable .,the heart is normal in size . the mediastinum is unremarkable . the lungs are hypoinflated but clear .,1,5,,,,,,2 2631,the cardiomediastinal silhouette is normal in size and contour . no focal pneumothorax or large pleural effusion . interval placement of right humeral incompletely evaluated . incompletely evaluated the lumbar spine fusion xxxx . xxxx cholecystectomy .,the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size . the lungs are clear of focal airspace or pleural effusion . there are no acute bony findings .,,1,,,,1,, 97,the cardiac contours are normal . the lungs are clear . thoracic spondylosis .,the heart is top normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,,,,,,, 2200,low lung volumes . bibasilar atelectasis versus scarring . stable left abdominal surgical clips . the heart size and mediastinal silhouette are within normal limits for contour . no pneumothorax or pleural effusions . the xxxx are intact .,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen .,,2,,,,,, 1471,the cardiomediastinal silhouette is within normal limits for appearance . the lungs are hyperexpanded with flattening of the bilateral hemidiaphragms . mild increased lung markings xxxx due to chronic changes . no focal pulmonary consolidation . no pneumothorax . no pleural effusion . moderate degenerative changes of the thoracic spine . calcified left perihilar granuloma redemonstrated .,heart size is normal . the lungs are clear . there are no xxxx focal air space consolidations . no pleural effusions or pneumothoraces . the hilar and mediastinal contours are unchanged . normal pulmonary vascularity .,,2,,,,,, 3784,ap view was obtained due to patient . low volume lungs . no focal lung consolidation . the heart is not enlarged . no pleural effusion .,the pulmonary xxxx and mediastinum are within normal limits . there is no pleural effusion or pneumothorax . there is no focal air space opacity to suggest a pneumonia . there is mild degenerative changes of the spine .,,1,,,,,, 3546,unchanged cardiomegaly . there is interstitial prominence bilaterally . unchanged vascular appearance . there is patchy retrocardiac opacity . negative for pneumothorax .,there are no focal areas of consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there is no evidence of pneumothorax . osseous structures intact .,,3,,,,2,, 2336,lungs are hyperinflated but clear . no focal infiltrate or effusion . heart and mediastinal contours within normal limits . calcified mediastinal xxxx identified .,both lungs are clear and expanded . heart and mediastinum normal .,,1,,,,,, 2695,the cardiac contours are normal . the lungs are hyperinflated with flattened diaphragms . no acute pulmonary findings . thoracic spondylosis .,heart size and mediastinal contours appear within normal limits . pulmonary vascularity is within normal limits . no focal suspicious pulmonary pneumothorax or definite pleural effusion . visualized osseous structures appear intact .,,2,,,,,, 760,there is minimal hyperexpansion and of the lungs suggestive of chronic lung without focal or effusion identified . xxxx opacity in the left xxxx xxxx subsegmental atelectasis . cardiomediastinal silhouette is grossly stable and within normal with mild tortuosity and atherosclerosis of the thoracic aorta . multilevel degenerative disc disease of the thoracolumbar spine noted without acute bony,lungs are clear bilaterally . there is no focal pleural or pneumothoraces . cardiomediastinal silhouette is within normal limits . xxxx are unremarkable .,,,,,,,, 2940,heart size and mediastinal contour are normal . pulmonary vascularity is normal . lungs are clear . no pleural effusions or pneumothoraces . degenerative changes in the thoracic spine .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,,,,,,, 814,there is a calcified granuloma in the lateral left base . there is no pleural effusion or pneumothorax . the heart is not significantly enlarged . there are calcified left hilar lymph xxxx . there are atherosclerotic changes of the aorta . arthritic changes of the skeletal structures are noted as well as scoliosis and lumbar region .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,,,,,,, 1393,right central venous line has been removed . heart size and pulmonary vascularity appear within normal limits . a few bandlike opacities are present at the lateral left base . the appearance xxxx scarring or atelectasis . no focal airspace disease is seen . no discrete nodules are identified . no pneumothorax or pleural effusion is seen .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,1,,,,,, 670,the heart is top normal in size . the mediastinum is stable . the aorta is atherosclerotic . there are mild chronic changes without focal consolidation . no pleural effusion is seen .,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal .,,,,,,,, 2618,normal cardiomediastinal contours . no pneumothorax or large pleural effusions . small focal retrocardiac lung opacity .,heart size is normal . the lungs are clear . no pneumothorax or pleural effusion .,,1,,,,,, 2130,cardiomegaly is present . there is interstitial pulmonary edema with the of xxxx . there is no pneumothorax . there is an num mm nodular opacity projecting between the posterior left and ribs . there is a num mm nodular density projecting over the right posterior rib . there is a xxxx posterior effusion . normal mediastinal silhouette,stable cardiomediastinal silhouette . no focal pulmonary pleural effusion or pneumothorax . no acute bony abnormality . there are stable degenerative changes of the spine .,,5,,,,,, 1914,stable heart size . diffuse bilateral interstitial opacities . no pneumothorax . no effusions . no acute bony abnormalities .,normal heart size and mediastinal contours . calcified aortic xxxx . xxxx opacities in the left lung xxxx atelectasis . the left lung xxxx opacities . the left lung xxxx representing atelectasis versus scarring . no focal