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	Heart size is normal. Mediastinal contours are normal with mild aortic tortuosity. Post-surgical changes in the right hemithorax are stable including thickening of the pleura along the costal surface and blunting of the costophrenic sulcus. The right sixth rib surgical fracture is redemonstrated. There are no new lung nodules identified.
	Heart size is normal. Mediastinal contours are normal with mild aortic tortuosity. Post-surgical changes in the right hemithorax are stable including thickening of the pleura along the costal surface and blunting of the costophrenic sulcus. The right sixth rib surgical fracture is redemonstrated. There are no new lung nodules identified.
	Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted.
	Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted.
	Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted.
	A moderate left pleural effusion is new since . Associated left basilar opacity likely reflect compressive atelectasis. There is no pneumothorax. There are no new abnormal cardiac or mediastinal contour. Median sternotomy wires and mediastinal clips are in expected positions.
	PA and lateral views of the chest are provided. Suture material is again noted in the right mid lung. Scattered ill-defined opacities in this patient with history of sarcoid could represent air or superimposed infection. Overall pattern is similar to prior exam from . No large effusion or pneumothorax. Deformity of the lower thoracic spine on the lateral view is noted. Otherwise, the bony structures are intact.
	PA and lateral views of the chest are provided. Suture material is again noted in the right mid lung. Scattered ill-defined opacities in this patient with history of sarcoid could represent air or superimposed infection. Overall pattern is similar to prior exam from . No large effusion or pneumothorax. Deformity of the lower thoracic spine on the lateral view is noted. Otherwise, the bony structures are intact.
	The lung volumes are low. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. The heart size is normal.
	The lung volumes are low. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. The heart size is normal.
	The lung volumes are low. The lungs are clear without pleural effusion or pneumothorax. The aorta is unfolded. The heart size is normal.
	PA and lateral views of the chest. Moderate cardiomegaly is increased compared to . No focal consolidation or pneumothorax. There is slight blunting of the costophrenic angles which may indicate small pleural effusion or scarring. There is increased density at the perihilar regions which may indicate pulmonary vascular congestion.
	Within the interim, the previously seen enteric tube has been removed. A new enteric tube with a weighted tip projects over the stomach. A right central venous catheter is unchanged in position. A right ureteral stent is incompletely imaged. The remainder of the study is not optimized for assessment of the chest and abdomen.
	There is a moderate-sized left pleural effusion which is increased in size from the prior exam in . There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.
	There is a moderate-sized left pleural effusion which is increased in size from the prior exam in . There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.
	The endotracheal tube is positioned high, approximately 7 cm from the carina. An enteric tube courses below the diaphragm with the tip out of the field of view. The lung volumes are low. Bibasilar atelectasis is unchanged. Since the prior exam, there has been a slight interval worsening of the vascular congestion and mild pulmonary edema. There is no opacity to suggest pneumonia. No pleural effusion or pneumothorax is identified. Widening of the mediastinal contours is unchanged, and likely due to mediastinal fat, as seen on the prior CT. The heart appears slightly larger.
	Subtle streaky opacity in the left lower lobe may reflect atelectasis, though infection cannot be entirely excluded. There is no pleural effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.
	Subtle streaky opacity in the left lower lobe may reflect atelectasis, though infection cannot be entirely excluded. There is no pleural effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Heart size is normal.
	AP view of the chest. There is asymmetric left basilar opacity. Given lower lung volumes this could be due to atelectasis. Elsewhere, the lungs are grossly unchanged. Cardiomediastinal silhouette has not definitely changed although exact evaluation is difficult given rotation. Posterior spinal fixation hardware seen in the lower thoracic spine. Ventriculoperitoneal shunt catheter projects over the right anterior chest wall.
	AP view of the chest. There is asymmetric left basilar opacity. Given lower lung volumes this could be due to atelectasis. Elsewhere, the lungs are grossly unchanged. Cardiomediastinal silhouette has not definitely changed although exact evaluation is difficult given rotation. Posterior spinal fixation hardware seen in the lower thoracic spine. Ventriculoperitoneal shunt catheter projects over the right anterior chest wall.
