Person_id,Image1,Image2,Report /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1_1_IM-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1_1_IM-0001-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1_1_IM-0001-4001.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR10_IM-0002_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR10_IM-0002-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR10_IM-0002-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . stable calcified granuloma within the right upper lung . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR100_IM-0002_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR100_IM-0002-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR100_IM-0002-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-2001.png,startseq there increased opacity within the right upper lobe with possible mass and associated area atelectasis focal consolidation . the cardiac silhouette within normal limits . opacity the left midlung overlying the posterior left rib may represent focal airspace disease . no pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-3001.png,startseq there increased opacity within the right upper lobe with possible mass and associated area atelectasis focal consolidation . the cardiac silhouette within normal limits . opacity the left midlung overlying the posterior left rib may represent focal airspace disease . no pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1000_IM-0003-3001.png,startseq there increased opacity within the right upper lobe with possible mass and associated area atelectasis focal consolidation . the cardiac silhouette within normal limits . opacity the left midlung overlying the posterior left rib may represent focal airspace disease . no pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1001_IM-0004_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1001_IM-0004-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1001_IM-0004-1002.png,startseq interstitial markings are diffusely prominent throughout both lungs . heart size normal . pulmonary normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1003_IM-0005,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1003_IM-0005-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1003_IM-0005-2002.png,startseq heart size and pulmonary vascularity appear within normal limits . retrocardiac soft tissue density present . there appears air within this which could suggest that this represents hiatal hernia . vascular calcification noted . calcified granuloma seen . there has been interval development bandlike opacity the left lung base . this may represent atelectasis . no pneumothora pleural effusion seen . osteopenia present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1004_IM-0005_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1004_IM-0005-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1004_IM-0005-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . the aorta tortuous and ectatic . there are degenerative changes the acromioclavicular joints . there degenerative changes the spine . there ivc identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1005_IM-0006_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1005_IM-0006-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1005_IM-0006-3003.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1006_IM-0007_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1006_IM-0007-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1006_IM-0007-3003.png,startseq the lungs appear clear . there are no focal airspace opacities suggest pneumonia . the pleural spaces are clear . the heart and pulmonary are normal . mediastinal contours are normal . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-2001.png,startseq trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures show no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-3001.png,startseq trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures show no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1007_IM-0008-3001.png,startseq trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures show no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1008_IM-0009_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1008_IM-0009-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1008_IM-0009-4004.png,startseq heart size and mediastinal contours are normal appearance . no consolidative airspace opacities . no radiographic evidence pleural effusion pneumothora . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1009_IM-0010_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1009_IM-0010-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1009_IM-0010-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR101_IM-0011_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR101_IM-0011-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR101_IM-0011-4004.png,startseq the heart again mildly enlarged . mediastinal contours are stable . patient somewhat rotated . the lungs are hypoinflated with elevated left hemidiaphragm . opacities compatible with atelectasis . no large effusion seen . there no focal consolidation . pulmonary vascularity mildly accentuated . there are bilateral degenerative changes the with probable chronic dislocation the left humerus . correlate clinically . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1010_IM-0012_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1010_IM-0012-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1010_IM-0012-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1011_IM-0013_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1011_IM-0013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1011_IM-0013-1002.png,startseq the heart top normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1012_IM-0013,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1012_IM-0013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1012_IM-0013-1001.png,startseq lung volumes are low . bibasilar consolidation and bilateral costophrenic blunting are present . heart size normal . pulmonary normal . shunt tubing traverses the entire image from top endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1013_IM-0013_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1013_IM-0013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1013_IM-0013-2001.png,startseq stable mild cardiomegaly . no pneumothora pleural effusion focal airspace disease . bony structures intact . right humeral head bone anchor . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0001-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0001-2001.png,startseq streaky and patchy bibasilar opacities triangular density projected over the heart the lateral view . no definite pleural effusion seen no typical findings pulmonary edema . considering differences technical factors stable cardiomediastinal silhouette with normal heart size . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0013_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1015_IM-0013-2001.png,startseq streaky and patchy bibasilar opacities triangular density projected over the heart the lateral view . no definite pleural effusion seen no typical findings pulmonary edema . considering differences technical factors stable cardiomediastinal silhouette with normal heart size . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1017_IM-0013_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1017_IM-0013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1017_IM-0013-1002.png,startseq both lungs are clear and epanded with no infiltrates . basilar focal atelectasis present the lingula . heart size normal . calcified right hilar are present endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1018_IM-0014_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1018_IM-0014-5001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1018_IM-0014-6001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are small calcified granulomata the right lateral lung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1019_IM-0015_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1019_IM-0015-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1019_IM-0015-2001.png,startseq the heart size and mediastinal contours appear within normal limits . there blunting the right lateral costophrenic sulcus which could secondary small effusion versus scarring . no focal airspace consolidation pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR102_IM-0016_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR102_IM-0016-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR102_IM-0016-2001.png,startseq normal heart size . clear hyperaerated lungs . no pneumothora . no pleural effusion . substernal density may related pectus deformity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1020_IM-0017_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1020_IM-0017-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1020_IM-0017-2001.png,startseq lung volumes are low . no focal infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1022_IM-0017_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1022_IM-0017-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1022_IM-0017-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . no change the small calcified right upper lobe nodule . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1023_IM-0018_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1023_IM-0018-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1023_IM-0018-2001.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no large pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1024_IM-0019,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1024_IM-0019-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1024_IM-0019-1001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1025_IM-0020_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1025_IM-0020-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1025_IM-0020-3001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . calcified granuloma right base . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1026_IM-0021,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1026_IM-0021-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1026_IM-0021-2002.png,startseq the lungs appear clear . the heart and pulmonary appear normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1027_IM-0021_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1027_IM-0021-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1027_IM-0021-2001.png,startseq this eamination somewhat limited secondary obscuration the bilateral posterior costophrenic sulci the lateral view . the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no large pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1028_IM-0022_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1028_IM-0022-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1028_IM-0022-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . acromioclavicular arthritis present severe . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR103_IM-0023_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR103_IM-0023-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR103_IM-0023-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac contour within normal limits . compared prior eam there prominence the mediastinal contour near the right hilum . this may represent the ascending aorta mediastinal lymphadenopathy . ct chest with contrast may helpful for further evaluation . there are mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1030_IM-0024_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1030_IM-0024-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1030_IM-0024-2001.png,startseq normal cardiomediastinal silhouette . there no focal consolidation . there are no large pleural effusion . there no pneumothora . there no acute bony abnormality seen . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1032_IM-0026-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1032_IM-0026-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1032_IM-0026-1001-0002.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are calcifications projecting the left midlung unchanged from prior this sequela prior granulomatous disease . there are small tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1033_IM-0027_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1033_IM-0027-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1033_IM-0027-4004.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1034_IM-0028_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1034_IM-0028-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1034_IM-0028-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . right middle lobe calcified granuloma unchanged . heart and mediastinum unchanged . no change hiatus hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1035_IM-0028_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1035_IM-0028-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1035_IM-0028-2001.png,startseq right the heart size and pulmonary vascularity appear within normal limits . some prominent perihilar opacities are present . some vague small nodular opacities are present the right upper lung zone . these are slightly more prominent than the previous study . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1036_IM-0029,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1036_IM-0029-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1036_IM-0029-1001.png,startseq the cardiomediastinal silhouette within normal limits for size . pulmonary vasculature within normal limits . no focal consolidations effusions pneumothoraces . mild degeneration the thoracic spine without acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1037_IM-0029_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1037_IM-0029-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1037_IM-0029-2001.png,startseq the heart normal size . the mediastinum unremarkable . tortuous calcified thoracic aorta present . the lungs are hyperepanded consistent with emphysema . there no pleural effusion pneumothora focal airspace disease . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1039_IM-0030,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1039_IM-0030-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1039_IM-0030-1002.png,startseq no pneumothora pleural effusion . normal cardiac contour . clear lungs bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR104_IM-0031-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR104_IM-0031-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR104_IM-0031-0001-0002.png,startseq there are minimal left basilar opacities subsegmental atelectasis scarring . there no focal airspace consolidation suggest pneumonia . no pleural effusion pneumothora . heart size the upper limits normal . cardiac defibrillator overlies the right ventricle . the appears intact . there aortic atherosclerotic vascular calcification . calcified mediastinal and hilar lymph are consistent with prior granulomatous disease . multiple calcified splenic granulomas are also noted . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1041_IM-0033_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1041_IM-0033-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1041_IM-0033-2001.png,startseq lucency crosses the left posterior rib . visualized portions the thoracic spine are unremarkable . mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1042_IM-0034_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1042_IM-0034-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1042_IM-0034-3001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1043_IM-0035-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1043_IM-0035-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1043_IM-0035-0001-0002.png,startseq normal cardiomediastinal silhouette . interval improvement lung volumes bilaterally . improved aeration the right and left lung bases . bilateral small pleural effusions and left base atelectatic change with interval improvement . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1044_IM-0036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1044_IM-0036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1044_IM-0036-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . there has been clearing left base airspace opacities . the lungs now appear clear . no pneumothora pleural effusion seen . the lungs appear hyperepanded consistent with emphysema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1045_IM-0036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1045_IM-0036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1045_IM-0036-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no alveolar consolidation no findings pleural effusion pulmonary edema . chronic appearing contour deformity the right posterolateral rib again noted suggestive old injury . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1046_IM-0036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1046_IM-0036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1046_IM-0036-2001.png,startseq heart and mediastinum within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1047_IM-0036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1047_IM-0036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1047_IM-0036-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1048_IM-0036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1048_IM-0036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1048_IM-0036-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR105_IM-0037_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR105_IM-0037-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR105_IM-0037-2001.png,startseq heart size within normal limits . stable position left subclavian central venous catheter . no focal airspace disease . no pneumothora . mild blunting the costophrenic bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1050_IM-0038_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1050_IM-0038-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1050_IM-0038-4004.png,startseq technically limited study secondary patient decreased lung volumes with associated bronchopulmonary crowding without evidence focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1051_IM-0039_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1051_IM-0039-5001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1051_IM-0039-6001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1052_IM-0040_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1052_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1052_IM-0040-1002.png,startseq the trachea midline . cardio mediastinal silhouette normal contour with overlying sternotomy the lungs are clear without acute infiltrate effusion pneumothora . the visualized bony structures reveal no fractures dislocations . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1053_IM-0040_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1053_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1053_IM-0040-3003.png,startseq there are postoperative changes sternotomy and cabg . there stable mild cardiomegaly . there are scattered subsegmental atelectasis decreased from the prior chest radiograph . no focal airspace consolidation . no pleural effusion pneumothora . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1054_IM-0040_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1054_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1054_IM-0040-1002.png,startseq heart size normal . stable mediastinal contour . no focal airspace consolidation suspicious pulmonary opacity pneumothora pleural effusion . mild thoracic spine degenerative change . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1055_IM-0040_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1055_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1055_IM-0040-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1002.png,startseq normal heart size . stable tortuous aorta . no pneumothora pleural effusion . no suspicious focal air space opacities . levoscoliosis the thoracolumbar spine . hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes . prior granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1003.png,startseq normal heart size . stable tortuous aorta . no pneumothora pleural effusion . no suspicious focal air space opacities . levoscoliosis the thoracolumbar spine . hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes . prior granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1056_IM-0040-1003.png,startseq normal heart size . stable tortuous aorta . no pneumothora pleural effusion . no suspicious focal air space opacities . levoscoliosis the thoracolumbar spine . hyperinflated lungs with flattened diaphragms are consistent with emphysematous lung changes . prior granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1057_IM-0041_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1057_IM-0041-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1057_IM-0041-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . no discrete nodules adenopathy identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1058_IM-0041_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1058_IM-0041-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1058_IM-0041-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . innumerable bilateral lung nodules are present . these are seen diffusely throughout both lungs . no superimposed focal airspace disease seen . no pleural effusion pneumothora identified . scoliosis present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1059_IM-0041,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1059_IM-0041-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1059_IM-0041-1001.png,startseq stable cardiomediastinal silhouette with tortuous aorta . prior granulomatous disease . no pneumothora pleural effusion . stable retrocardiac airspace opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR106_IM-0042_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR106_IM-0042-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR106_IM-0042-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1060_IM-0042_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1060_IM-0042-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1060_IM-0042-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . mild detrocurvature the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1061_IM-0043_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1061_IM-0043-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1061_IM-0043-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there slight wedge deformity the mid lower thoracic vertebral body unchanged from the comparison study . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1062_IM-0043,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1062_IM-0043-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1062_IM-0043-1001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . no displaced rib fracture visualized . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1063_IM-0044_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1063_IM-0044-84654001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1063_IM-0044-84654002.png,startseq there minimal opacity the left lung base representing atelectasis . the lungs are otherwise clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1064_IM-0045,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1064_IM-0045-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1064_IM-0045-1001.png,startseq there stable elevation the right hemidiaphragm with questionable increased right basilar airspace opacities . the left lung clear . heart size normal . unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1065_IM-0046_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1065_IM-0046-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1065_IM-0046-2001.png,startseq there has been interval cabg . sternotomy and cerclage appear intact . no focal air space opacity . no pleural effusion pneumothora . stable mild degenerative disc disease the thoracic spine . visualized bony structures are otherwise unremarkable appearance . atherosclerotic calcifications the thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1067_IM-0048_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1067_IM-0048-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1067_IM-0048-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . no suspicious pulmonary nodules masses . bony thora and soft tissues grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1069_IM-0049,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1069_IM-0049-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1069_IM-0049-1001.png,startseq heart size within normal limits . there mild hyperepansion with flattening diaphragms and bronchovascular crowding the lung bases compatible with emphysema . negative for focal pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR107_IM-0049_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR107_IM-0049-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR107_IM-0049-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1070_IM-0050_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1070_IM-0050-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1070_IM-0050-2001.png,startseq there abnormal separation the right this ageindeterminate . corticated bony density over the lateral aspect the clavicle may reflect sequela old remote the cardia mediastinal silhouette pulmonary vascular pattern are normal . no pneumothora . no pleural effusion . no pulmonary edema there minimal endplate degenerative changes the midthoracic spine . partial obscuration retrosternal space due overlying endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1071_IM-0051,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1071_IM-0051-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1071_IM-0051-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . the patient mildly rotated . no focal consolidations pneumothora pleural effusions . mild degenerative changes the thoracic spine . no acute displaced fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1072_IM-0052-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1072_IM-0052-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1072_IM-0052-1001-0002.png,startseq the heart and mediastinal contours are stable . aorta calcified and tortuous compatible with atherosclerotic disease . since the prior study there been interval development left lower lobe airspace disease . the right lung clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1073_IM-0053_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1073_IM-0053-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1073_IM-0053-2001.png,startseq the lungs are hyperepanded with flattened diaphragms . the cardiomediastinal silhouette normal size and stable from prior eam . there mild tortuosity the thoracic aorta . there no pneumothora large pleural effusion . there are degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1074_IM-0054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1074_IM-0054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1074_IM-0054-2001.png,startseq the cardiomediastinal silhouette stable . lung volumes remain low . there no pleural line suggest pneumothora costophrenic blunting suggest large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1075_IM-0054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1075_IM-0054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1075_IM-0054-2001.png,startseq lungs are hyperinflated with interstitial changes severe emphysema . there illdefined pleural parenchymal opacity the left upper lobe . this may represent scarring but incompletely evaluated the outside study without coronal and sagittal reformats . there mild scarring andor atelectasis the lung bases . lungs otherwise grossly clear . there no pneumothora pleural effusion . heart size normal . there are mild degenerative endplate changes the thoracic spine . there generalized osteopenia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1076_IM-0054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1076_IM-0054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1076_IM-0054-3001.png,startseq there opacity posterior aspect lower chest seen lateral view which probably represents left lower lobe consolidation . there may also small bilateral pleural effusion . upper limits normal heart size . mild central vascular prominence . old fracture deformities multiple right ribs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1077_IM-0054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1077_IM-0054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1077_IM-0054-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1078_IM-0055_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1078_IM-0055-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1078_IM-0055-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1079_IM-0056_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1079_IM-0056-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1079_IM-0056-2001.png,startseq there are low lung volumes . the heart size and upper mediastinum have normal appearance . there no pulmonary vascular congestion . there minimal right basilar atelectasis . there no large effusion pneumothora . the osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR108_IM-0056_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR108_IM-0056-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR108_IM-0056-1002.png,startseq the heart normal size . the mediastinum within normal limits the lungs are hypoinflated . there mild increase perihilar markings related patient history bronchitis . no acute infiltrate pleural effusion are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1081_IM-0057,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1081_IM-0057-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1081_IM-0057-2002.png,startseq the lungs are hyperepanded . heart size normal . no mass focal opacities seen . stable degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1082_IM-0058,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1082_IM-0058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1082_IM-0058-1001.png,startseq stable cardiomegaly . stable tortuosity the aorta . no focal airspace opacities pneumothora pleural effusion . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1083_IM-0058_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1083_IM-0058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1083_IM-0058-2001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and aeration the lungs . no pleural effusion . there are gastroesophageal junction and epigastric postsurgical changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1084_IM-0058_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1084_IM-0058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1084_IM-0058-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1085_IM-0059_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1085_IM-0059-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1085_IM-0059-2001.png,startseq the lungs demonstrate low lung volumes but are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . mild streaky opacities the left upper lobe frontal projection are atelectatic scar . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1086_IM-0059_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1086_IM-0059-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1086_IM-0059-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there corticated irregularity the right posterior rib secondary old rib fracture . there are no gross acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1087_IM-0060_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1087_IM-0060-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1087_IM-0060-1004003.png,startseq there calcified granuloma the left upper lobe . lungs otherwise are believed clear . the heart normal . there are calcified left hilar and mediastinal lymph the skeletal structures show some senescent changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1088_IM-0061_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1088_IM-0061-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1088_IM-0061-2001.png,startseq heart within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . mild streaky opacity lateral right lung atelectasis versus scarring . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1089_IM-0061_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1089_IM-0061-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1089_IM-0061-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the descending thoracic aorta tortuous . central venous catheter again noted . the lungs are free focal airspace disease . the left hemidiaphragm remains elevated . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1091_IM-0062_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1091_IM-0062-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1091_IM-0062-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1092_IM-0063_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1092_IM-0063-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1092_IM-0063-2001.png,startseq heart mediastinum bony structures and lung are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1093_IM-0064_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1093_IM-0064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1093_IM-0064-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1094_IM-0065_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1094_IM-0065-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1094_IM-0065-2001.png,startseq no acute osseous abnormality . the soft tissues are within normal limits . normal appearing cardiomediastinal silhouette and hilar contours . left lower lobe density representing atelectasis . no focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1095_IM-0066,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1095_IM-0066-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1095_IM-0066-1001.png,startseq the lungs appear clear . the heart and pulmonary appear normal . there severe kyphotic deformity the chest involving prior fractures thoracic vertebral bodies and the sternum . there are multiple fractures identified involving upper thoracic vertebral bodies and single upper lumbar vertebral body . the patient status post vertebroplasty multiple levels . the pleural spaces appear clear . there rightsided chest the distal tip the upper right atrium . mediastinal contours appear normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1096_IM-0066,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1096_IM-0066-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1096_IM-0066-2001.png,startseq the heart size within normal limits . no focal air space opacities . no pneumothora . no pleural effusion . no displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1097_IM-0067_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1097_IM-0067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1097_IM-0067-2001.png,startseq heart size and mediastinal contours are within normal limits . diffuse bilateral calcified sequelae prior granulomatous infection . no pulmonary vascular congestion . no edema . no focal consolidation . there no visible pleural effusion pneumothora . there mild anterior wedging lower thoracic vertebral body approimately level . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1098_IM-0067,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1098_IM-0067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1098_IM-0067-1001.png,startseq the lungs are hyperinflated with coarse interstitial markings compatible with obstructive pulmonary disease and emphysema . there chronic pleuralparenchymal scarring within the lung bases . no lobar consolidation seen . no pleural effusion pneumothora . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1099_IM-0067_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1099_IM-0067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1099_IM-0067-2001.png,startseq there are changes sternotomy and cabg . heart size within normal limits . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR11_IM-0067_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR11_IM-0067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR11_IM-0067-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR110_IM-0067_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR110_IM-0067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR110_IM-0067-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1100_IM-0068_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1100_IM-0068-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1100_IM-0068-2001.png,startseq heart large . pulmonary are engorged . bibasilar interstitial infiltrates and bilateral costophrenic blunting are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-3001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1101_IM-0068-3001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-2001.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-3001.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-4004.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-3001.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-4004.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1102_IM-0069-4004.png,startseq there stable cardiomegaly with pulmonary vascular congestion and probable mild interstitial edema . there are bilateral pleural effusions with bibasilar airspace disease right greater than left . there no pneumothora . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1103_IM-0070_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1103_IM-0070-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1103_IM-0070-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . there stable calcified granuloma the infrahilar right lung . there are mild degenerative changes along the thoracic spine . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1105_IM-0072-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1105_IM-0072-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1105_IM-0072-1001-0002.png,startseq mild cardiomegaly . mediastinal normal width . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . scarring atelectasis right midlung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1108_IM-0075_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1108_IM-0075-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1108_IM-0075-2001.png,startseq the lungs are clear and hyperinflated . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1109_IM-0076_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1109_IM-0076-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1109_IM-0076-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1110_IM-0076_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1110_IM-0076-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1110_IM-0076-2001.png,startseq cardiomediastinal contours within normal limits . pulmonary vascularity normal . there are scattered calcified testes bilaterally consistent with prior granulomatous infection stable . no focal airspace consolidation . no pleural effusion no pneumothora . bony structures unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1111_IM-0077_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1111_IM-0077-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1111_IM-0077-4004.png,startseq lordotic projection and large body habitus . limited mediastinal evaluation . severe cardiomegaly . no visualized pneumothora . no large effusion airspace disease . no fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1112_IM-0078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1112_IM-0078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1112_IM-0078-2001.png,startseq there widening the mediastinum . there moderate cardiomegaly identified . the central pulmonary appear enlarged . correlate for pulmonary vascular congestion . no focal infiltrate . no large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1113_IM-0078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1113_IM-0078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1113_IM-0078-1002.png,startseq previous sulcal normal size and contour . lungs are clear . no focal consolidation pneumothora pleural effusion . interval resolution previously described right midlung opacity suggesting resolved inflammatoryinfectious process . lungs are hyperepanded with flattened diaphragms . and soft tissue are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1114_IM-0079_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1114_IM-0079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1114_IM-0079-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1115_IM-0079,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1115_IM-0079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1115_IM-0079-1001.png,startseq normal heart size and mediastinal contours . no abnormal airspace opacities . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1116_IM-0079_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1116_IM-0079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1116_IM-0079-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . and curvilinear densities over the breast shadows compatible with piercings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1117_IM-0079_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1117_IM-0079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1117_IM-0079-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there illdefined airspace opacity the posterior left lower lobe . there focal opacity the right upper lobe which suggests scar andor granulomatous calcification . there no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1118_IM-0079_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1118_IM-0079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1118_IM-0079-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1119_IM-0080_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1119_IM-0080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1119_IM-0080-2001.png,startseq low lung volumes with bronchovascular crowding . sequela prior granulomatous disease . otherwise lungs clear . heart size normal . stable severe deformity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR112_IM-0080_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR112_IM-0080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR112_IM-0080-1002.png,startseq previous lower spine cervical fusion . lungs are overall hyperepanded with flattening the diaphragms consistent with obstructive lung disease . lungs are clear without focal consolidation . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1120_IM-0080,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1120_IM-0080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1120_IM-0080-1001.png,startseq normal heart size and mediastinal contours . low lung volumes with no significant airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1121_IM-0080_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1121_IM-0080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1121_IM-0080-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures show several old rib fractures unchanged the prior study the left . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0002.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0002.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1122_IM-0080-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1123_IM-0080_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1123_IM-0080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1123_IM-0080-2001.png,startseq opacities projecting over the right ape and mediastinum view are artifactual . stable cardiomediastinal silhouette . pulmonary vascularity unremarkable . stable chronic coarse interstitial markings without focal airspace disease consolidation . negative for pneumothora pleural effusion . limited evaluation reveals the are grossly intact . right cervical rib . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1124_IM-0081_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1124_IM-0081-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1124_IM-0081-3001.png,startseq there are postoperative changes sternotomy . heart size within normal limits . there aortic atherosclerotic vascular calcification . the lungs are mildly hyperepanded . there no focal airspace consolidation . no pleural effusion pneumothora . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1125_IM-0082_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1125_IM-0082-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1125_IM-0082-2001.png,startseq borderline enlarged heart . stable mediastinal contours . aortic calcifications . hyperinflated lungs with chronic appearing interstitial markings compatible with emphysema . bilateral streaky opacities . increased vascularity compatible with pulmonary vascular congestion . no focal airspace disease . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1126_IM-0082_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1126_IM-0082-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1126_IM-0082-2001.png,startseq sternotomy and mediastinal surgical clips remain the cardiomediastinal silhouette stable appearance . the thoracic aorta tortuous and calcified with stable appearance since eam . no focal areas pulmonary consolidation . scattered right basilar subsegmental atelectasis . the left lung appears clear . no pneumothora pleural effusion present . moderate degenerative changes the thoracic spine . osteopenia . mild loss mid thoracic vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1129_IM-0085,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1129_IM-0085-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1129_IM-0085-1001.png,startseq there mild cardiomegaly . pulmonary vasculature normal caliber . there are mild opacities bilaterally favoring scar atelectasis . the lungs are otherwise clear . there no pneumothora pleural effusion . no acute displaced rib fractures are demonstrated . visualized vertebral body are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-2001.png,startseq the heart and mediastinum are unremarkable . there are two subcentimeter hyperdense nodular opacities are noted within the right lung . these may represent end alternatively calcified granulomas . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-3001.png,startseq the heart and mediastinum are unremarkable . there are two subcentimeter hyperdense nodular opacities are noted within the right lung . these may represent end alternatively calcified granulomas . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR113_IM-0086-3001.png,startseq the heart and mediastinum are unremarkable . there are two subcentimeter hyperdense nodular opacities are noted within the right lung . these may represent end alternatively calcified granulomas . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1130_IM-0087_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1130_IM-0087-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1130_IM-0087-3003.png,startseq heart size and pulmonary vascularity appear within normal limits . calcified granuloma present the right base . no pneumothora pleural effusion seen . the lateral right base identified illdefined somewhat oblong opacity . this was not present the previous study . the remainder the lungs appear clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1131_IM-0088-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1131_IM-0088-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1131_IM-0088-0001-0002.png,startseq images . calcified granuloma right lung base . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1133_IM-0090_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1133_IM-0090-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1133_IM-0090-1002.png,startseq lungs are hyperepanded . no infiltrates masses . the eventration the left hemidiaphragm identified previously largely unchanged since the previous computed tomogram . pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1134_IM-0091_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1134_IM-0091-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1134_IM-0091-2001.png,startseq there left chest with tip the mid svc . the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1135_IM-0091_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1135_IM-0091-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1135_IM-0091-2001.png,startseq heart mediastinum bony structures and lung are unremarkable . stable small calcified granuloma left base . no acute findingsopacitiesinfiltrates noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1136_IM-0092_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1136_IM-0092-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1136_IM-0092-2001.png,startseq lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1138_IM-0094_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1138_IM-0094-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1138_IM-0094-2001.png,startseq no pleural effusions . no pneumothora . no focal areas consolidation . heart size within normal limits . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1139_IM-0095_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1139_IM-0095-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1139_IM-0095-2001.png,startseq cardiomegaly . mediastinal contours are normal limits . increased interstitial opacities . no pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR114_IM-0096_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR114_IM-0096-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR114_IM-0096-2001.png,startseq the heart size and mediastinal silhouette are within normal limits . no pneumothora pleural effusions . the lungs are clear . no focal consolidations . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1141_IM-0096_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1141_IM-0096-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1141_IM-0096-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1144_IM-0097_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1144_IM-0097-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1144_IM-0097-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1145_IM-0097_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1145_IM-0097-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1145_IM-0097-3003.png,startseq lungs are hyperepanded . there no focal airspace consolidation . no suspicious pulmonary mass nodule seen . no pleural effusion pneumothora . normal heart size and mediastinal contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1146_IM-0098_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1146_IM-0098-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1146_IM-0098-2001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . calcified lingular pulmonary granuloma . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1148_IM-0100_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1148_IM-0100-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1148_IM-0100-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1149_IM-0101_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1149_IM-0101-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1149_IM-0101-2001.png,startseq several calcified granulomas bilateral hilar regions . the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR115_IM-0102_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR115_IM-0102-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR115_IM-0102-2001.png,startseq the lungs are clear . there hyperinflation the lungs . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1150_IM-0102,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1150_IM-0102-1003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1150_IM-0102-1003.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1151_IM-0102_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1151_IM-0102-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1151_IM-0102-2001.png,startseq frontal and lateral views the chest demonstrate the cardiomediastinal silhouette normal . there normal distribution the pulmonary vascularity . the lungs are clear . no effusion consolidation pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1152_IM-0103_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1152_IM-0103-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1152_IM-0103-2001.png,startseq the heart enlarged . the mediastinum unremarkable . atherosclerotic calcifications present within the thoracic aorta . there no pleural effusion pneumothora focal airspace disease . chronic degenerative changes are noted within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1153_IM-0104_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1153_IM-0104-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1153_IM-0104-2001.png,startseq no pneumothora pleural effusion airspace consolidation . heart size and pulmonary vasculature appear within normal limits . are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1154_IM-0104_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1154_IM-0104-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1154_IM-0104-2001.png,startseq normal heart size . clear lungs . degenerative this disease within the spine . prosthetic right shoulder . possible body the aillary recess the left shoulder . degenerative left glenohumeral osteoarthritis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1155_IM-0105-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1155_IM-0105-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1155_IM-0105-0001-0001.png,startseq stable scoliosis the lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1157_IM-0106_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1157_IM-0106-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1157_IM-0106-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there region left upper lobe perihilar opacity identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1158_IM-0107_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1158_IM-0107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1158_IM-0107-2001.png,startseq heart size remains slightly large . aorta remains tortuous . pulmonary remain normal . no infiltrates masses the lungs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1159_IM-0107,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1159_IM-0107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1159_IM-0107-1001.png,startseq lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR116_IM-0107_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR116_IM-0107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR116_IM-0107-2001.png,startseq stable postsurgical changes . heart mediastinum and lung are unremarkable . stable calcified small granuloma left base . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1160_IM-0107_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1160_IM-0107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1160_IM-0107-1002.png,startseq the left hilum retracted superiorly . the collapsed left upper lobe are stranding and pneumatoceles . additionally pleural thickening present the left ape . no infiltrates are present the left lower lobe the right lung . heart size normal . these findings are similar the previous outside eamination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1161_IM-0107_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1161_IM-0107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1161_IM-0107-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1163_IM-0108_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1163_IM-0108-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1163_IM-0108-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . heart size upper limit normal . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1165_IM-0110,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1165_IM-0110-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1165_IM-0110-1001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1166_IM-0111_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1166_IM-0111-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1166_IM-0111-2001.png,startseq low lung volumes . cardiomediastinal silhouette and pulmonary vasculature are within normal limits . streaky bibasilar airspace opacities . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1167_IM-0112_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1167_IM-0112-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1167_IM-0112-2001.png,startseq the lungs are hyperepanded . there are opacities the lingula subsegmental atelectasis scarring . there no focal airspace consolidation . no pleural effusion pneumothora . heart size within normal limits . there aortic atherosclerotic vascular calcification . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1168_IM-0112_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1168_IM-0112-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1168_IM-0112-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1169_IM-0113-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1169_IM-0113-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1169_IM-0113-0001-0002.png,startseq lung volumes are low . there vague opacity the right upper lung near the anterior right first rib view . this may artifact relating calcification the first rib costicartilage junction . there minimal atelectasis the right lung base . there leftsided picc line the distal tip the lower superior vena the heart and pulmonary are normal . these contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-2001.png,startseq no pneumothora pleural effusion focal airspace disease . mild cardiomegaly . cardio mediastinal silhouette unremarkable . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-3001.png,startseq no pneumothora pleural effusion focal airspace disease . mild cardiomegaly . cardio mediastinal silhouette unremarkable . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1170_IM-0115-3001.png,startseq no pneumothora pleural effusion focal airspace disease . mild cardiomegaly . cardio mediastinal silhouette unremarkable . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1171_IM-0116_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1171_IM-0116-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1171_IM-0116-1002.png,startseq heart size upper limits normal . low lung volumes with mild bronchovascular crowding and right basilar airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1172_IM-0117,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1172_IM-0117-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1172_IM-0117-1001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1173_IM-0118_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1173_IM-0118-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1173_IM-0118-5001.png,startseq and moderate loss the chest demonstrate stable moderate cardiomediastinal silhouette with atherosclerotic calcifications the aortic and mild aortic ectasia . emphysematous changes with flattening the hemidiaphragms . blunting the costophrenic and secondary scarringemphysematous changes . no evidence focal airspace consolidation large pleural effusion pneumothora . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1174_IM-0118_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1174_IM-0118-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1174_IM-0118-2001.png,startseq normal cardiac contours . no pneumothora pleural effusions . clear left lung right middle lobe with increased opacities representative infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1175_IM-0119_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1175_IM-0119-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1175_IM-0119-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1176_IM-0119_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1176_IM-0119-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1176_IM-0119-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1177_IM-0120_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1177_IM-0120-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1177_IM-0120-3001.png,startseq normal heart . clear lungs . trachea midline . scoliosis lower thoracic spine . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1178_IM-0121_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1178_IM-0121-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1178_IM-0121-1002.png,startseq trachea midline . normal heart . clear lungs . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1179_IM-0122_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1179_IM-0122-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1179_IM-0122-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . few bandlike opacities are present the lateral view which appear represent small areas scarring . surgical clips are present the right upper quadrant the abdomen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR118_IM-0123_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR118_IM-0123-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR118_IM-0123-2001.png,startseq the heart normal size and contour . there focal airspace disease the right middle lobe . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1180_IM-0123_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1180_IM-0123-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1180_IM-0123-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . there mild tortuosity the descending thoracic aorta . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . no discrete nodules adenopathy are noted . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1182_IM-0124_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1182_IM-0124-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1182_IM-0124-2001.png,startseq heart size within normal limits . no alveolar consolidation no findings pleural effusion pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1184_IM-0124_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1184_IM-0124-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1184_IM-0124-2001.png,startseq the heart size and mediastinal contours appear within normal limits . low lung volumes the view with bronchovascular crowding and bibasilar atelectasis . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1187_IM-0126_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1187_IM-0126-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1187_IM-0126-2001.png,startseq minimally increased airspace opacities bilaterally most prominent the lung bases . heart size within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1188_IM-0127_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1188_IM-0127-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1188_IM-0127-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1189_IM-0128_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1189_IM-0128-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1189_IM-0128-2001.png,startseq normal heart size and hilar vascular markings . evidence prior granulomatous disease . the lungs are clear without focal area consolidation pleural effusion pneumothora . there are no acute osseous abnormalities present . mild degenerative changes the thoracic spine . the soft tissues are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR119_IM-0128,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR119_IM-0128-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR119_IM-0128-1001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1003.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1190_IM-0128-1003.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1191_IM-0128_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1191_IM-0128-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1191_IM-0128-2001.png,startseq heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no acute bony changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1192_IM-0129_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1192_IM-0129-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1192_IM-0129-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1193_IM-0129_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1193_IM-0129-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1193_IM-0129-2001.png,startseq stable enlarged cardiac silhouette . persistent bilateral lower lobe airspace disease not significantly compared prior . no pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1195_IM-0131_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1195_IM-0131-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1195_IM-0131-2001.png,startseq coronary artery stents visualized . the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1196_IM-0131_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1196_IM-0131-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1196_IM-0131-2001.png,startseq the heart normal size . the mediastinum stable . the aorta atherosclerotic . airspace disease within the left lower lung . the remainder the lungs are clear . there no pleural effusion pneumothora . surgical clips overlying the right breast . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1197_IM-0131_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1197_IM-0131-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1197_IM-0131-1002.