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There is hyperexpansion, hyperlucency of both lungs, as well as flattening of the diaphragm consistent with chronic emphysematous lung disease. No focal consolidation, pneumothorax, or large pleural effusion identified (blunting of costophrenic recesses bilaterally may represent small effusions or pleural thickening/scar. Stable calcified mediastinal and hilar lymph XXXX and a left basilar calcified granuloma. Acute osseous abnormality. The mediastinal silhouette stable.

The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There is a thin right apical pneumothorax measuring approximately 5 mm in thickness. There is extensive subcutaneous emphysema in the right chest wall and neck. There are fractures of the right anterior 5th through 9th anterior ribs with mild displacement. Additional fractures cannot entirely be excluded. There is mild streaky airspace disease in the right lung base. Left lung is clear. There is a small hiatal hernia. There is an intrathecal catheter terminating in the lower thoracic spine.

Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.

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

Frontal and lateral views of the chest show an unchanged cardiomediastinal silhouette. Normal mediastinal contour, pulmonary XXXX and vasculature, central airways and aeration of the lungs. The inferior posterior sulcus is excluded.

Sternotomy sutures and bypass grafts have been placed in the interval. Both lungs remain clear and expanded with no infiltrates. Pulmonary XXXX are normal.

Chest. Heart size normal. Lungs clear. XXXX unremarkable. Limited technique. Right elbow and forearm. No acute fracture, dislocation or joint effusion. Soft tissues unremarkable. Left ankle. Soft tissue XXXX around ankle. There are midfoot degenerative changes and plantar calcaneal enthesophyte. Ankle mortise intact. No acute fracture or dislocation.

Normal heart size. Normal mediastinal silhouette. No pneumothorax, pleural effusion or suspicious focal air space opacity.

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

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

The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.

Mild cardiomegaly is unchanged. Stable superior mediastinal contour appear normal pulmonary vascularity. No XXXX airspace opacity, pleural effusion, or pneumothorax. No acute bony abnormalities. Right upper quadrant surgical clips.

No focal consolidation. No visualized pneumothorax. Heart size is normal. Cardiac and mediastinal silhouette is grossly unremarkable.

The cardiomediastinal silhouette is within normal limits for appearance. There are low lung volumes with bronchovascular crowding and scattered XXXX opacities in the bilateral lung bases. No focal areas of pulmonary consolidation. No pneumothorax. No large pleural effusion. No acute, displaced rib fractures identified.

Three noncalcified lung nodules are present in the left lower lobe. The largest measures 3.5 mm in diameter. Another nodule is present near the right hilum. It is approximately 2 cm in diameter. The XXXX and mediastinum appear normal. Heart size normal.

There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.

Normal and stable cardiomediastinal contours. No pneumothorax or pleural effusions. No focal lung consolidation.

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.

There is minimal XXXX opacity in the left lung base, XXXX representing atelectasis. The lungs are otherwise clear. Heart size is normal. No pneumothorax.

The trachea is midline. The cardiomediastinal silhouette is normal and unchanged compared to prior examination. The lungs are clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. There is hiatal hernia.