	The patient is status post median sternotomy. Fracture iodine inferior most sternal wire is again seen. The cardiomediastinal silhouette is stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no pulmonary edema.
	Allowing for differences in technique the heart and mediastinal contours are unchanged with continued prominence of the right heart border likely due to left atrial enlargement. Lungs are somewhat low lung in volume as before without focal consolidation, pleural effusion or pneumothorax.
	Allowing for differences in technique the heart and mediastinal contours are unchanged with continued prominence of the right heart border likely due to left atrial enlargement. Lungs are somewhat low lung in volume as before without focal consolidation, pleural effusion or pneumothorax.
	Since , moderate pulmonary congestion and mild interstitial edema is increased, moderate right pleural effusion is new, and moderate left basilar opacities are seen, likely representing atelectasis. Moderate cardiomegaly is increased. No pneumothorax. Large goiter displacing the trachea to the right and moderately narrowing at at the thoracic inlet is chronic.
	There is a new focal opacity at the left lung base with elevation of the left hemidiaphragm. Diffuse prominence of lung vasculature within upper zone predominance and prominence of interstitial markings likely represents pulmonary edema. There are small bilateral pleural effusions. No pneumothorax. The cardiac silhouette is difficult to assess due to parenchymal abnormalities. Median sternotomy wires are noted.
	Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.
	Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.
	Small left pleural effusion, minimally decreased. Left basilar opacification, mildly improved. Improved right pleural effusion. Mildly improved pulmonary vascularity, basilar opacity. Stable postoperative changes. Right PICC line.
	A right-sided PICC terminates at the SVC/brachiocephalic junction without evidence of pneumothorax. There are low lung volumes. Mild right base opacity may be due to atelectasis versus aspiration. Cardiac and mediastinal silhouettes are unremarkable. Midline tracheostomy noted.
	The cardiac, mediastinal and hilar contours appear unchanged. There is again borderline cardiomegaly. Allowing for rotation as well as scoliosis, the cardiac, mediastinal and hilar contours are probably unchanged. There is similar mild relative elevation of the left hemidiaphragm. There is no definite pleural effusion or pneumothorax. The lungs appear clear. A PICC line terminates in the lower superior vena cava.
	The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No discernible osseous injury is seen on current exam.
	The cardiomediastinal silhouette is normal. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. No discernible osseous injury is seen on current exam.
	Unchanged left PICC. Aeration of the right lung is essentially unchanged. Right lower lobe consolidation which may represent pneumonia, aspiration, or atelectasis, is unchanged. Cardiomediastinal contours are stable.
	There has been interval extubation and removal of the enteric tube. The left PICC line terminates in the mid SVC. Lung volumes are low and the cardiac size is enlarged. Collapse of the right lower lobe is persistent. There is improvement in pulmonary edema. Small right pleural effusion is unchanged. No pneumothorax.
	A single portable semi-erect chest radiograph was obtained. Pulmonary aeration has decreased. Moderate to large layering right pleural effusion has increased. Loculated intra-abdominal air projects over the right lung base. Central pulmonary vascular congestion is similar. Cardiomegaly is unchanged. An endotracheal tube ends 2.5 cm above the carina. An enteric tube passes inferiorly below the film. A right subclavian catheter terminates at the cavoatrial junction.
	A single frontal portable radiograph of the chest was acquired. The heart is mildly enlarged. There are diffuse interstitial opacities radiating from the hila as well as Kerley B lines and vascular cephalization, consistent with mild interstitial pulmonary edema. A -mm nodular opacity projects just superior to the right costophrenic angle. The mediastinal contours are normal. The right hilus is bulbous in appearance. There are no pleural effusions. No pneumothorax is seen.