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . bilateral prominent lung vascularity medially unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1199_IM-0133_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1199_IM-0133-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1199_IM-0133-1002.png,startseq the cardiomediastinal silhouette within normal limits . the lungs are well epanded without consolidation edema . no pneumothora pleural effusion . visualized osseous structures are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR12_IM-0133_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR12_IM-0133-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR12_IM-0133-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR120_IM-0133_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR120_IM-0133-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR120_IM-0133-2001.png,startseq low lung volumes bilaterally with central bronchovascular crowding without focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1200_IM-0134_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1200_IM-0134-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1200_IM-0134-2001.png,startseq the heart not enlarged . the central pulmonary vasculature not engorged . visualized osseous structures are unremarkable . no pneumothora pleural effusion . small right jutahilar opacity may represent infiltrate . lungs are otherwise well aerated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1202_IM-0136_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1202_IM-0136-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1202_IM-0136-2001.png,startseq the heart large and the pulmonary are engorged . no infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1203_IM-0137_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1203_IM-0137-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1203_IM-0137-2001.png,startseq the heart normal size . the mediastinum unremarkable . there patchy opacity the left upper lobe . possibility tuberculosis should ecluded . no pleural effusion seen . there no pneumothora the lungs are hyperinflated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1204_IM-0138_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1204_IM-0138-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1204_IM-0138-2001.png,startseq and lateral views the chest were obtained . heart size upper limits normal mildly enlarged . the thoracic aorta mildly tortuous . pulmonary are within normal limits . no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1205_IM-0138_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1205_IM-0138-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1205_IM-0138-1002.png,startseq normal heart size . clear lungs without pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1207_IM-0140-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1207_IM-0140-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1207_IM-0140-0001-0002.png,startseq the lungs are clear . the heart and pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-2001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal air space opacity pleural effusion pneumothora . the osseous structures are intact with mild degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-3001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal air space opacity pleural effusion pneumothora . the osseous structures are intact with mild degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1208_IM-0141-3001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal air space opacity pleural effusion pneumothora . the osseous structures are intact with mild degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1209_IM-0142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1209_IM-0142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1209_IM-0142-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR121_IM-0142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR121_IM-0142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR121_IM-0142-2001.png,startseq heart size and vascularity normal . lungs are clear . no effusions . no pneumothora . visualized osseous structures unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1210_IM-0142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1210_IM-0142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1210_IM-0142-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there mild degenerative changes the thoracic spine . there slight deformity the lower thoracic body which ageindeterminate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1211_IM-0142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1211_IM-0142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1211_IM-0142-1002.png,startseq normal heart size mediastinal contours . no focal airspace opacity . no pneumothora pleural effusion . visualized are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1212_IM-0143_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1212_IM-0143-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1212_IM-0143-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1213_IM-0144_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1213_IM-0144-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1213_IM-0144-2001.png,startseq frontal and lateral views the chest with overlying eternal cardiac monitor leads show normal size and configuration the cardiac silhouette . normal pulmonary vasculature and central airways . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1214_IM-0144_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1214_IM-0144-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1214_IM-0144-2001.png,startseq the heart normal size and contour . there focal area scarring atelectasis identified the lingula . the lungs are otherwise clear without focal infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1216_IM-0144,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1216_IM-0144-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1216_IM-0144-2001.png,startseq no focal consolidation pneumothora definite pleural effusion . heart size and pulmonary vascularity within normal limits no mediastinal widening characteristic appearance vascular injury . no acute osseous injury demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1217_IM-0145-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1217_IM-0145-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1217_IM-0145-0001-0002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated with blunted costophrenic no focal consolidation seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1218_IM-0146_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1218_IM-0146-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1218_IM-0146-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . no acute bony soft tissue abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1219_IM-0146_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1219_IM-0146-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1219_IM-0146-2001.png,startseq heart size and mediastinal contours are normal appearance . no consolidative airspace opacities . no radiographic evidence pleural effusion pneumothora . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-2001.png,startseq there hyperepansion hyperlucency both lungs well flattening the diaphragm consistent with chronic emphysematous lung disease . no focal consolidation pneumothora large pleural effusion identified blunting costophrenic recesses bilaterally may represent small effusions pleural thickeningscar . stable calcified mediastinal and hilar lymph and left basilar calcified granuloma . acute osseous abnormality . the mediastinal silhouette stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-3001.png,startseq there hyperepansion hyperlucency both lungs well flattening the diaphragm consistent with chronic emphysematous lung disease . no focal consolidation pneumothora large pleural effusion identified blunting costophrenic recesses bilaterally may represent small effusions pleural thickeningscar . stable calcified mediastinal and hilar lymph and left basilar calcified granuloma . acute osseous abnormality . the mediastinal silhouette stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1220_IM-0148-3001.png,startseq there hyperepansion hyperlucency both lungs well flattening the diaphragm consistent with chronic emphysematous lung disease . no focal consolidation pneumothora large pleural effusion identified blunting costophrenic recesses bilaterally may represent small effusions pleural thickeningscar . stable calcified mediastinal and hilar lymph and left basilar calcified granuloma . acute osseous abnormality . the mediastinal silhouette stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1221_IM-0149-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1221_IM-0149-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1221_IM-0149-0001-0002.png,startseq no airspace disease effusion noncalcified nodule . normal heart size and mediastinum . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1222_IM-0150_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1222_IM-0150-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1222_IM-0150-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1223_IM-0150_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1223_IM-0150-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1223_IM-0150-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . foreign body noted the soft tissues the left chest wall . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1224_IM-0150,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1224_IM-0150-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1224_IM-0150-1001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1225_IM-0150_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1225_IM-0150-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1225_IM-0150-2001.png,startseq heart size normal . there mild tortuosity the thoracic aorta . no consolidating airspace disease seen . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1226_IM-0150_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1226_IM-0150-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1226_IM-0150-1002.png,startseq the heart size within normal limits . trachea midline . no pleural effusions pneumothora . cardiomediastinal contours are normal . there focal consolidation the posterior segment the right lower lobe . no bony soft tissue abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1229_IM-0152_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1229_IM-0152-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1229_IM-0152-2001.png,startseq there hyperinflation the lungs appear clear . there no pleural effusion the heart normal . there are atherosclerotic changes the aorta . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR123_IM-0153_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR123_IM-0153-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR123_IM-0153-4004.png,startseq mild cardiomegaly . tortuous aorta . no focal infiltrate . no pneumothora large pleural effusion . soft tissue density identified the medial right ape which asymmetric compared left . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1231_IM-0155_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1231_IM-0155-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1231_IM-0155-2001.png,startseq the heart normal size . the mediastinum unremarkable . left subclavian central catheter tip distal svc . no pneumothora . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1232_IM-0156_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1232_IM-0156-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1232_IM-0156-3001.png,startseq stable left chest cardiac generator with distal leads right atrium and right ventricle . heart size normal . no pneumothora pleural effusion focal airspace disease . emphysema . stable calcified granulomas . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1233_IM-0157_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1233_IM-0157-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1233_IM-0157-2001.png,startseq enlarged cardiomediastinal silhouette . low lung volumes . relative elevation right hemidiaphragm . left base density . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1234_IM-0157_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1234_IM-0157-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1234_IM-0157-4004.png,startseq images . the cardiac silhouette enlarged . thoracic aortic atherosclerotic calcifications are present . there are finding status post sternotomy and cabg . atelectasis scar noted within the left midlung . there blunting the left costophrenic no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1235_IM-0158_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1235_IM-0158-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1235_IM-0158-2001.png,startseq lung volumes are opacities are present the angulate . no focal infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1236_IM-0158_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1236_IM-0158-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1236_IM-0158-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1237_IM-0159_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1237_IM-0159-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1237_IM-0159-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . there calcified opacity the left lung base suggestive old empyema hematoma prior tb . no cavitary lesions are seen . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1238_IM-0160,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1238_IM-0160-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1238_IM-0160-2002.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1240_IM-0162_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1240_IM-0162-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1240_IM-0162-4001.png,startseq feeding tube passes below the left hemidiaphragm . left subclavian central line tip the upper svc . shunt tubing courses along the anterior left hemithora . there grossly stable left lower lobe consolidation . stable mild residual medial right basilar airspace disease . there no pneumothora . heart size within normal limits . there aortic atherosclerotic vascular calcification . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1241_IM-0163,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1241_IM-0163-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1241_IM-0163-2002.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . there scoliosis the thoracic spine . the ribs visualized appear unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1242_IM-0164_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1242_IM-0164-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1242_IM-0164-2001.png,startseq the heart normal size . the mediastinum stable with tortuous aorta . there are chronic changes particularly noted the lung apices . the are mildly prominent but stable . no acute infiltrate seen . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-2001.png,startseq cardiac silhouette enlarged but unchanged . there leftsided central line with lumen . poly vasculature within normal limits . mediastinum normal . bibasilar opacity left greater than right appreciated . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-4004.png,startseq cardiac silhouette enlarged but unchanged . there leftsided central line with lumen . poly vasculature within normal limits . mediastinum normal . bibasilar opacity left greater than right appreciated . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1243_IM-0165-4004.png,startseq cardiac silhouette enlarged but unchanged . there leftsided central line with lumen . poly vasculature within normal limits . mediastinum normal . bibasilar opacity left greater than right appreciated . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1244_IM-0166_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1244_IM-0166-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1244_IM-0166-2001.png,startseq redemonstration colonic interposition overlying the mediastinum . there are increased bibasilar airspace opacities left greater than right . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1246_IM-0167_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1246_IM-0167-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1246_IM-0167-2001.png,startseq cardiac and mediastinal contours are within normal limits . prior granulomatous disease . the lungs are otherwise clear . thoracic spondylosis . bilateral breast prostheses with calcification . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1248_IM-0168_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1248_IM-0168-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1248_IM-0168-2001.png,startseq heart size normal . no focal consolidations . there are degenerative changes throughout the midlower thoracic spine . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1249_IM-0169_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1249_IM-0169-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1249_IM-0169-2001.png,startseq the lungs are clear without evidence focal airspace disease . there are calcified granulomas the left lower lobe . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR125_IM-0169_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR125_IM-0169-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR125_IM-0169-2001.png,startseq the heart normal size . the mediastinum stable . sternotomy changes are again noted . the lungs are clear focal infiltrates . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1250_IM-0169_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1250_IM-0169-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1250_IM-0169-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . large bilateral hilar calcified lymph granulomas . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1253_IM-0171-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1253_IM-0171-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1253_IM-0171-0001-0002.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1254_IM-0172_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1254_IM-0172-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1254_IM-0172-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1255_IM-0172-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1255_IM-0172-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1255_IM-0172-1001-0002.png,startseq rightsided chest tube tip now projects outside the thoracic cavity . no definite residual pneumothora . stable cardiomediastinal silhouette . there are low lung volumes . no large pleural effusion . no focal airspace consolidation . small amount subdiaphragmatic free air . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1256_IM-0173_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1256_IM-0173-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1256_IM-0173-2001.png,startseq the heart normal size and contour . there mild calcification the transverse the lungs are clear without evidence infiltrate . there no pneumothora effusion . degenerative changes the midthoracic spine are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1257_IM-0174_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1257_IM-0174-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1257_IM-0174-2001.png,startseq mild cardiomegaly . hypoinflation the lungs . right basilar opacity may represent atelectasis . lungs are otherwise clear without focal consolidation pleural effusion pneumothora . sclerosis the humeral bilateral from prior avn . sclerotic vertebral body endplates with central depression . calcifications the right hemiabdomen may represent calcified gallstones . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1258_IM-0175,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1258_IM-0175-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1258_IM-0175-1001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1259_IM-0175_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1259_IM-0175-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1259_IM-0175-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR126_IM-0176,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR126_IM-0176-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR126_IM-0176-2002.png,startseq vague increased opacity which appears within the left lower lobe . question this could developing resolving pneumonia . lungs are otherwise clear . no pleural effusions pneumothoraces . heart and mediastinum are stable normal size heart . atherosclerotic vascular disease . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1261_IM-0177_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1261_IM-0177-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1261_IM-0177-2001.png,startseq mild cardiomegaly . normal pulmonary vascularity . tortuosity the descending aorta . no focal infiltrate pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-1001.png,startseq the cardiac silhouette mediastinal contours are within normal limits . there are low lung volumes . there no focal consolidation . there pneumothora . there no large pleural effusion . there prominent right anterior first rib end . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-2001.png,startseq the cardiac silhouette mediastinal contours are within normal limits . there are low lung volumes . there no focal consolidation . there pneumothora . there no large pleural effusion . there prominent right anterior first rib end . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1262_IM-0178-2001.png,startseq the cardiac silhouette mediastinal contours are within normal limits . there are low lung volumes . there no focal consolidation . there pneumothora . there no large pleural effusion . there prominent right anterior first rib end . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1263_IM-0179_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1263_IM-0179-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1263_IM-0179-3001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1264_IM-0179_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1264_IM-0179-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1264_IM-0179-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1265_IM-0179_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1265_IM-0179-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1265_IM-0179-2001.png,startseq normal heart size . there round density the study performed not available for review this time . lungs are hyperinflated with flattened diaphragms . calcified right lower lobe granuloma . no focal airspace consolidation pneumothora pleural effusion . no pulmonary edema . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1266_IM-0179_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1266_IM-0179-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1266_IM-0179-2001.png,startseq the lungs are clear . there are calcified granulomas . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1267_IM-0179_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1267_IM-0179-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1267_IM-0179-1002.png,startseq no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1268_IM-0180_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1268_IM-0180-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1268_IM-0180-3001.png,startseq the cardiomediastinal silhouette normal size and configuration . the thoracic aorta tortuous . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . there no obvious displaced rib fracture . there concern for fracture consider rib series . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1269_IM-0181_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1269_IM-0181-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1269_IM-0181-2001.png,startseq normal heart size . hyperepanded lungs without focal consolidation pneumothora large pleural effusion . left nipple silhouette visualized . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR127_IM-0181_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR127_IM-0181-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR127_IM-0181-1002.png,startseq heart size and mediastinal contour within normal limits . calcified granuloma the left lung base . no focal airspace consolidation pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1270_IM-0181_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1270_IM-0181-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1270_IM-0181-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1271_IM-0182_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1271_IM-0182-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1271_IM-0182-4004.png,startseq the heart within normal limits size given the low lung volumes portable technique . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1272_IM-0183_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1272_IM-0183-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1272_IM-0183-1002.png,startseq there are scattered calcified granulomas . the lungs are otherwise clear . no focal airspace consolidation . no pleural effusion pneumothora . normal heart size and mediastinal contour . right humeral internal fiation noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1273_IM-0183_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1273_IM-0183-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1273_IM-0183-2001.png,startseq heart mildly enlarged stable . mediastinal contour normal . pulmonary vascularity normal . lungs are hyperepanded but clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1274_IM-0183_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1274_IM-0183-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1274_IM-0183-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . calcific granulomas are present the right upper lobe . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . calcific granulomas are present the right upper lobe . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1276_IM-0184-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . calcific granulomas are present the right upper lobe . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1277_IM-0185_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1277_IM-0185-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1277_IM-0185-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion lobar air space consolidation . right middle lobe collapse appears less distinct than prior study . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1278_IM-0185_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1278_IM-0185-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1278_IM-0185-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1279_IM-0185,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1279_IM-0185-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1279_IM-0185-1001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . the right upper etremity picc tip the upper svc . surgical clips the right upper abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR128_IM-0186_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR128_IM-0186-82592001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR128_IM-0186-82592002.png,startseq sequelae old granulomatous disease . lungs are overall hyperepanded with flattening the diaphragms . no focal consolidation . prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis . this appearance overall not significantly no pleural effusions pneumothoraces . heart and mediastinum are stable with atherosclerotic vascular disease . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1280_IM-0187_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1280_IM-0187-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1280_IM-0187-3001.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1281_IM-0188,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1281_IM-0188-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1281_IM-0188-2001.png,startseq normal heart size and mediastinal contours . lungs are clear . there no pneumothora pleural effusion . degenerative changes are seen the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1282_IM-0188_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1282_IM-0188-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1282_IM-0188-2001.png,startseq normal heart size and mediastinal contours . patchy right lower lobe airspace opacities . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1283_IM-0188,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1283_IM-0188-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1283_IM-0188-1001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are calcified granulomas noted . there are vascular calcifications over the aortic endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1284_IM-0188,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1284_IM-0188-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1284_IM-0188-2001.png,startseq leftsided dual cardiac stable position . the heart normal size . interval decrease and left basilar opacity . increase opacities the right lung base . no pneumothora large effusion . the pulmonary vascularity unremarkable . calcification the thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-1001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . mild nodular prominence the right hilum without significant change . lung volumes are decreased with crowding . there no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-4001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . mild nodular prominence the right hilum without significant change . lung volumes are decreased with crowding . there no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1285_IM-0188-4001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . mild nodular prominence the right hilum without significant change . lung volumes are decreased with crowding . there no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1287_IM-0188_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1287_IM-0188-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1287_IM-0188-2001.png,startseq sequelae old granulomatous disease . no suspicious pulmonary nodules masses . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1288_IM-0189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1288_IM-0189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1288_IM-0189-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . prominent bilateral pericardial fat pads . the lungs are well aerated . there minimal patchy and air space opacity within the lingula favored atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1289_IM-0189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1289_IM-0189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1289_IM-0189-2001.png,startseq one are low . both costophrenic are blunted . pulmonary are normal . no visible infiltrates the aerated lungs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR129_IM-0189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR129_IM-0189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR129_IM-0189-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1290_IM-0189,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1290_IM-0189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1290_IM-0189-1001.png,startseq there calcified nodule the left lower lobe . moderate hiatal hernia present . cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1291_IM-0190_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1291_IM-0190-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1291_IM-0190-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . mild prominence left hilar contour . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1292_IM-0191_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1292_IM-0191-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1292_IM-0191-2001.png,startseq borderline enlarged heart . torturousectatic thoracic aorta . no focal pulmonary opacity pleural effusion pneumothora . there are degenerative changes the spine . there fracture distal right clavicle better seen the right shoulder radiographs dated small round lucency the distal left clavicle appears benign . degenerative changes both joints . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1294_IM-0193_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1294_IM-0193-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1294_IM-0193-2001.png,startseq lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1295_IM-0194_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1295_IM-0194-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1295_IM-0194-3003.png,startseq low lung volumes are present . the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . mild degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR13_IM-0198_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR13_IM-0198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR13_IM-0198-2001.png,startseq the cardiac silhouette borderline enlarged . otherwise there no focal opacity . mediastinal contours are within normal limits . there no large pleural effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR130_IM-0198,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR130_IM-0198-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR130_IM-0198-2001.png,startseq the lungs are clear . heart size normal . no pneumothora . there left chest with tip projecting over the lower svc . there deformity within the midthoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1300_IM-0198,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1300_IM-0198-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1300_IM-0198-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . the patient obese . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1301_IM-0198_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1301_IM-0198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1301_IM-0198-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours mediastinal calcifications suggest previous granulomatous process . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1302_IM-0198_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1302_IM-0198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1302_IM-0198-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum are stable with ectasia the aorta . heart size upper limits normal . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-1001-0002.png,startseq the interval uncalcified mass has developed the posterior segment the right upper lobe . addition the view opacity adjacent the left the heart . this opacity cannot well identified the lateral view . may artifactual but another mass the left cannot ecluded . mediastinum normal with no evidence for adenopathy . heart size normal . note unchanged hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0002.png,startseq the interval uncalcified mass has developed the posterior segment the right upper lobe . addition the view opacity adjacent the left the heart . this opacity cannot well identified the lateral view . may artifactual but another mass the left cannot ecluded . mediastinum normal with no evidence for adenopathy . heart size normal . note unchanged hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0003.png,startseq the interval uncalcified mass has developed the posterior segment the right upper lobe . addition the view opacity adjacent the left the heart . this opacity cannot well identified the lateral view . may artifactual but another mass the left cannot ecluded . mediastinum normal with no evidence for adenopathy . heart size normal . note unchanged hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1303_IM-0199-2001-0003.png,startseq the interval uncalcified mass has developed the posterior segment the right upper lobe . addition the view opacity adjacent the left the heart . this opacity cannot well identified the lateral view . may artifactual but another mass the left cannot ecluded . mediastinum normal with no evidence for adenopathy . heart size normal . note unchanged hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1304_IM-0199_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1304_IM-0199-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1304_IM-0199-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1305_IM-0199_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1305_IM-0199-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1305_IM-0199-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1306_IM-0200_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1306_IM-0200-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1306_IM-0200-3001.png,startseq the eamination consists frontal and lateral radiographs the chest . there are diminished lung volumes . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . scoliosis unchanged . visualized upper abdomen grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1307_IM-0200,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1307_IM-0200-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1307_IM-0200-2001.png,startseq the lungs appear clear . there are no suspicious pulmonary nodules masses . density the left lung base represents atelectasis scarring . the heart and very are normal . pleural spaces are clear . surgical clips are identified the left ailla . there lucency involving the lateral aspect the left clavicle . metastatic disease cannot ecluded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1308_IM-0201_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1308_IM-0201-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1308_IM-0201-2001.png,startseq normal heart size and mediastinal contours . clear lungs . no pneumothora pleural effusion . unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1309_IM-0201-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1309_IM-0201-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1309_IM-0201-1001-0002.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR131_IM-0202_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR131_IM-0202-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR131_IM-0202-2001.png,startseq there calcified granuloma the right midlung zone . lungs are otherwise clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . surgical clips are present the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1310_IM-0202_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1310_IM-0202-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1310_IM-0202-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1311_IM-0203_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1311_IM-0203-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1311_IM-0203-1002.png,startseq low lung volumes with redemonstrated bronchovascular crowding . the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the cardiac silhouette size borderline enlarged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1313_IM-0204,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1313_IM-0204-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1313_IM-0204-2001.png,startseq the heart size within normal limits . there are calcified hilar lymph bilaterally . there are bibasilar airspace opacities with small bilateral pleural effusions left greater than right . no pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1314_IM-0204_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1314_IM-0204-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1314_IM-0204-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1315_IM-0204_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1315_IM-0204-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1315_IM-0204-2001.png,startseq normal heart size . normal mediastinal silhouette . no pneumothora pleural effusion suspicious focal air space opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1317_IM-0205_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1317_IM-0205-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1317_IM-0205-1002.png,startseq lungs are clear . there minimal atelectasis the left base . no effusion pneumothora . heart and mediastinal contours within normal limits . density foreign body present the soft tissues overlying the left lateral chest wall . visualized osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1318_IM-0205_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1318_IM-0205-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1318_IM-0205-2001.png,startseq the lungs are clear . no pleural effusion seen . the heart and mediastinum are normal . arthritic changes the spine are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1319_IM-0205_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1319_IM-0205-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1319_IM-0205-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR132_IM-0206,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR132_IM-0206-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR132_IM-0206-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . tortuosity the thoracic aorta . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1320_IM-0207_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1320_IM-0207-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1320_IM-0207-2001.png,startseq calcified granuloma noted the left upper lobe . there are low lung volumes with bronchovascular crowding result . heart size within normal limits . normal mediastinal contours . no pleural effusion pneumothora focal airspace disease . no free subdiaphragmatic air . the osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1322_IM-0208,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1322_IM-0208-3003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1322_IM-0208-3003.png,startseq the lungs are clear . the heart and pulmonary are normal . pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1323_IM-0209_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1323_IM-0209-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1323_IM-0209-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1324_IM-0209_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1324_IM-0209-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1324_IM-0209-2001.png,startseq no there detroscoliosis the thoracic spine . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1327_IM-0211_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1327_IM-0211-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1327_IM-0211-1002.png,startseq the heart normal size with normal appearance the cardiomediastinal silhouette . there no focal air space opacity pleural effusion pneumothora . the osseous structures are intact with degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1328_IM-0211,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1328_IM-0211-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1328_IM-0211-3001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there left lung calcified granuloma noted . there has been resolution the leftsided airspace disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1329_IM-0211_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1329_IM-0211-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1329_IM-0211-2001.png,startseq two nodules are noted the right measuring and one measuring diameter . the smaller one appears within the right upper lobe and the large appears within the left lower lobe . no focal consolidation and no other pulmonary nodules are identified . however full evaluation for lung nodules desired consider for further evaluation . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR133_IM-0212-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1330_IM-0213_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1330_IM-0213-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1330_IM-0213-2001.png,startseq heart size and cardiomediastinal silhouette are normal . lungs are clear without focal airspace opacity pleural effusion pneumothora . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1331_IM-0213,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1331_IM-0213-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1331_IM-0213-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated . with opacities the lung bases bronchovascular crowding . no focal consolidation pleural effusion are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1333_IM-0214_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1333_IM-0214-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1333_IM-0214-2001.png,startseq cardiomediastinal silhouette within normal limits size and appearance . pulmonary vascularity unremarkable . morgagni hernia stable . lungs are epanded and clear air space disease consolidation . negative for pneumothora pleural effusion . limited evaluation reveals diffuse demineralization with stable anterior wedging the lower thoracic levels . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1334_IM-0214_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1334_IM-0214-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1334_IM-0214-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1335_IM-0215_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1335_IM-0215-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1335_IM-0215-1002.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1336_IM-0216,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1336_IM-0216-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1336_IM-0216-2001.png,startseq leftsided icd device and leads are stable . stable enlarged cardiac silhouette . no focal airspace consolidation pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1338_IM-0217,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1338_IM-0217-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1338_IM-0217-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1339_IM-0218_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1339_IM-0218-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1339_IM-0218-2001.png,startseq small rightsided pneumothora only visible the left lateral decubitus film . left lung clear . normal cardiac contour . no evidence pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR134_IM-0219,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR134_IM-0219-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR134_IM-0219-1001.png,startseq calcified granulomata are present the right middle lobe and right upper lobe . these are unchanged since the previous eamination . both lungs are free active infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1340_IM-0220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1340_IM-0220-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1340_IM-0220-2001.png,startseq heart size normal . no focal consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1341_IM-0220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1341_IM-0220-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1341_IM-0220-3001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . the distal tip right duallumen central venous catheter the which junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1342_IM-0221_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1342_IM-0221-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1342_IM-0221-2001.png,startseq mildly hyperinflated lungs with flattened posterior diaphragm . no alveolar consolidation no findings pleural effusion pulmonary edema . heart size within normal limits . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1343_IM-0222-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1343_IM-0222-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1343_IM-0222-0001-0002.png,startseq there mild cardiomegaly . the transverse calcified . there moderate hiatal hernia . the lungs are clear without focal infiltrate . no pleural effusion pneumothora . degenerative changes the thoracic spine are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1344_IM-0223_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1344_IM-0223-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1344_IM-0223-1002.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1345_IM-0223_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1345_IM-0223-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1345_IM-0223-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-4001.png,startseq there right chest with catheter tip the cavoatrial junction . heart size the upper limits normal . lungs are grossly clear . no pleural effusion pneumothora . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-8001.png,startseq there right chest with catheter tip the cavoatrial junction . heart size the upper limits normal . lungs are grossly clear . no pleural effusion pneumothora . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-4001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1346_IM-0224-8001.png,startseq there right chest with catheter tip the cavoatrial junction . heart size the upper limits normal . lungs are grossly clear . no pleural effusion pneumothora . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1347_IM-0225_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1347_IM-0225-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1347_IM-0225-4004.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1348_IM-0226-4004_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1348_IM-0226-4004-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1348_IM-0226-4004-0002.png,startseq the lungs are hypoinflated with mild basilar bronchovascular crowdingatelectasis . there fracture the left anterior rib and the left anterior rib uncertain acuity . correlate with tenderness . there mild atelectasis the left lung base . there corticated deformity the right anterior rib remote fracture . there no evidence pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1349_IM-0227_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1349_IM-0227-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1349_IM-0227-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . calcified granuloma identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR135_IM-0227_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR135_IM-0227-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR135_IM-0227-3003.png,startseq the lungs are grossly clear without focal pneumonic consolidation large effusion pneumothora . heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1350_IM-0227_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1350_IM-0227-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1350_IM-0227-2001.png,startseq chest . no focal consolidation . no visualized pneumothora . no large pleural effusions . the heart size normal . no focal thoracic bony findings . hand . there also cortical and trabecular irregularity through the the scaphoid . there small cortical lucency through the base the fourth metacarpal that may vascular endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1352_IM-0229_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1352_IM-0229-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1352_IM-0229-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there stable scarring the right upper lobe . lungs are otherwise clear . there no focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1353_IM-0230_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1353_IM-0230-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1353_IM-0230-2001.png,startseq there diffuse rightsided airspace disease with dense consolidation the right base . right upper etremity picc seen with the tip the right brachiocephalic vein representing interval retraction approimately cm . no pneumothora large effusions . heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1354_IM-0230_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1354_IM-0230-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1354_IM-0230-2001.png,startseq the heart normal size and contour . the lung volumes are low with bronchovascular crowding . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1355_IM-0230_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1355_IM-0230-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1355_IM-0230-2001.png,startseq low lung volumes with streaky bibasilar opacities right greater than left . bronchovascular crowding indistinct central vascular margination . no findings suggest pleural effusion . accounting for technical factors heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1356_IM-0231_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1356_IM-0231-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1356_IM-0231-2001.png,startseq normal heart size . normal mediastinal contour . no pneumothora airspace consolidation pleural effusion . no chest no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1357_IM-0231,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1357_IM-0231-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1357_IM-0231-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomegaly noted and stable compared prior eamination from stable right basilar calcified granuloma . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-2001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . there are moderate degenerative changes the thoracic spine . there are postsurgical clips the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-3001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . there are moderate degenerative changes the thoracic spine . there are postsurgical clips the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1358_IM-0232-3001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . there are moderate degenerative changes the thoracic spine . there are postsurgical clips the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1359_IM-0233_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1359_IM-0233-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1359_IM-0233-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR136_IM-0233_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR136_IM-0233-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR136_IM-0233-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1360_IM-0234-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1360_IM-0234-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1360_IM-0234-0001-0002.png,startseq there are opacities within both lung bases representing atelectasis . heart size upper limits normal . no pneumothora . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1363_IM-0236-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1363_IM-0236-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1363_IM-0236-0001-0002.png,startseq the cardiomediastinal silhouette normal size and contour . negative for effusion pneumothora focal airspace consolidation . the lungs are normally aerated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1364_IM-0237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1364_IM-0237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1364_IM-0237-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1365_IM-0237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1365_IM-0237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1365_IM-0237-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no alveolar consolidation no findings pleural effusion pulmonary edema . no pneumothora . small rounded bilateral aillary densities not seen the previous eam most suggestive artifacts healed right lateral rib fracture noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1366_IM-0237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1366_IM-0237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1366_IM-0237-2001.png,startseq lungs are clear . heart size normal . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1367_IM-0237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1367_IM-0237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1367_IM-0237-2001.png,startseq the heart size normal . lungs are clear . there no pleural line suggest pneumothora costophrenic blunting suggest large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1368_IM-0237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1368_IM-0237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1368_IM-0237-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1369_IM-0238_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1369_IM-0238-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1369_IM-0238-2001.png,startseq heart size normal . prominent epicardial fat . lungs are clear . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1370_IM-0239_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1370_IM-0239-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1370_IM-0239-2001.png,startseq stable cardiomediastinal silhouette . there mild haziness the right lung and left base which could represent infiltrate . no pleural effusion . no pneumothora . stable deformity midthoracic vertebra . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1372_IM-0239_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1372_IM-0239-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1372_IM-0239-2001.png,startseq heart size within normal limits . mild prominence the mediastinum . bibasilar predominantly interstitial pulmonary opacities . no visualized pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1373_IM-0240_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1373_IM-0240-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1373_IM-0240-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1374_IM-0240_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1374_IM-0240-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1374_IM-0240-2001.png,startseq normal heart size and mediastinal contours . clear lungs . no pneumothora pleural effusion . unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1376_IM-0242_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1376_IM-0242-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1376_IM-0242-2001.png,startseq sequelae old granulomatous disease again noted . lungs are clear without focal air space disease . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1377_IM-0242_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1377_IM-0242-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1377_IM-0242-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1378_IM-0242_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1378_IM-0242-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1378_IM-0242-2001.png,startseq heart size normal . cardiomediastinal silhouette normal contour . the lungs are clear bilaterally without pleural effusion pneumothora . no pulmonary nodules . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1379_IM-0243_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1379_IM-0243-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1379_IM-0243-2001.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR138_IM-0244_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR138_IM-0244-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR138_IM-0244-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1380_IM-0245_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1380_IM-0245-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1380_IM-0245-1002.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1381_IM-0245_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1381_IM-0245-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1381_IM-0245-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1382_IM-0245_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1382_IM-0245-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1382_IM-0245-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1383_IM-0245_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1383_IM-0245-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1383_IM-0245-1002.png,startseq there significant interval decrease right middle and right lower lobe opacification . persistent small right pleural effusion and atelectasis . no pneumothora . stable appearance the cardiomediastinal silhouette . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1384_IM-0246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1384_IM-0246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1384_IM-0246-2001.png,startseq the lungs are clear . there no focal consolidation pleural effusion pneumothora . the heart and mediastinum are normal size and shape . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1385_IM-0246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1385_IM-0246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1385_IM-0246-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . old healed left and rib fractures are seen laterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1386_IM-0246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1386_IM-0246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1386_IM-0246-2001.png,startseq the cardiac silhouette and upper mediastinum are within normal limits . there no pulmonary venous congestion . there prominence the pulmonary arteries right greater than left . there no acute air space infiltrate pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1387_IM-0246,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1387_IM-0246-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1387_IM-0246-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there single cardiac projecting over the right ventricle . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1388_IM-0246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1388_IM-0246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1388_IM-0246-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . normal cholecystectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR139_IM-0248_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR139_IM-0248-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR139_IM-0248-3003.png,startseq the cardiac silhouette mildly enlarged . lobulated opacity identified superior the heart the anterior mediastinum the lateral view possibly consistent with tortuousectatic thoracic aorta versus anterior mediastinal mass . the thoracic aorta tortuous and calcified . no focal areas pulmonary consolidation . the lungs are hyperepanded with flattening the bilateral hemidiaphragms . no pneumothora pleural effusion . severe degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1390_IM-0249_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1390_IM-0249-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1390_IM-0249-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . shunt tubing identified . the bony structures visualized appear unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1391_IM-0250_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1391_IM-0250-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1391_IM-0250-5001.png,startseq stable cardiomediastinal silhouette . low lung volumes . without focal consolidation pneumothora pleural effusion . limited lateral view given overlapping tissue silhouettes . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1392_IM-0251_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1392_IM-0251-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1392_IM-0251-2001.png,startseq the aortic cardiac ape and stomach are leftsided . cardiomediastinal silhouette within normal limits overall size and appearance . pulmonary vascular markings are symmetric and within normal limits . the lungs are normally inflated with no focal airspace disease pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1393_IM-0251_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1393_IM-0251-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1393_IM-0251-2001.png,startseq right central venous line has been removed . heart size and pulmonary vascularity appear within normal limits . few bandlike opacities are present the lateral left base . the appearance scarring atelectasis . no focal airspace disease seen . no discrete nodules are identified . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1396_IM-0252_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1396_IM-0252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1396_IM-0252-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1398_IM-0254,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1398_IM-0254-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1398_IM-0254-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . mild right basilar atelectasis and relative elevation the right hemidiaphragm noted . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1399_IM-0255_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1399_IM-0255-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1399_IM-0255-12012.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . partial fusion vertebral bodies near the thoracolumbar junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR14_IM-0256_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR14_IM-0256-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR14_IM-0256-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . mild hyperinflation appears similar prior . no focal alveolar consolidation no definite pleural effusion seen . scattered chronic appearing irregular interstitial markings no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1400_IM-0256_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1400_IM-0256-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1400_IM-0256-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-3001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1402_IM-0257-3001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1403_IM-0258_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1403_IM-0258-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1403_IM-0258-2001.png,startseq heart size normal . mild atelectasis . lungs are otherwise clear . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1404_IM-0258_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1404_IM-0258-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1404_IM-0258-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . no acute bony abnormalities . there are stable anterior wedge deformities midthoracic vertebral bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1405_IM-0259_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1405_IM-0259-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1405_IM-0259-2001.png,startseq there scarring the right mid and upper lung zone with surgical clips identified well . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1406_IM-0259_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1406_IM-0259-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1406_IM-0259-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are hyperepanded . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1407_IM-0260_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1407_IM-0260-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1407_IM-0260-2001.png,startseq cardiac and mediastinal contours are within normal limits . right lung base granuloma . the lungs are otherwise clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1408_IM-0260,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1408_IM-0260-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1408_IM-0260-1001.png,startseq stable right upper lobe calcified granuloma . no pneumothora pleural effusion airspace consolidation . normal heart size and pulmonary vasculature . are grossly intact . no thoracic fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1409_IM-0260_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1409_IM-0260-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1409_IM-0260-2001.png,startseq no focal consolidation . no visualized pneumothora . heart size and cardiomediastinal silhouette are grossly unremarkable . no large pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR141_IM-0260_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR141_IM-0260-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR141_IM-0260-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1410_IM-0260_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1410_IM-0260-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1410_IM-0260-1002.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1411_IM-0261-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1411_IM-0261-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1411_IM-0261-0001-0002.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1412_IM-0262_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1412_IM-0262-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1412_IM-0262-3003.png,startseq the lungs are clear . the heart and pulmonary appear normal . pleural spaces are clear . the mediastinal contours are normal . bony overlap the lung apices could obscure small pulmonary nodule . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1413_IM-0263_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1413_IM-0263-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1413_IM-0263-4004.png,startseq heart size within normal limits for technique . low lung volumes with bronchovascular crowding . no focal infiltrate . no visible pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1415_IM-0264_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1415_IM-0264-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1415_IM-0264-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1416_IM-0265_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1416_IM-0265-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1416_IM-0265-2001.png,startseq the cardiac silhouette the upper limits normal for size . stable mild prominence the bilateral hilar regions . no focal areas pulmonary consolidation . no pneumothora . stable opacity the left representing scar . no pleural effusion . minimal degenerative changes the thoracic spine . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1417_IM-0266_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1417_IM-0266-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1417_IM-0266-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . there are increased lucencies the bilateral apices along with horizontal oblique scarring the left upper lobe . this could suggest emphysematous bullae . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1419_IM-0267_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1419_IM-0267-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1419_IM-0267-2001.png,startseq cardiac silhouette and pulmonary vascularity are normal . there mild bibasilar focal atelectasis . no evidence pleural effusion pneumothora . minimal atherosclerotic changes are present the thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR142_IM-0267_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR142_IM-0267-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR142_IM-0267-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1421_IM-0269,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1421_IM-0269-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1421_IM-0269-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there persistent stable appearing right apical scarring . there persistent left basilar scarring . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1422_IM-0269_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1422_IM-0269-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1422_IM-0269-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no pneumothora pleural effusion . wedgeshaped opacity has developed the right upper lobe . there also patchy opacification identified the left upper lobe . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1423_IM-0270_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1423_IM-0270-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1423_IM-0270-2001.png,startseq heart size upper limits normal . vascularity normal . calcified breast implants obscure some detail . lungs are clear . vascular calcifications aorta . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1424_IM-0271_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1424_IM-0271-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1424_IM-0271-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1425_IM-0272_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1425_IM-0272-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1425_IM-0272-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1427_IM-0273,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1427_IM-0273-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1427_IM-0273-12012.png,startseq the lungs are clear . heart size normal . no pneumothora . there cardiac with leads terminating the right atrium and right ventricle . there are atherosclerotic calcifications . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1428_IM-0274_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1428_IM-0274-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1428_IM-0274-2001.png,startseq no focal consolidation . no visualized pneumothora . no large pleural effusions . heart size normal . the cardiomediastinal silhouette grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1429_IM-0275_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1429_IM-0275-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1429_IM-0275-2001.png,startseq mediastinal contours are normal . heart size within normal limits . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR143_IM-0276_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR143_IM-0276-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR143_IM-0276-2001.png,startseq the lungs are clear . no pleural effusion seen . the heart normal . calcified right hilar and infracarinal lymph are seen . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1430_IM-0277,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1430_IM-0277-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1430_IM-0277-2001.png,startseq minimal patchy bibasilar airspace opacities atelectasis evolving pneumonia . the heart pulmonary appear normal . minimal blunting the pleural spaces effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1431_IM-0278_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1431_IM-0278-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1431_IM-0278-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1432_IM-0278_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1432_IM-0278-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1432_IM-0278-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1433_IM-0278_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1433_IM-0278-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1433_IM-0278-2001.png,startseq the cardiac contours are normal . mild atherosclerosis . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1434_IM-0279_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1434_IM-0279-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1434_IM-0279-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1435_IM-0280_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1435_IM-0280-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1435_IM-0280-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1436_IM-0280_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1436_IM-0280-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1436_IM-0280-1002.png,startseq the cardiac and mediastinal contours are within normal limits . there are calcifications the aortic the lungs are hyperinflated with increased retrosternal airspace and flattening hemidiaphragms . there haziness the right lung ape . there nodular density the medial right lung base seen the frontal view not identified the lateral view . this may represent vessel end . there no consolidation pneumothora effusion . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1437_IM-0281_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1437_IM-0281-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1437_IM-0281-3001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are hyperepanded . scattered granuloma . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1438_IM-0282_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1438_IM-0282-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1438_IM-0282-1003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1439_IM-0282_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1439_IM-0282-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1439_IM-0282-1002.png,startseq lungs are opacities are present the left lung base . heart size normal . mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR144_IM-0283,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR144_IM-0283-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR144_IM-0283-1001.png,startseq overall low lung volumes with mild patchy bibasilar airspace disease . this most represents atelectasis given the low lung volumes . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1440_IM-0284_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1440_IM-0284-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1440_IM-0284-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1441_IM-0285_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1441_IM-0285-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1441_IM-0285-2001.png,startseq the heart normal size . the mediastinum within normal limits . there retrocardiac density which corresponds patient known hiatal hernia . the lungs are hypoinflated . no focal consolidation seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1442_IM-0286_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1442_IM-0286-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1442_IM-0286-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1443_IM-0286_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1443_IM-0286-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1443_IM-0286-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate increased interstitial markings probably copd . there calcified hilar lymph there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1444_IM-0286,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1444_IM-0286-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1444_IM-0286-1001.png,startseq there healing fracture involving the left posterolateral rib . there deformity the vertebral body . these bony lesions may secondary the patient known multiple myeloma . the lungs appear clear . the heart and pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1445_IM-0287_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1445_IM-0287-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1445_IM-0287-4004.png,startseq stable cardiomediastinal silhouette . there has been interval removal right chest tube with increased elevation the right hemidiaphragm and right basilar atelectasis . left basilar consolidation and pleural effusions seen . no focal consolidation pneumothora . there stable left picc with tip overlying the mid svc and large feeding tube courses below the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1447_IM-0289_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1447_IM-0289-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1447_IM-0289-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures short thready changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1448_IM-0289_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1448_IM-0289-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1448_IM-0289-2001.png,startseq and lateral views the chest were obtained the lung volumes are normal . the lungs are clear and there are no pleural effusions . there stable mild tenting the medial aspect the right diaphragm . the mediastinum and pulmonary are normal . the bony elements are not remarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1449_IM-0290_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1449_IM-0290-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1449_IM-0290-2001.png,startseq the cardiac silhouette enlarged with no comparison studies . findings are accentuated low lung volumes and eventration the anterior right hemidiaphragm however cardiomegaly less pericardial effusion suspected . the lungs are hypoinflated with central bronchovascular crowding but no evidence overt pulmonary edema . the lungs are grossly clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . there are degenerative changes the thoracic spine . patient appears morbidly obese . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR145_IM-0290_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR145_IM-0290-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR145_IM-0290-2001.png,startseq right costophrenic blunted . the left lower lobe patchy infiltrate present . the pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1450_IM-0291_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1450_IM-0291-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1450_IM-0291-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1451_IM-0291_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1451_IM-0291-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1451_IM-0291-2001.png,startseq left lower lobe calcified granuloma . heart size normal . no pleural effusion pneumothora . mild medial right atelectasis . mild emphysema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1452_IM-0291_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1452_IM-0291-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1452_IM-0291-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1453_IM-0292_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1453_IM-0292-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1453_IM-0292-12012.png,startseq normal cardiomediastinal contours given patient position and technique . no pneumothora large pleural effusions . the lung volumes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1454_IM-0293_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1454_IM-0293-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1454_IM-0293-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1455_IM-0293_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1455_IM-0293-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1455_IM-0293-2001.png,startseq the lungs are clear . calcified granuloma seen the left midlung zone . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1456_IM-0294_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1456_IM-0294-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1456_IM-0294-2001.png,startseq no focal consolidation . no visualized pneumothora . no large pleural effusions . the heart size and cardiomediastinal silhouette are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1457_IM-0295,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1457_IM-0295-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1457_IM-0295-2002.png,startseq normal heart size . stable position pacemaker electrodes with tip the epected region the right atrium and another tip the epected region the right ventricle . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1458_IM-0296_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1458_IM-0296-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1458_IM-0296-2001.png,startseq stable cardiomegaly and mediastinal contour . lungs are clear without focal consolidation large pleural effusion pneumothora . left basilar airspace opacity secondary epicardial fat and overlying soft tissues . dish the thoracic spine noted . otherwise visualized osseous structures are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-2001.png,startseq no stable cardiomegaly without focal consolidation pneumothora pleural effusion . stable right basilar calcified granuloma . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-3001.png,startseq no stable cardiomegaly without focal consolidation pneumothora pleural effusion . stable right basilar calcified granuloma . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1459_IM-0297-3001.png,startseq no stable cardiomegaly without focal consolidation pneumothora pleural effusion . stable right basilar calcified granuloma . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1460_IM-0298_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1460_IM-0298-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1460_IM-0298-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1461_IM-0299_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1461_IM-0299-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1461_IM-0299-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1462_IM-0299_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1462_IM-0299-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1462_IM-0299-2001.png,startseq no gross consolidation atelectasis infiltrate . no pleural fluid collection pneumothora . cardiomediastinal silhouette within normal limits . intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1463_IM-0300,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1463_IM-0300-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1463_IM-0300-1001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1464_IM-0301_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1464_IM-0301-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1464_IM-0301-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there calcified granuloma the left lung base . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1465_IM-0302_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1465_IM-0302-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1465_IM-0302-2001.png,startseq the heart normal size . stable appearance coronary stent . sternotomy changes are present . no focal consolidation pneumothora pleural effusion . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1466_IM-0302_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1466_IM-0302-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1466_IM-0302-1002.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1467_IM-0302_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1467_IM-0302-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1467_IM-0302-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1468_IM-0303_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1468_IM-0303-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1468_IM-0303-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1469_IM-0303_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1469_IM-0303-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1469_IM-0303-2001.png,startseq there no focal airspace consolidation pleural effusion . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR147_IM-0303,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR147_IM-0303-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR147_IM-0303-1001.png,startseq the lungs are clear . heart and pulmonary appear normal . the pleural spaces are clear and mediastinal contours are normal . nodular density overlying the anterior left rib represents healing rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1470_IM-0303_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1470_IM-0303-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1470_IM-0303-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1471_IM-0304_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1471_IM-0304-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1471_IM-0304-3001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the lungs are hyperepanded with flattening the bilateral hemidiaphragms . mild increased lung markings due chronic changes . no focal pulmonary consolidation . no pneumothora . no pleural effusion . moderate degenerative changes the thoracic spine . calcified left perihilar granuloma redemonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1472_IM-0305_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1472_IM-0305-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1472_IM-0305-2001.png,startseq normal cardiac contour . clear hyperepanded lungs bilaterally with no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1473_IM-0306_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1473_IM-0306-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1473_IM-0306-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1474_IM-0307_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1474_IM-0307-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1474_IM-0307-2001.png,startseq no pneumothora . heart size normal . granulomas are seen within the right lung . no large pleural effusions . no focal airspace consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1475_IM-0307,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1475_IM-0307-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1475_IM-0307-1001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . vague nodular density right upper lobe overlying the right anterior and posterior ribs . this could represent healing fracture superimposed structures . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1476_IM-0308_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1476_IM-0308-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1476_IM-0308-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1477_IM-0309_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1477_IM-0309-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1477_IM-0309-2001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0002.png,startseq stable cardiomediastinal silhouette with normal heart size mediastinal calcifications suggest previous granulomatous process . apical irregularities also present the previous eam suggestive scarring . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0003.png,startseq stable cardiomediastinal silhouette with normal heart size mediastinal calcifications suggest previous granulomatous process . apical irregularities also present the previous eam suggestive scarring . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1478_IM-0310-0001-0003.png,startseq stable cardiomediastinal silhouette with normal heart size mediastinal calcifications suggest previous granulomatous process . apical irregularities also present the previous eam suggestive scarring . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1480_IM-0311_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1480_IM-0311-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1480_IM-0311-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1481_IM-0312_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1481_IM-0312-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1481_IM-0312-3001.png,startseq the lungs are clear and without focal airspace opacity . the cardiomediastinal silhouette normal size and contour and stable . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1482_IM-0313,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1482_IM-0313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1482_IM-0313-1001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1483_IM-0313_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1483_IM-0313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1483_IM-0313-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . there eventration the right hemidiaphragm . the descending thoracic aorta tortuous . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1484_IM-0313_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1484_IM-0313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1484_IM-0313-2001.png,startseq calcified left lower lobe granuloma . no focal areas consolidation . no pleural effusions . no pneumothora . degenerative changes noted the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1485_IM-0313_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1485_IM-0313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1485_IM-0313-2001.png,startseq again seen are platelike horizontal opacities both lung bases through this consistent with scarring subsegmental atelectasis . there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there there no lobar pneumonia . there are calcified right hilar granuloma . there are degenerative changes the there curvilinear density within and along the right costophrenic sulcus which most represents skinfold . there unchanged fracture with callus the left lateral rib . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1487_IM-0314_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1487_IM-0314-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1487_IM-0314-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1488_IM-0315_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1488_IM-0315-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1488_IM-0315-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1489_IM-0315_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1489_IM-0315-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1489_IM-0315-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1491_IM-0317_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1491_IM-0317-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1491_IM-0317-1001.png,startseq there are low lung volumes . the lungs are otherwise clear . no focal airspace consolidation pleural effusion . calcific density the right lung ape compatible with calcified granuloma . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1492_IM-0318_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1492_IM-0318-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1492_IM-0318-4004.png,startseq the lungs are clear . the heart and pulmonary are normal . pleural spaces are clear . mediastinal contours are normal . there stable lucency the right mid clavicle dating back endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1497_IM-0321_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1497_IM-0321-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1497_IM-0321-2001.png,startseq the heart size size and pulmonary vascularity appear within normal limits . illdefined opacity again noted the region the lingula . this increased since the previous study . the remainder the lungs appear clear . mild deformity noted the midthoracic spine . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1498_IM-0322_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1498_IM-0322-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1498_IM-0322-2001.png,startseq apical lordotic frontal view . heart size within normal limits mild aortic ectasiatortuosity . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . chronic appearing contour irregularity the distal left clavicle and widening may posttraumatic postsurgical verterbroplasty noted the thoracolumbar junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1499_IM-0323_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1499_IM-0323-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1499_IM-0323-2001.png,startseq cardiomediastinal silhouettes are within normal limits . low lung volumes . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR15_IM-0324_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR15_IM-0324-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR15_IM-0324-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . evidence prior granulomatous disease . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR150_IM-0325-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR150_IM-0325-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR150_IM-0325-0001-0002.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-10001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-11001.png,startseq normal heart size . aortic calcification . granulomatous nodule left midlung stable . no acute pulmonary abnormalities . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-10001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-9001.png,startseq normal heart size . aortic calcification . granulomatous nodule left midlung stable . no acute pulmonary abnormalities . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-11001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1500_IM-0326-9001.png,startseq normal heart size . aortic calcification . granulomatous nodule left midlung stable . no acute pulmonary abnormalities . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1501_IM-0327_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1501_IM-0327-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1501_IM-0327-2001.png,startseq chest . right hemidiaphragm remains elevated . consolidation and atelectasis are present the right lung base . left lung clear . no pleural air collections . shoulder and clavicle . fractures present the right scapula the base the glenoid process . attached the coracoid process and portion the spine . the humeral head located within the glenoid articular surface . cutaneous air present . fracture present the posterior portion the right rib . the acromioclavicular joint and coracoclavicular joints are widened . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1502_IM-0328_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1502_IM-0328-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1502_IM-0328-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1505_IM-0330_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1505_IM-0330-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1505_IM-0330-2001.png,startseq normal heart size . clear lungs . no pneumothora . no pleural effusion . there opacity the base the mediastinum which hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1506_IM-0330_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1506_IM-0330-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1506_IM-0330-2001.png,startseq there interval placement the left chest with the catheter tip the cavoatrial junction . the heart size within normal limits . lung volumes within normal limits . slightly prominent pulmonary vascularity noted . increased peribronchial cuffing . no large consolidation effusion pneumothora . there subpleural edema outlining the right fissure . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1508_IM-0330_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1508_IM-0330-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1508_IM-0330-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1509_IM-0331_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1509_IM-0331-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1509_IM-0331-2001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR151_IM-0331_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR151_IM-0331-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR151_IM-0331-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1510_IM-0331_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1510_IM-0331-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1510_IM-0331-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1511_IM-0331_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1511_IM-0331-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1511_IM-0331-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1512_IM-0332_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1512_IM-0332-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1512_IM-0332-3003.png,startseq the lungs appear clear . the heart and pulmonary are normal . pleural spaces are clear . the mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1513_IM-0333_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1513_IM-0333-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1513_IM-0333-2001.png,startseq there mild streakiness the right base . no focal infiltrate effusion . no pneumothora . calcified granulomatous disease noted . heart and mediastinal contours within normal limits . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1514_IM-0333_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1514_IM-0333-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1514_IM-0333-2001.png,startseq cardiomediastinal silhouette within normal limits size and appearance . the pulmonary vascularity unremarkable . there are opacities the left subsegmental atelectasis scar . otherwise the lungs are epanded and clear airspace disease . negative for pneumothora pleural effusion . limited bone evaluation reveals no acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1515_IM-0333_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1515_IM-0333-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1515_IM-0333-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1516_IM-0334_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1516_IM-0334-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1516_IM-0334-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1517_IM-0335_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1517_IM-0335-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1517_IM-0335-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1518_IM-0335_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1518_IM-0335-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1518_IM-0335-1003.png,startseq no focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette stable and unremarkable . no acute osseous abnormalities are identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1519_IM-0335_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1519_IM-0335-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1519_IM-0335-4004.png,startseq lungs are mildly hypoinflated with asymmetric elevation the right hemidiaphragm uncertain chronicity . there mild basilar bronchovascular crowding without evidence focal airspace disease . heart within normal limits for low lung volumes and technique . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR152_IM-0335_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR152_IM-0335-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR152_IM-0335-2001.png,startseq stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity . no alveolar consolidation no findings pleural effusion . chronic appearing bilateral rib contour deformities compatible with old fractures . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1520_IM-0336_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1520_IM-0336-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1520_IM-0336-1003002.png,startseq cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . postsurgical changes the cervical spine are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-2001.png,startseq three images are available for review . the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-3001.png,startseq three images are available for review . the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1521_IM-0337-3001.png,startseq three images are available for review . the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1522_IM-0338-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1522_IM-0338-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1522_IM-0338-0001-0002.png,startseq cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-2001.png,startseq heart size cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there are no infiltrates effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-3001.png,startseq heart size cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there are no infiltrates effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1523_IM-0339-3001.png,startseq heart size cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there are no infiltrates effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1524_IM-0339_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1524_IM-0339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1524_IM-0339-2001.png,startseq heart size normal . the aorta tortuous and cannot eclude ascending aortic aneurysm . the pulmonary vascularity normal . there residual prior granulomatous infection . lungs are otherwise clear . degenerative change the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-2001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-3001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-4001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-3001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-4001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1525_IM-0340-4001.png,startseq images . there large hydropneumothora within the left chest . there essentially complete collapse the left lung . within the right lung there are increased interstitial opacities within the medial right lung base and right upper lobe with patchy airspace opacity within the right lung ape . the right lung ape there more focal ovoid lucency which measures approimately cm . this could indicate cavitation . leftsided cardiomediastinal contours are obscured collapse the left lung . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1526_IM-0341_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1526_IM-0341-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1526_IM-0341-2001.png,startseq no focal consolidation . no visualized pneumothora . no large pleural effusions . the heart size and cardiomediastinal silhouette grossly unremarkable . there motion artifact the lateral radiograph . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1527_IM-0341-1001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1527_IM-0341-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1527_IM-0341-1001-0002.png,startseq heart size slightly upper normal . atherosclerotic calcifications within the aorta . lungs are hyperepanded with flattening the diaphragms consistent with emphysematous change . no focal airspace disease pleural effusion pneumothora . degenerative changes the spine are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1528_IM-0341_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1528_IM-0341-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1528_IM-0341-2001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . note closure device which appears grossly appropriate the lungs are normally inflated and clear . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1529_IM-0342-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1529_IM-0342-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1529_IM-0342-0001-0002.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . heart size within normal limits . right paratracheal density stable from prior radiographs and may reflect tortuous vasculature . there aortic atherosclerotic vascular calcification . there are mild degenerative changes the spine . surgical clips are noted the region the left breast . there mild diaphragm eventration . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR153_IM-0343_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR153_IM-0343-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR153_IM-0343-2001.png,startseq there right central venous catheter with tip overlying the inferior svc . cardiac silhouette normal size . normal mediastinal contour and pulmonary vasculature . there small right pleural effusion . otherwise lungs are without focal airspace disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1530_IM-0344_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1530_IM-0344-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1530_IM-0344-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1531_IM-0344_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1531_IM-0344-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1531_IM-0344-2001.png,startseq heart size within normal limits stable mediastinal contours with aortic ectasiatortuosity . left hilar and left lower lobe calcifications indicate previous granulomatous process . no alveolar consolidation no findings pleural effusion pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1532_IM-0344_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1532_IM-0344-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1532_IM-0344-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1533_IM-0344_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1533_IM-0344-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1533_IM-0344-1002.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1534_IM-0345_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1534_IM-0345-12001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1534_IM-0345-4004.png,startseq the cardiomediastinal silhouette normal size and contour . aortic atherosclerosis . hyperepanded lungs . right perihilarmidlung density . streaky bibasilar opacities well . left upper lobe nodular opacity anterior first rib interspace may eaggerated overlapping bone silhouettes . grossly similar midthoracic vertebral fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1535_IM-0346_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1535_IM-0346-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1535_IM-0346-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1537_IM-0348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1537_IM-0348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1537_IM-0348-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1538_IM-0348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1538_IM-0348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1538_IM-0348-2001.png,startseq normal heart size prominent left ventricular contour . unfolding the thoracic aorta . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1539_IM-0349_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1539_IM-0349-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1539_IM-0349-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR154_IM-0350_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR154_IM-0350-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR154_IM-0350-2001.png,startseq cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1540_IM-0351_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1540_IM-0351-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1540_IM-0351-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1542_IM-0352_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1542_IM-0352-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1542_IM-0352-2001.png,startseq the heart top normal size . the mediastinum stable . the aorta atherosclerotic . opacities are noted the lung bases compatible with scarring atelectasis . there no acute infiltrate pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1543_IM-0353_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1543_IM-0353-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1543_IM-0353-2001.png,startseq the cardiomediastinal silhouette within normal limits . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . large hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1544_IM-0354_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1544_IM-0354-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1544_IM-0354-1002.png,startseq normal heart . clear lungs . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1545_IM-0355_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1545_IM-0355-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1545_IM-0355-3003.png,startseq no focal areas consolidation . no pneumothora . heart size within normal limits . no pleural effusions . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1546_IM-0356_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1546_IM-0356-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1546_IM-0356-4001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1547_IM-0357_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1547_IM-0357-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1547_IM-0357-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . prominent left epicardial fat endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1548_IM-0357_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1548_IM-0357-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1548_IM-0357-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . small tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1549_IM-0357,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1549_IM-0357-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1549_IM-0357-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1550_IM-0359_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1550_IM-0359-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1550_IM-0359-3003.png,startseq heart size cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there are no infiltrates effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1551_IM-0359_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1551_IM-0359-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1551_IM-0359-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1552_IM-0360_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1552_IM-0360-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1552_IM-0360-2001.png,startseq low lung volumes . cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . mild left lingular platelike atelectasis . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1553_IM-0360_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1553_IM-0360-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1553_IM-0360-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . normal mediastinal contour pulmonary and vasculature central airways and aeration the lungs . no pleural effusion . there are spine marginal osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1554_IM-0361_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1554_IM-0361-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1554_IM-0361-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . multilevel degenerative changes the thoracic spine are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1555_IM-0362_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1555_IM-0362-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1555_IM-0362-3001.png,startseq and lateral chest eamination was obtained . the heart silhouette and mediastinal contours are not enlarged . there elevated right hemidiaphragm and evidence right upper lobectomy . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1556_IM-0363_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1556_IM-0363-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1556_IM-0363-2001.png,startseq heart size appears upper limits normal . tortuous aorta . otherwise normal mediastinum . confluent and opacities seen within the left base . there are no visible nodules masses . no visible pneumothora . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1557_IM-0364,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1557_IM-0364-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1557_IM-0364-4004.png,startseq there interval removal the tracheostomy tube and right subclavian central venous catheter . the cardiac silhouette mildly enlarged . there are pulmonary opacities with blunting the bilateral costophrenic the right greater than left with pleural thickening versus loculated pleural fluid along the peripheral aspect the right upper lobe . right perihilar opacities . no pneumothora identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1558_IM-0365_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1558_IM-0365-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1558_IM-0365-2001.png,startseq low lung volumes . cardiomediastinal silhouette within normal limits size and appearance . pulmonary vascularity within normal limits . lungs are clear airspace disease . negative for pneumothora pleural effusion . are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1559_IM-0365_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1559_IM-0365-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1559_IM-0365-2001.png,startseq stable cardiomediastinal silhouette . right hilar surgical clips . stable rightsided volume loss . increasing density the superior segment the left lower lobe seen lateral view . no pneumothora . severe degenerative disease the endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1560_IM-0366_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1560_IM-0366-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1560_IM-0366-1002.png,startseq normal heart . clear lungs . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1561_IM-0367_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1561_IM-0367-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1561_IM-0367-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . soft tissues unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1562_IM-0367_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1562_IM-0367-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1562_IM-0367-2001.png,startseq low lung volumes with magnified appearance the heart normal heart size . negative for consolidation effusion pneumothora . bony thora and soft tissues grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1563_IM-0368_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1563_IM-0368-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1563_IM-0368-2001.png,startseq heart size within normal limits . no focal airspace opacities . no pneumothora . no effusions . mild degenerative changes the thoracic spine . no deformities . emphysematous changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1564_IM-0368_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1564_IM-0368-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1564_IM-0368-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours coronary artery stent artifact and clips suggest cabg . mediastinal and hilar calcifications indicate previous granulomatous process . stable hyperinflation bilateral upper lobe pleuroparenchymal near and nodular irregularities right greater than left opacities the peripheral right lung most compatible with scarring . no abnormal pulmonary opacities no definite pleural effusion seen . no typical findings pulmonary edema . osseous demineralization stable appearance and fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1565_IM-0368_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1565_IM-0368-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1565_IM-0368-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . there no pneumothora pleural effusion focal air space consolidation . mild basilar atelectasis . increased density the lung bases favored this attenuation from overlying breast shadows . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1567_IM-0370_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1567_IM-0370-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1567_IM-0370-2001.png,startseq the heart normal size . the mediastinum unremarkable . opacity left midlung . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1568_IM-0371_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1568_IM-0371-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1568_IM-0371-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated but clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1569_IM-0372_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1569_IM-0372-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1569_IM-0372-2001.png,startseq the lungs are clear . there no pleural effusion . the heart and mediastinum are normal . the skeletal structures show arthritic changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR157_IM-0372,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR157_IM-0372-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR157_IM-0372-1001.png,startseq the interval bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved . heart size now normal . no infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1570_IM-0372_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1570_IM-0372-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1570_IM-0372-2001.png,startseq evaluation for pneumothora limited due eclusion the superiormost pulmonary apices . no visible pleural no focal air space opacities pleural effusion . cardiomediastinal silhouette within normal limits . no free subdiaphragmatic air . mild degenerative changes the thoracic spine . included osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1571_IM-0373,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1571_IM-0373-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1571_IM-0373-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . left pleural effusion present . mass density present the left midlung zone . this measures approimately diameter . airfluid level present behind the heart which probably represents hiatal hernia . some right lung atelectasis are noted . osteopenia and deformities are present the spine . multiple surgical clips are noted . no pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1572_IM-0373_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1572_IM-0373-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1572_IM-0373-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there redemonstration calcified granuloma within the left upper lobe . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1573_IM-0374_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1573_IM-0374-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1573_IM-0374-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1574_IM-0374_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1574_IM-0374-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1574_IM-0374-1002.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1576_IM-0375_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1576_IM-0375-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1576_IM-0375-2001.png,startseq lumbar and are low . no infiltrates . heart size normal . large hiatal hernia present . ageindeterminate fracture present the lower thoracic vertebra . scoliosis present the thoracic and thoracolumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1577_IM-0375_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1577_IM-0375-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1577_IM-0375-2001.png,startseq heart size normal . low lung volumes . no pneumothora pleural effusion focal airspace disease . bony structures grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1578_IM-0376_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1578_IM-0376-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1578_IM-0376-5001.png,startseq cardiac and mediastinal appear normal . low lung volumes and bronchovascular crowding . no visible pneumothora focal airspace opacity pleural effusion seen . no visible free air under the diaphragm . the osseous structures appear intact . surgical clips are seen within the right upper abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1579_IM-0376,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1579_IM-0376-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1579_IM-0376-1001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR158_IM-0377_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR158_IM-0377-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR158_IM-0377-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1580_IM-0378_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1580_IM-0378-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1580_IM-0378-2001.png,startseq lungs are mildly hyperepanded . the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1581_IM-0378_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1581_IM-0378-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1581_IM-0378-2001.png,startseq cardiomediastinal silhouettes are within normal limits . there are right upper lobe lung nodules the largest measuring approimately mm . lungs are without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1582_IM-0378_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1582_IM-0378-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1582_IM-0378-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1583_IM-0378_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1583_IM-0378-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1583_IM-0378-3001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . mild spine curvature noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1584_IM-0379_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1584_IM-0379-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1584_IM-0379-2001.png,startseq the lungs are clear without focal consolidation effusion pneumothora . normal heart size . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1585_IM-0380_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1585_IM-0380-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1585_IM-0380-2001.png,startseq sternotomy and mediastinal clips are unchanged . cardiomediastinal silhouette unchanged . pulmonary vasculature and are unchanged . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1586_IM-0380_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1586_IM-0380-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1586_IM-0380-2001.png,startseq the cardiac silhouette mediastinal contours are within normal limits . the lungs are clear bilaterally . no focal opacities . there no large pleural effusion . no pneumothora . there deformities involving multiple vertebral bodies the thoracic spine which appear stable compared the previous eam . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1587_IM-0381_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1587_IM-0381-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1587_IM-0381-1003002.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette within limits . postoperative changes from spinal rods are demonstrated . there elevation the left hemidiaphragm . multiple colonic loops are demonstrated the left upper quadrant . the lungs are clear bilaterally . left humeral head positioned anterior and inferior the glenoid concerning for anterior shoulder subluation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1588_IM-0382_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1588_IM-0382-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1588_IM-0382-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1589_IM-0382_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1589_IM-0382-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1589_IM-0382-2001.png,startseq the lungs are hyperinflated with mildly coarsened interstitial markings consistent with chronic lung disease . no focal consolidation pneumothora effusion identified . the mediastinal silhouette stable and within normal limits for size . there redemonstration without significant change right hilar calcified lymph the bony structures the thora demonstrate degenerative changes the right shoulder and right humerus consistent with distal humeral amputation . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR159_IM-0382_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR159_IM-0382-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR159_IM-0382-1002.png,startseq chest . the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . left and right osteophytes are present the acromioclavicular joints bilaterally and also the humeral necks . the right glenohumeral joint normal but the left narrowed . no fractures bone destruction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1590_IM-0383_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1590_IM-0383-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1590_IM-0383-4001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1591_IM-0384_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1591_IM-0384-13013.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1591_IM-0384-3001.png,startseq the trachea midline . the cardio mediastinal silhouette normal size and contour . no evidence focal infiltrate effusion . low lung volumes atelectasis and bronchovascular crowding . there no pneumothora . the visualized bony structures reveal no acute abnormalities . lateral view reveals degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1592_IM-0385,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1592_IM-0385-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1592_IM-0385-1001.png,startseq stable cardiomediastinal silhouette with borderline cardiomegaly . no pneumothora large pleural effusion . no focal airspace disease . diffuse interstitial opacities . bony structures appear intact . nodular densities consistent with chronic granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1593_IM-0385_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1593_IM-0385-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1593_IM-0385-2001.png,startseq moderate sized right loculated pleural effusion with right lower lobe atelectasis . normal cardiac contour with atherosclerotic changes throughout the aorta . clear left lung endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1594_IM-0385_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1594_IM-0385-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1594_IM-0385-2001.png,startseq the heart and cardiomediastinal silhouette are normal size and shape . there no focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1595_IM-0386_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1595_IM-0386-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1595_IM-0386-2001.png,startseq the heart large . lung volumes are opacity persists the right midlung . no focal infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1596_IM-0387_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1596_IM-0387-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1596_IM-0387-2001.png,startseq normal heart . clear lungs . stable calcified granuloma left midlung . no pneumothora . no pleural effusion . midline trachea . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1597_IM-0388_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1597_IM-0388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1597_IM-0388-2001.png,startseq heart and mediastinum within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1598_IM-0389_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1598_IM-0389-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1598_IM-0389-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation pleural effusion pneumothora identified . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1599_IM-0389_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1599_IM-0389-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1599_IM-0389-2001.png,startseq normal heart size mediastinal and aortic contours . normal pulmonary vascularity . atherosclerotic calcifications identified within the aortic the lungs are clear . no focal consolidation visible pneumothora large pleural effusion . flowing thoracic spine osteophytes noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR160_IM-0390_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR160_IM-0390-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR160_IM-0390-2001.png,startseq the heart normal size . the mediastinum unremarkable . there patchy infiltrate within normal right lower lobe . mild opacities the retrocardiac region . no large effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1600_IM-0390_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1600_IM-0390-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1600_IM-0390-2001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . heart size the upper limits normal . thoracic aorta mildly ectatic stable . old right clavicular fracture again noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1601_IM-0390_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1601_IM-0390-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1601_IM-0390-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1603_IM-0391_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1603_IM-0391-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1603_IM-0391-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1606_IM-0394,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1606_IM-0394-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1606_IM-0394-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1607_IM-0394,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1607_IM-0394-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1607_IM-0394-2001.png,startseq the lungs are clear without focal consolidation effusion pneumothora . normal heart size . unchanged multiple foreign bodies overlying the left clavicle and midline the posterior soft tissues . the bony thora grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1608_IM-0394_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1608_IM-0394-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1608_IM-0394-2001.png,startseq the cardiac silhouette upper mediastinum and pulmonary vasculature are within normal limits . there no acute air space infiltrate pleural effusion pneumothora . no pulmonary nodules are identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1609_IM-0394_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1609_IM-0394-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1609_IM-0394-2001.png,startseq calcified lymph both amount focal atelectasis posterior the left heart . the trachea midline . negative for pneumothora pleural effusion large focal airspace consolidation . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR161_IM-0394_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR161_IM-0394-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR161_IM-0394-2001.png,startseq low lung volumes are present . the heart size and pulmonary vascularity appear within normal limits . no pleural effusion pneumothora seen . scattered left base atelectasis are noted . left with the tip projecting over the caval atrial junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-3001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1610_IM-0395-3001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1612_IM-0397,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1612_IM-0397-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1612_IM-0397-1001.png,startseq mild cardiomegaly . tortuous thoracic aorta with atherosclerosis . no pneumothora pleural effusion . degenerative changes the thoracic spine without evidence deformity . the visualized osseous structures are intact . no displaced rib fractures . no edema airspace consolidation endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1616_IM-0399_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1616_IM-0399-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1616_IM-0399-1002.png,startseq chest . lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . ribs . there are no displaced rib fractures obvious nondisplaced rib fractures . soft tissues appear normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1617_IM-0399_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1617_IM-0399-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1617_IM-0399-2001.png,startseq the cardiac contours are normal . calcified tortuous thoracic aorta . emphysema . mild apical scarring . the lungs are otherwise clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1619_IM-0400_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1619_IM-0400-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1619_IM-0400-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are mildly hypoinflated but clear focal airspace disease pneumothora pleural effusion . there are multiple sternotomy and surgical clips compatible with prior cabg . the most caudal sternotomy fractured . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR162_IM-0401_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR162_IM-0401-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR162_IM-0401-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1620_IM-0402_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1620_IM-0402-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1620_IM-0402-2001.png,startseq the cardiomediastinal silhouette within normal limits . the lungs are clear without areas focal consolidation . no pneumothora pleural effusion . lucency under the right hemidiaphragm may represent focus free air . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1621_IM-0403_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1621_IM-0403-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1621_IM-0403-1002.png,startseq the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the heart size the upper limits normal . calcified granuloma the right lower lobe stable appearance compared the previous eaminations . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1622_IM-0404_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1622_IM-0404-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1622_IM-0404-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1623_IM-0405_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1623_IM-0405-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1623_IM-0405-4004.png,startseq normal cardiomediastinal contours . no pneumothora pleural effusions focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1624_IM-0406_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1624_IM-0406-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1624_IM-0406-2001.png,startseq heart size mildly enlarged stable mediastinal and hilar contours mediastinal calcifications suggest previous granulomatous process . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1625_IM-0406_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1625_IM-0406-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1625_IM-0406-1003.png,startseq the heart normal size . the mediastinum stable . atherosclerotic calcifications the aortic are present . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1626_IM-0407_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1626_IM-0407-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1626_IM-0407-3003.png,startseq the heart normal size . the mediastinal contours are within normal limits . there are numerous bilateral pulmonary nodules varying sizes . the largest noted the left lower lobe posteriorly measuring approimately cm . no acute infiltrate pleural effusion are appreciated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1627_IM-0408_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1627_IM-0408-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1627_IM-0408-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1629_IM-0409,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1629_IM-0409-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1629_IM-0409-2001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . no significant hilar process suggest adenopathy . the lungs are normally inflated and clear . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-2002.png,startseq there are no airspace opacities suggest pneumonia . there vague nodular like opacity the right midlung measuring projecting through the posterior and ribs . this may artifact . chest fluoroscopy would confirm this . heart and pulmonary appear normal . there are calcified subcarinal and right hilar lymph the pleural spaces are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-3003.png,startseq there are no airspace opacities suggest pneumonia . there vague nodular like opacity the right midlung measuring projecting through the posterior and ribs . this may artifact . chest fluoroscopy would confirm this . heart and pulmonary appear normal . there are calcified subcarinal and right hilar lymph the pleural spaces are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR163_IM-0410-3003.png,startseq there are no airspace opacities suggest pneumonia . there vague nodular like opacity the right midlung measuring projecting through the posterior and ribs . this may artifact . chest fluoroscopy would confirm this . heart and pulmonary appear normal . there are calcified subcarinal and right hilar lymph the pleural spaces are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1630_IM-0411_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1630_IM-0411-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1630_IM-0411-2001.png,startseq images . there poorly defined lung nodule the right upper lobe measuring approimately and partially superimposed upon anterior right second rib . otherwise the lungs are clear . no pleural effusion pneumothora . heart size normal . critical result notification documented through primordial . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1631_IM-0412-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1631_IM-0412-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1631_IM-0412-0001-0002.png,startseq there are few small nodular opacities the left lung seen the frontal view overlying the left posterior rib . lungs otherwise appear clear . no focal airspace consolidation . no overt pulmonary edema . no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . calcified mediastinal and hilar lymph are consistent with prior granulomatous disease . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1632_IM-0413_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1632_IM-0413-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1632_IM-0413-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-3001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1633_IM-0414-3001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1634_IM-0414_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1634_IM-0414-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1634_IM-0414-3003.png,startseq calcified granulomas . calcified hilar no focal areas consolidation . heart size within normal limits . no pleural effusions . no evidence pneumothora . question large pulmonary arteries . lung are hyperepanded . prominent substernal air space . aortic calcifications . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1635_IM-0415_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1635_IM-0415-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1635_IM-0415-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . calcified granuloma present the right lung base . bibasilar bandlike opacities are present . the appearance scarring atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1636_IM-0415_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1636_IM-0415-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1636_IM-0415-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1637_IM-0416,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1637_IM-0416-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1637_IM-0416-1001.png,startseq no acute osseous abnormality . mild degenerative changes the thoracic spine . there stable enlargement the heart . no focus consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1002.png,startseq study somewhat limited body habitus . cardiomegaly noted with central pulmonary vascular prominence and coarsened interstitial markings suspicious for developing interstitial pulmonary edema . no focal consolidation pneumothora definite effusion identified . no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1003.png,startseq study somewhat limited body habitus . cardiomegaly noted with central pulmonary vascular prominence and coarsened interstitial markings suspicious for developing interstitial pulmonary edema . no focal consolidation pneumothora definite effusion identified . no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1638_IM-0417-1003.png,startseq study somewhat limited body habitus . cardiomegaly noted with central pulmonary vascular prominence and coarsened interstitial markings suspicious for developing interstitial pulmonary edema . no focal consolidation pneumothora definite effusion identified . no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1639_IM-0418_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1639_IM-0418-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1639_IM-0418-5001.png,startseq the lungs are relatively clear with sulci . heart size normal contour . slightly unfolded ascending and descending aorta . tspine unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR164_IM-0419_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR164_IM-0419-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR164_IM-0419-2001.png,startseq the cardiopulmonary silhouette normal . the heart size normal . the lungs are clear with no pulmonary effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1640_IM-0420_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1640_IM-0420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1640_IM-0420-1002.png,startseq the heart normal size . the mediastinum unremarkable . small nodule the right upper lung stable . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1641_IM-0420_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1641_IM-0420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1641_IM-0420-2001.png,startseq two views chest was obtained projection . the cardiomediastinal silhouette not enlarged . lungs demonstrate segmental air space disease within the left lower lobe . there no effusion pneumothora . there evidence cabg . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1642_IM-0421_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1642_IM-0421-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1642_IM-0421-3001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart size normal with postoperative changes consistent with cabg . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-3001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1643_IM-0421-3001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1644_IM-0422,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1644_IM-0422-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1644_IM-0422-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . calcified lymph are present . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1645_IM-0422_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1645_IM-0422-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1645_IM-0422-2001.png,startseq stable chronic appearing left basilar opacities . no focal areas consolidation . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures appear intact . degenerative changes the visualized thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1646_IM-0423_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1646_IM-0423-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1646_IM-0423-3001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1647_IM-0424_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1647_IM-0424-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1647_IM-0424-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1648_IM-0425-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1648_IM-0425-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1648_IM-0425-0001-0002.png,startseq the lungs are mildly hyperepanded . there no focal airspace consolidation . no suspicious pulmonary mass nodule identified . heart size and mediastinal contour are within normal limits . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1649_IM-0426_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1649_IM-0426-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1649_IM-0426-2001.png,startseq there moderate layering left pleural effusion grossly stable . there moderate right pleural effusion which partially loculated . there some pleural fluid tracking along the right fissure . there bibasilar airspace disease possibly passive atelectasis . no pneumothora identified . heart size within normal limits . right picc tip the svc . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR165_IM-0427_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR165_IM-0427-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR165_IM-0427-2001.png,startseq there some minimal biapical scarring . calcified granuloma present the right middle lobe . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1652_IM-0428_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1652_IM-0428-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1652_IM-0428-2001.png,startseq detroscoliosis the thoracic spine . clear lungs bilaterally . no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1653_IM-0429,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1653_IM-0429-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1653_IM-0429-2001.png,startseq pacemaker generator overlying the left chest stable position with leads terminating the right atrium and right ventricle stable position . stable sternotomy no pneumothora pleural effusion focal airspace disease . minimal fluid within the right horizontal fissure . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1654_IM-0430_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1654_IM-0430-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1654_IM-0430-2001.png,startseq the heart and mediastinum are unremarkable . there tortuosity the aorta compatible with atherosclerosis . low lung volumes . minimal opacities within the lung bases subsegmental atelectasis . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1655_IM-0431_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1655_IM-0431-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1655_IM-0431-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . there no pneumothora pleural effusion focal air space consolidation . degenerative spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1656_IM-0431_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1656_IM-0431-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1656_IM-0431-2001.png,startseq the lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1657_IM-0432_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1657_IM-0432-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1657_IM-0432-3003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1658_IM-0433,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1658_IM-0433-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1658_IM-0433-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . mild degenerative changes the thoracic spine . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1659_IM-0434_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1659_IM-0434-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1659_IM-0434-1002.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora no pleural effusion . no displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR166_IM-0435_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR166_IM-0435-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR166_IM-0435-3003.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . calcified lymph and granuloma are noted . mild degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1660_IM-0436_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1660_IM-0436-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1660_IM-0436-2002.png,startseq there are low lung volumes . the lungs are otherwise clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1662_IM-0438,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1662_IM-0438-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1662_IM-0438-1001.png,startseq no focal consolidation . there are prominent interstitial markings including focally right upper lobe which are similar from prior eamination . no visualized pneumothora . the heart size normal . there are no pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1663_IM-0439_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1663_IM-0439-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1663_IM-0439-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1665_IM-0439_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1665_IM-0439-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1665_IM-0439-2001.png,startseq normal cardiac contour . stable calcified granuloma left upper lobe . no pleural effusion pneumothora . clear lungs bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1666_IM-0440-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1666_IM-0440-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1666_IM-0440-0001-0002.png,startseq the cardiac silhouette mildly enlarged . there are scattered bilateral opacities most notably the right middle lobe subsegmental atelectasis . no pleural effusion . no pneumothora identified . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1667_IM-0441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1667_IM-0441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1667_IM-0441-2001.png,startseq the cardiac and mediastinal silhouettes are normal . the lungs are wellepanded and clear . there no focal airspace opacity . there no pneumothora effusion . there irregularity the posterior right rib with underlying pleural thickening . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1668_IM-0441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1668_IM-0441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1668_IM-0441-1002.png,startseq no pneumothora pleural effusion focal airspace disease . there discrete nodule within the anterior segment the right lower lobe . the additional nodular opacities consistent with chronic granulomatous disease . heart size normal . cardiomediastinal silhouette clear . bony structures appear intact . right unilateral nipple ring . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1669_IM-0441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1669_IM-0441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1669_IM-0441-2001.png,startseq the lungs are clear and without focal air space opacity . the cardiomediastinal silhouette normal size and contour and stable . there are calcifications the aortic there calcified granuloma the left lower lung . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR167_IM-0441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR167_IM-0441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR167_IM-0441-1002.png,startseq both lungs are clear and epanded . old calcified granuloma present the left upper lobe . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1670_IM-0441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1670_IM-0441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1670_IM-0441-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . has its tip the caval atrial junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1671_IM-0442_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1671_IM-0442-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1671_IM-0442-2001.png,startseq heart size and mediastinal contours are within normal limits . there no pneumothora pleural effusion focal airspace consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1673_IM-0444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1673_IM-0444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1673_IM-0444-2001.png,startseq heart size normal cardiomediastinal silhouette normal contour . the lungs are clear bilaterally . no consolidations . no pleural effusion . no pneumothora . and soft tissues are unremarkable . lungs are hyperinflated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1674_IM-0445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1674_IM-0445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1674_IM-0445-2001.png,startseq the previously seen rightsided picc has been removed . the heart size normal . lungs are clear . there no pneumothora large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1675_IM-0445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1675_IM-0445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1675_IM-0445-2001.png,startseq lung volumes remain low . no infiltrates . heart and pulmonary remain normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1676_IM-0445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1676_IM-0445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1676_IM-0445-1002.png,startseq heart size and mediastinal contour within normal limits . aortic atherosclerotic calcifications . emphysematous changes . nodular densities projecting over right anterior fifth and ribs . no focal airspace consolidation pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-2001.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there no focal air space opacity pneumothora effusion . the bony structures the thora are intact with no evidence acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-3001.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there no focal air space opacity pneumothora effusion . the bony structures the thora are intact with no evidence acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1677_IM-0446-3001.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there no focal air space opacity pneumothora effusion . the bony structures the thora are intact with no evidence acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1678_IM-0447-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1678_IM-0447-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1678_IM-0447-0001-0002.png,startseq the heart normal size . the mediastinum stable . right chest tip again seen the cavoatrial junction . there no pneumothora . there again elevation right hemidiaphragm with rightsided pleural effusion . vague opacities are noted the right upper lobe from prior study . these may related overlying rib lesions versus true pulmonary nodules . the left lung appears grossly clear . drainage catheter seen overlying the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1679_IM-0448_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1679_IM-0448-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1679_IM-0448-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR168_IM-0448_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR168_IM-0448-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR168_IM-0448-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora demonstrates stable mild multilevel degenerative disc disease the thoracolumbar spine well chronic leftsided rib fractures without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1681_IM-0448_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1681_IM-0448-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1681_IM-0448-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1682_IM-0449_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1682_IM-0449-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1682_IM-0449-2001.png,startseq there lobulated contour the right paratracheal stripe possibly consistent with vascular structure lymph the cardiomediastinal silhouette otherwise within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1683_IM-0449_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1683_IM-0449-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1683_IM-0449-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . there are diminished lung volumes . right greater than left bilateral hilar and subcarinal adenopathy again seen . the cardiac silhouette prominent but probably artifactually large due diminished lung volumes . no focal consolidation pleural effusion pneumothora identified . there deformity the left clavicle compatible with remote endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1684_IM-0449_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1684_IM-0449-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1684_IM-0449-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1685_IM-0449_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1685_IM-0449-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1685_IM-0449-2001.png,startseq hyperinflated lungs with mildly flattened posterior diaphragm . no focal alveolar consolidation no definite pleural effusion seen . heart size within normal limits no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1686_IM-0450_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1686_IM-0450-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1686_IM-0450-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . no change calcified aorticopulmonary node . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1687_IM-0450_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1687_IM-0450-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1687_IM-0450-2001.png,startseq feeding tube noted with tip distal the gastroesophageal junction . no focal areas consolidation . heart size within normal limits . no pleural effusions . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1688_IM-0450_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1688_IM-0450-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1688_IM-0450-2001.png,startseq heart size normal and cardiomediastinal contours are normal . lungs are otherwise clear bilaterally without effusion pneumothora . bony structures and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1689_IM-0451_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1689_IM-0451-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1689_IM-0451-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR169_IM-0452_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR169_IM-0452-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR169_IM-0452-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1691_IM-0453_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1691_IM-0453-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1691_IM-0453-4001.png,startseq there are persistent low lung volumes . there stable streaky left lower lobe airspace disease . probable residual left pneumothora . no large pleural effusion . stable cardiomediastinal contour . leftsided rib fractures are better appreciated the chest comparison . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1693_IM-0454,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1693_IM-0454-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1693_IM-0454-1001.png,startseq the heart normal size . the mediastinum stable . the lungs are hypoinflated with scarring the left lung base . there no focal consolidation significant effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1694_IM-0455_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1694_IM-0455-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1694_IM-0455-2001.png,startseq the lungs are clear . the heart and pulmonary appear normal . the pleural spaces are clear . there minimal sclerotic change overlying the midthoracic spine the lateral view . unclear whether this pulmonary finding skeletal finding . bone scan would helpful evaluate for potential metastatic disease . the mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1695_IM-0456_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1695_IM-0456-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1695_IM-0456-1003002.png,startseq chest . the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there calcified granuloma the left lung base . soft tissue neck . there reversal the normal cervical lordosis which may indicate muscle spasm versus positional phenomenon . there no prevertebral soft tissue the epiglottis within normal limits . there density identified the lateral eam only possibly within one the piriform sinuses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1696_IM-0457_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1696_IM-0457-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1696_IM-0457-4004.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1697_IM-0458_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1697_IM-0458-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1697_IM-0458-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1698_IM-0458_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1698_IM-0458-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1698_IM-0458-2001.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1699_IM-0459_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1699_IM-0459-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1699_IM-0459-3001.png,startseq there mild mentally without pulmonary edema . tortuous thoracic aorta unchanged . stable positioning the dual cardiac device . no visible pneumothora . there small left pleural effusion . focal airspace consolidation visualized the superior segment the left lower lobe appreciated lateral projection . increased retrosternal clear space suggesting chronic obstructive pulmonary disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR17_IM-0460_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR17_IM-0460-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR17_IM-0460-2001.png,startseq no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1701_IM-0462_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1701_IM-0462-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1701_IM-0462-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1702_IM-0463_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1702_IM-0463-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1702_IM-0463-2001.png,startseq no acute osseous abnormality . soft tissues are within normal limits . borderline enlargement the heart . normal hilar vasculature . no focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1703_IM-0463_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1703_IM-0463-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1703_IM-0463-2001.png,startseq lung volumes are mildly low . the cardiomediastinal silhouette within normal limits for size contour . no consolidation . no pleural effusion pneumothora . mild degenerative disc change the thoracic spine no deformity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1704_IM-0464_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1704_IM-0464-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1704_IM-0464-2001.png,startseq there blunting the left costophrenic compatible with moderate large left pleural fluid collection . there are areas airspace opacity within the left lung base which may represent atelectasis infiltrate . minimal bandlike atelectasis within the right lung base . heart size normal . leftsided tunneled catheter terminates the caval atrial junction . right venous catheter terminates the proimal svc . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1705_IM-0465,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1705_IM-0465-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1705_IM-0465-2001.png,startseq stable cardiomediastinal silhouette . pulmonary vascular unremarkable lungs are epanded and clear airspace disease . negative for pneumothora pneumomediastinum pleural effusion . limited evaluation reveals the grossly intact . prominent rib cartilage the anterior lower ribs seen lateral view . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1706_IM-0466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1706_IM-0466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1706_IM-0466-1002.png,startseq cardiac silhouette and mediastinal contours are within normal limits . there are low lung volumes . there no focal opacities . no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1707_IM-0466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1707_IM-0466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1707_IM-0466-2001.png,startseq frontal and lateral views the chest show normal size the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1708_IM-0466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1708_IM-0466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1708_IM-0466-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . calcified lymph are identified the left infrahilar region . no pneumothora . no pleural effusion . no acute displaced rib fractures identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1709_IM-0467_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1709_IM-0467-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1709_IM-0467-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there minimal opacity the lung bases . the lungs are otherwise grossly clear . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1710_IM-0469_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1710_IM-0469-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1710_IM-0469-2001.png,startseq heart size normal . lungs are clear . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1711_IM-0469_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1711_IM-0469-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1711_IM-0469-4001.png,startseq heart size within normal limits stable mediastinal and hilar contours . left hemidiaphragm eventration . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1712_IM-0470_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1712_IM-0470-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1712_IM-0470-3001.png,startseq normal cardiac contours . no pleural effusion pneumothora . bilateral lower lobe bronchial thickening consistent with bronchitis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1714_IM-0472,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1714_IM-0472-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1714_IM-0472-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1715_IM-0473,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1715_IM-0473-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1715_IM-0473-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . dense nodule again noted the right lower lobe suggesting previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1717_IM-0473_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1717_IM-0473-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1717_IM-0473-2001.png,startseq the cardiac contours are normal . prior granulomatous disease . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1718_IM-0474,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1718_IM-0474-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1718_IM-0474-2001.png,startseq increased interstitial opacities nonspecific . question edema atypical infection endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1719_IM-0474_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1719_IM-0474-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1719_IM-0474-1002.png,startseq the cardiomediastinal silhouette within normal limits for size . pulmonary vasculature within normal limits . no focal consolidations effusions pneumothoraces . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR172_IM-0474_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR172_IM-0474-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR172_IM-0474-1002.png,startseq elevated right hemidiaphragm . clear lungs . no pleural effusions pneumothoraces . heart size upper limits normal with tortuosity and ectasia the aorta . generative changes within the spine . the upper lumbar spine there ageindeterminate wedge vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0002.png,startseq there are very low lung volumes with associated central bronchovascular crowding . there elevation the left hemidiaphragm . there are filled loops mildly dilated colon the left upper quadrant . the bowel pattern not well evaluated secondary incomplete imaging the abdomen . there no pneumothora definite pleural effusion . the streaky opacities the lung bases may represent atelectasis . no definite infectious infiltrate seen . there scoliosis and eaggeration the thoracic kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0002.png,startseq there are very low lung volumes with associated central bronchovascular crowding . there elevation the left hemidiaphragm . there are filled loops mildly dilated colon the left upper quadrant . the bowel pattern not well evaluated secondary incomplete imaging the abdomen . there no pneumothora definite pleural effusion . the streaky opacities the lung bases may represent atelectasis . no definite infectious infiltrate seen . there scoliosis and eaggeration the thoracic kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-4004.png,startseq there are very low lung volumes with associated central bronchovascular crowding . there elevation the left hemidiaphragm . there are filled loops mildly dilated colon the left upper quadrant . the bowel pattern not well evaluated secondary incomplete imaging the abdomen . there no pneumothora definite pleural effusion . the streaky opacities the lung bases may represent atelectasis . no definite infectious infiltrate seen . there scoliosis and eaggeration the thoracic kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1720_IM-0475-4004.png,startseq there are very low lung volumes with associated central bronchovascular crowding . there elevation the left hemidiaphragm . there are filled loops mildly dilated colon the left upper quadrant . the bowel pattern not well evaluated secondary incomplete imaging the abdomen . there no pneumothora definite pleural effusion . the streaky opacities the lung bases may represent atelectasis . no definite infectious infiltrate seen . there scoliosis and eaggeration the thoracic kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1721_IM-0476_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1721_IM-0476-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1721_IM-0476-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . the patient was shielded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1722_IM-0476,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1722_IM-0476-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1722_IM-0476-1001.png,startseq the lungs and pleural spaces show no acute abnormality . nodular densities projecting over the posterior ribs bilaterally are consistent with nipple shadows . lungs are hyperepanded . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1723_IM-0477_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1723_IM-0477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1723_IM-0477-2001.png,startseq heart size normal . there are densely calcified mediastinal and right hilar lymph which suggest prior histoplasmosis eposure . no consolidating airspace disease seen within the lungs . no pleural effusion pneumothora . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1724_IM-0478,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1724_IM-0478-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1724_IM-0478-1001.png,startseq the lungs are mildly hyperinflated with upper lobe areas lung lucency suggesting obstructive pulmonary disease and emphysema . no superimposed focal airspace consolidation seen . no pleural effusion pneumothora . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1725_IM-0478_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1725_IM-0478-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1725_IM-0478-2001.png,startseq there right basilar opacity with associated blunting the costophrenic seen lateral view . addition there interface along the left hemidiaphragm . this may represent attenuation artifact however further evaluation with right lateral decubitus views would better evaluate . there no pneumothora . the lungs are clear . cardiac silhouette and mediastinal contours are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1726_IM-0479_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1726_IM-0479-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1726_IM-0479-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1727_IM-0479_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1727_IM-0479-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1727_IM-0479-2001.png,startseq rightsided internal jugular central venous catheter with tip approimating the right atrium . postsurgical changes the mediastinum including sternotomy left base opacities again noted stable . there left lung opacity not well appreciated prior . there no evidence pneumothora . low lung volumes . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1728_IM-0479_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1728_IM-0479-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1728_IM-0479-2001.png,startseq the cardiac silhouette mediastinal contours are within normal limits . there no pneumothora . there no large pleural effusion . there no focal opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1729_IM-0480_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1729_IM-0480-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1729_IM-0480-2001.png,startseq chronic bilateral emphysematous changes . the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR173_IM-0481_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR173_IM-0481-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR173_IM-0481-2001.png,startseq low lung volumes . cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . calcified bilateral hilar lymph greater the left . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1730_IM-0481_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1730_IM-0481-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1730_IM-0481-1002.png,startseq the trachea midline . cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the bony structures reveal no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1731_IM-0481_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1731_IM-0481-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1731_IM-0481-2001.png,startseq low lung volumes bilaterally . the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1732_IM-0482_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1732_IM-0482-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1732_IM-0482-2001.png,startseq cardiac and mediastinal silhouette are unremarkable . lungs are clear . no focal consolidation pneumothora pleural effusion identified . and soft tissue are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1734_IM-0484_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1734_IM-0484-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1734_IM-0484-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1735_IM-0484_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1735_IM-0484-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1735_IM-0484-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal size and unchanged from prior eaminations with sternotomy and surgical clips overlying . there blunting the right costophrenic which appears unchanged from prior eamination and may secondary scarring pleural thickening the right lung base . there no evidence acute infiltrate . there no pneumothora . visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1736_IM-0484_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1736_IM-0484-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1736_IM-0484-2001.png,startseq the cardiomediastinal contours are stable and normal . mid sternotomy again noted . mildly low lung volumes . no significant pulmonary edema focal lung consolidation pleural effusions pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1737_IM-0485_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1737_IM-0485-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1737_IM-0485-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1738_IM-0486_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1738_IM-0486-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1738_IM-0486-2001.png,startseq cardiac and mediastinal contours are within normal limits . mild aortic tortuosity . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1739_IM-0487_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1739_IM-0487-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1739_IM-0487-2001.png,startseq there cortical irregularity along the anterior margin the sternum . addition there focal retrosternal hypodense conveity . the cardiac silhouette within normal limits . the thoracic aorta torturous however the mediastinal contours are within normal limits . there no pneumothora . there no large pleural effusion . there streaky opacity within the left lung base representing atelectasis . otherwise the lungs are clear . there thoracic kyphosis . there hyperinflation the lungs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR174_IM-0488_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR174_IM-0488-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR174_IM-0488-2001.png,startseq there leftsided picc with tip the caval atrial junction . the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable short segment catheter tubing overlying the left reside within anterior chest soft tissues recent chest ct . stable remote posttraumatic changes multiple right ribs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1740_IM-0488_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1740_IM-0488-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1740_IM-0488-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . there airspace opacity the mid right lung radiating from the right hilum the pleura and bordered inferiorly the fissures . the fissure conve upward . there right base patchy airspace opacity . this appears chronic and may due scarring . there no significant pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1742_IM-0489_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1742_IM-0489-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1742_IM-0489-2001.png,startseq heart size mildly enlarged . no alveolar consolidation no findings pleural effusion pulmonary edema . no pneumothora . sshaped spine curvature noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1743_IM-0489_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1743_IM-0489-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1743_IM-0489-4004.png,startseq considering differences technical factors stable cardiomegaly and stable mediastinal contours . no focal alveolar consolidation no definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1744_IM-0489_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1744_IM-0489-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1744_IM-0489-2001.png,startseq cardiac and mediastinal silhouette are unremarkable . lungs are clear . no focal consolidation pneumothora pleural effusion identified . and soft tissue are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1745_IM-0489_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1745_IM-0489-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1745_IM-0489-4004.png,startseq frontal and lateral views the chest show normal size cardiac silhouette allowing for projection . normal contour the mediastinum and aorta . grossly clear lungs . no obvious pneumothora hemothora . no acute displaced clavicle rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1747_IM-0490_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1747_IM-0490-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1747_IM-0490-2001.png,startseq there ovoid opacity the retrocardiac area view not wellseen the lateral view dedicated scan recommended . no pneumothora pleural effusion present . the heart normal size . no hilar lymphadenopathy . no destructive bony lesions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1748_IM-0490_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1748_IM-0490-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1748_IM-0490-2001.png,startseq the heart size normal . lungs are clear . there no pleural line suggest pneumothora costophrenic blunting suggest large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR175_IM-0492,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR175_IM-0492-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR175_IM-0492-1001.png,startseq mild cardiomegaly unchanged . stable superior mediastinal contour with tortuous aorta . normal pulmonary vascularity . unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis . minimal left basal airspace opacity . unchanged blunting the right lateral costophrenic scarring versus effusion . no pneumothora . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1750_IM-0493_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1750_IM-0493-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1750_IM-0493-2001.png,startseq the heart size within normal limits . after cirrhotic calcification the thoracic aorta . hyperepanded lungs with flattened diaphragms and increased retrosternal clear space suggestive emphysema . streaky left basilar opacities are favored represent scarring . no pleural effusions pneumothora . eaggerated thoracic kyphosis . scattered calcified granulomas bilaterally . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1751_IM-0494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1751_IM-0494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1751_IM-0494-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1752_IM-0494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1752_IM-0494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1752_IM-0494-2001.png,startseq size normal limits . cardiomediastinal silhouette has normal contour . there vague opacity the right infrahilar region . there also well circumscribed nodule the right upper lung not well visualized lateral view . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1753_IM-0494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1753_IM-0494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1753_IM-0494-2001.png,startseq the heart size persistently enlarged . lung volumes are low . lungs are clear . there no pleural line suggest pneumothora costophrenic blunting suggest large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1757_IM-0495,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1757_IM-0495-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1757_IM-0495-1001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1758_IM-0495_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1758_IM-0495-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1758_IM-0495-2001.png,startseq the heart normal size . the mediastinal contours are within normal limits . there mild prominence the superior mediastinum which somewhat lucent and reflects mediastinal and vascular structures . no focal consolidation seen . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1759_IM-0495_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1759_IM-0495-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1759_IM-0495-1002.png,startseq there hyperepansion . the heart size normal . there no pleural effusion pneumothora . two circular densities overlying the right ribs which were not present the ct . no focal infiltrates endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR176_IM-0496_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR176_IM-0496-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR176_IM-0496-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1760_IM-0497_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1760_IM-0497-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1760_IM-0497-1002.png,startseq mild cardiomegaly . small area platelike atelectasis left mid lung . no pneumothora pleural effusion . soft tissue and bony structures unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1763_IM-0497_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1763_IM-0497-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1763_IM-0497-2001.png,startseq heart mediastinum bony structures are unremarkable . stable increased lung volumes consistent with chronic lung disease . no infiltrates noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1764_IM-0498,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1764_IM-0498-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1764_IM-0498-1001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . old left rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1765_IM-0499_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1765_IM-0499-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1765_IM-0499-1002.png,startseq the cardiomediastinal silhouette within normal limits . there rounded calcified density within the left lower lobe most consistent with granuloma . remaining lungs are clear without evidence focal opacification . no pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1766_IM-0500_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1766_IM-0500-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1766_IM-0500-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1767_IM-0501-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1767_IM-0501-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1767_IM-0501-0001-0002.png,startseq the cardiomediastinal silhouette within normal limits . calcified right lower lobe granuloma . no focal airspace consolidation . no visualized pneumothora large pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-13013.png,startseq there minimal scarring the lung apices . the lungs are otherwise clear . heart size normal . no pneumothora . there detrocurvature within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-3003.png,startseq there minimal scarring the lung apices . the lungs are otherwise clear . heart size normal . no pneumothora . there detrocurvature within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-13013.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1768_IM-0502-3003.png,startseq there minimal scarring the lung apices . the lungs are otherwise clear . heart size normal . no pneumothora . there detrocurvature within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1769_IM-0503,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1769_IM-0503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1769_IM-0503-1001.png,startseq consolidation and some atelectasis are present the left lower lobe . patchy interstitial infiltrates are also present the right lower lobe . bilateral costophrenic blunting present . heart and pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR177_IM-0503_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR177_IM-0503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR177_IM-0503-2001.png,startseq the heart size enlarged . the mediastinal contour within normal limits . calcification seen within the aortic interstitial opacities . there are no nodules masses . stable appearing right perihilar calcified granulomas . no visible pneumothora . bilateral costophrenic blunting left worse than right . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1770_IM-0504_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1770_IM-0504-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1770_IM-0504-1002.png,startseq no pneumothora pleural effusion . normal cardiac contours . clear lungs bilaterally . redemonstration transmetatarsal amputation . no evidence acute fracturedislocations . no evidence any bony erosions osseous infections . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1771_IM-0505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1771_IM-0505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1771_IM-0505-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1774_IM-0507,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1774_IM-0507-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1774_IM-0507-2001.png,startseq the lungs appear clear . the heart and pulmonary are normal . pleural spaces are clear . mediastinal contours are normal . bony overlap the lung apices could obscure small pulmonary nodule . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1775_IM-0508_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1775_IM-0508-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1775_IM-0508-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1776_IM-0508_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1776_IM-0508-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1776_IM-0508-2001.png,startseq heart size and mediastinal contours are stable . pulmonary vasculature unremarkable . no focal consolidation . no visible pleural effusion pneumothora . no displaced rib fractures are seen . there are mild degenerative changes along the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1777_IM-0509_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1777_IM-0509-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1777_IM-0509-1002.png,startseq the patient rotated left . the cardiomediastinal silhouette normal size . lucency along the left ventricular related interface between the heart and aerated lung . patchy right perihilarupper lobe opacities which abut the fissure lateral projection . no pneumothora large pleural effusion . eaggerated thoracic kyphosis . no definite acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1779_IM-0509_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1779_IM-0509-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1779_IM-0509-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR178_IM-0509,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR178_IM-0509-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR178_IM-0509-2001.png,startseq cardiomediastinal silhouette stable with atherosclerosis the thoracic aorta . diffusely coarsened interstitial markings are noted consistent with chronic lung disease with worsened patchy opacities and left ape and right base . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1780_IM-0509_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1780_IM-0509-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1780_IM-0509-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1781_IM-0509_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1781_IM-0509-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1781_IM-0509-1002.png,startseq heart size mediastinal contours are normal appearance . no focal airspace consolidation . no pleural effusion pneumothora . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1782_IM-0510_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1782_IM-0510-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1782_IM-0510-14001.png,startseq cardiac and mediastinal contours are within normal limits . prior granulomatous disease . elevated right diaphragm . the lungs are clear . degenerative spondylosis . there appears mildly displaced fracture the mid right clavicle . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1785_IM-0512_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1785_IM-0512-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1785_IM-0512-2001.png,startseq cardiac and mediastinal contours are within normal limits . granulomatous calcifications the paratracheal region . mild streaky scarring the right upper lobe . no active pneumonia . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1786_IM-0512_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1786_IM-0512-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1786_IM-0512-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . stable foreign body over the left breast nipple piercing . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1787_IM-0513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1787_IM-0513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1787_IM-0513-2001.png,startseq the heart normal size . the mediastinum unremarkable . mild granulomatous sequela are noted . the lungs are grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1788_IM-0513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1788_IM-0513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1788_IM-0513-1002.png,startseq the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR179_IM-0514_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR179_IM-0514-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR179_IM-0514-2001.png,startseq no airspace disease effusion noncalcified nodule . normal heart size and mediastinum . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1790_IM-0515,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1790_IM-0515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1790_IM-0515-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1791_IM-0515_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1791_IM-0515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1791_IM-0515-2001.png,startseq limited eam the left costophrenic ecluded from the view . the heart size normal . the mediastinal contour within normal limits . mild lung hyperinflation . the lungs are free any focal infiltrates . there large calcified granuloma within the medial right lung base . there are no nodules masses . no visible pneumothora . no visible pleural fluid . mild multilevel degenerative changes seen within the thoracic spine . no visible acute fracture . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1792_IM-0515_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1792_IM-0515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1792_IM-0515-2001.png,startseq the heart size and mediastinal contours appear within normal limits . there are streaky left basilar opacities and blunting the left costophrenic sulcus secondary small effusion . no pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1793_IM-0515,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1793_IM-0515-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1793_IM-0515-2001.png,startseq no gross consolidation atelectasis infiltrate . no pleural fluid collection pneumothora . cardiomediastinal silhouette within normal limits . intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1794_IM-0515_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1794_IM-0515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1794_IM-0515-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1795_IM-0516_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1795_IM-0516-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1795_IM-0516-2001.png,startseq there moderate cardiomegaly . no interstitial edema pleural effusion . no focal airspace consolidation . no pneumothora . there mild degenerative disc disease the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1796_IM-0517_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1796_IM-0517-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1796_IM-0517-1003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1797_IM-0517_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1797_IM-0517-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1797_IM-0517-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . small tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1799_IM-0519_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1799_IM-0519-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1799_IM-0519-2001.