airspace consolidation . no pleural effusion or pneumothorax . no acute bony abnormalities .,1,2,1,,,1,, 1683,the xxxx examination consists of frontal and lateral radiographs of the chest . there are diminished lung volumes . right greater than left bilateral hilar and adenopathy is again seen . the cardiac silhouette is prominent but probably large due to diminished lung volumes . no focal pleural or pneumothorax identified . there is a deformity of,the heart size is upper limits of normal . the pulmonary xxxx and mediastinum are within normal limits . there is no pleural effusion or pneumothorax . there is no focal air space opacity to suggest a pneumonia .,,3,,,,1,, 3423,the heart size is normal . there is tortuosity of aorta . pulmonary vascularity is normal . no focal airspace disease or effusion . degenerative changes in the thoracic spine .,there is a left base opacity . the right lung is clear . heart size is normal . no pneumothorax .,1,,,,,,, 3378,there is a moderate pneumothorax measuring approximately cm in the right apex . there is a displaced right lateral rib fracture and probable right lateral rib fracture . cardiomediastinal silhouette is within normal limits . left lung is clear .,heart size within normal limits . right hemidiaphragm eventration noted . no focal alveolar no definite pleural effusion seen . no typical findings of pulmonary edema .,1,2,,,,,,1 1413,heart size is within normal limits for ap technique . low lung volumes with bronchovascular crowding . no focal infiltrate . no visible pneumothorax . no pleural effusion .,normal heart size . mild unfolding of the thoracic aorta . no focal airspace opacity . no pleural effusion or pneumothorax . visualized osseous structures are unremarkable in appearance .,,2,,,,,, 2179,flattening of the bilateral hemidiaphragms . lungs are clear . soft tissues and bony structures unremarkable . no pneumothorax or effusion .,heart size is mildly enlarged . the lungs are clear . there is no pleural effusion or pneumothorax . the skeletal structures are normal .,1,1,,,,,, 3281,the heart size is within normal limits . cardiomediastinal contour is normal . there is a right upper lobe nodule measuring num mm in diameter . trachea is midline . the lungs otherwise clear . xxxx and soft tissues are unremarkable .,the heart is normal in size . the mediastinum is stable . the lungs are clear . there is no focal air space consolidations . no pleural effusions or pneumothoraces .,,1,,,,,, 3000,there are multiple bilateral pulmonary nodules . for there is a num mm left lower lobe xxxx seen on the frontal view . there is no pleural effusion or pneumothorax . heart size is within normal limits . the left hilar contour is prominent . there are diffuse degenerative changes of the spine .,there are no focal areas of consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there is no evidence of pneumothorax . osseous structures intact .,,2,,,,,, 1273,heart is mildly enlarged stable . mediastinal contour is normal . pulmonary vascularity is normal . lungs are hyperexpanded but clear . no pleural effusions or pneumothoraces .,no pleural effusion or airspace consolidation . heart size and pulmonary vasculature appear within normal limits . xxxx xxxx xxxx are intact .,,2,,,,1,, 3609,there is borderline cardiomegaly . mediastinum and pulmonary vasculature are unremarkable . lungs are clear . no pleural fluid or pneumothorax is appreciated .,cardiomegaly . prominent xxxx are stable . no pneumothorax . minimal right costophrenic xxxx blunting . no focal infiltrates .,,,,,,,, 710,stable normal cardiac size and contour with unremarkable mediastinal silhouette . normal pulmonary xxxx . no active airspace . no pleural effusion or pneumothorax . calcified granuloma right upper lobe .,the trachea is midline . the cardiomediastinal silhouette is normal . the lungs are without evidence of focal infiltrate or effusion . there is no pleural effusion or pneumothorax . the visualized bony structures reveal no acute abnormalities .,,,,,,,, 3294,the cardiomediastinal silhouette is within normal limits for appearance . the thoracic aorta is tortuous . a calcified granuloma is identified in the right middle lobe . no focal areas of pulmonary consolidation . no pneumothorax . no pleural effusion . the thoracic spine appears intact . no acute displaced rib fractures .,normal heart size . mild unfolding of the thoracic aorta . no focal airspace opacity . no pleural effusion or pneumothorax . visualized osseous structures are unremarkable in appearance .,,,,,,,, 3673,the heart is normal in size . the mediastinal contours are stable . aortic calcifications are noted . there are small calcified lymph xxxx . emphysema and chronic changes are identified . there is xxxx opacity in the left perihilar upper lobe . there is questionable xxxx to the pleural . this may represent acute infiltrate or,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal .,,3,,,,,, 3430,heart size mildly to moderately distal tip catheter near the caval atrial junction . mild vascular no definite interstitial changes of pulmonary no focal alveolar consolidation . no pleural effusion xxxx demonstrated .,frontal and lateral views of the chest with overlying external cardiac monitor leads show normal size and configuration of the cardiac silhouette . normal pulmonary vasculature and central airways . no focal airspace consolidation or pleural effusion .,1,2,,,,,, 76,apparent scarring within the lingula . lungs are otherwise clear . no pleural effusions or pneumothoraces . heart and mediastinum of normal size and contour .,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen . no discrete nodules or adenopathy identified .,,,,,,,, 1255,xxxx xxxx chest tube tip now projects outside the thoracic . no definite residual pneumothorax . stable cardiomediastinal silhouette . there are low lung volumes . no large pleural effusion . no focal airspace consolidation . small amount of subdiaphragmatic free air .,the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . osseous structures are within normal limits for patient age .,,3,,,,1,, 2232,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardiomediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,sequelae of old granulomatous disease . lungs are clear without focal airspace disease . no pleural effusions or pneumothoraces . heart and mediastinum of normal size and contour .,,,,,,,, 2357,cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothorax or pleural effusion . no acute osseous findings .,frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette is normal size and configuration of the cardiac silhouette . normal mediastinal pulmonary xxxx and central airways and aeration of the lungs . no pleural effusion . there are intraperitoneal xxxx and xxxx and xxxx and xxxx opacities xxxx and xxxx and,,,,,,,, 2889,the cardiomediastinal silhouette is within normal limits for size and contour . the lungs are normally inflated without evidence of focal airspace pleural or pneumothorax . osseous structures are within normal limits for patient age .,the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace pleural or pneumothorax . the osseous structures are intact .,,,,,,,, 565,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardio mediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,the heart is normal in size and contour . there is no mediastinal widening . the lungs are clear bilaterally . no focal airspace disease . no large pleural effusion or pneumothorax . the xxxx are intact .,,,,,,,, 2099,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardio mediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,heart size normal . lungs are clear . xxxx are normal . no nodules or masses .,,,,,,,, 3136,cardiac mediastinal and pulmonary vascularity are within normal limits . no focal suspicious pulmonary pleural or pneumothorax . the visualized osseous structures appear intact .,heart size and cardiomediastinal contours are normal . lungs are clear without focal airspace pleural or pneumothorax . osseous structures are grossly intact .,,,,,,,, 1560,normal heart . clear lungs . no pneumothorax . no pleural effusion .,the heart size is normal . the mediastinal contour is within normal limits . low lung volumes and bronchovascular crowding . the lungs are free of any focal infiltrates . there are no nodules or masses . no visible pneumothorax . no visible pleural fluid . the xxxx are grossly normal . there is no visible free xxxx are grossly,2,,,,,,, 2129,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,the cardiomediastinal silhouette is normal in size and contour . no focal pneumothorax or large pleural effusion . negative for acute bone abnormality .,,,,,,,, 328,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,,,,,,, 1796,the lungs are clear bilaterally . no evidence of focal or pleural effusion . cardio mediastinal silhouette is unremarkable . visualized osseous structures of the thorax are without acute abnormality .,the heart is normal in size and contour . the lungs are without evidence of infiltrate . there is no pneumothorax or effusion .,,,,,,,, 1323,the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothorax or pleural effusions . the xxxx are intact .,no acute osseous abnormality . scattered endplate degenerative changes throughout the thoracic spine . normal cardiomediastinal silhouette and hilar contours .,,,,,,,, 2145,the cardiomediastinal silhouette is normal . the lungs are clear . there is no pneumothorax or . visualized bony structures are normal .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,,,,,,,, 3384,both lungs are clear and expanded . heart and mediastinum normal .,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen .,,,,,,,, 419,cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact .,cardiac and mediastinal xxxx appear normal . no visible focal airspace or pleural effusion is seen . no visible free air under the diaphragm . the osseous structures appear intact .,,,,,,,, 94,heart mediastinal and pulmonary vascularity are similar to comparison exam and within normal limits . no focal suspicious pulmonary pleural or pneumothorax . the visualized osseous structures appear intact .,heart size normal . lungs are clear . xxxx are normal . no nodules or masses .,,,,,,,, 721,lungs are clear . no pleural effusions or pneumothoraces . heart and mediastinum of normal size and contour .,heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen . there is eventration of the right hemidiaphragm . degenerative changes are present in the spine .,1,,,,,,, 891,the heart size and pulmonary vascularity appear within normal limits . the lungs are free of focal airspace disease . no pleural effusion or pneumothorax is seen .,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal .,,,,,,,, 2590,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear .,the heart and lungs have xxxx xxxx in the interval . both lungs are clear and expanded . heart and mediastinum normal .,,,,,,,, 2862,the cardiomediastinal silhouette is within normal limits for size and contour . the lungs are normally inflated without evidence of focal airspace pleural or pneumothorax . osseous structures are within normal limits for patient age .,cardiomediastinal silhouette is within normal limits of size and appearance . the pulmonary vascularity is unremarkable . there are xxxx opacities xxxx subsegmental atelectasis the left lung base . the lungs are clear of focal airspace disease . no pneumothorax or pleural effusion . there is no acute bony abnormality .,1,,,,,,, 3981,the lungs are clear . there is no pleural effusion or pneumothorax . the heart and mediastinum are normal . the skeletal structures are normal .,the heart is normal in size . the mediastinum is unremarkable . the lungs are clear . slight thoracolumbar curvature is noted .,,,,,,,,