	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
	Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
	AP and lateral views of the chest are compared to previous exam from and images from CT abdomen from . Increased interstitial markings at the lung bases are as seen on multiple prior exams including CT of the abdomen from and is most suggestive of scarring. The lungs are otherwise clear of consolidation or effusion. Cardiomediastinal silhouette is essentially unremarkable noting multiple left coronary stents. Osseous and soft tissue structures are unremarkable.
	AP and lateral views of the chest are compared to previous exam from and images from CT abdomen from . Increased interstitial markings at the lung bases are as seen on multiple prior exams including CT of the abdomen from and is most suggestive of scarring. The lungs are otherwise clear of consolidation or effusion. Cardiomediastinal silhouette is essentially unremarkable noting multiple left coronary stents. Osseous and soft tissue structures are unremarkable.
	AP and lateral views of the chest are compared to previous exam from and images from CT abdomen from . Increased interstitial markings at the lung bases are as seen on multiple prior exams including CT of the abdomen from and is most suggestive of scarring. The lungs are otherwise clear of consolidation or effusion. Cardiomediastinal silhouette is essentially unremarkable noting multiple left coronary stents. Osseous and soft tissue structures are unremarkable.
	AP and lateral views of the chest are compared to previous exam from and images from CT abdomen from . Increased interstitial markings at the lung bases are as seen on multiple prior exams including CT of the abdomen from and is most suggestive of scarring. The lungs are otherwise clear of consolidation or effusion. Cardiomediastinal silhouette is essentially unremarkable noting multiple left coronary stents. Osseous and soft tissue structures are unremarkable.
	The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Mild levoscoliosis is present.
	The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated. Mild levoscoliosis is present.
	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The italic contours are unremarkable. No pulmonary edema is seen. Large air-fluid level is incidentally noted in the stomach
	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The italic contours are unremarkable. No pulmonary edema is seen. Large air-fluid level is incidentally noted in the stomach
	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The italic contours are unremarkable. No pulmonary edema is seen. Large air-fluid level is incidentally noted in the stomach
	The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The italic contours are unremarkable. No pulmonary edema is seen. Large air-fluid level is incidentally noted in the stomach
	Linear opacity projecting over the anterior right seventh rib may relate to the edge of the rib. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous and is calcified. The cardiac silhouette is not enlarged. Metallic surgical hardware is partially imaged in the cervical spine. Evidence of underlying pulmonary emphysema is seen.
	Linear opacity projecting over the anterior right seventh rib may relate to the edge of the rib. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous and is calcified. The cardiac silhouette is not enlarged. Metallic surgical hardware is partially imaged in the cervical spine. Evidence of underlying pulmonary emphysema is seen.
	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. Partially imaged is hardware in the proximal right humerus, not well assessed on the current study.
	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. Partially imaged is hardware in the proximal right humerus, not well assessed on the current study.
	Minimal left base linear atelectasis/scarring is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
	The heart is mildly enlarged, stable compared to the prior PA scan from . There has been interval improvement of the bibasilar atelectasis with persistent linear scarring at the bases. No new focal consolidations are seen. There is no pneumothorax. There is a left-sided Port-A-Cath which terminates in the right atrium. Again seen is a large hiatal hernia.
	The heart is mildly enlarged, stable compared to the prior PA scan from . There has been interval improvement of the bibasilar atelectasis with persistent linear scarring at the bases. No new focal consolidations are seen. There is no pneumothorax. There is a left-sided Port-A-Cath which terminates in the right atrium. Again seen is a large hiatal hernia.
	PA and lateral views of the chest provided. A faint linear density abuts the right heart border as on prior. Otherwise, lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	Lungs are hyperexpanded but grossly clear. Heart is upper limits of normal in size and demonstrates left ventricular configuration, and the aorta is tortuous, without change. No pleural effusion or pneumothorax.
	Lungs are hyperexpanded but grossly clear. Heart is upper limits of normal in size and demonstrates left ventricular configuration, and the aorta is tortuous, without change. No pleural effusion or pneumothorax.
	PA and lateral views of the chest provided. Low lung volumes limits the evaluation. Allowing for this, no focal consolidation, large effusion or pneumothorax is seen. The heart appears top-normal in size. Right hilar prominence is possibly due to suboptimal technique. Mediastinal contour appears normal. No bony abnormalities. Gas-filled bowel loops project below the right hemidiaphragm.
	PA and lateral views of the chest provided. Low lung volumes limits the evaluation. Allowing for this, no focal consolidation, large effusion or pneumothorax is seen. The heart appears top-normal in size. Right hilar prominence is possibly due to suboptimal technique. Mediastinal contour appears normal. No bony abnormalities. Gas-filled bowel loops project below the right hemidiaphragm.
	Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. There is minimal streaky atelectasis in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Cholecystectomy clips are again noted in the right upper quadrant of the abdomen.
	Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. There is minimal streaky atelectasis in the left lower lobe. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected. Cholecystectomy clips are again noted in the right upper quadrant of the abdomen.
	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications are present. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications are present. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcifications are present. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
	Lungs are slightly low in volume but clear. No focal consolidation, pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.
	Lungs are slightly low in volume but clear. No focal consolidation, pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours.
	Upright AP and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pneumothorax, or focal airspace opacification. The cardiomediastinal silhouette is stable, and the cardiac size is mildly enlarged but unchanged. There is no subdiaphragmatic free air.
	The lung volumes are noted to be slightly low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is top normal. The ascending aorta is mildly prominent, unchanged from the prior exam, and may be secondary to aortic tortuosity versus mild dilation.
	Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.
	Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.
	Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.
	Compared with the most recent prior study, lung volumes are improved and a moderate to large left pleural effusion is likely unchanged. There is mild associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous mediastinal clips, and a prosthetic valve are unchanged. The descending aorta is partially calcified and tortuous. An IVC filter is partially imaged. There is no focal consolidation, pulmonary edema, or pneumothorax. Mild biapical pleural thickening is similar. Probable splenomegaly is noted.
	Compared with the most recent prior study, lung volumes are improved and a moderate to large left pleural effusion is likely unchanged. There is mild associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous mediastinal clips, and a prosthetic valve are unchanged. The descending aorta is partially calcified and tortuous. An IVC filter is partially imaged. There is no focal consolidation, pulmonary edema, or pneumothorax. Mild biapical pleural thickening is similar. Probable splenomegaly is noted.
	Compared with the most recent prior study, lung volumes are improved and a moderate to large left pleural effusion is likely unchanged. There is mild associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous mediastinal clips, and a prosthetic valve are unchanged. The descending aorta is partially calcified and tortuous. An IVC filter is partially imaged. There is no focal consolidation, pulmonary edema, or pneumothorax. Mild biapical pleural thickening is similar. Probable splenomegaly is noted.
	Compared with the most recent prior study, lung volumes are improved and a moderate to large left pleural effusion is likely unchanged. There is mild associated bibasilar dependent atelectasis. Moderate cardiomegaly, numerous mediastinal clips, and a prosthetic valve are unchanged. The descending aorta is partially calcified and tortuous. An IVC filter is partially imaged. There is no focal consolidation, pulmonary edema, or pneumothorax. Mild biapical pleural thickening is similar. Probable splenomegaly is noted.
	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a similar eventration of the right hemidiaphragm which is moderately elevated anteriorly. There is again an unchanged calcified nodule suggesting a granuloma projecting over the right upper lobe as well as a suspected group of granulomas projecting over the left mid lung, also unchanged. Otherwise, the lungs appear clear. There has been no definite change.
	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a similar eventration of the right hemidiaphragm which is moderately elevated anteriorly. There is again an unchanged calcified nodule suggesting a granuloma projecting over the right upper lobe as well as a suspected group of granulomas projecting over the left mid lung, also unchanged. Otherwise, the lungs appear clear. There has been no definite change.
	The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a similar eventration of the right hemidiaphragm which is moderately elevated anteriorly. There is again an unchanged calcified nodule suggesting a granuloma projecting over the right upper lobe as well as a suspected group of granulomas projecting over the left mid lung, also unchanged. Otherwise, the lungs appear clear. There has been no definite change.
	Frontal and lateral views of the chest demonstrate low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. A 6-mm nodular opacity projecting over the right upper lung is stable since priors. Hilar and mediastinal silhouettes are unchanged. The descending aorta appears tortuous. Heart size is top normal. Perihilar vascular congestion is noted. There is mild intersitial pulmonary edema.
	The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
	AP portable upright view of the chest. Overlying EKG leads are present. There is persistent mild cardiomegaly. Hilar congestion and moderate pulmonary edema is noted. Linear densities in the mid to lower lungs likely represent platelike atelectasis. Tiny effusions are likely present. No pneumothorax. Bony structures are intact.
	PA and lateral views of the chest are compared to previous exam from . Given differences in positioning and technique, there has been no significant interval change. There is engorgement of the central pulmonary vasculature with indistinctness of the vessels peripherally, not significantly changed from prior. There is no new confluent consolidation or pleural effusion. Cardiac silhouette is enlarged but stable compared to prior.
	PA and lateral views of the chest are compared to previous exam from . Given differences in positioning and technique, there has been no significant interval change. There is engorgement of the central pulmonary vasculature with indistinctness of the vessels peripherally, not significantly changed from prior. There is no new confluent consolidation or pleural effusion. Cardiac silhouette is enlarged but stable compared to prior.
	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
	Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
	Tracheostomy tube again noted. NG tube again noted, extending beneath the diaphragm to overlie the stomach. Right subclavian PICC line tip lies near the SVC/ RA junction, similar to prior. Cardiomediastinal silhouette is unchanged. Equivocal minimal upper zone redistribution, without other evidence of CHF. Patchy opacity at the left lung base again noted. However, there has been interval improvement, with the left hemidiaphragm now visible. Small left pleural effusion difficult to exclude, but this appears improved. Equivocal minimal right pleural effusion. The right lung remains grossly clear.
	PA and lateral views of the chest. No prior. Lungs are clear of focal consolidation, effusion, or pneumothorax. Patient is status post median sternotomy, compatible with history of VSD repair. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are otherwise unremarkable.
	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
	Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
	Right-sided dual-lumen central venous catheter tip terminates at the junction of the SVC and right atrium, unchanged. Mild cardiomegaly is similar. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Calcified granuloma in the left lower lobe is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
	Right-sided dual-lumen central venous catheter tip terminates at the junction of the SVC and right atrium, unchanged. Mild cardiomegaly is similar. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Calcified granuloma in the left lower lobe is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
	Previously described right lower lobe consolidation has resolved. Heart size is unchanged. Lungs are clear without pleural effusions or pneumothorax. A left lower lung calcified granuloma is unchanged. The dual-lumen catheter tip terminates at the cavoatrial junction.
	Previously described right lower lobe consolidation has resolved. Heart size is unchanged. Lungs are clear without pleural effusions or pneumothorax. A left lower lung calcified granuloma is unchanged. The dual-lumen catheter tip terminates at the cavoatrial junction.
	Since the prior chest x-ray on , there has been interval development of a new small to moderate right-sided pleural effusion. Bibasilar parenchymal opacities, right greater than left, which has slightly increased compared to the prior CXR. No pneumothorax. Left lower lobe calcified granuloma is unchanged since . The heart is enlarged. Right PICC line has been adjusted since the prior radiograph, but is now coiled along its course and terminates in the mid-SVC.
	Frontal and lateral chest radiographs were obtained. Patient is status post prior aortic valve replacement with intact median sternotomy wires. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
	Frontal and lateral chest radiographs were obtained. Patient is status post prior aortic valve replacement with intact median sternotomy wires. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.