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR18_IM-0520_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR18_IM-0520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR18_IM-0520-2001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1800_IM-0520_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1800_IM-0520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1800_IM-0520-2001.png,startseq lungs are hyperepanded bilaterally with no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1801_IM-0520_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1801_IM-0520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1801_IM-0520-2001.png,startseq stable mild cardiomegaly . mediastinal contours are unchanged . lungs are clear without focal consolidation . no visible pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1802_IM-0521_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1802_IM-0521-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1802_IM-0521-2001.png,startseq the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1804_IM-0522_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1804_IM-0522-82050001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1804_IM-0522-82050002.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . there right chest with central venous catheter tip overlying the high svc . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1806_IM-0524,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1806_IM-0524-1003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1806_IM-0524-1003.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1807_IM-0524_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1807_IM-0524-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1807_IM-0524-1002.png,startseq the heart mild enlarged . central pulmonary vascularity again accentuated . there are also mild increased interstitial markings without focal consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1808_IM-0524_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1808_IM-0524-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1808_IM-0524-2001.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . multilevel flowing anterior thoracic spine osteophytes which could represent changes diffuse idiopathic skeletal hyperostosis dish . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR181_IM-0524_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR181_IM-0524-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR181_IM-0524-1002.png,startseq normal heart size mediastinal contours . eventration the right hemidiaphragm . no focal airspace consolidation . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1810_IM-0524_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1810_IM-0524-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1810_IM-0524-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1811_IM-0525,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1811_IM-0525-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1811_IM-0525-1001.png,startseq there mild cardiomegaly and tortuous aorta . mildly low lung volumes . no focal consolidation pleural effusion pneumothora . the are intact and without acute osseous abnormality . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1812_IM-0525_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1812_IM-0525-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1812_IM-0525-2001.png,startseq no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . heart size and pulmonary vascularity within normal limits visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1813_IM-0526_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1813_IM-0526-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1813_IM-0526-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . lung volumes are low normal . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1815_IM-0527_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1815_IM-0527-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1815_IM-0527-2001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . there are mild thoracic spine degenerative changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1816_IM-0528_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1816_IM-0528-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1816_IM-0528-2001.png,startseq the heart and mediastinum are unremarkable . again identified are numerous calcified mediastinal lymph well large calcifications within the left upper and left lower lobes . these appear similar the patient previous chest ct and are the sequela prior granulomatous disease . the lungs are otherwise clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1817_IM-0529,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1817_IM-0529-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1817_IM-0529-4004.png,startseq the eamination consists frontal and lateral radiographs the chest . upper thora poorly visualized due patient overlying head and chin . the cardiomediastinal contours are within normal limits . background mild coarse interstitial opacities seen throughout the lungs related background emphysema . calcified granuloma seen the left medial lung base . there no consolidation pleural effusion pneumothora . deformity the right rib laterally has appearance acute subacute fracture . degenerative changes the thoracic spine are again seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR182_IM-0531_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR182_IM-0531-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR182_IM-0531-2001.png,startseq heart size and mediastinal contours appear within normal limits . patchy airspace opacities the left lower lobe compatible with infiltrate . no large pleural effusion . no pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1820_IM-0532_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1820_IM-0532-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1820_IM-0532-1002.png,startseq heart size and mediastinal contours appear within normal limits . eventration the right hemidiaphragm . no focal lung consolidation pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1821_IM-0532_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1821_IM-0532-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1821_IM-0532-1003.png,startseq the heart and mediastinum are normal size and contour . there no focal airspace opacity pleural effusion pneumothora . there are degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1822_IM-0533_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1822_IM-0533-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1822_IM-0533-2001.png,startseq the heart normal size and contour . there no mediastinal widening . no focal air space disease . prominent hilar no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1823_IM-0534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1823_IM-0534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1823_IM-0534-3001.png,startseq chest . heart size normal . pulmonary vasculature normal . there nodule the right lower lobe that relatively dense but not obviously calcified the corresponding rib series . there are probably right hilar calcified lymph lungs otherwise are clear . there no pleural effusion . left ribs . no fracture focal bony destruction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1824_IM-0535,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1824_IM-0535-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1824_IM-0535-1001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1826_IM-0535_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1826_IM-0535-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1826_IM-0535-1001.png,startseq the central airway midline and the cardiomediastinal silhouette within normal limits . there no focal lung consolidation pleural effusion pneumothora seen . the osseous structures appear within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1827_IM-0535_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1827_IM-0535-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1827_IM-0535-2001.png,startseq the cardiopulmonary silhouette normal . the heart size normal . the lungs are clear with no pulmonary effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1829_IM-0537_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1829_IM-0537-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1829_IM-0537-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette and mediastinal contours are not enlarged . removal leftsided chest tubes . there no pneumothora . lungs demonstrate no acute findings . there minimal posterior pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR183_IM-0537_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR183_IM-0537-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR183_IM-0537-1002.png,startseq heart size within normal limits . there are low lung volumes with bronchovascular crowding . there mild increased airspace opacity within the right lung base which may represent atelectasis infiltrate . no visualized pneumothora large pleural effusion . multilevel degenerative disease the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1830_IM-0537,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1830_IM-0537-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1830_IM-0537-2001.png,startseq left anterior chest wall pacemakerdefibrillator . stable cardiomediastinal silhouette . no focal consolidation pneumothora large pleural effusion . eaggerated thoracic kyphosis . spurring thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1831_IM-0538_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1831_IM-0538-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1831_IM-0538-3001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1832_IM-0538_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1832_IM-0538-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1832_IM-0538-2001.png,startseq interval removal cardiac generator . cardiomegaly . left base streaky opacities again noted . no large focal areas consolidation . no pleural effusions . osseous structures intact . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1833_IM-0539_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1833_IM-0539-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1833_IM-0539-2001.png,startseq there small area scarring atelectasis the left base . calcified granulomas seen the posterior right lower lobe . lungs are otherwise clear . the heart and mediastinum are normal . the skeletal structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1834_IM-0539_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1834_IM-0539-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1834_IM-0539-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1835_IM-0539_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1835_IM-0539-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1835_IM-0539-2001.png,startseq low lung volumes . the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1836_IM-0540_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1836_IM-0540-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1836_IM-0540-3003.png,startseq the heart top normal size . the mediastinum stable . aorta tortuous and atherosclerotic . lungs are mildly hypoinflated . no acute infiltrate seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1837_IM-0541,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1837_IM-0541-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1837_IM-0541-1001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1838_IM-0542,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1838_IM-0542-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1838_IM-0542-2001.png,startseq stable elevation the right hemidiaphragm . stable cardiomediastinal silhouette . no focal airspace disease . no pneumothora large effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1839_IM-0543_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1839_IM-0543-12013.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1839_IM-0543-13014.png,startseq the heart normal size . the mediastinum stable . granulomatous sequela are noted . the previously visualized nodular density the right upper lobe not wellseen today study . there no acute infiltrate pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR184_IM-0544_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR184_IM-0544-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR184_IM-0544-2001.png,startseq and lateral views were obtained . lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . stable right apical nodule . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1840_IM-0545_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1840_IM-0545-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1840_IM-0545-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . there asymmetric opacity left suprahilar chest . no discrete correlate seen lateral view . findings may reflect focal airspace disease adenopathy . no pleural effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1841_IM-0545_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1841_IM-0545-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1841_IM-0545-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1843_IM-0546,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1843_IM-0546-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1843_IM-0546-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1844_IM-0547_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1844_IM-0547-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1844_IM-0547-2001.png,startseq normal cardiomediastinal contours . hyperepansion the lungs with flattening the diaphragm . no focal lung consolidation pneumothora pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1846_IM-0549_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1846_IM-0549-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1846_IM-0549-4001.png,startseq images . calcified granuloma left upper lobe . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1847_IM-0550_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1847_IM-0550-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1847_IM-0550-2001.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there no focal air space opacity pneumothora effusion . there are large calcified mediastinal and right hilar granulomas . the bony structures the thora are intact with no evidence acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1848_IM-0550_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1848_IM-0550-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1848_IM-0550-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . there are small round calcific density nodules consistent with prior granulomatous disease bilaterally . otherwise the lungs are clear without evidence acute infiltrate effusion . there are no masses seen . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1849_IM-0550_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1849_IM-0550-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1849_IM-0550-1002.png,startseq heart size within normal limits . calcified granuloma the right base . no focal airspace consolidations . no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR185_IM-0551_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR185_IM-0551-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR185_IM-0551-2001.png,startseq the heart normal size . the mediastinum stable . lungs are mildly hypoinflated . increased opacities lateral projection reflect bronchovascular crowding . there no acute infiltrate pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1850_IM-0552,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1850_IM-0552-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1850_IM-0552-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1851_IM-0553_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1851_IM-0553-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1851_IM-0553-2001.png,startseq heart size normal . no focal airspace consolidations . no pneumothora effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1852_IM-0554_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1852_IM-0554-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1852_IM-0554-2001.png,startseq lungs are clear . no focal consolidation effusion pneumothora . heart and mediastinal contours are normal . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1853_IM-0555_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1853_IM-0555-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1853_IM-0555-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1854_IM-0555_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1854_IM-0555-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1854_IM-0555-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1855_IM-0555_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1855_IM-0555-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1855_IM-0555-2001.png,startseq heart size within normal limits . there focal left lateral base airspace disease . there nodular opacity the right midlung . no pneumothora . no pleural effusion . no displaced rib fractures . there apparent deformity the right humeral surgical neck . this not seen the comparison . correlate clinically with history fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1856_IM-0556,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1856_IM-0556-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1856_IM-0556-1001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1857_IM-0556_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1857_IM-0556-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1857_IM-0556-4004.png,startseq mild cardiomegaly . normal size and mediastinal contours . clear lungs . no pneumothora pleural effusion . unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR186_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR186_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR186_IM-0558-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . no evidence abnormal radiodense foreign bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1860_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1860_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1860_IM-0558-2001.png,startseq the cardiac and mediastinal silhouettes are normal . the lungs are wellepanded and clear . there no focal airspace opacity . there no pneumothora effusion . there detrocurvature the thoracic spine . there deformity the vertebral body . levocurvature the lumbar spine with significant degenerative change also noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1861_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1861_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1861_IM-0558-2001.png,startseq normal cardiomediastinal silhouette . there no focal consolidation . there are no large pleural effusion . there no pneumothora . there no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1863_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1863_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1863_IM-0558-3001.png,startseq heart size mildly enlarged . tortuous aorta . lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1864_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1864_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1864_IM-0558-3001.png,startseq heart size borderline enlarged . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . dense nodule the right lower lobe suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1865_IM-0558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1865_IM-0558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1865_IM-0558-2001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . calcified right upper lobe pulmonary granuloma and calcified right hilar lymph the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1866_IM-0559_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1866_IM-0559-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1866_IM-0559-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1867_IM-0560_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1867_IM-0560-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1867_IM-0560-4004.png,startseq cardiomegaly and tortuous calcified thoracic aorta are unchanged . normal pulmonary vascularity . minimal streaky bibasilar opacities . blunted left costophrenic bony demineralization . degenerative changes the spine . verterbroplasty change near the thoracolumbar junction . upper abdominal surgical changes . chronic appearing deformity the proimal right humerus . old right rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1868_IM-0561_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1868_IM-0561-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1868_IM-0561-2001.png,startseq heart size and pulmonary vascularity normal . there small right pleural effusion . there infrahilar interstitial prominence which may represent bronchovascular crowding lung . small left pleural effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR187_IM-0563_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR187_IM-0563-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR187_IM-0563-2001.png,startseq normal heart size . stable tortuous aorta . no pneumothora pleural effusion suspicious focal airspace opacity . prior granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1870_IM-0563_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1870_IM-0563-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1870_IM-0563-2001.png,startseq there marked cardiomegaly . there questionable dilation the pulmonary arteries . low lung volumes . no focal airspace consolidation . no pleural effusion pneumothora . prominent interstitial markings are due low lung volumes . elevated right hemidiaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1871_IM-0564_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1871_IM-0564-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1871_IM-0564-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1872_IM-0565,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1872_IM-0565-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1872_IM-0565-1001.png,startseq no pneumothora pleural effusion . clear lungs bilaterally . normal cardiac contours . multiple anterior endplate osteophyte formation along thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1873_IM-0565_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1873_IM-0565-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1873_IM-0565-2001.png,startseq cardiomediastinal silhouette within normal limits . no focal consolidation pneumothora pleural effusion . no acute bony abnormalities . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1874_IM-0565_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1874_IM-0565-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1874_IM-0565-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there thin right apical pneumothora measuring approimately thickness . there etensive subcutaneous emphysema the right chest wall and neck . there are fractures the right anterior through anterior ribs with mild displacement . additional fractures cannot entirely ecluded . there mild streaky airspace disease the right lung base . left lung clear . there small hiatal hernia . there intrathecal catheter terminating the lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1875_IM-0566_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1875_IM-0566-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1875_IM-0566-3001.png,startseq heart size and mediastinal contour are normal . mild tortuosity the aorta . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1876_IM-0567_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1876_IM-0567-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1876_IM-0567-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . right apical pleural retraction . hyperepansion flattening diaphragms and increased diameter consistent with history copd . degenerative disease the thoracic spine present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1877_IM-0568_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1877_IM-0568-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1877_IM-0568-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1878_IM-0569_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1878_IM-0569-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1878_IM-0569-2001.png,startseq and lateral chest eamination was obtained . calcified granuloma seen . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1879_IM-0569_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1879_IM-0569-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1879_IM-0569-1002.png,startseq heart size within normal limits . no focal airspace disease . no cavitations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1880_IM-0569,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1880_IM-0569-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1880_IM-0569-1001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there nodule identified within the left lateral midlung partially overlying the posterior left rib . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1881_IM-0570_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1881_IM-0570-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1881_IM-0570-3001.png,startseq the cardiomediastinal silhouette normal size and contour . aortic atherosclerosis . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1882_IM-0571_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1882_IM-0571-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1882_IM-0571-1002.png,startseq clear lungs bilaterally . normal cardiac contours . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1883_IM-0572_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1883_IM-0572-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1883_IM-0572-2001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . there are right upper quadrant surgical clips perhaps from cholecystectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-12012.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora noted . degenerative changes are noted the spine . the descending thoracic aorta mildly tortuous . the mediastinum appears somewhat prominent . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora noted . degenerative changes are noted the spine . the descending thoracic aorta mildly tortuous . the mediastinum appears somewhat prominent . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1884_IM-0573-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora noted . degenerative changes are noted the spine . the descending thoracic aorta mildly tortuous . the mediastinum appears somewhat prominent . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1885_IM-0574_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1885_IM-0574-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1885_IM-0574-2001.png,startseq heart size normal . mediastinal contour and pulmonary vascularity within normal limits . no focal airspace consolidation pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1886_IM-0574_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1886_IM-0574-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1886_IM-0574-2001.png,startseq heart size and mediastinal contour within normal limits . atherosclerotic calcification within the aorta . calcified granulomas bilateral and overlying the vertebral bodylateral view . no focal airspace consolidation pneumothora large pleural effusion . degenerative changes thoracic spine . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1887_IM-0575,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1887_IM-0575-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1887_IM-0575-1001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . scoliosis and arthritic changes the skeletal structures are noted . there increased kyphosis the thoracic spine similar the prior study endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1888_IM-0576_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1888_IM-0576-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1888_IM-0576-4004.png,startseq cardiomediastinal contours are unchanged . there are stable fractures several lungs are hyperepanded but clear . no pneumothora pleural effusion . degenerative changes are seen the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1889_IM-0577_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1889_IM-0577-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1889_IM-0577-2001.png,startseq stable cardiomediastinal silhouette . elevated right hemidiaphragm . atelectasis the right lung base . no focal pulmonary consolidation pleural effusion pneumothora . no acute bony abnormality . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR189_IM-0578_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR189_IM-0578-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR189_IM-0578-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there focal opacity the right lung ape incompletely evaluated this eam . there minimal left basilar opacity compatible with scarring atelectasis . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1891_IM-0580_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1891_IM-0580-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1891_IM-0580-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1892_IM-0580_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1892_IM-0580-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1892_IM-0580-2001.png,startseq the cardiomediastinal silhouette normal size and contour . stable right lower lobe calcified granuloma . no focal consolidation pneumothora large pleural effusion . spurring the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1893_IM-0580_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1893_IM-0580-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1893_IM-0580-2001.png,startseq mildly low lung volumes . lungs are clear without focal air space disease . persistent mild elevation right hemidiaphragm . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1894_IM-0581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1894_IM-0581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1894_IM-0581-2001.png,startseq the heart normal size . the mediastinum unremarkable . subtle increased opacity right mid hemithora related superimposed soft tissues . the lungs are otherwise clear . there no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1895_IM-0581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1895_IM-0581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1895_IM-0581-2001.png,startseq the lateral images limited secondary motion artifact . no focal consolidation large pneumothora large pleural effusion . heart size normal . unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1896_IM-0581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1896_IM-0581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1896_IM-0581-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1897_IM-0581,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1897_IM-0581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1897_IM-0581-1001.png,startseq the heart normal size . the mediastinum within normal limits . pectus deformity noted . left duallumen catheter visualized without pneumothora . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1898_IM-0581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1898_IM-0581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1898_IM-0581-2001.png,startseq the aortic cardiac ape and stomach are leftsided . the cardiomediastinal silhouette significantly enlarged . pulmonary vascular markings centrally are within normal limits and symmetric . increased interstitial markings bilaterally the lung bases . this may related chronic interstitial changes edema . no focal airspace disease . no pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1899_IM-0582_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1899_IM-0582-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1899_IM-0582-1003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR19_IM-0583_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR19_IM-0583-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR19_IM-0583-3003.png,startseq heart size normal . there tortuosity the thoracic aorta stable compared with prior . no focal airspace disease effusion . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR190_IM-0583_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR190_IM-0583-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR190_IM-0583-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . there no obvious lytic destructive lesion . no displaced rib fracture evident . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1900_IM-0584_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1900_IM-0584-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1900_IM-0584-2001.png,startseq there are sternotomy identified . the heart within normal limits size . the aorta calcified and tortuous . there are scattered calcified granulomas throughout both lungs . no focal infiltrate pleural effusion pneumothora . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1901_IM-0585_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1901_IM-0585-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1901_IM-0585-3001.png,startseq the eamination consists frontal and lateral radiographs the chest . there has been interval cabg . surgical clips are again seen the epigastric region . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1902_IM-0586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1902_IM-0586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1902_IM-0586-2001.png,startseq normal and stable cardiomediastinal contours . no pneumothora pleural effusions significant pulmonary edema . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1903_IM-0586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1903_IM-0586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1903_IM-0586-2001.png,startseq the heart normal size . the mediastinum stable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1905_IM-0587_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1905_IM-0587-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1905_IM-0587-2001.png,startseq enlarged cardiac contour stable . calcified vasculature . sequelae prior granulomatous disease . no confluent consolidation pleural effusion overt pulmonary edema . mild thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1908_IM-0590_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1908_IM-0590-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1908_IM-0590-2001.png,startseq cardiac silhouette and mediastinal contours are within normal limits . nodular opacity overlying the upper lungs bilaterally may represent overlying telemetry correlate clinically . otherwise lungs are clear . no large pleural effusion no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1909_IM-0590_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1909_IM-0590-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1909_IM-0590-1002.png,startseq consolidation atelectasis and costophrenic blunting the left lower lobe have cleared the interval . persistent patchy infiltrate present the right middle lobe . no infiltrates . heart slightly large . pulmonary are normal . aorta remains tortuous . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR191_IM-0591_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR191_IM-0591-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR191_IM-0591-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1911_IM-0593_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1911_IM-0593-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1911_IM-0593-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1912_IM-0594_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1912_IM-0594-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1912_IM-0594-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1913_IM-0595_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1913_IM-0595-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1913_IM-0595-1002.png,startseq the heart size and cardiopulmonary silhouette normal . there no focal airspace opacity pleural effusion pneumothora . the obstruction are intact with mild degenerative change the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1914_IM-0595_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1914_IM-0595-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1914_IM-0595-2001.png,startseq stable heart size . diffuse bilateral interstitial opacities . no pneumothora . no effusions . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1915_IM-0595_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1915_IM-0595-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1915_IM-0595-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1916_IM-0595_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1916_IM-0595-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1916_IM-0595-2001.png,startseq there stable left costophrenic blunting . the patient has undergone prior left lobectomy . there are chronic appearing right basilar interstitial markings . heart size normal . no visualized pneumothora . there stable appearing left upper and right upper lobe bullous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1918_IM-0597_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1918_IM-0597-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1918_IM-0597-3001.png,startseq there nodular opacity projecting over left hilum . the cardiac silhouette within normal limits . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . opacities representing surgical clips the midline the level the thoracic inlet . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-2001.png,startseq hyperepansion the lungs with hyperlucency and flattening hemidiaphragms suggestive chronic emphysematous lung disease . heart size within normal limits . bibasilar right greater than left atelectasisairspace disease noted . no pneumothora large pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-3001.png,startseq hyperepansion the lungs with hyperlucency and flattening hemidiaphragms suggestive chronic emphysematous lung disease . heart size within normal limits . bibasilar right greater than left atelectasisairspace disease noted . no pneumothora large pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1919_IM-0598-3001.png,startseq hyperepansion the lungs with hyperlucency and flattening hemidiaphragms suggestive chronic emphysematous lung disease . heart size within normal limits . bibasilar right greater than left atelectasisairspace disease noted . no pneumothora large pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR192_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR192_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR192_IM-0598-1002.png,startseq low lung volumes . heart size and mediastinal contour within normal limits . no focal air space consolidation pneumothora pleural effusion . mild thoracic spine degenerative change . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1920_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1920_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1920_IM-0598-2001.png,startseq cardiomediastinal silhouette normal size and contour . pulmonary vasculature normal caliber . lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1921_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1921_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1921_IM-0598-2001.png,startseq redemonstration moderatelyinflated lungs consistent with copd and unchanged . atherosclerotic calcifications the thoracic seen . no airspace disease effusion noncalcified nodule . normal heart size and mediastinum . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1922_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1922_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1922_IM-0598-1002.png,startseq heart mediastinum bony structures and lung are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1923_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1923_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1923_IM-0598-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . hyperinflated lungs . cardiomegaly . bony thora and soft tissues grossly unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1924_IM-0598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1924_IM-0598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1924_IM-0598-4004.png,startseq rotated apical lordotic frontal projection mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings . no definite focal alveolar consolidation pleural effusion seen . accounting for technical factors heart size within normal limits heavily calcified and mildly tortuous aorta . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1925_IM-0599_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1925_IM-0599-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1925_IM-0599-3003.png,startseq the heart normal size . there bihilar prominence . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1926_IM-0600_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1926_IM-0600-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1926_IM-0600-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1927_IM-0600_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1927_IM-0600-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1927_IM-0600-2001.png,startseq cardiac and mediastinal contours are within normal limits . prior granulomatous disease . the lungs are otherwise clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1928_IM-0600_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1928_IM-0600-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1928_IM-0600-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1929_IM-0600_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1929_IM-0600-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1929_IM-0600-2001.png,startseq fracture deformity proimal right humerus . hyperinflation lungs . no pulmonary consolidation . opacity left base compatible atelectasis scarring . the cardiomediastinal silhouette appears unremarkable . mild atherosclerotic calcification aorta . prior chest surgery . costophrenic clear . visualized spine vertebrae appear normal and alignment . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR193_IM-0601_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR193_IM-0601-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR193_IM-0601-2001.png,startseq this apical lordotic view the chest . heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1930_IM-0602-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1930_IM-0602-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1930_IM-0602-1001-0002.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are mildly hypoinflated but grossly clear focal airspace disease pneumothora pleural effusion . there are mild degenerative endplate changes the thoracic spine . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1931_IM-0602_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1931_IM-0602-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1931_IM-0602-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1932_IM-0603_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1932_IM-0603-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1932_IM-0603-3001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1933_IM-0604_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1933_IM-0604-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1933_IM-0604-1002.png,startseq aorta ectatic . heart size within normal limits . no focal consolidation pneumothora pleural effusion . ageindeterminate anterior wedging deformity lower thoracic vertebra . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1934_IM-0604_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1934_IM-0604-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1934_IM-0604-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there chronic left hemidiaphragm elevation . the aorta tortuous and ectatic with atherosclerotic calcifications . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1935_IM-0605-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1935_IM-0605-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1935_IM-0605-0001-0002.png,startseq the heart borderline size . the aorta mildly tortuous . right catheter with tip proimal right atriumcavoatrial junction . there no pneumothora . lungs are grossly clear . there no large effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1936_IM-0606_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1936_IM-0606-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1936_IM-0606-2001.png,startseq right internal jugular this catheter has been echanged for large left internal jugular central venous catheter with the tip the cavoatrial junction . no pneumothora pleural effusion airspace consolidation . stable thoracolumbar scoliosis . no acute bone findings . stable cardiomegaly . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1937_IM-0607_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1937_IM-0607-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1937_IM-0607-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1938_IM-0608_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1938_IM-0608-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1938_IM-0608-2001.png,startseq no focal lung opacity pleural effusion pneumothora . cardiomediastinal silhouette unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1939_IM-0609,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1939_IM-0609-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1939_IM-0609-1001.png,startseq lungs are clear . heart size normal . no pneumothora . left costophrenic opacity may represent pleural pericardial fat . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR194_IM-0609_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR194_IM-0609-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR194_IM-0609-2001.png,startseq heart size upper limits normal . small amount left basilar airspace disease . the right lung clear . there are no cavitary lesions seen . no pneumothora . no pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1940_IM-0610_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1940_IM-0610-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1940_IM-0610-3003.png,startseq postsurgical changes noted overlying the left ailla . no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1941_IM-0610,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1941_IM-0610-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1941_IM-0610-2001.png,startseq stable right chest wall pacemaker with leads overlie the right atrium and right ventricle . stable cardiomegaly . calcified thoracic aorta unchanged . stable mild interstitial opacities . unchanged dense retrocardiac opacities . no pneumothora large effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1942_IM-0611-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1942_IM-0611-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1942_IM-0611-0001-0001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size moderately enlarged pulmonary vascularity within normal limits . there icd generator obscuring the left lateral midlung with the leads projecting over the epected location the right atrium right ventricle and coronary sinus . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1943_IM-0612_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1943_IM-0612-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1943_IM-0612-2001.png,startseq heart size normal . mediastinum unremarkable . pulmonary vascularity within normal limits . lungs symmetrically aerated without focal infiltrate consolidation . multiple scattered calcified granulomas are present bilaterally . no focal volume loss evident . no pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1946_IM-0615_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1946_IM-0615-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1946_IM-0615-2001.png,startseq portable frontal view the chest with overlying eternal cardiac monitor leads shows normal cardiomediastinal silhouette central airways pulmonary vasculature and lung volumes without focal air space consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1947_IM-0616_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1947_IM-0616-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1947_IM-0616-2001.png,startseq heart size within normal limits stable mediastinal contours . no focal alveolar consolidation no definite pleural effusion seen . dense nodule the right base suggests previous granulomatous process . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1948_IM-0616_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1948_IM-0616-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1948_IM-0616-3001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR195_IM-0618_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR195_IM-0618-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR195_IM-0618-1002.png,startseq clear lungs bilaterally . no pneumothora pleural effusion . normal cardiac contours endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1950_IM-0618_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1950_IM-0618-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1950_IM-0618-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1951_IM-0619_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1951_IM-0619-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1951_IM-0619-2001.png,startseq cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1952_IM-0620,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1952_IM-0620-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1952_IM-0620-3001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . there are low lung volumes causing bibasilar atelectasis and bronchovascular crowding . pulmonary opacity seen the right lung base may indicate focal infiltrate . there no pleural effusion pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1953_IM-0621_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1953_IM-0621-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1953_IM-0621-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1954_IM-0622_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1954_IM-0622-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1954_IM-0622-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1956_IM-0623_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1956_IM-0623-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1956_IM-0623-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1957_IM-0624_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1957_IM-0624-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1957_IM-0624-4004.png,startseq bilateral pleural effusions left small right moderate size abnormal opacities the adjacent lung bases . limited assessment heart size due obscured margins stable mediastinal contours . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1958_IM-0625_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1958_IM-0625-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1958_IM-0625-3003.png,startseq the lungs are hyperaerated suggestive chronic obstructive pulmonary disease . no focal lung consolidation . no pleural effusion . no definite pneumothora . heart not enlarged . postsurgical changes with mediastinal clips and endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1959_IM-0625_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1959_IM-0625-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1959_IM-0625-2001.png,startseq normal heart size . normal mediastinal silhouette . no pneumothora pleural effusion suspicious focal air space opacity . prior granulomatous disease appears stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR196_IM-0626,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR196_IM-0626-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR196_IM-0626-1001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1960_IM-0627_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1960_IM-0627-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1960_IM-0627-1003002.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1961_IM-0628_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1961_IM-0628-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1961_IM-0628-3001.png,startseq stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis . no definite pleural effusion consolidation pneumothora identified . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1962_IM-0628_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1962_IM-0628-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1962_IM-0628-3003.png,startseq no pneumothora pleural effusion airspace consolidation . stable right lower lung granuloma . interval right clavicle procedure . heart size and pulmonary vasculature appear within normal limits . are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1963_IM-0629_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1963_IM-0629-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1963_IM-0629-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1964_IM-0629_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1964_IM-0629-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1964_IM-0629-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1965_IM-0629_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1965_IM-0629-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1965_IM-0629-2001.png,startseq there moderate cardiomegaly . there are bilateral interstitial opacities increased since the previous eam . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1966_IM-0629_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1966_IM-0629-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1966_IM-0629-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1967_IM-0629_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1967_IM-0629-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1967_IM-0629-3001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . there has been interval development some bandlike opacities left base . these appear located the lingula . the remainder the lungs appear clear . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1968_IM-0630_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1968_IM-0630-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1968_IM-0630-4004.png,startseq the lateral view nondiagnostic due patient positioning . normal heart size and mediastinal contours . no focal airspace consolidation . no pneumothora large pleural effusion . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR197_IM-0631_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR197_IM-0631-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR197_IM-0631-1002.png,startseq the cardiomediastinal silhouette normal . lungs are hyperepanded but clear without evidence effusion infiltrate . there small right lower lobe calcified granuloma that unchanged from prior eaminations . no acute bony abnormality . no pneumothora pneumomediastinum . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1970_IM-0632_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1970_IM-0632-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1970_IM-0632-2001.png,startseq apparent cardiomegaly partially accentuated low lung volumes . no focal consolidation pneumothora large pleural effusion . right base calcified granuloma . stable right infrahilar nodular density lateral view . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1972_IM-0633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1972_IM-0633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1972_IM-0633-1002.png,startseq there airspace opacity the left upper lung . heart size within normal limits . mild calcification the aortic no pneumothora pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1973_IM-0633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1973_IM-0633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1973_IM-0633-1002.png,startseq cardiomediastinal silhouette within normal limits for size with redemonstration tortuous and atherosclerotic calcified thoracic aorta . no focal consolidation effusion pneumothora identified . eventration the right hemidiaphragm stable compared prior eamination . multilevel degenerative disc disease and thoracolumbar spine again noted without acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1974_IM-0633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1974_IM-0633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1974_IM-0633-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1978_IM-0636_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1978_IM-0636-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1978_IM-0636-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . cholecystectomy clips are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1979_IM-0637_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1979_IM-0637-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1979_IM-0637-2001.png,startseq normal cardiomediastinal silhouette . there no focal consolidation . there are no large pleural effusion . there no pneumothora . there no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR198_IM-0637,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR198_IM-0637-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR198_IM-0637-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1980_IM-0637_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1980_IM-0637-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1980_IM-0637-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1981_IM-0638_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1981_IM-0638-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1981_IM-0638-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . chronic degenerative changes are present within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1984_IM-0641-4001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1984_IM-0641-4001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1984_IM-0641-4001-0002.png,startseq heart size and mediastinal contour are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . again visualized wedgeshaped fracture endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1985_IM-0642_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1985_IM-0642-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1985_IM-0642-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1986_IM-0643,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1986_IM-0643-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1986_IM-0643-1001.png,startseq the heart size and cardia mediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . there approimately opacity overlying the sith anterior rib . there are other scattered calcified granulomas . the osseous structures are intact . there are mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1987_IM-0644_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1987_IM-0644-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1987_IM-0644-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1990_IM-0648_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1990_IM-0648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1990_IM-0648-2001.png,startseq and lateral views the chest were obtained . tracheostomy tube . probable mild cardiomegaly . prominence the central vasculature unchanged . no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1991_IM-0648_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1991_IM-0648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1991_IM-0648-2001.png,startseq the heart normal size . the mediastinum stable . the lungs are hypoinflated . there are streaky opacities predominantly the left lung base possibly related scarring and atelectasis . blines are also noted . definite infiltrate not ecluded . there no large effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1992_IM-0649_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1992_IM-0649-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1992_IM-0649-4004.png,startseq borderline heart size . the lungs are hyperepanded and hyperlucent compatible with chronic obstructive pulmonary disease . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are unchanged . aortic vascular calcifications . normal pulmonary vascularity . bone demineralization . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1993_IM-0650_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1993_IM-0650-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1993_IM-0650-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . hyperepanded lungs . normal heart size . bony thora and soft tissues grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1994_IM-0651_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1994_IM-0651-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1994_IM-0651-2001.png,startseq lungs are clear . no pneumothora pleural effusion . normal heart and mediastinal contours . normal pulmonary vasculature . bony thora intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1995_IM-0651_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1995_IM-0651-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1995_IM-0651-2001.png,startseq the lungs are clear and without focal air space opacity . the cardiomediastinal silhouette normal size and contour and stable . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1997_IM-0651_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1997_IM-0651-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1997_IM-0651-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1999_IM-0651_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1999_IM-0651-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR1999_IM-0651-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2_IM-0652_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2_IM-0652-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2_IM-0652-2001.png,startseq borderline cardiomegaly . midline sternotomy enlarged pulmonary arteries . clear lungs . inferior endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR20_IM-0653_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR20_IM-0653-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR20_IM-0653-1002.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there are no focal air space opacities . there no pneumothora effusion . there are mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR200_IM-0653_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR200_IM-0653-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR200_IM-0653-2002.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2000_IM-0654_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2000_IM-0654-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2000_IM-0654-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2002_IM-0654_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2002_IM-0654-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2002_IM-0654-2001.png,startseq within the posterior lateral rib there deformity along the corte with associated oblique lucency . addition within the posterior lateral rib there appears obliquely oriented lucency with cortical disruption . findings are concerning for possible left rib fractures . otherwise the cardiomediastinal silhouette within normal limits . the lungs are clear bilaterally . multiple small punctate radiopaque foreign bodies are seen within the subcutaneous tissues and are present previous ct scan from endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2003_IM-0654_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2003_IM-0654-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2003_IM-0654-2001.png,startseq borderline enlarged heart . pulmonary vasculature appears within normal limits . no focal pulmonary opacity pleural effusion pneumothora . no acute bony abnormality . possible right shoulder calcific tendinitis . calcifications the abdominal aorta are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2005_IM-0656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2005_IM-0656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2005_IM-0656-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2006_IM-0656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2006_IM-0656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2006_IM-0656-2001.png,startseq heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there calcified granuloma the right lung base . there are mild degenerative changes the spine . there are some chronic increased interstitial markings noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2007_IM-0657-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2007_IM-0657-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2007_IM-0657-0001-0002.png,startseq the lungs are clear . the heart and pulmonary are normal . the pleural spaces are clear . the mediastinal contours are normal . there are mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2008_IM-0658_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2008_IM-0658-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2008_IM-0658-2001.png,startseq no focal consolidation . no visualized pneumothora . no pleural effusions . heart size normal . the cardiomediastinal silhouette unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR201_IM-0660_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR201_IM-0660-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR201_IM-0660-3001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there minimal airspace opacity the right middle lobe atelectasis . the lungs are otherwise clear focal airspace disease . there no pneumothora pleural effusion . there mild tortuosity the thoracic aorta with atherosclerotic calcification the aortic there are moderate degenerative endplate changes the thoracic spine . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2011_IM-0661_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2011_IM-0661-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2011_IM-0661-2001.png,startseq cardiomediastinal silhouette within normal limits . no focal consolidation . no pneumothora large pleural effusion . no acute bony abnormalities . contrast seen within the bilateral kidneys from prior eamination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2012_IM-0662_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2012_IM-0662-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2012_IM-0662-4001.png,startseq normal cardiomediastinal contours . lungs are clear bilaterally . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2013_IM-0663_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2013_IM-0663-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2013_IM-0663-1002.png,startseq heart size within normal limits . mild left upper lobe atelectasis scarring . no pneumothora pleural effusion . tortuous aorta . hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2014_IM-0664_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2014_IM-0664-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2014_IM-0664-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . normal mediastinal contour pulmonary and vasculature central airways and aeration the lungs . no focal airspace consolidation pleural effusion . there subphrenic intraperitoneal etraluminal free endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2015_IM-0664_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2015_IM-0664-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2015_IM-0664-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2016_IM-0665_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2016_IM-0665-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2016_IM-0665-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2017_IM-0665_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2017_IM-0665-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2017_IM-0665-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2019_IM-0666_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2019_IM-0666-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2019_IM-0666-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR202_IM-0667_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR202_IM-0667-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR202_IM-0667-4004.png,startseq and lateral view the chest . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2020_IM-0668_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2020_IM-0668-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2020_IM-0668-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2021_IM-0668_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2021_IM-0668-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2021_IM-0668-2001.png,startseq stable borderline cardiomegaly stable mediastinal and hilar contours . no alveolar consolidation no findings pleural effusion pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2022_IM-0669_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2022_IM-0669-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2022_IM-0669-2001.png,startseq the heart and lungs have the interval . both lungs are free acute infiltrates and epanded . strandy scarring the left lower lobe unchanged . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2023_IM-0669_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2023_IM-0669-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2023_IM-0669-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2025_IM-0671,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2025_IM-0671-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2025_IM-0671-1002.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2026_IM-0671_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2026_IM-0671-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2026_IM-0671-2001.png,startseq the trachea midline . cardiomediastinal silhouette normal . the lungs are clear without evidence focal consolidation pleural effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2027_IM-0672-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2027_IM-0672-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2027_IM-0672-0001-0002.png,startseq heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . the left midlung zone there identified nodule . this appears somewhat dense and may contain calcium although this cannot stated with certainty . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2028_IM-0673_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2028_IM-0673-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2028_IM-0673-1002.png,startseq heart size normal . no focal airspace disease . no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2029_IM-0674_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2029_IM-0674-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2029_IM-0674-2001.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . no pleural effusion pneumothora . the visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR203_IM-0675,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR203_IM-0675-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR203_IM-0675-1001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2030_IM-0675_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2030_IM-0675-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2030_IM-0675-2001.png,startseq there hyperinflation lungs due small calcification seen posteriorly the right which may pleural . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2031_IM-0676_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2031_IM-0676-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2031_IM-0676-3003.png,startseq heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . no pulmonary nodules identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2032_IM-0677_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2032_IM-0677-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2032_IM-0677-2002.png,startseq the lungs are clear . no focal air space consolidation . no pleural effusion pneumothora . normal cardiomediastinal silhouette . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2033_IM-0678_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2033_IM-0678-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2033_IM-0678-2001.png,startseq the cardiac silhouette near upper limits normal size . pulmonary vasculature normal caliber . there mild tortuosity the descending thoracic aorta . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . there are mild degenerative endplate changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2034_IM-0679_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2034_IM-0679-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2034_IM-0679-2001.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . opacities the right lower lung representing atelectasis versus scarring . significantly decreased subcutaneous soft tissue since comparison radiograph . probable pectus deformity . negative for acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2035_IM-0680,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2035_IM-0680-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2035_IM-0680-1001.png,startseq hyperepanded lungs suggesting obstructive lung disease . sequelae old granulomatous disease . no focal airspace disease . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2036_IM-0680_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2036_IM-0680-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2036_IM-0680-4001.png,startseq there mild cardiomegaly . the thoracic aorta tortuous . lung volumes are low with asymmetric elevation the right hemidiaphragm . there platelike atelectasis the right midlung along with bibasilar airspace disease either atelectasis infiltrate . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2038_IM-0682_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2038_IM-0682-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2038_IM-0682-2001.png,startseq the heart size and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2039_IM-0683_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2039_IM-0683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2039_IM-0683-2001.png,startseq cardiac and mediastinal contours are within normal limits . large calcified granulomas the right hilum . the lungs are otherwise clear . prior anterior cervical fusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR204_IM-0683,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR204_IM-0683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR204_IM-0683-1001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-2001.png,startseq no pneumothora . no large pleural effusions . heart size normal . no acute focal space opacities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-3001.png,startseq no pneumothora . no large pleural effusions . heart size normal . no acute focal space opacities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2041_IM-0685-3001.png,startseq no pneumothora . no large pleural effusions . heart size normal . no acute focal space opacities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2044_IM-0687_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2044_IM-0687-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2044_IM-0687-2001.png,startseq low lung volumes with bronchovascular crowding the bases . no focal opacity . no pneumothora . no large pleural effusion . cardiac silhouette mediastinal contours within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2045_IM-0687_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2045_IM-0687-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2045_IM-0687-2001.png,startseq the heart upper limits normal size . mild tortuosity the thoracic aorta . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2046_IM-0688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2046_IM-0688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2046_IM-0688-2002.png,startseq there minimally displaced fracture the right lateral rib . there small right pleural effusion with associated atelectasis the right lower lobe . there appears healing fracture the posterolateral right rib . there questionable cortical defect involving the sternum seen lateral view . would evaluate this finding . the small rightsided pleural effusion visible both and lateral views . there leftsided pleural effusion well . the left lung appears grossly clear . heart size and pulmonary appear normal . there mild scoliosis involving the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2047_IM-0688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2047_IM-0688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2047_IM-0688-1002.png,startseq large calcified granuloma the right lower lobe unchanged . no pneumothora . heart size normal . no large pleural effusions . no focal airspace opacification . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2048_IM-0688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2048_IM-0688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2048_IM-0688-3001.png,startseq the lungs and pleural spaces show no acute abnormality . stable right lower lobe calcified granulomas . thin lingular scar unchanged . heart size and pulmonary vascularity within normal limits . surgical clips are visualized the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2052_IM-0690_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2052_IM-0690-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2052_IM-0690-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . scattered granulomatous changes . mild unfolding the thoracic aorta . bony thora unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2053_IM-0691_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2053_IM-0691-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2053_IM-0691-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2056_IM-0694-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2056_IM-0694-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2056_IM-0694-1001-0002.png,startseq the heart size upper limits normal . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2058_IM-0696_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2058_IM-0696-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2058_IM-0696-2002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are mildly hypoinflated but clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2059_IM-0696_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2059_IM-0696-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2059_IM-0696-2001.png,startseq right lower lobe patchy opacities noted . heart size within normal limits . no pleural effusions . no evidence pneumothora . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR206_IM-0697,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR206_IM-0697-6001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR206_IM-0697-6001.png,startseq chest comparison there diameter masslike density over the lingula partial obscuration left cardiac there may some illdefined opacity the right mid and lower lung zone . no pleural effusion seen . the heart borderline enlarged . the aorta dilated and tortuous . arthritic changes the spine are present . pelvis and left hip there impacted and rotated fracture through the neck the femur the left . no pelvic fracture seen . arthritic changes are present the lower lumbar spine . large amount stool and obscures portions the pelvis . femur the femoral images not the area the hip fracture . the remaining portions the femur appear intact with no fracture destructive process . etensive atherosclerotic vascular disease throughout the superficial femoral artery present . left knee there osteoporosis and mild arthritic changes . no fracture seen . no dislocation identified . severe atherosclerotic changes the superficial femoral and popliteal artery are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2060_IM-0698_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2060_IM-0698-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2060_IM-0698-2001.png,startseq there prominence the left hilum which may represent adenopathy engorged vasculature . cardiac silhouette within normal limits size and contour . no pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2061_IM-0698_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2061_IM-0698-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2061_IM-0698-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2062_IM-0699-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2062_IM-0699-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2062_IM-0699-0001-0002.png,startseq right subclavian catheter distal tip posterior the head the clavicle the level the subclavian vein . low lung volumes . no pleural effusion . left lower lobe airspace disease atelectasis . cardiomediastinal size within normal limits . pulmonary vasculature normal intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2065_IM-0701_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2065_IM-0701-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2065_IM-0701-1002.png,startseq stable cardiomediastinal silhouette . no focal airspace consolidation suspicious pulmonary opacity pneumothora pleural effusion . changes right mastectomy . sequelae prior granulomatous disease . mild thoracic spine degenerative change endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2066_IM-0701_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2066_IM-0701-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2066_IM-0701-2001.png,startseq there mild cardiomegaly . the aorta tortuous . there opacities noted the right lower lobe subsegmental atelectasis . there no pneumothora effusion . no displaced rib fractures . there high clinical concern consider dedicated rib views for further evaluation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2067_IM-0701_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2067_IM-0701-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2067_IM-0701-1002.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2068_IM-0701_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2068_IM-0701-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2068_IM-0701-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2069_IM-0702_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2069_IM-0702-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2069_IM-0702-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR207_IM-0703_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR207_IM-0703-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR207_IM-0703-2001.png,startseq normal heart size and mediastinal contours . the lungs are clear . there no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2070_IM-0704_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2070_IM-0704-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2070_IM-0704-2001.png,startseq there are no acute osseous abnormalities . questionable old left posterior third and fourth rib fractures . visualized soft tissues are within normal limits . normal heart size . normal hilar vascular markings . subtle prominence interstitial markings the bases left worse than right . no focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2071_IM-0705,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2071_IM-0705-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2071_IM-0705-2001.png,startseq there are no focal airspace opacities within the lungs . there nodular density projecting the right midlung between the third and fourth right anterior ribs which does not appear present the prior the pulmonary interstitium not clear making the vasculature somewhat indistinct the mid and lower lungs . this may reflect parenchymal nodules . nodules were identified the prior chest ct . mediastinal contours appear grossly normal . there are small calcified left hilar lymph the heart and pulmonary otherwise appear normal . pleural spaces appear clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2072_IM-0706_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2072_IM-0706-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2072_IM-0706-2001.png,startseq stable nonenlarged cardiomediastinal silhouette . left upper lobe calcified granuloma noted . epigastric and right upper quadrant postsurgical changes . interval increased bilateral interstitial opacities with probable left lower lobe infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2074_IM-0708_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2074_IM-0708-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2074_IM-0708-2001.png,startseq low lung volumes . stable ectasia the thoracic aorta . stable right upper mediastinal bilateral small pleural effusions and bibasilar airspace opacities . the heart size and mediastinal silhouette are within normal limits for contour . no pneumothora . stable wedging the anterior thoracic vertebral bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2075_IM-0708_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2075_IM-0708-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2075_IM-0708-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2077_IM-0710_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2077_IM-0710-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2077_IM-0710-2001.png,startseq right jugular catheter present with tip overlying the lower svc . curvilinear density projecting over the upper chest appears eternal the lateral projection . correlate clinically . normal heart size and mediastinal contour appear normal pulmonary vascularity . scarsubsegmental atelectasis the lingula . no focal airspace consolidation pleural effusion pneumothora . no acute osseous findings . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2078_IM-0710_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2078_IM-0710-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2078_IM-0710-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2079_IM-0711_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2079_IM-0711-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2079_IM-0711-2001.png,startseq the lungs are clear and without focal airspace opacity . the cardiomediastinal silhouette normal size and contour and stable . there are calcified granulomas the right perihilar regions appear stable . there are significant degenerative osteophytes the thoracic spine also appear stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR208_IM-0711_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR208_IM-0711-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR208_IM-0711-1002.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2081_IM-0713_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2081_IM-0713-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2081_IM-0713-2001.png,startseq the lungs are wellepanded and clear . no pleural effusion pneumothora seen . the cardiomediastinal contour normal . no acute osseous lesions are identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2082_IM-0714_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2082_IM-0714-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2082_IM-0714-4004.png,startseq the heart enlarged . there pulmonary vascular congestion with diffusely increased interstitial and mild patchy airspace opacities . the distribution pulmonary edema . there no pneumothora large pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2083_IM-0715_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2083_IM-0715-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2083_IM-0715-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-1001-0002.png,startseq left chest wall mediport placement with venous catheter tip superior normal cardiac contours . no pneumothora pleural effusions . clear lungs bilaterally . fracture seen and with areas sclerosis throughout the thoracic and lumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-2001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-2001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2084_IM-0715-2001-0002.png,startseq left chest wall mediport placement with venous catheter tip superior normal cardiac contours . no pneumothora pleural effusions . clear lungs bilaterally . fracture seen and with areas sclerosis throughout the thoracic and lumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2085_IM-0716,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2085_IM-0716-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2085_IM-0716-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2086_IM-0717_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2086_IM-0717-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2086_IM-0717-2001.png,startseq the cardiomediastinal silhouette within normal limits . lungs are clear without focal consolidation . no visualized pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2088_IM-0719_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2088_IM-0719-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2088_IM-0719-3001.png,startseq compared prior eamination from there has been etubation and removal central line and enteric tube . stable cardiomegaly and mild thoracolumbar detroscoliosis . left basilar opacity represents chronic fibrosisscar . no focal consolidation pneumothora effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2090_IM-0722_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2090_IM-0722-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2090_IM-0722-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2091_IM-0722_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2091_IM-0722-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2091_IM-0722-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2092_IM-0723_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2092_IM-0723-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2092_IM-0723-2001.png,startseq there rounded opacity the right lower zone measuring which the posterobasal segment . there uncertain etiology but would benefit from followup some concern for neoplasm . recommended . no airspace disease effusion cavitary nodule . normal heart size and mediastinum . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2093_IM-0723_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2093_IM-0723-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2093_IM-0723-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . rightsided mediport catheter noted . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2094_IM-0724_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2094_IM-0724-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2094_IM-0724-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . prominent pericardial fat again noted . there stable granuloma overlying lower thoracic vertebral body . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2095_IM-0725_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2095_IM-0725-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2095_IM-0725-4001.png,startseq patchy subsegmental atelectasis seen bibasilar region no evidence pneumothora pleural effusion present . the cardiomediastinal silhouette unremarkable . old fractures seen the left rib . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2096_IM-0726_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2096_IM-0726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2096_IM-0726-2001.png,startseq normal heart size and mediastinal contours . clear lungs . no pneumothora pleural effusion . unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-1001-0002.png,startseq the trachea midline . cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-2001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-2001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2097_IM-0727-2001-0002.png,startseq the trachea midline . cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2098_IM-0728_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2098_IM-0728-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2098_IM-0728-2001.png,startseq the heart size normal . lungs are clear . there no pleural line suggest pneumothora costophrenic blunting suggest large pleural effusion . bony structures are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2099_IM-0729_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2099_IM-0729-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2099_IM-0729-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-2001.png,startseq there are numerous surgical clips the thoracic inlet . small areas scarring are seen the left base . the lungs are otherwise clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-4001.png,startseq there are numerous surgical clips the thoracic inlet . small areas scarring are seen the left base . the lungs are otherwise clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR210_IM-0730-4001.png,startseq there are numerous surgical clips the thoracic inlet . small areas scarring are seen the left base . the lungs are otherwise clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2100_IM-0731_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2100_IM-0731-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2100_IM-0731-2001.png,startseq the heart size and mediastinal contours appear within normal limits . atherosclerotic calcification the aorta . no focal airspace consolidation pleural effusions pneumothora . questionable thinwalled cavitary lesion the right lower lobe only seen the view and may represent artifact . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2102_IM-0733_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2102_IM-0733-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2102_IM-0733-2001.png,startseq tortuosity the aorta . no pneumothora pleural effusion airspace consolidation . cardiomediastinal size within normal limits . pulmonary vasculature normal intact . unchanged eventration the left hemidiaphragm versus small hernia bochdalek . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2103_IM-0734-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2103_IM-0734-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2103_IM-0734-0001-0002.png,startseq heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2106_IM-0736_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2106_IM-0736-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2106_IM-0736-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2108_IM-0738_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2108_IM-0738-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2108_IM-0738-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2109_IM-0739-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2109_IM-0739-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2109_IM-0739-0001-0002.png,startseq low lung volumes are present . the heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . surgical clips are present the abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR211_IM-0740_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR211_IM-0740-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR211_IM-0740-1002.png,startseq normal heart size . clear lungs . trachea midline . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2110_IM-0741_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2110_IM-0741-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2110_IM-0741-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2111_IM-0741_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2111_IM-0741-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2111_IM-0741-2001.png,startseq patchy airspace disease present the lateral view probably within the right lower lobe . there severe underlying emphysema . the aorta calcified . there spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2112_IM-0742_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2112_IM-0742-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2112_IM-0742-1002.png,startseq there interruption the tunneled left central venous catheter the level the overlap the clavicle and first rib . catheter tip may within the proimal svc azygos vein . normal heart size . left perihilar and midlung densities . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2113_IM-0742_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2113_IM-0742-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2113_IM-0742-1003.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . mild lung hyperinflation . there are no nodules masses . no visible pneumothora . no visible pleural fluid . degenerative changes seen within the midthoracic spine . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2116_IM-0745_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2116_IM-0745-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2116_IM-0745-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora demonstrate healed remote bilateral rib fractures without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2117_IM-0745_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2117_IM-0745-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2117_IM-0745-2001.png,startseq stable appearance chest with no findings disease progression . heart and mediastinum stable configuration . stable elevation left hemidiaphragm . lungs clear consolidation . no pneumothora pleural effusion . bony thora intact . minimal spondylosis the lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2118_IM-0745_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2118_IM-0745-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2118_IM-0745-3001.png,startseq there redemonstration aicd with the left chest wall with stable intact placement . surgical cervical redemonstrated . cardiac and mediastinal appear normal . opacity the left upper lobe atelectasis scarring . no visible pneumothora pleural effusion seen . no visible free air under the diaphragm . the osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2119_IM-0746_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2119_IM-0746-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2119_IM-0746-2001.png,startseq there nodule within one the lung bases seen only the lateral view . there calcified right hilar lymph node and right granuloma . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0002.png,startseq chest stable cardiomediastinal silhouette . pulmonary vascularity within normal limits . hyperlucent apices . negative for focal airspace disease consolidation . negative for pneumothora pleural effusion . healed remote left rib fracture . right shoulder negative for fracture dislocation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0002.png,startseq chest stable cardiomediastinal silhouette . pulmonary vascularity within normal limits . hyperlucent apices . negative for focal airspace disease consolidation . negative for pneumothora pleural effusion . healed remote left rib fracture . right shoulder negative for fracture dislocation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-2001.png,startseq chest stable cardiomediastinal silhouette . pulmonary vascularity within normal limits . hyperlucent apices . negative for focal airspace disease consolidation . negative for pneumothora pleural effusion . healed remote left rib fracture . right shoulder negative for fracture dislocation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR212_IM-0746-2001.png,startseq chest stable cardiomediastinal silhouette . pulmonary vascularity within normal limits . hyperlucent apices . negative for focal airspace disease consolidation . negative for pneumothora pleural effusion . healed remote left rib fracture . right shoulder negative for fracture dislocation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2120_IM-0747_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2120_IM-0747-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2120_IM-0747-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2121_IM-0747_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2121_IM-0747-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2121_IM-0747-2001.png,startseq the heart size within normal limits . there ectasiatortuosity the thoracic aorta . calcified hilar lymph irregular calcific density projecting over the left lower lobe stable since and may represent mitral annular calcifications . no focal airspace consolidation pleural effusions pneumothora . degenerative changes the thoracic spine . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2122_IM-0747,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2122_IM-0747-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2122_IM-0747-1001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . the cardiac generator overlies left upper thora with tips overlying the right atrium and ventricles . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2123_IM-0748_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2123_IM-0748-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2123_IM-0748-2001.png,startseq the heart large . pulmonary are engorged . no infiltrates . aorta somewhat tortuous . degenerative disc disease present the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2124_IM-0749_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2124_IM-0749-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2124_IM-0749-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there no evidence pneumothora . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2127_IM-0751_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2127_IM-0751-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2127_IM-0751-2001.png,startseq changes post bilateral thoracotomy and sternotomy . intact stable position the epicardial mild cardiomegaly . the lungs are clear . bilateral small pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2129_IM-0753_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2129_IM-0753-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2129_IM-0753-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2130_IM-0755_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2130_IM-0755-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2130_IM-0755-2001.png,startseq cardiomegaly present . there interstitial pulmonary edema with the presence blines . there no pneumothora . there oval nodular opacity projecting between the posterior left and ribs . there nodular density projecting over the right posterior rib . there posterior effusion . normal mediastinal silhouette . tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2131_IM-0755_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2131_IM-0755-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2131_IM-0755-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence focal consolidations pleural effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2132_IM-0755_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2132_IM-0755-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2132_IM-0755-2001.png,startseq the cardiac contours are normal . the lungs are clear . stable granuloma the left lower lung zone . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2135_IM-0757_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2135_IM-0757-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2135_IM-0757-3003.png,startseq there no focal consolidation . mild blunting the posterior costophrenic represent small effusions . no pneumothora present . there moderate cardiomegaly . the pulmonary vasculature within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2136_IM-0758_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2136_IM-0758-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2136_IM-0758-3001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2138_IM-0760_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2138_IM-0760-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2138_IM-0760-1002.png,startseq normal heart size . stable tortuous thoracic aorta . prior granulomatous disease . healed rib fractures appear stable . focal opacity noted the left midlung overlying the posterior rib which represents healing rib callus . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2139_IM-0760_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2139_IM-0760-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2139_IM-0760-2001.png,startseq the lungs and pleural spaces show no acute abnormality . calcified right hilar lymph heart size enlarged pulmonary vascularity within normal limits . sternotomy and prosthetic aortic valve noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2140_IM-0762_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2140_IM-0762-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2140_IM-0762-2001.png,startseq the lungs are clear . there are calcified left hilar lymph the heart and mediastinum are normal . the skeletal structures are notable for old apparent fracture congenital fusion unchanged from the prior study . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2141_IM-0763,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2141_IM-0763-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2141_IM-0763-3001.png,startseq the heart size mildly enlarged . there tortuosity the thoracic aorta . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2142_IM-0764,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2142_IM-0764-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2142_IM-0764-1001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion focal air space consolidation . probable dish the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2144_IM-0765_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2144_IM-0765-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2144_IM-0765-2001.png,startseq stable calcified hilar and granulomas . lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-2001.png,startseq the cardiomediastinal silhouette normal . the lungs are clear . there no pneumothora pneumomediastinum . visualized bony structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-3001.png,startseq the cardiomediastinal silhouette normal . the lungs are clear . there no pneumothora pneumomediastinum . visualized bony structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2145_IM-0766-3001.png,startseq the cardiomediastinal silhouette normal . the lungs are clear . there no pneumothora pneumomediastinum . visualized bony structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-13013.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-2002.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-13013.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-3003.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2146_IM-0766-3003.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2147_IM-0767_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2147_IM-0767-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2147_IM-0767-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . mild spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2148_IM-0767_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2148_IM-0767-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2148_IM-0767-3001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2149_IM-0768-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2149_IM-0768-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2149_IM-0768-0001-0002.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the thoracic aorta calcified . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . minimal osteophytes the thoracic spine . no acute displaced rib fractures . calcified granuloma demonstrated the left upper lobe . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR215_IM-0769_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR215_IM-0769-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR215_IM-0769-2001.png,startseq stable cardiomegaly . sternotomy are intact . no pneumothora pleural effusion . calcific density the left mid upper lung represents old granulomatous disease . no focal consolidation . stable moderate thoracic levoscoliosis and mild thoracolumbar detroscoliosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2150_IM-0770_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2150_IM-0770-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2150_IM-0770-2001.png,startseq the heart normal size . the mediastinum unremarkable . small nodule seen the left upper lung possibly granuloma . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2151_IM-0771_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2151_IM-0771-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2151_IM-0771-2001.png,startseq hyperinflated lungs with flattened diaphragm and increased retrosternal airspace . no focal alveolar consolidation no definite pleural effusion seen . heart size within normal limits the typical findings pulmonary edema . mild spine detrocurvature noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2152_IM-0772_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2152_IM-0772-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2152_IM-0772-2001.png,startseq normal heart size . normal mediastinal silhouette . no pneumothora pleural effusion suspicious focal air space opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2153_IM-0773,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2153_IM-0773-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2153_IM-0773-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . left hemidiaphragm elevated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2155_IM-0774,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2155_IM-0774-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2155_IM-0774-2001.png,startseq low lung volumes noted . the heart size within normal limits . pulmonary vasculature unremarkable . no focal consolidations effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2156_IM-0775_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2156_IM-0775-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2156_IM-0775-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2158_IM-0776_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2158_IM-0776-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2158_IM-0776-1002.png,startseq there are diffuse increased interstitial markings suggestive pulmonary fibrosis bilateral lung the fibrosis appears slightly increased compared previous eamination the trachea midline . negative for pneumothora pleural effusion . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2159_IM-0776_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2159_IM-0776-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2159_IM-0776-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR216_IM-0777,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR216_IM-0777-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR216_IM-0777-2001.png,startseq the cardiac silhouette enlarged and has globular appearance . mild bibasilar dependent atelectasis . no pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2160_IM-0778_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2160_IM-0778-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2160_IM-0778-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2161_IM-0779_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2161_IM-0779-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2161_IM-0779-2001.png,startseq the heart size upper limits normal . mediastinal contour appears normal and pulmonary vascularity within normal limits . otherwise no focal consolidation large pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2162_IM-0779_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2162_IM-0779-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2162_IM-0779-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . the cardiac silhouette remains moderately enlarged eaggerated epicardial fat pads . interstitium prominent . no focal airspace consolidation pleural effusion . there spine spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2163_IM-0779_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2163_IM-0779-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2163_IM-0779-2001.png,startseq there calcified left upper lobe granuloma . no suspicious pulmonary mass nodule identified . there no focal airspace consolidation . no pleural effusion pneumothora . the lungs remain hyperepanded . stable cardiomediastinal silhouette . calcified mediastinal and hilar lymph are consistent with prior granulomatous disease . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2165_IM-0781-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2165_IM-0781-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2165_IM-0781-0001-0002.png,startseq low lung volumes are present . the heart size and pulmonary vascularity appear within normal limits . there has been interval development bibasilar opacities . the appearance the right base opacity atelectasis . the left base opacities could represent early pneumonia areas atelectasis . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2166_IM-0782,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2166_IM-0782-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2166_IM-0782-1001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2167_IM-0783_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2167_IM-0783-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2167_IM-0783-2001.png,startseq there hyperepansion with mild flattening diaphragm . cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are normal . contrast retained within the renal collecting endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2168_IM-0784_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2168_IM-0784-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2168_IM-0784-2001.png,startseq the heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0002.png,startseq the lungs are hyperepanded . there large rounded lucency the right upper lung large emphysematous there are biapical opacities scarring . no focal airspace consolidation suggest pneumonia . there no pleural effusion . no pneumothora . normal heart size . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0003.png,startseq the lungs are hyperepanded . there large rounded lucency the right upper lung large emphysematous there are biapical opacities scarring . no focal airspace consolidation suggest pneumonia . there no pleural effusion . no pneumothora . normal heart size . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2169_IM-0785-0001-0003.png,startseq the lungs are hyperepanded . there large rounded lucency the right upper lung large emphysematous there are biapical opacities scarring . no focal airspace consolidation suggest pneumonia . there no pleural effusion . no pneumothora . normal heart size . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2171_IM-0786_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2171_IM-0786-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2171_IM-0786-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . no change the small calcified granuloma the right upper lobe . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2172_IM-0786_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2172_IM-0786-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2172_IM-0786-2001.png,startseq the cardiomediastinal silhouette normal size and contour . biapical fibronodular thickeningscarring . hyperepanded lungs without focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2173_IM-0786_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2173_IM-0786-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2173_IM-0786-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . osseous structures are grossly unremarkable . unchanged degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2174_IM-0787_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2174_IM-0787-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2174_IM-0787-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2175_IM-0788,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2175_IM-0788-1003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2175_IM-0788-1003.png,startseq the cardiac and mediastinal silhouettes are unremarkable . the lungs are well epanded and clear . there are no focal air space opacities . there no pneumothora effusion . the bony structures the thora are intact with no evidence acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2176_IM-0789_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2176_IM-0789-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2176_IM-0789-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-3001.png,startseq and lateral chest eamination was obtained . there enlarged heart silhouette . decreased lung volumes . lungs demonstrate bibasilar airspace opacities better visualized lateral view . there no effusion pneumothora . degenerative changes the bilateral endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-4001.png,startseq and lateral chest eamination was obtained . there enlarged heart silhouette . decreased lung volumes . lungs demonstrate bibasilar airspace opacities better visualized lateral view . there no effusion pneumothora . degenerative changes the bilateral endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2177_IM-0789-4001.png,startseq and lateral chest eamination was obtained . there enlarged heart silhouette . decreased lung volumes . lungs demonstrate bibasilar airspace opacities better visualized lateral view . there no effusion pneumothora . degenerative changes the bilateral endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2179_IM-0791_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2179_IM-0791-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2179_IM-0791-2001.png,startseq flattening the bilateral hemidiaphragms . lungs are clear . soft tissues and bony structures unremarkable . no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR218_IM-0792_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR218_IM-0792-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR218_IM-0792-4004.png,startseq heart size unchanged . aortic calcification noted . no pneumothora . no large pleural effusions . there are unchanged opacities throughout the lungs which represent scarring . lungs are hyperepanded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2181_IM-0793-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2181_IM-0793-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2181_IM-0793-1001-0002.png,startseq heart size moderately enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there suspected right lower lobe airspace opacity demonstrated the lateral study . there fracture superior sternotomy unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2183_IM-0794_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2183_IM-0794-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2183_IM-0794-2001.png,startseq moderate cardiomegaly . bibasilar and perihilar interstitial opacities . no pneumothora . no pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2184_IM-0795_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2184_IM-0795-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2184_IM-0795-2001.png,startseq the heart mildly enlarged . mediastinal contour and pulmonary vascularity are within normal limits . there are streaky left basilar airspace opacities compatible with atelectasis seen comparison abdomen and pelvis ct . there left upper lung granuloma . otherwise no focal consolidation large pleural effusion pneumothora . appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2185_IM-0795_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2185_IM-0795-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2185_IM-0795-2001.png,startseq there are low lung volumes with bibasilar opacities representing subsegmental atelectasis . the cardio the cardiac silhouette the normal . there no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2186_IM-0796_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2186_IM-0796-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2186_IM-0796-3003.png,startseq the lungs appear clear . lung volumes are low . the heart and pulmonary appear normal . pleural spaces are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2187_IM-0797,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2187_IM-0797-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2187_IM-0797-1001.png,startseq the heart size normal . tortuous aorta . calcifications are seen within the aortic the mediastinal contour within normal limits . the lungs are free any focal infiltrates . stable calcified granuloma within the lingula . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . surgical clips are seen within the right upper abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2189_IM-0798_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2189_IM-0798-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2189_IM-0798-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR219_IM-0799_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR219_IM-0799-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR219_IM-0799-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2190_IM-0800_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2190_IM-0800-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2190_IM-0800-3001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . spinal stimulator with tip overlying the vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2191_IM-0801,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2191_IM-0801-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2191_IM-0801-1001.png,startseq there no acute osseous abnormality . soft tissues are within normal limits . borderline enlargement the heart . normal vascular markings . left basilar retrocardiac opacity . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2192_IM-0802_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2192_IM-0802-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2192_IM-0802-3003.png,startseq no focal lung consolidation . no pneumothora pleural effusion . heart size and pulmonary vascularity are within normal limits . minimal degenerative changes the thoracic spine . the previouslybrdescribed deformity the midthoracic spine again seen . there subcutaneous shunt catheter tubing along the anterior chest wall endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2193_IM-0803,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2193_IM-0803-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2193_IM-0803-1001.png,startseq again noted and blunting the right pleural space effusion scarring . opacity the right lung base also appears unchanged scarring . heart size appears normal improved from prior study . there no vascular congestion edema . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2195_IM-0805_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2195_IM-0805-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2195_IM-0805-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are mildly hyperinflated without evidence focal airspace disease pneumothora pleural effusion . incidental note azygos fissure . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2197_IM-0807_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2197_IM-0807-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2197_IM-0807-2001.png,startseq heart size normal . there are opacities which appear above the right fissure . there mild thickening the fissure . no pneumothora . no large pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2198_IM-0808_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2198_IM-0808-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2198_IM-0808-2001.png,startseq cardiac silhouette pulmonary vascular pattern within normal limits . no focal infiltrate pneumothora pulmonary edema . no pleural effusion . osseous structures within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2199_IM-0809-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2199_IM-0809-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2199_IM-0809-0001-0002.png,startseq right tip overlies the mid svc . similar bronchiectatic changes with diffuse patchy airspace opacities . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR22_IM-0810_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR22_IM-0810-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR22_IM-0810-2001.png,startseq the lungs are clear and without focal air space opacity . the cardiomediastinal silhouette normal size and contour and stable . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1002.png,startseq the heart normal size . the mediastinum stable . leftsided chest again visualized with tip cavoatrial junction . there no pneumothora . numerous bilateral pulmonary nodules have increased size and number compared prior study . the dominant nodulemass the left midlung also mildly increased . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1003.png,startseq the heart normal size . the mediastinum stable . leftsided chest again visualized with tip cavoatrial junction . there no pneumothora . numerous bilateral pulmonary nodules have increased size and number compared prior study . the dominant nodulemass the left midlung also mildly increased . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR220_IM-0811-1003.png,startseq the heart normal size . the mediastinum stable . leftsided chest again visualized with tip cavoatrial junction . there no pneumothora . numerous bilateral pulmonary nodules have increased size and number compared prior study . the dominant nodulemass the left midlung also mildly increased . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2200_IM-0811_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2200_IM-0811-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2200_IM-0811-2001.png,startseq 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 pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2201_IM-0811,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2201_IM-0811-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2201_IM-0811-1002.png,startseq bilateral calcified granulomas stable compared prior eamination without focal consolidation pneumothora pleural effusion identified . cardiomediastinal silhouette stable and unremarkable . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2203_IM-0812_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2203_IM-0812-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2203_IM-0812-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . there no pneumothora pleural effusion focal air space consolidation . old right rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2204_IM-0813_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2204_IM-0813-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2204_IM-0813-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2205_IM-0814,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2205_IM-0814-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2205_IM-0814-1001.png,startseq heart size normal . tortuous aorta . irregular opacity the left upper lung identified both and lateral views and represents chronic scarring . she has partial resection the posterior fourth rib . no pneumothora . no pleural effusion . no focal infiltrate . anterior wedging multiple vertebral bodies including and endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2206_IM-0815_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2206_IM-0815-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2206_IM-0815-2001.png,startseq minimal right sided perihilar atelectasis . the trachea midline . negative for pneumothora pleural effusion . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2207_IM-0815_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2207_IM-0815-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2207_IM-0815-2001.png,startseq heart size within normal limits . tortuous thoracic aorta . there patchy right base airspace disease . no pneumothora pleural effusion . there mild degenerative changes throughout the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2208_IM-0815_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2208_IM-0815-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2208_IM-0815-1002.png,startseq persistent cardiomegaly . no abnormal airspace consolidation . resolved interstitial edema . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2209_IM-0816_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2209_IM-0816-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2209_IM-0816-2001.png,startseq the heart normal size . the mediastinum unremarkable . emphysematous changes are identified . the lungs are otherwise grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR221_IM-0817_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR221_IM-0817-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR221_IM-0817-2001.png,startseq cardiac and mediastinal contours are within normal limits . atherosclerotic aorta . mild blunting left costophrenic recess possibly mild atelectasis scarring . no confluent lobar consolidation large volume pleural effusion . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2210_IM-0817_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2210_IM-0817-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2210_IM-0817-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2211_IM-0818_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2211_IM-0818-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2211_IM-0818-2001.png,startseq there persistent cardiomegaly with suggestion left atrial enlargement evidenced cardiac contour the lateral image and density the frontal image . the lungs are clear . no visible pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2212_IM-0819_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2212_IM-0819-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2212_IM-0819-2001.png,startseq the lungs are clear . there no pleural effusion . the heart and mediastinum are normal . the skeletal structures and soft tissues have normal appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2213_IM-0819_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2213_IM-0819-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2213_IM-0819-3001.png,startseq the heart normal size . the mediastinum stable . innumerable bilateral nodules are identified most which appear calcified eamination . there no acute infiltrate effusion . lingular scarring andor atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2214_IM-0819,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2214_IM-0819-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2214_IM-0819-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2215_IM-0820_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2215_IM-0820-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2215_IM-0820-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2216_IM-0821_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2216_IM-0821-85075001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2216_IM-0821-85075002.png,startseq heart size and mediastinal contours are within normal limits . pulmonary vasculature unremarkable . no focal airspace consolidation . there mild elevation right hemidiaphragm . no visible pleural effusion pneumothora . there are mild degenerative changes along the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2217_IM-0822-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2217_IM-0822-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2217_IM-0822-0001-0002.png,startseq heart size borderline enlarged mediastinal contours appear similar the from noted . right hemidiaphragm eventration . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-2001.png,startseq the opacity the left lung base appears stable from prior eam . there elevation the left hemidiaphragm stable . the cardiomediastinal silhouette enlarged but unchanged . sternotomy are again noted . there large amount distending the stomach which incidentally was also seen prior eam years ago . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-3001.png,startseq the opacity the left lung base appears stable from prior eam . there elevation the left hemidiaphragm stable . the cardiomediastinal silhouette enlarged but unchanged . sternotomy are again noted . there large amount distending the stomach which incidentally was also seen prior eam years ago . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2218_IM-0823-3001.png,startseq the opacity the left lung base appears stable from prior eam . there elevation the left hemidiaphragm stable . the cardiomediastinal silhouette enlarged but unchanged . sternotomy are again noted . there large amount distending the stomach which incidentally was also seen prior eam years ago . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR222_IM-0823_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR222_IM-0823-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR222_IM-0823-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2220_IM-0824,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2220_IM-0824-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2220_IM-0824-4004.png,startseq the eamination consists frontal and lateral radiographs the chest . there low lung volumes . there pulmonary vascular congestion and indistinctness . bibasilar airspace disease also present . probable left pleural effusion . no evidence pneumothora . cardiac silhouette upper lungs are normally accentuated due low lung volumes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2222_IM-0826_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2222_IM-0826-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2222_IM-0826-2001.png,startseq lungs are clear bilaterally with no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . calcified densities within the right paratracheal region and left perihilar region may represent calcified granulomas . there round opacity measuring diameter within the posterior mediastinum . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2223_IM-0827_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2223_IM-0827-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2223_IM-0827-2001.png,startseq chest . heart size normal . lungs clear . unremarkable . limited technique . right elbow and forearm . no acute fracture dislocation joint effusion . soft tissues unremarkable . left ankle . soft tissue around ankle . there are midfoot degenerative changes and plantar calcaneal enthesophyte . ankle mortise intact . no acute fracture dislocation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2224_IM-0828_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2224_IM-0828-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2224_IM-0828-2001.png,startseq heart size mediastinal contour and pulmonary vasculature are within normal limits . scattered granulomas and bilateral perihilar calcified lymph stable lingular scarring . no focal consolidation large pleural effusion pneumothora identified . no bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2225_IM-0829_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2225_IM-0829-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2225_IM-0829-4001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2226_IM-0830_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2226_IM-0830-12001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2226_IM-0830-13001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . first rib fracture not well demonstrated study . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2227_IM-0831,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2227_IM-0831-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2227_IM-0831-2001.png,startseq there increasing primarily basilar interstitial reticular opacity . lung volumes are low . there are no focal airspace opacities suggest lobar pneumonia . heart size appears normal . the thoracic aorta calcified . since the prior study there has been placement electronic cardiac device overlying the left chest wall the distal leads overlying the right heart . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2229_IM-0831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2229_IM-0831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2229_IM-0831-1002.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . surgical clips are seen the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR223_IM-0831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR223_IM-0831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR223_IM-0831-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . bronchovascular crowding without typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2230_IM-0831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2230_IM-0831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2230_IM-0831-2001.png,startseq mediastinal contours are normal . heart size upper limits normal . lungs are clear . there no pneumothora large pleural effusion . no bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-2001.png,startseq heart mediastinum bony structures are unremarkable . possible subtle increased opacity right ape versus technique . otherwise no significant interval change compared prior study endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-3001.png,startseq heart mediastinum bony structures are unremarkable . possible subtle increased opacity right ape versus technique . otherwise no significant interval change compared prior study endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2231_IM-0831-3001.png,startseq heart mediastinum bony structures are unremarkable . possible subtle increased opacity right ape versus technique . otherwise no significant interval change compared prior study endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2232_IM-0832_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2232_IM-0832-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2232_IM-0832-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2233_IM-0832_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2233_IM-0832-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2233_IM-0832-2001.png,startseq hyperinflated lungs with flattened diaphragm and increased retrosternal airspace . scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2235_IM-0833_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2235_IM-0833-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2235_IM-0833-2001.png,startseq there are low lung volumes . cardiac silhouette and mediastinal contours are within normal limits . there no focal opacity . there no large pleural effusion . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2236_IM-0833_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2236_IM-0833-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2236_IM-0833-2002.png,startseq the cardiac silhouette mediastinum and pulmonary vasculature are within normal limits . lungs are clear . no pleural fluid pneumothora appreciated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2238_IM-0835_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2238_IM-0835-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2238_IM-0835-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2239_IM-0836_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2239_IM-0836-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2239_IM-0836-2001.png,startseq frontal and lateral views the chest with overlying eternal cardiac monitor leads show normal size and configuration the cardiac silhouette . normal pulmonary vasculature and central airways . there interstitial prominence and basilar patchy air space opacity . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR224_IM-0837_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR224_IM-0837-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR224_IM-0837-2001.png,startseq clear lungs . normal heart . no pneumothora . no pleural effusion . old right rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2240_IM-0838_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2240_IM-0838-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2240_IM-0838-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2241_IM-0839,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2241_IM-0839-28001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2241_IM-0839-28001.png,startseq there are biapical opacities possibly scarring . lungs otherwise appear clear . no focal airspace consolidation . no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . rightsided chest catheter tip the lower svc . several right aillary surgical clips are noted . there are postoperative changes right mastectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-4001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-3001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-4001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2243_IM-0840-4001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . there stable calcified granuloma within the left lower lobe . there are stable chronic degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2245_IM-0842_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2245_IM-0842-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2245_IM-0842-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2246_IM-0843_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2246_IM-0843-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2246_IM-0843-2001.png,startseq normal heart size and mediastinal contour . right lung base airspace disease frontal opacities the left lung base consistent with atelectasis . no pneumothora . no pleural effusion . mild wedge deformity endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2247_IM-0844_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2247_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2247_IM-0844-2001.png,startseq the cardiomediastinal silhouette normal size and appearance . no pleural effusion pneumothora . lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2248_IM-0844_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2248_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2248_IM-0844-1002.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR225_IM-0844_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR225_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR225_IM-0844-2001.png,startseq cardiomediastinal silhouette within normal limits . no focal consolidation . no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2250_IM-0844,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2250_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2250_IM-0844-1001.png,startseq there has been interval sternotomy with mitral valve surgery . there small amount scarring the left midlung . no focal consolidation . no pleural effusions pneumothoraces . there continued cardiomegaly with especially enlarged left atrium . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2251_IM-0844,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2251_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2251_IM-0844-1001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2252_IM-0844_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2252_IM-0844-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2252_IM-0844-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2253_IM-0845_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2253_IM-0845-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2253_IM-0845-1003002.png,startseq there hyperinflation the lungs but they are clear . the heart and mediastinum are normal . the skeletal structures are normal . there are bilateral breast prostheses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2254_IM-0846,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2254_IM-0846-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2254_IM-0846-1001.png,startseq lungs are clear . heart size normal . no pneumothora . there are surgical clips seen within the upper abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2255_IM-0847_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2255_IM-0847-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2255_IM-0847-4001.png,startseq the trachea midline . cardiomediastinal silhouette normal and unchanged from prior eamination . there are round calcific densities the right lung consistent with prior granulomatous disease . otherwise the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-3001.png,startseq and lateral chest eamination was obtained . one view epiratory and was repeated . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no focal infiltrates . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-4001.png,startseq and lateral chest eamination was obtained . one view epiratory and was repeated . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no focal infiltrates . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2256_IM-0848-4001.png,startseq and lateral chest eamination was obtained . one view epiratory and was repeated . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no focal infiltrates . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2257_IM-0849_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2257_IM-0849-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2257_IM-0849-2001.png,startseq no focal areas consolidation . heart size normal limits . no pleural effusions . no evidence pneumothora . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2258_IM-0849_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2258_IM-0849-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2258_IM-0849-2001.png,startseq mild hypoventilation with bronchovascular crowding and prominent central and basilar interstitial markings . no focal alveolar consolidation no pleural effusion demonstrated . considering technical factors heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2259_IM-0850_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2259_IM-0850-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2259_IM-0850-2001.png,startseq bilateral glenohumeral degenerative joint disease . scattered degenerative changes the thoracic spine . stable mild heart enlargement . prominence soft tissue density the upper mediastinum . increased from most recent prior eam however appears similar compared eams performed no focal area consolidation pleural effusion pneumothora . focal opacity the left upper lobe represents scarring related overlying rib opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR226_IM-0851_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR226_IM-0851-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR226_IM-0851-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2260_IM-0852_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2260_IM-0852-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2260_IM-0852-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2261_IM-0852_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2261_IM-0852-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2261_IM-0852-2001.png,startseq frontal and lateral views the chest with overlying eternal cardiac monitor leads show normal size and configuration the cardiac silhouette . normal pulmonary vasculature and central airways . no focal airspace consolidation pleural effusion . incidental note azygos fissure . there are surgical clips perhaps from cholecystectomy the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2262_IM-0852_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2262_IM-0852-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2262_IM-0852-2001.png,startseq right basal airspace opacity . the heart size and mediastinal silhouette are within normal limits for contour . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2263_IM-0853_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2263_IM-0853-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2263_IM-0853-4001.png,startseq heart size moderately enlarged stable mediastinal contours . opacity the left lung base . otherwise no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2264_IM-0854_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2264_IM-0854-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2264_IM-0854-2001.png,startseq normal heart size and mediastinal contours . low lung volumes . no focal airspace consolidation . no pneumothora pleural effusion . visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2267_IM-0856_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2267_IM-0856-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2267_IM-0856-2001.png,startseq the lateral view degraded patient motion . lungs are grossly clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2269_IM-0858_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2269_IM-0858-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2269_IM-0858-2001.png,startseq the heart normal size . the mediastinum unremarkable . the chest satisfactory position . there no pneumothora . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-12012.png,startseq heart enlarged . there prominence the central pulmonary vasculature . mild diffuse interstitial opacities bilaterally predominantly the bases with no focal consolidation pleural effusion pneumothoraces . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-4004.png,startseq heart enlarged . there prominence the central pulmonary vasculature . mild diffuse interstitial opacities bilaterally predominantly the bases with no focal consolidation pleural effusion pneumothoraces . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR227_IM-0859-4004.png,startseq heart enlarged . there prominence the central pulmonary vasculature . mild diffuse interstitial opacities bilaterally predominantly the bases with no focal consolidation pleural effusion pneumothoraces . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2270_IM-0859_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2270_IM-0859-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2270_IM-0859-2001.png,startseq cardiomediastinal silhouette within normal limits overall size and appearance . aortic cardiac ape and stomach are leftsided . central vascular markings are symmetric and within normal limits . the lungs are normally inflated with no focal airspace disease pleural effusion pneumothora . detroconve scoliotic curvature the thoracic spine . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2271_IM-0860,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2271_IM-0860-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2271_IM-0860-1001.png,startseq again observed curvilinear density the right midlung zone which may represent some pulmonary scarring thickening the right fissure . there minimal blunting the right posterior costophrenic consistent with small effusion andor pleural scarring . the lung parenchyma otherwise clear . there mild cardiomegaly . there are degenerative changes and mild detroscoliosis the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2273_IM-0861_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2273_IM-0861-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2273_IM-0861-1002.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2274_IM-0861,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2274_IM-0861-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2274_IM-0861-1001.png,startseq the left and right remain enlarged and unchanged . lungs are free infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2275_IM-0862_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2275_IM-0862-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2275_IM-0862-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . there right middle lobe nodule which denser than adjacent most calcified . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . degenerative endplate changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2276_IM-0863-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2276_IM-0863-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2276_IM-0863-1001-0002.png,startseq this radiograph was available for interpretation hours there are low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2277_IM-0864_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2277_IM-0864-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2277_IM-0864-2001.png,startseq the lungs are clear without evidence focal airspace disease . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2278_IM-0864_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2278_IM-0864-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2278_IM-0864-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . sternotomy are again seen . the cardiomediastinal contours are grossly unchanged . right lung calcified granulomata are again seen . there no consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2279_IM-0865_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2279_IM-0865-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2279_IM-0865-3001.png,startseq heart size enlarged . the aorta unfolded . otherwise the mediastinal contour normal . there are streaky bibasilar opacities . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR228_IM-0866_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR228_IM-0866-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR228_IM-0866-5001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . surgical noted the right upper quadrant . subcutaneous emphysema seen along the neck bilaterally right lateral upper abdomen and left chest . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2281_IM-0868,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2281_IM-0868-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2281_IM-0868-2001.png,startseq heart size and vascularity normal . lungs are clear . no effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2282_IM-0869_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2282_IM-0869-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2282_IM-0869-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . specifically no evidence rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2283_IM-0870_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2283_IM-0870-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2283_IM-0870-2001.png,startseq the heart and mediastinal silhouettes are within normal limits . the lungs are clear without focal airspace opacity large effusion pneumothora . the are grossly intact . interval removal right picc . persistent elevation the left hemidiaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2285_IM-0870_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2285_IM-0870-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2285_IM-0870-2001.png,startseq sternotomy and mediastinal postsurgical changes . stable cardiomegaly . crowded bronchovascular and interstitial markings related low lung volumes and technique . grossly stable appearance the lungs compared prior eam without overt edema gross airspace consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2286_IM-0871_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2286_IM-0871-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2286_IM-0871-2001.png,startseq chronicappearing opacities are unchanged and represent emphysema . heart size normal . no large pleural effusions . no pneumothora . no focal airspace opacities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2288_IM-0872_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2288_IM-0872-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2288_IM-0872-1002.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . no cavitary lesions . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2289_IM-0873_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2289_IM-0873-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2289_IM-0873-2001.png,startseq lungs are clear . blunting the left costophrenic consistent with small left pleural effusion and associated airspace disease . the right lung clear . sequelae old granulomatous disease . heart size upper limits normal . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR229_IM-0873_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR229_IM-0873-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR229_IM-0873-2001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . mediastinal calcification and dense right upper lung nodule suggest previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2290_IM-0874_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2290_IM-0874-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2290_IM-0874-4001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2291_IM-0874_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2291_IM-0874-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2291_IM-0874-2001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . umbilical piercing . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2292_IM-0874_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2292_IM-0874-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2292_IM-0874-1002.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2293_IM-0875_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2293_IM-0875-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2293_IM-0875-2001.png,startseq the heart normal size . the mediastinum stable . the previously visualized bilateral pneumothoraces have resolved . right chest wall surgical have been removed . there improved aeration the lung bases with mild residual opacities compatible with scarring atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2295_IM-0876_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2295_IM-0876-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2295_IM-0876-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the thoracic aorta calcified . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2296_IM-0876_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2296_IM-0876-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2296_IM-0876-2001.png,startseq the heart normal size with normal appearance the cardiomediastinal silhouette . there hiatal hernia with soft tissue projecting behind the mediastinum . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2297_IM-0877_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2297_IM-0877-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2297_IM-0877-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . mild curvature thoracolumbar junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2298_IM-0878,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2298_IM-0878-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2298_IM-0878-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . chronic degenerative changes are present within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2299_IM-0878_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2299_IM-0878-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2299_IM-0878-2001.png,startseq the cardiomediastinal silhouette normal size and contour . peripheral right basilar calcified granuloma . no focal consolidation pneumothora large pleural effusion . apparent nodular opacity lateral projection immediately retrocardiac represent confluence overlapping silhouettes . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR23_IM-0879_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR23_IM-0879-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR23_IM-0879-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2300_IM-0881_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2300_IM-0881-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2300_IM-0881-2001.png,startseq heart size within normal limits . no focal consolidation . no pneumothora pleural effusion . no bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2301_IM-0881_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2301_IM-0881-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2301_IM-0881-2001.png,startseq radiographic attenuation obscures detail . grossly the lungs are clear and epanded . heart large . pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2302_IM-0882,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2302_IM-0882-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2302_IM-0882-1001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2304_IM-0882_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2304_IM-0882-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2304_IM-0882-4004.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2305_IM-0882_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2305_IM-0882-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2305_IM-0882-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . slight thoracolumbar curvature noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2306_IM-0882_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2306_IM-0882-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2306_IM-0882-2001.png,startseq no pneumothora pleural effusion airspace consolidation . cardiomediastinal size within normal limits . pulmonary vasculature normal intact . mild degenerative change the lower thoracic spine anterior osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2307_IM-0882_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2307_IM-0882-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2307_IM-0882-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hyperinflated with opacities compatible with pleuralparenchymal scarring . there no acute infiltrate effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2310_IM-0885_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2310_IM-0885-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2310_IM-0885-2001.png,startseq no focal consolidation . no visualized pneumothora . the heart size normal . there are no large pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2311_IM-0886_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2311_IM-0886-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2311_IM-0886-2001.png,startseq normal cardiac size mediastinum and central pulmonary vasculature . grossly clear lungs without focal airspace consolidation pleural effusion pneumothora . no evidence displaced rib fractures . normal thoracic vertebral body endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2312_IM-0887_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2312_IM-0887-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2312_IM-0887-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2313_IM-0888_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2313_IM-0888-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2313_IM-0888-1004003.png,startseq the lungs are clear . there no pleural effusion pneumothora . there has been sternotomy . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2314_IM-0889_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2314_IM-0889-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2314_IM-0889-2001.png,startseq the lungs are opacities are present the right costophrenic no focal infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2315_IM-0889_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2315_IM-0889-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2315_IM-0889-1003.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . there calcified granuloma the left lingula . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2316_IM-0889_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2316_IM-0889-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2316_IM-0889-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2317_IM-0890_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2317_IM-0890-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2317_IM-0890-2001.png,startseq calcified granuloma present the right costophrenic lungs are otherwise clear . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2320_IM-0894_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2320_IM-0894-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2320_IM-0894-2001.png,startseq the cardio mediastinal silhouette pulmonary vascular pattern are within normal limits . no pneumothora . no pneumonia . no pleural effusion . mild degenerative changes mid thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2321_IM-0894-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2322_IM-0894_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2322_IM-0894-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2322_IM-0894-1002.png,startseq lung volumes remain opacity present the right middle lobe . no focal infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2323_IM-0895_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2323_IM-0895-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2323_IM-0895-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . no acute bony soft tissue abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2324_IM-0895_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2324_IM-0895-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2324_IM-0895-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2326_IM-0897_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2326_IM-0897-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2326_IM-0897-2001.png,startseq heart size mildly enlarged stable mediastinal and hilar contours . right hemidiaphragm eventration . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2327_IM-0898_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2327_IM-0898-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2327_IM-0898-2001.png,startseq there has been interval development large rightsided pleural effusion . the left lung clear . there no pneumothora . heart size mediastinal contours are within normal limits . deformity noted the upper thoracic vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2328_IM-0898_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2328_IM-0898-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2328_IM-0898-2001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are unchanged . again noted tortuosity and unfolding the thoracic aorta . aortic vascular calcifications . normal pulmonary vascularity . bone demineralization . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2329_IM-0898,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2329_IM-0898-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2329_IM-0898-2001.png,startseq heart and mediastinal contours are unremarkable . the pulmonary vasculature normal appearance . the lung parenchyma clear without focal airspace opacity . there are no pleural effusions and there no pneumothora . the visualized bony structures are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-2001.png,startseq atrial septal occluder artifact . rotated frontal position overall heart size within normal limits no typical findings pulmonary edema . densities the left base small focal opacity the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic biapical pleuroparenchymal irregularities most compatible with scarring chronic appearing right rib contour deformity . no pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-3001.png,startseq atrial septal occluder artifact . rotated frontal position overall heart size within normal limits no typical findings pulmonary edema . densities the left base small focal opacity the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic biapical pleuroparenchymal irregularities most compatible with scarring chronic appearing right rib contour deformity . no pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR233_IM-0899-3001.png,startseq atrial septal occluder artifact . rotated frontal position overall heart size within normal limits no typical findings pulmonary edema . densities the left base small focal opacity the right base with focal posterior right hemidiaphragm elevation and obscured right costophrenic biapical pleuroparenchymal irregularities most compatible with scarring chronic appearing right rib contour deformity . no pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2331_IM-0900,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2331_IM-0900-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2331_IM-0900-1001.png,startseq the heart near top normal size with tortuosity the aorta . the pulmonary vascular markings are symmetric and normal . there are low lung volumes with opacities consistent with focal atelectasis . there no pleural effusion pneumothora . there are degenerative changes thoracic spine and thoracic kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2332_IM-0900_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2332_IM-0900-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2332_IM-0900-1002.png,startseq the heart and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2333_IM-0901,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2333_IM-0901-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2333_IM-0901-2001.png,startseq heart size normal . no focal consolidations . there calcified granuloma the medial right lung base . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2334_IM-0902_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2334_IM-0902-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2334_IM-0902-1002.png,startseq no acute osseous abnormality . scattered degenerative changes throughout the thoracic spine . stable normal cardiomediastinal silhouette and hilar contours . scattered bilateral granulomas . patchy left basal airspace opacity . bilateral small effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2335_IM-0902_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2335_IM-0902-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2335_IM-0902-2001.png,startseq the heart size normal . there normal cardiomediastinal silhouette . lungs are clear bilaterally . thoracic spine shows anterior osteophyte formation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-2001.png,startseq lungs are hyperinflated but clear . no focal infiltrate effusion . heart and mediastinal contours within normal limits . calcified mediastinal identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-3001.png,startseq lungs are hyperinflated but clear . no focal infiltrate effusion . heart and mediastinal contours within normal limits . calcified mediastinal identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2336_IM-0903-3001.png,startseq lungs are hyperinflated but clear . no focal infiltrate effusion . heart and mediastinal contours within normal limits . calcified mediastinal identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2337_IM-0904,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2337_IM-0904-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2337_IM-0904-2001.png,startseq the lungs and pleural spaces show no acute abnormality . stable paratracheal soft tissue density dating back eams confluence vascular shadows . lungs are hyperepanded . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-2001.png,startseq compared prior eamination there significant improvement aeration bilaterally with improved bilateral airspace opacities . currently there are only minimal streaky opacities the bilateral midlung which may represent mild residual airspace disease atelectasis underlying changes chronic lung disease . no large focal consolidations pneumothora definite pleural effusions identified . the mediastinal silhouette stable and within normal limits for size and contour . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-3001.png,startseq compared prior eamination there significant improvement aeration bilaterally with improved bilateral airspace opacities . currently there are only minimal streaky opacities the bilateral midlung which may represent mild residual airspace disease atelectasis underlying changes chronic lung disease . no large focal consolidations pneumothora definite pleural effusions identified . the mediastinal silhouette stable and within normal limits for size and contour . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2338_IM-0905-3001.png,startseq compared prior eamination there significant improvement aeration bilaterally with improved bilateral airspace opacities . currently there are only minimal streaky opacities the bilateral midlung which may represent mild residual airspace disease atelectasis underlying changes chronic lung disease . no large focal consolidations pneumothora definite pleural effusions identified . the mediastinal silhouette stable and within normal limits for size and contour . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2339_IM-0905,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2339_IM-0905-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2339_IM-0905-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . multiple filled loops bowel are present . gastrostomy noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR234_IM-0906-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR234_IM-0906-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR234_IM-0906-0001-0002.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without focal consolidation effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . no layering pleural effusion pneumothora seen decubitus eam . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2340_IM-0907_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2340_IM-0907-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2340_IM-0907-2001.png,startseq chest . lung volumes are low but no focal infiltrates are present . heart and mediastinum remain normal . abdomen . multiple slightly distended loops are present from stomach rectum . formed stool present the rectum . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2341_IM-0907_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2341_IM-0907-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2341_IM-0907-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2342_IM-0907_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2342_IM-0907-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2342_IM-0907-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are unchanged . pulmonary vascularity within normal limits . calcified right upper lobe nodule with granuloma again seen but unchanged . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2343_IM-0908_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2343_IM-0908-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2343_IM-0908-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2344_IM-0909_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2344_IM-0909-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2344_IM-0909-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated . no focal consolidation seen . postsurgicalbiopsy changes overlying the right breast . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2345_IM-0910_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2345_IM-0910-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2345_IM-0910-2001.png,startseq the heart size the upper limits normal . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . mild chronic degenerative changes are present within the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2347_IM-0912,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2347_IM-0912-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2347_IM-0912-1001.png,startseq the cardiomediastinal silhouette normal size and contour . atherosclerosis the aortic no focal consolidation pneumothora large pleural effusion . tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2348_IM-0913_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2348_IM-0913-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2348_IM-0913-2001.png,startseq there moderate sized right pleural effusion . severe slightly smaller than compared there small left pleural effusion . this unchanged compared the prior study . there right chest wall venous which appears accessed . no pneumothora . scaphoid abdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2349_IM-0914_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2349_IM-0914-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2349_IM-0914-2001.png,startseq heart size and vascularity normal . these contour normal . lungs clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR235_IM-0915,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR235_IM-0915-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR235_IM-0915-2001.png,startseq there leftsided biventricular pacemaker . leads overlie the right ventricle and lateral cardiac vein . the leads appear intact . the cardiac silhouette mildly enlarged . there are mild diffuse bilateral interstitial opacities pulmonary edema . there are opacities overlying the left lung base the frontal view . no large pleural effusion seen the lateral view . no pneumothora identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2350_IM-0916_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2350_IM-0916-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2350_IM-0916-2001.png,startseq no focal areas consolidation . no suspicious pulmonary opacities . mild degenerative change thoracic spine . no pleural effusions . no evidence pneumothora . heart size normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2351_IM-0917_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2351_IM-0917-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2351_IM-0917-3001.png,startseq the heart normal size and contour . scattered calcifications are noted compatible with prior granulomatous disease . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2353_IM-0918_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2353_IM-0918-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2353_IM-0918-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2354_IM-0918_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2354_IM-0918-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2354_IM-0918-2001.png,startseq lungs are clear . no pneumothora pleural effusion . normal heart and mediastinal contours . normal pulmonary vasculature . bony thora intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2355_IM-0919_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2355_IM-0919-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2355_IM-0919-2001.png,startseq and lateral views the chest were obtained . there are low lung volumes the frontal view which accentuates heart size and lung markings . the heart size upper limits normal mildly enlarged . mediastinum normal width . the pulmonary vasculature within normal limits . there left lung base atelectasis frontal secondary low volumes . no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2356_IM-0920_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2356_IM-0920-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2356_IM-0920-2001.png,startseq low lung volumes . no focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues grossly unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2357_IM-0921_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2357_IM-0921-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2357_IM-0921-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2358_IM-0922-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2358_IM-0922-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2358_IM-0922-0001-0002.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2359_IM-0923,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2359_IM-0923-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2359_IM-0923-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . the cardiac silhouette remains moderately enlarged . there no focal airspace consolidation . there no visible pneumothora . the left costophrenic sulcus blunted . however no retrocardiac pleural fluid collection seen the lateral view . the right acromioclavicular joint mildly widened with respect the left . this and may due left osteoarthritis remote right mild endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR236_IM-0924_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR236_IM-0924-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR236_IM-0924-1002.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2360_IM-0925_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2360_IM-0925-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2360_IM-0925-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2361_IM-0926_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2361_IM-0926-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2361_IM-0926-1002.png,startseq stable mild rightward curvature the thoracic spine . heart size normal . no focal airspace disease . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2362_IM-0926_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2362_IM-0926-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2362_IM-0926-1002.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2363_IM-0926_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2363_IM-0926-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2363_IM-0926-2001.png,startseq heart size upper limits normal . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there right basilar air space opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2364_IM-0927_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2364_IM-0927-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2364_IM-0927-3001.png,startseq the lungs are clear . there hyperepansion the lungs suggesting underlying emphysema . the heart and pulmonary appear normal . pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2365_IM-0927_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2365_IM-0927-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2365_IM-0927-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2367_IM-0928,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2367_IM-0928-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2367_IM-0928-1001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2368_IM-0928_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2368_IM-0928-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2368_IM-0928-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . there mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2369_IM-0929,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2369_IM-0929-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2369_IM-0929-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . there bibasal interstitial opacity and left basal platelike opacity due discoid atelectasis andor scarring . there are emphysematous changes particularly within the right upper lobe . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR237_IM-0930_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR237_IM-0930-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR237_IM-0930-2001.png,startseq the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace opacity pleural effusion pneumothora . there are numerous calcified granuloma the right perihilar region . there are multilevel degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2370_IM-0931_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2370_IM-0931-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2370_IM-0931-2001.png,startseq the interval consolidation and atelectasis have developed the right lower lobe . costophrenic blunted the right . left lung clear . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2371_IM-0932_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2371_IM-0932-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2371_IM-0932-2001.png,startseq there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are low lung volumes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2372_IM-0933-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2372_IM-0933-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2372_IM-0933-0001-0002.png,startseq low lung volumes are present . the heart size and pulmonary vascularity appear within normal limits . bandlike opacities are present the right lung . appearance suggest atelectasis . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2373_IM-0934,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2373_IM-0934-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2373_IM-0934-1001.png,startseq normal heart size . dilated pulmonary arteries . atherosclerotic calcifications the aorta . no focal airspace consolidation . decreased biapical vascular markings with moderate hyperepansion the lungs consistent with obstructive pulmonary disease . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2375_IM-0936_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2375_IM-0936-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2375_IM-0936-2001.png,startseq cardiac silhouette upper limits normal size . normal mediastinal contour and pulmonary vasculature . there evidence healed granulomatous disease the right hemithora . lungs are without focal airspace consolidation large pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2376_IM-0936_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2376_IM-0936-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2376_IM-0936-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2377_IM-0937_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2377_IM-0937-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2377_IM-0937-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2378_IM-0938_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2378_IM-0938-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2378_IM-0938-1002.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . stable left lower lobe calcified granuloma . remote left clavicle fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2379_IM-0939_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2379_IM-0939-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2379_IM-0939-2001.png,startseq cardiomediastinal silhouette within normal limits size and appearance . lungs are hyperlucent and hyperepanded . negative for focal airspace disease consolidation . negative for pneumothora pleural effusion . limited evaluation reveals no acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR238_IM-0939_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR238_IM-0939-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR238_IM-0939-2001.png,startseq stable cardiomediastinal silhouette . no focal pulmonary opacity pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2380_IM-0940_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2380_IM-0940-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2380_IM-0940-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . the left hemidiaphragm elevated . this unchanged . no focal airspace disease seen . no pneumothora pleural effusion noted . there eventration the right hemidiaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2381_IM-0941_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2381_IM-0941-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2381_IM-0941-2001.png,startseq cardiac and mediastinal contours are within normal limits . granulomatous calcifications are present . the lungs are otherwise clear . bony structures are intact . prior cholecystectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2382_IM-0941_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2382_IM-0941-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2382_IM-0941-2001.png,startseq moderate cardiomegaly with narrowed severe mediastinal contours . been sternotomy noted . no pneumothora . no large pleural effusions . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2383_IM-0941_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2383_IM-0941-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2383_IM-0941-2001.png,startseq stable cardiomegaly partially accentuated low lung volumes . stable sternotomy several which are interrupted and mediastinal clips . no focal consolidation pneumothora large pleural effusion . tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2384_IM-0942_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2384_IM-0942-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2384_IM-0942-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . large hiatal hernia noted . the lungs are free focal airspace disease . no pneumothora pleural effusion seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2386_IM-0942_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2386_IM-0942-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2386_IM-0942-1002.png,startseq heart size normal . no pneumothora pleural effusions . there calcified nodule the left midlung . there also calcified nodule near the left hilum . hyperepanded lungs consistent with chronic obstructive pulmonary disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2387_IM-0943_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2387_IM-0943-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2387_IM-0943-2001.png,startseq heart size upper limits normal for projection . mediastinal contours and pulmonary vasculature are unremarkable . the patient chin obscures the bilateral lung apices . there no focal airspace consolidation . no visible pleural effusion pneumothora . no displaced rib fractures are seen . there are moderate degenerative changes along the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2388_IM-0944,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2388_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2388_IM-0944-1001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2389_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2389_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2389_IM-0944-3001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2390_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2390_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2390_IM-0944-1002.png,startseq the heart borderline size . the mediastinum stable with changes sternotomy and bypass graft . aorta atherosclerotic . there are postsurgical changes the left hemithora with mild leftsided volume loss evidenced diaphragm elevation . left post thoracotomy rib changes are noted . the right lung clear . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2391_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2391_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2391_IM-0944-2001.png,startseq lungs are clear without focal infiltrates . no pneumothora pleural effusion . normal heart size . normal pulmonary vascularity . bony thora intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2392_IM-0944,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2392_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2392_IM-0944-1001.png,startseq heart size and mediastinal contour within normal limits . no focal airspace consolidation pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2393_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2393_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2393_IM-0944-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are hyperepanded but clear . biapical scarring noted . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2394_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2394_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2394_IM-0944-2001.png,startseq cardiac and mediastinal appear normal . no visible pneumothora focal airspace opacity pleural effusion seen . no visible free air under the diaphragm . the osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2395_IM-0944_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2395_IM-0944-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2395_IM-0944-2001.png,startseq normal cardiomediastinal contours . lungs are clear . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2396_IM-0945_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2396_IM-0945-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2396_IM-0945-2001.png,startseq there are bilateral opacities most prominent the lower lobes bilaterally . there no evidence pneumothora large pleural effusion . the cardiac and mediastinal contours are within normal limits . the are unremarkable . there embolization overlying left upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-2001.png,startseq stable normal cardiac size and contour normal mediastinal silhouette . normal pulmonary lungs clear no airspace disease . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-3001.png,startseq stable normal cardiac size and contour normal mediastinal silhouette . normal pulmonary lungs clear no airspace disease . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2397_IM-0946-3001.png,startseq stable normal cardiac size and contour normal mediastinal silhouette . normal pulmonary lungs clear no airspace disease . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-2001.png,startseq patient rotated . mild cardiomegaly . low lung volumes with elevated hemidiaphragms greater the right . this identified thoracic study from well . no pneumothora . no large pleural effusion . no focal infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-4004.png,startseq patient rotated . mild cardiomegaly . low lung volumes with elevated hemidiaphragms greater the right . this identified thoracic study from well . no pneumothora . no large pleural effusion . no focal infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2398_IM-0947-4004.png,startseq patient rotated . mild cardiomegaly . low lung volumes with elevated hemidiaphragms greater the right . this identified thoracic study from well . no pneumothora . no large pleural effusion . no focal infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR24_IM-0949_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR24_IM-0949-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR24_IM-0949-2001.png,startseq cardiomediastinal silhouette within normal limits size and appearance . the pulmonary vascularity unremarkable . lungs are epanded and clear airspace disease . negative for pneumothora pleural effusion . limited bone evaluation reveals no acute abnormality . there incompletely evaluated lumbar levoscoliosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR240_IM-0950,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR240_IM-0950-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR240_IM-0950-1001.png,startseq chest . there no change the strandy scarring the right ape . no infiltrates masses the lungs . heart and mediastinum remain normal . lumbosacral spine . disc spaces are old narrow and large osteophytes present the vertebral bodies worst ll . elements from through are sclerotic . sacrum and sacroiliac joints are normal . calcific aortic disease present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2401_IM-0950_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2401_IM-0950-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2401_IM-0950-2001.png,startseq cardiomediastinal silhouette within normal limits size and appearance . the pulmonary vascularity unremarkable . lungs are epanded and clear airspace disease . negative for pneumothora pleural effusion pneumoperitoneum . limited bone evaluation reveals no acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2402_IM-0951_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2402_IM-0951-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2402_IM-0951-2001.png,startseq the heart size and mediastinal contours appear within normal limits . there are low lung volumes with left basilar subsegmental atelectasis . no focal airspace consolidation effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2403_IM-0951_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2403_IM-0951-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2403_IM-0951-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . stable left basilar atelectasis versus scarring . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2406_IM-0954_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2406_IM-0954-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2406_IM-0954-1002.png,startseq both lungs remain clear and epanded . heart and pulmonary are normal . no change the large hiatus hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2407_IM-0954_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2407_IM-0954-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2407_IM-0954-2001.png,startseq some hyperinflation appears present . there are small calcified granulomas . the lungs are otherwise clear . the heart normal . the mediastinum normal . the skeletal structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2408_IM-0955_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2408_IM-0955-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2408_IM-0955-4004.png,startseq cardiomediastinal contour stable and within normal limits . changes prior cabg again noted . normal pulmonary vascularity . streaky bibasilar opacities decreased from previous possibly subsegmental atelectasis andor scar . no pneumothora pleural effusion demonstrated . redemonstrated severe fracture . slight interval increase loss and there mild moderate anterior loss degenerative changes the spine . abdominal aortic stent . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2409_IM-0955,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2409_IM-0955-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2409_IM-0955-1001.png,startseq frontal and lateral views . the cardiac silhouette the upper limits normal for size . interstitial opacities are persistent both lung bases . calcified granulomas are also identified . compared the previous ct scan there has been no significant interval change . no developing airspace opacity pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR241_IM-0955,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR241_IM-0955-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR241_IM-0955-1001.png,startseq the trachea midline . cardiomediastinal silhouette normal size and contour . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2410_IM-0956_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2410_IM-0956-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2410_IM-0956-1002.png,startseq the heart size normal and cardiomediastinal silhouette has normal contour . the left hilar calcified lymph appear stable . there persistence left lower lobe calcified nodule representing granuloma . the lungs are hyperinflated but otherwise clear bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2411_IM-0957-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2411_IM-0957-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2411_IM-0957-0001-0002.png,startseq mild cardiomegaly stable mediastinal contours . no focal alveolar consolidation no definite pleural effusion seen . mild bronchovascular crowding without typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2412_IM-0958_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2412_IM-0958-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2412_IM-0958-3003.png,startseq the heart size and mediastinal silhouette are within normal limits . no pneumothora pleural effusions . the lungs are clear . no focal consolidations . the osseous structures are intact . calcification the right upper quadrant the abdomen consistent with gallstone . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2413_IM-0959_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2413_IM-0959-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2413_IM-0959-2001.png,startseq heart size and pulmonary vascularity within normal limits . no focal infiltrate pneumothora pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2414_IM-0960,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2414_IM-0960-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2414_IM-0960-3001.png,startseq again the patient mildly rotated and there mild curvature the thoracic spine . stable borderline cardiac enlargement . the left lower lobe the lateral view there appears some patchy airspace disease which probably mostly atelectasis from elevated left diaphragm . the difficult completely eclude superimposed pneumonia . no significant pleural effusion pneumothora . there etensive fusion the posterior cervical spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2415_IM-0961_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2415_IM-0961-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2415_IM-0961-2001.png,startseq the heart mildly enlarged . the lungs are hypoinflated with mildly elevated left hemidiaphragm . there patchy opacity the left lung base which may secondary atelectasis andor possible infiltrate . increased markings are noted throughout and were present prior ct . the study limited secondary moderate motion . underlying emphysematous changes are identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2416_IM-0961_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2416_IM-0961-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2416_IM-0961-1002.png,startseq the outside normal ecept for slight cardiomegaly . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2417_IM-0961_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2417_IM-0961-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2417_IM-0961-2001.png,startseq stable cardiomediastinal silhouette . calcified granuloma the left lower lobe . minimal bibasilar airspace disease . no pneumothora . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2418_IM-0962,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2418_IM-0962-5001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2418_IM-0962-5001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . note calcifications the aortic the lungs are clear without evidence focal infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . there calcification the chondral portions the ribs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR242_IM-0963_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR242_IM-0963-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR242_IM-0963-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2420_IM-0964-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2420_IM-0964-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2420_IM-0964-0001-0002.png,startseq the heart normal size . the mediastinum within normal limits . aorta tortuous . right chest tip visualized the proimal right atrium . the lungs are grossly clear . no pneumothora seen . there are deformities the left lateral and ribs possibly healing old fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2421_IM-0965,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2421_IM-0965-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2421_IM-0965-2001.png,startseq the heart enlarged . the left subclavian icd again identified . there again hilar enlargement superimposes enlarged pulmonary vasculature . opacities are unchanged and compatible with subsegmental atelectasis scarring . there no large pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2422_IM-0965_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2422_IM-0965-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2422_IM-0965-2001.png,startseq consolidation developing the left lower lobe . patchy infiltrate also present the right lower lobe . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2423_IM-0965_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2423_IM-0965-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2423_IM-0965-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2424_IM-0966_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2424_IM-0966-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2424_IM-0966-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . the mediastinum normal . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-2001.png,startseq lung volumes are low . no infiltrates . heart and mediastinum are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-3001.png,startseq lung volumes are low . no infiltrates . heart and mediastinum are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2425_IM-0967-3001.png,startseq lung volumes are low . no infiltrates . heart and mediastinum are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2426_IM-0968,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2426_IM-0968-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2426_IM-0968-2001.png,startseq the heart normal size with normal appearance the cardiomediastinal silhouette . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact with mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2427_IM-0969_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2427_IM-0969-4001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2427_IM-0969-5001.png,startseq the trachea midline . the cardiomediastinal silhouette normal and unchanged compared prior eamination . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . there hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2428_IM-0970_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2428_IM-0970-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2428_IM-0970-3001.png,startseq lungs mildly hyperinflated with flattened posterior diaphragm and increased retrosternal airspace . no focal alveolar consolidation no definite pleural effusion seen . left hilar calcifications and dense left lower lobe nodules suggest previous granulomatous process . overall heart size within normal limits with prominent right atrial conveity no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2430_IM-0972,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2430_IM-0972-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2430_IM-0972-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . osteopenia and deformities degenerative changes and scoliosis are present the thoracic spine . calcified granuloma present the left upper lobe . component scan several nodules were identified . nodule seen the right middle lobe which corresponds with one the nodules present the previous ct scan . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2431_IM-0973_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2431_IM-0973-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2431_IM-0973-2001.png,startseq lungs are clear . no focal airspace consolidation pleural effusion . heart size normal . no pneumothora . calcified lymph endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2432_IM-0974_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2432_IM-0974-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2432_IM-0974-4001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-2001.png,startseq low lung volumes with bibasilar subsegmental atelectasis . no focal consolidations pleural effusions pneumothoraces . cardiomediastinal silhouette within normal limits . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-3001.png,startseq low lung volumes with bibasilar subsegmental atelectasis . no focal consolidations pleural effusions pneumothoraces . cardiomediastinal silhouette within normal limits . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2433_IM-0975-3001.png,startseq low lung volumes with bibasilar subsegmental atelectasis . no focal consolidations pleural effusions pneumothoraces . cardiomediastinal silhouette within normal limits . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2434_IM-0976_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2434_IM-0976-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2434_IM-0976-1002.png,startseq the heart normal size . the mediastinum unremarkable . there biapical scarring . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2437_IM-0977_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2437_IM-0977-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2437_IM-0977-3003.png,startseq the lungs appear clear . the heart and pulmonary are normal . mediastinal contours are normal . the pleural spaces are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2438_IM-0978_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2438_IM-0978-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2438_IM-0978-4004.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2439_IM-0978_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2439_IM-0978-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2439_IM-0978-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hyperinflated . there biapical scarring . no acute infiltrate pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR244_IM-0978,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR244_IM-0978-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR244_IM-0978-1001.png,startseq heart mediastinum bony structures and lung are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2440_IM-0978_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2440_IM-0978-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2440_IM-0978-2001.png,startseq the heart normal size . the mediastinum stable . the aorta atherosclerotic . emphysematous changes are identified . there no acute infiltrate effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2441_IM-0978_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2441_IM-0978-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2441_IM-0978-2001.png,startseq there mild blunting the right costophrenic which may represent small right pleural effusion . no focal consolidation pneumothora identified . cardiomediastinal silhouette demonstrates stable mild tortuosity the thoracic aorta and heart size within normal limits and stable . no acute osseous abnormality . there redemonstration mild multilevel degenerative disc disease the thoracolumbar spine . old healed left rib fractures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2442_IM-0979_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2442_IM-0979-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2442_IM-0979-2001.png,startseq given differences patient rotation heart size and mediastinal contours are grossly unchanged . lungs appear clear without focal consolidation . no visible pleural effusion pneumothora . stable degenerative changes the thoracic spine with scattered deformities . stable postsurgical changes the left shoulder and marked degenerative changes the right shoulder . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2443_IM-0980_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2443_IM-0980-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2443_IM-0980-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . vascular calcification noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2444_IM-0980_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2444_IM-0980-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2444_IM-0980-2001.png,startseq normal cardiomediastinal silhouette . there no focal consolidation . there are no large pleural effusion . there no pneumothora . there no acute bony abnormality seen . acromioclavicular joint degenerative change . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2445_IM-0981_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2445_IM-0981-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2445_IM-0981-3003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2446_IM-0982_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2446_IM-0982-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2446_IM-0982-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . the aorta tortuous but the heart and mediastinum otherwise normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2447_IM-0983_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2447_IM-0983-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2447_IM-0983-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . calcified right hilar lymph are demonstrated . atherosclerotic calcifications the aortic no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . mild moderate degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2448_IM-0983_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2448_IM-0983-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2448_IM-0983-2001.png,startseq mediastinal contours are normal . no significant change pneumothora right pleural fluid . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2449_IM-0984_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2449_IM-0984-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2449_IM-0984-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . again seen paraspinal foreign body which may represent bullet fragment . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR245_IM-0985_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR245_IM-0985-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR245_IM-0985-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate left upper lobe airspace disease most pneumonia . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2450_IM-0986_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2450_IM-0986-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2450_IM-0986-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2451_IM-0987_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2451_IM-0987-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2451_IM-0987-1002.png,startseq chest . heart size within normal limits . no focal airspace disease . no pneumothora effusions . mild degenerative changes throughout the thoracic spine . right knee . there has been prior ligamentous repair . there tricompartmental joint space narrowing and marginal osteophyte formation which severe the medial compartment . no knee joint effusion . no fractures dislocations . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2453_IM-0988_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2453_IM-0988-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2453_IM-0988-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2454_IM-0989_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2454_IM-0989-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2454_IM-0989-1002.png,startseq cardiomediastinal silhouette appears normal size and contour . right lung clear . stable blunting costophrenic with improved aeration the left base compared prior eam . no visualized pneumothora focal consolidation . unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2456_IM-0989_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2456_IM-0989-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2456_IM-0989-2001.png,startseq mild cardiomegaly . negative for focal pulmonary consolidation pleural effusion pneumothora . there thoracic kyphosis . there deformity and unchanged abdomen aortic calcifications are noted . fracture right proimal humerus incompletely evaluated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2457_IM-0989_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2457_IM-0989-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2457_IM-0989-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2458_IM-0990_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2458_IM-0990-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2458_IM-0990-2001.png,startseq heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . mild degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2459_IM-0991_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2459_IM-0991-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2459_IM-0991-1002.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR246_IM-0992_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR246_IM-0992-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR246_IM-0992-1003002.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2462_IM-0995_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2462_IM-0995-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2462_IM-0995-3001.png,startseq there stable cardiomegaly . aorta calcified and tortuous . there are multiple pleural calcifications representing prior asbestos eposure . these appear unchanged . there no pneumothora pleural effusion focal airspace consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2464_IM-0997_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2464_IM-0997-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2464_IM-0997-2001.png,startseq the lungs appear clear . there are no suspicious appearing pulmonary nodules masses . there no evidence pneumonia . the heart pulmonary appear normal . pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2465_IM-0997_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2465_IM-0997-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2465_IM-0997-2001.png,startseq heart size mildly enlarged but stable . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2466_IM-0997_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2466_IM-0997-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2466_IM-0997-1003.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2467_IM-0997_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2467_IM-0997-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2467_IM-0997-2001.png,startseq negative for cardiac enlargement . negative for vascular congestion . there are several small circular opacities the right upper lung some which are centrally lucent . negative for bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2469_IM-0999_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2469_IM-0999-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2469_IM-0999-3001.png,startseq there mild opacification over both secondary soft tissue attenuation . there are no focal air space opacities . no pleural effusion pneumothora . cardiomediastinal silhouette within normal limits . trachea midline . no free subdiaphragmatic air . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR247_IM-1000_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR247_IM-1000-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR247_IM-1000-2001.png,startseq the cardiomediastinal silhouette normal size and contour . lungs are clear without focal areas consolidation . no pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-2001.png,startseq the heart normal size and contour . there no mediastinal widening . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-3001.png,startseq the heart normal size and contour . there no mediastinal widening . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2470_IM-1001-3001.png,startseq the heart normal size and contour . there no mediastinal widening . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2471_IM-1002_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2471_IM-1002-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2471_IM-1002-1002.png,startseq the trachea midline . the cardiomediastinal silhouette normal and unchanged compared prior eamination . lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2473_IM-1003_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2473_IM-1003-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2473_IM-1003-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated but clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2474_IM-1003,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2474_IM-1003-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2474_IM-1003-1001.png,startseq patchy interstitial infiltrates have developed both lower lobes . both costophrenic are blunted . aorta somewhat tortuous with the heart size normal . pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2475_IM-1004_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2475_IM-1004-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2475_IM-1004-2001.png,startseq heart size remains slightly large . pulmonary are normal . aorta tortuous . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2476_IM-1005_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2476_IM-1005-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2476_IM-1005-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2477_IM-1006_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2477_IM-1006-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2477_IM-1006-1002.png,startseq intact sternotomy stable cardiomegaly with grossly unchanged rightward mediastinal shift . unchanged appearance left perihilar calcified lymph and left basilar calcified granuloma . relatively unchanged appearance prominent interstitial markings with patchy bibasilar atelectasis . the negative for pneumothora focal infiltrate large pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2478_IM-1007_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2478_IM-1007-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2478_IM-1007-2001.png,startseq there your regular interstitial changes and possibly fibrosis the left mid and lower lung zone and region the right middle lobe . hyperinflation present . no focal consolidation seen . there no evidence for pleural effusion . the heart not enlarged . mediastinum normal . there are arthritic changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2479_IM-1007,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2479_IM-1007-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2479_IM-1007-2001.png,startseq there rightsided chest identified whose distal tip projects over the svc . heart size normal . low lung volumes with elevated right hemidiaphragm . the lungs are grossly clear . no focal infiltrate . no pleural effusion pneumothora . normal pulmonary vascularity . normal mediastinal and hilar contours . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR248_IM-1008_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR248_IM-1008-85149002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR248_IM-1008-85149003.png,startseq no pneumothora pleural effusion airspace consolidation . heart size and pulmonary vasculature appear within normal limits . are intact . there small calcified granuloma the right midlung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2480_IM-1009_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2480_IM-1009-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2480_IM-1009-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2481_IM-1010,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2481_IM-1010-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2481_IM-1010-12012.png,startseq heart size upper limits normal . aorta tortuous . there elevation the left hemidiaphragm . there posterior basilar opacity seen lateral representing subsegmental atelectasis visualized lateral view . no large pleural effusion pneumothora identified . scoliosis the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2483_IM-1012_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2483_IM-1012-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2483_IM-1012-2001.png,startseq there has been previous aortic valve replacement . heart towards upper limits normal for size and may mild pulmonary vascular congestion . the skeletal structures are normal . the soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2484_IM-1012_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2484_IM-1012-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2484_IM-1012-2001.png,startseq frontal and lateral views the chest with overlying eternal cardiac monitor leads show normal size and configuration the cardiac silhouette . there are scattered nodular opacities calcified granulomas . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2485_IM-1013_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2485_IM-1013-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2485_IM-1013-2001.png,startseq there bilateral lower lung airspace disease . there are small moderate sized bilateral pleural effusions left greater than right . there no pneumothora . mediastinal silhouette normal . calcified left hilar lymph endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2486_IM-1014_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2486_IM-1014-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2486_IM-1014-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . there are no focal infiltrates . there prominent epipericardial fat . there are no nodules masses . no visible pneumothora . no visible pleural fluid . right and rib deformities are noted . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2487_IM-1014_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2487_IM-1014-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2487_IM-1014-2001.png,startseq chest the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . thoracic spine mild detro curvature the upper thoracic spine . evaluation the upper thoracic bodies limited secondary osseous overlap . vertebral body and disc spaces are maintained . mild degenerative endplate changes . lumbar spine there are nonribbearing lumbar type vertebral bodies . alignment within normal limits . vertebral body and disc spaces are maintained . mild degenerative change without acute displaced fracture dislocation . moderate amount stool . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2489_IM-1016_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2489_IM-1016-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2489_IM-1016-2001.png,startseq the heart and mediastinum are unremarkable . the lung volumes are low . there calcified granuloma the right hilum . minimal atelectasis scarring the left lower lobe . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR249_IM-1016_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR249_IM-1016-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR249_IM-1016-2001.png,startseq lobulated right middle lobe mass measuring increased size compared prior study most compatible with neoplasm . otherwise the lungs are clear without focal consolidation . no pneumothora pleural effusion . cardiomediastinal silhouette within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2491_IM-1017_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2491_IM-1017-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2491_IM-1017-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2492_IM-1018_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2492_IM-1018-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2492_IM-1018-2001.png,startseq the the cardiac silhouette and pulmonary vascularity are normal . atherosclerotic changes are present the thoracic aorta . the lungs are clear with no evidence pleural effusion pneumothora deformity multiple left anterior ribs are present from previous fractures . lumbar scoliosis noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2493_IM-1019_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2493_IM-1019-4001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2493_IM-1019-8001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence focal infiltrate effusion . there no pleural effusion pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2494_IM-1020_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2494_IM-1020-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2494_IM-1020-2001.png,startseq heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are mild degenerative changes the spine . there are etensive vascular calcifications . there left midlung calcified granuloma . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2496_IM-1022,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2496_IM-1022-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2496_IM-1022-2001.png,startseq there stable marked cardiomegaly and mediastinal contour . pulmonary vascularity within normal limits . the left chest pacemaker unchanged from comparison eam with fractured proimal lateral and both tips overlying the right ventricle . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2499_IM-1023_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2499_IM-1023-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2499_IM-1023-2001.png,startseq low lung volumes bilaterally with bibasilar airspace opacities right greater than left . there blunting the bilateral costophrenic sulci . cardiac device overlies left chest leads intact tips overlying right atrium and right ventricle . no pneumothora . cardiomegaly . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR25_IM-1024_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR25_IM-1024-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR25_IM-1024-3001.png,startseq the heart within normal limits size . surgical suture material projects over the right lung ape . the lungs are hyperlucent and hyperinflated compatible with emphysema . there left lower lobe airspace disease identified . there moderate left pleural effusion and small right pleural effusion . no visualized pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR250_IM-1025_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR250_IM-1025-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR250_IM-1025-2001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . heart size and mediastinal contour are normal . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2501_IM-1027_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2501_IM-1027-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2501_IM-1027-2001.png,startseq cardiomediastinal silhouette within normal limits for size and contour . lungs are hyperinflated with flattening the diaphragms consistent with emphysematous change . no evidence focal airspace disease pleural effusion pneumothora . multilevel degenerative changes the spine are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2502_IM-1027-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2502_IM-1027-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2502_IM-1027-1001-0002.png,startseq there focal area opacity the right midlung zone . this was not present the recent prior study . there prominence the pulmonary markings throughout and there are small bilateral pleural effusions . the heart not significantly enlarged . there prosthetic valve . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2503_IM-1028_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2503_IM-1028-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2503_IM-1028-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2504_IM-1029_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2504_IM-1029-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2504_IM-1029-2001.png,startseq no focal areas consolidation . no suspicious bony opacities . heart size within normal limits . no pleural effusions . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2505_IM-1029_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2505_IM-1029-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2505_IM-1029-2001.png,startseq normal heart size and mediastinal contours . calcified aortic no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2506_IM-1029_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2506_IM-1029-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2506_IM-1029-2001.png,startseq cardiomegaly . there no pulmonary edema . there no focal consolidation . there are no pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2507_IM-1030_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2507_IM-1030-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2507_IM-1030-3001.png,startseq there bibasilar airspace disease . cardiac silhouette within normal limits and stable . there blunting the right costophrenic unchanged scarring . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2509_IM-1031_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2509_IM-1031-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2509_IM-1031-2001.png,startseq the lungs are hyperepanded with increased diameter the chest . the cardiomediastinal silhouette stable and normal . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-3001.png,startseq the heart normal size . the mediastinum unremarkable . mild hyperinflation noted . there are granulomatous sequela . no acute infiltrate significant pleural effusion are noted . the costophrenic are ecluded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-4001.png,startseq the heart normal size . the mediastinum unremarkable . mild hyperinflation noted . there are granulomatous sequela . no acute infiltrate significant pleural effusion are noted . the costophrenic are ecluded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR251_IM-1032-4001.png,startseq the heart normal size . the mediastinum unremarkable . mild hyperinflation noted . there are granulomatous sequela . no acute infiltrate significant pleural effusion are noted . the costophrenic are ecluded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2510_IM-1033_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2510_IM-1033-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2510_IM-1033-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2511_IM-1034_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2511_IM-1034-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2511_IM-1034-2001.png,startseq sternotomy noted . suture material overlies the left upper lobe . heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . scarring left costophrenic unchanged . calcified granulomas noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2513_IM-1035,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2513_IM-1035-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2513_IM-1035-1001.png,startseq heart size and pulmonary vascularity within normal limits . there large hiatal hernia seen projecting the retrocardiac region . this from prior eamination . there associated atelectasis the left lung base . no pleural effusion pneumothora identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2514_IM-1036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2514_IM-1036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2514_IM-1036-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . there are residuals prior granulomatous infection . lungs otherwise clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2515_IM-1036,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2515_IM-1036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2515_IM-1036-1001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2516_IM-1036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2516_IM-1036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2516_IM-1036-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . stable mild hyperinflation right apical pleuralparenchymal irregularities compatible with scarring . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2517_IM-1036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2517_IM-1036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2517_IM-1036-2001.png,startseq lungs are clear . no pneumothora pleural effusion . normal heart and mediastinal contours . normal pulmonary vasculature . bony thora intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2518_IM-1036_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2518_IM-1036-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2518_IM-1036-2001.png,startseq no the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2519_IM-1037_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2519_IM-1037-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2519_IM-1037-2001.png,startseq there mild cardiomegaly similar prior eams . no focal consolidation . no visible pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR252_IM-1038_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR252_IM-1038-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR252_IM-1038-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2520_IM-1039_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2520_IM-1039-27001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2520_IM-1039-28001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . few bandlike opacities are present which are represent small areas scarring atelectasis . there eventration the right hemidiaphragm . calcified granuloma present the left lung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2522_IM-1040,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2522_IM-1040-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2522_IM-1040-1001.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . chronic appearing left greater than right lung base scarring with possible small effusions . no pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2523_IM-1041_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2523_IM-1041-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2523_IM-1041-2001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2524_IM-1042_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2524_IM-1042-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2524_IM-1042-2001.png,startseq the cardiac contours are normal . prior granulomatous disease . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2527_IM-1043_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2527_IM-1043-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2527_IM-1043-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2528_IM-1044_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2528_IM-1044-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2528_IM-1044-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2529_IM-1044_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2529_IM-1044-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2529_IM-1044-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR253_IM-1045_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR253_IM-1045-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR253_IM-1045-2001.png,startseq redemonstration moderate left pneumothora which unchanged from comparison . left pleural catheter again seen overlying the left upper lung the level the left and ribs . no focal consolidation . cardiomediastinal silhouette normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2530_IM-1045,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2530_IM-1045-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2530_IM-1045-1001.png,startseq heart size and pulmonary vascularity appear within normal limits . the ascending aorta prominent and descending thoracic aorta tortuous . aorta appears unchanged compared the study . lungs are free focal airspace disease . no pleural effusion pneumothora seen . no discrete nodules are identified . there oblong density projecting over the anterior left rib . appearance suggests old rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2531_IM-1045_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2531_IM-1045-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2531_IM-1045-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . scattered calcified granulomas noted . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora demonstrate mild multilevel degenerative disc disease the thoracolumbar spine without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2532_IM-1046_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2532_IM-1046-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2532_IM-1046-2001.png,startseq stable enlargement the cardiac silhouette lateral view interlobar fissural thickening . interstitial opacities greatest the central lungs and bases . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2533_IM-1047_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2533_IM-1047-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2533_IM-1047-2001.png,startseq cardiomediastinal silhouette and central pulmonary vasculature are within normal limits . there no focal air space opacity . no pleural effusion pneumothora seen . no acute bony abnormality demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2535_IM-1048,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2535_IM-1048-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2535_IM-1048-1002.png,startseq heart size within normal limits . cardiomediastinal silhouette normal . lungs are clear bilaterally without effusion pneumothora . no bony soft tissue abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2536_IM-1049_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2536_IM-1049-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2536_IM-1049-2001.png,startseq the lungs appear clear . the heart and pulmonary are normal . mediastinal contours are normal . surgical clips are identified the mediastinum . pleural spaces are clear . soft tissue previously noted along the right lateral chest wall has resolved . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2537_IM-1049_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2537_IM-1049-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2537_IM-1049-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . rightsided aortic normal mediastinal contour pulmonary and vasculature central airways and aeration the lungs . there right basal patchy opacity and bibasal atelectasis scarring . there no pleural effusion pneumothora . right apical calcified granuloma noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2538_IM-1050_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2538_IM-1050-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2538_IM-1050-1002.png,startseq normal heart size and mediastinal contours . no abnormal airspace opacities large cavitary lung lesions . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-2001.png,startseq normal cardiomediastinal contours . no pneumothora pleural effusions . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-3001.png,startseq normal cardiomediastinal contours . no pneumothora pleural effusions . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2539_IM-1050-3001.png,startseq normal cardiomediastinal contours . no pneumothora pleural effusions . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR254_IM-1051_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR254_IM-1051-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR254_IM-1051-2001.png,startseq lungs are clear . heart size normal . scattered thoracic spine spurring . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2540_IM-1052_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2540_IM-1052-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2540_IM-1052-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2541_IM-1053_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2541_IM-1053-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2541_IM-1053-3001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . no acute displaced rib fractures identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2542_IM-1053_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2542_IM-1053-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2542_IM-1053-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2544_IM-1054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2544_IM-1054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2544_IM-1054-2001.png,startseq heart mildly enlarged but stable . pulmonary vascularity normal . the patient status post valve replacement . sternotomy intact . no focal airspace disease effusion . residuals prior granulomatous infection . degenerative change the spine . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2545_IM-1054_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2545_IM-1054-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2545_IM-1054-1002.png,startseq the trachea midline . the cardiomediastinal silhouette normal . lung are clear without evidence effusion infiltrate pneumothora . visualized bony structures are intact . visualized soft tissues appear normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2546_IM-1055_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2546_IM-1055-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2546_IM-1055-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the thoracic aorta tortuous . lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2547_IM-1055,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2547_IM-1055-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2547_IM-1055-4004.png,startseq normal heart size and mediastinal contours . there interval improvement the right lower lobe airspace disease . there mild air space opacity that distribution . no airspace disease . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2549_IM-1057_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2549_IM-1057-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2549_IM-1057-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR255_IM-1058_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR255_IM-1058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR255_IM-1058-2001.png,startseq lungs are clear . no focal consolidation effusion pneumothora . heart and mediastinal contours are normal . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2551_IM-1058_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2551_IM-1058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2551_IM-1058-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2552_IM-1058_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2552_IM-1058-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2552_IM-1058-1002.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues grossly unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2553_IM-1059_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2553_IM-1059-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2553_IM-1059-2001.png,startseq there are several small calcified granulomas . the lungs are otherwise clear . no focal airspace consolidation . no suspicious pulmonary mass nodule identified . there no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2554_IM-1059_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2554_IM-1059-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2554_IM-1059-2001.png,startseq this stable normal cardiomediastinal silhouette . the lungs are mildly hyperepanded . some blunting the left costophrenic represent scarring atelectasis . no large pneumothora effusion . there are no acute osseous abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2555_IM-1060_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2555_IM-1060-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2555_IM-1060-2001.png,startseq heart size normal . mild lung hyperepansion . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2558_IM-1062_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2558_IM-1062-10001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2558_IM-1062-1001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2559_IM-1063_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2559_IM-1063-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2559_IM-1063-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR256_IM-1064_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR256_IM-1064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR256_IM-1064-1002.png,startseq postoperative changes are present the left fifth rib . residual radiopaque sutures are also present the left upper lobe . the lungs are clear with no infiltrates masses . heart and mediastinum are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-3001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-4001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-3001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-4001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2560_IM-1064-4001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . stable calcified granuloma the left upper lung . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2561_IM-1064,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2561_IM-1064-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2561_IM-1064-1001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2562_IM-1065_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2562_IM-1065-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2562_IM-1065-3001.png,startseq the heart size normal . the mediastinal contour within normal limits . low lung volumes and bronchovascular crowding . mild bibasilar opacities atelectasis . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . stable degenerative change throughout the thoracic spine . stable thoracolumbar retrolisthesis . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2563_IM-1066_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2563_IM-1066-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2563_IM-1066-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2564_IM-1067_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2564_IM-1067-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2564_IM-1067-2001.png,startseq normal cardiac size and contour unremarkable mediastinal silhouette . lungs clear no airspace disease pleural effusion pneumothora . no activeacute cardiopulmonary disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2565_IM-1068_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2565_IM-1068-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2565_IM-1068-1003.png,startseq the heart normal size . the aorta tortuous . the lungs are hypoinflated . no focal consolidation pleural effusion seen . old rightsided rib fracture noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2567_IM-1069_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2567_IM-1069-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2567_IM-1069-3003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2568_IM-1070_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2568_IM-1070-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2568_IM-1070-2001.png,startseq sternotomy appear intact . there no pleural effusion pneumothora . the cardiomediastinal silhouette within normal limits . the pulmonary vasculature within normal limits . there no focal lung opacity . clips overlie the right upper quadrant . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-2001.png,startseq the heart normal size . the mediastinum unremarkable . atherosclerotic calcifications present within the thoracic aorta . there no pleural effusion pneumothora focal airspace disease . mild emphysematous changes are noted . bilateral apical pleural scarring present . calcified granuloma present within the right lower lobe . the are generally unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-3001.png,startseq the heart normal size . the mediastinum unremarkable . atherosclerotic calcifications present within the thoracic aorta . there no pleural effusion pneumothora focal airspace disease . mild emphysematous changes are noted . bilateral apical pleural scarring present . calcified granuloma present within the right lower lobe . the are generally unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2569_IM-1071-3001.png,startseq the heart normal size . the mediastinum unremarkable . atherosclerotic calcifications present within the thoracic aorta . there no pleural effusion pneumothora focal airspace disease . mild emphysematous changes are noted . bilateral apical pleural scarring present . calcified granuloma present within the right lower lobe . the are generally unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR257_IM-1072_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR257_IM-1072-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR257_IM-1072-2001.png,startseq midline sternotomy identified . heart size and cardiomediastinal silhouette are grossly normal . airspace opacity posterior segment the lateral view . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2570_IM-1073_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2570_IM-1073-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2570_IM-1073-2001.png,startseq there has been interval increase size the cardiac silhouette from the cardiac fluid now mildly enlarged . pulmonary vasculature increased with mildly increased interstitial markings and fissural thickening suggesting mild pulmonary edema . there no focal airspace disease pneumothora large pleural effusion . descending thoracic aorta tortuous . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2571_IM-1073,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2571_IM-1073-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2571_IM-1073-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion focal air space consolidation . degenerative spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2572_IM-1073_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2572_IM-1073-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2572_IM-1073-2001.png,startseq lungs are clear without focal consolidation . no suspicious pulmonary nodules identified . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2573_IM-1074,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2573_IM-1074-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2573_IM-1074-1001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2575_IM-1075_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2575_IM-1075-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2575_IM-1075-2001.png,startseq the lungs are clear . heart size normal . no pneumothora . there are endplate changes within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2576_IM-1076,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2576_IM-1076-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2576_IM-1076-1001.png,startseq no change the appearance the left upper lobectomy . left parahilar scar unchanged . no infiltrates masses the lungs . heart size remains normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2577_IM-1077_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2577_IM-1077-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2577_IM-1077-2001.png,startseq cardiomediastinal silhouette within normal limits . no acute bony abnormality . there are opacities atelectasis versus airspace disease . no large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2578_IM-1078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2578_IM-1078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2578_IM-1078-2001.png,startseq the lungs are clear . no suspicious pulmonary mass nodule identified . there no pleural effusion pneumothora . heart size and mediastinal contour are normal . there are sclerotic lesions within the better visualized the comparison scan . there are several bilateral rib fractures with evidence the callus formation . the appearance similar the prior chest radiograph . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2579_IM-1078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2579_IM-1078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2579_IM-1078-2001.png,startseq the lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR258_IM-1078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR258_IM-1078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR258_IM-1078-1002.png,startseq overall hyperepanded lungs with flattening the diaphragms consistent with obstructive lung disease . lungs are clear without focal consolidation . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2580_IM-1078_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2580_IM-1078-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2580_IM-1078-2001.png,startseq heart size and mediastinal contours are unchanged . stable right upper lobe scarring with pleural thickening . no consolidation . no visible pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2581_IM-1079_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2581_IM-1079-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2581_IM-1079-2001.png,startseq chest . the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are minimal degenerative changes the spine . there flattening the hemidiaphragms . abdomen . there normal bowel pattern . there ivc identified . there are phleboliths pelvis . there mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2582_IM-1080,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2582_IM-1080-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2582_IM-1080-1001.png,startseq low lung volumes with bronchovascular crowding . otherwise no focal alveolar consolidation no definite pleural effusion seen . dense nodule the right base suggest previous granulomatous process . heart size within normal limits bronchovascular crowding without typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2583_IM-1081_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2583_IM-1081-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2583_IM-1081-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2584_IM-1081_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2584_IM-1081-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2584_IM-1081-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2585_IM-1082_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2585_IM-1082-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2585_IM-1082-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . there mild blunting the right costophrenic the frontal view . there also mild obscuration the right cardiac airspace disease epected location right middle lobe also noted the lateral view no pleural effusion . left lung clear . degenerative changes spine . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2587_IM-1083,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2587_IM-1083-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2587_IM-1083-2001.png,startseq right chest tip low svc . cardiac and mediastinal contours are within normal limits . the lungs are clear . prosthetic right humeral head . prior lower cervical spine surgery . deformity the thoracolumbar junction with acute kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2588_IM-1083_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2588_IM-1083-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2588_IM-1083-2001.png,startseq no focal consolidation pneumothora definite pleural effusion . nodular density projected over the left base with no lateral view correlate secondary soft tissue overlay . heart size and pulmonary vascularity within normal limits no mediastinal widening characteristic appearance vascular injury . no acute osseous injury demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2589_IM-1083_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2589_IM-1083-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2589_IM-1083-2001.png,startseq there are no acute osseous abnormalities . soft tissues are within normal limits . there stable enlargement the heart . calcific aorta . stable bilateral calcified granulomas . the lungs are clear bilaterally without focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR259_IM-1083_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR259_IM-1083-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR259_IM-1083-1002.png,startseq the heart and cardiomediastinal silhouette normal size and contour . there no focal air space opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2590_IM-1083_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2590_IM-1083-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2590_IM-1083-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2591_IM-1083_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2591_IM-1083-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2591_IM-1083-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2592_IM-1084_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2592_IM-1084-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2592_IM-1084-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2593_IM-1084_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2593_IM-1084-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2593_IM-1084-2001.png,startseq mild cardiomegaly unchanged . stable superior mediastinal contour which within normal limits . bilateral interstitial prominence . no focal airspace consolidation pleural effusion pneumothora . no acute osseous abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-2001.png,startseq the heart size normal . tortuous aorta . otherwise the mediastinal contour within normal limits . low lung volumes . mild elevation the right hemidiaphragm . there streaky opacity within the right lower lobe . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-3001.png,startseq the heart size normal . tortuous aorta . otherwise the mediastinal contour within normal limits . low lung volumes . mild elevation the right hemidiaphragm . there streaky opacity within the right lower lobe . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2594_IM-1085-3001.png,startseq the heart size normal . tortuous aorta . otherwise the mediastinal contour within normal limits . low lung volumes . mild elevation the right hemidiaphragm . there streaky opacity within the right lower lobe . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2595_IM-1086_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2595_IM-1086-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2595_IM-1086-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2596_IM-1086_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2596_IM-1086-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2596_IM-1086-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2597_IM-1087_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2597_IM-1087-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2597_IM-1087-1002.png,startseq the mediastinal and hilar lymph are less prominent than previously . heart size remains normal . lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2599_IM-1089,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2599_IM-1089-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2599_IM-1089-1001.png,startseq there irregular opacity projecting over the left ape . additionally there more inferior left upper lobe opacity measuring approimately diameter . no pneumothora . no pleural effusions . heart size normal limits . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR26_IM-1090_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR26_IM-1090-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR26_IM-1090-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR260_IM-1090_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR260_IM-1090-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR260_IM-1090-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . there stable the electronic device any left anterior chest wall . there are advanced degenerative changes the bilaterally . there lucency the right humeral head with geographic margins . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2600_IM-1091_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2600_IM-1091-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2600_IM-1091-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . note placement retention the lower cervical spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2605_IM-1095,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2605_IM-1095-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2605_IM-1095-1001.png,startseq single view chest was obtained projection . limited study secondary body habitus . the cardiomediastinal silhouette not enlarged . lungs demonstrate no focal infiltrates . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2606_IM-1096,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2606_IM-1096-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2606_IM-1096-2001.png,startseq there stable prominence the pulmonary interstitium . and fluid containing density seen adjacent the heart stable most consistent with moderate sized hiatal hernia . there stable tortuosity andor ectasia the thoracic aorta with calcification the aortic no pleural effusion focal airspace disease pneumothora . stable eaggerated kyphosis the thoracic spine stable anterior wedge deformities thoracic vertebral bodies the ape the kyphotic curvature . diffuse osteopenia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2608_IM-1098_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2608_IM-1098-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2608_IM-1098-2001.png,startseq consolidation and costophrenic blunting persists both lower lobes . heart and pulmonary remain normal . no infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-12012.png,startseq no focal areas consolidation . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-3003.png,startseq no focal areas consolidation . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR261_IM-1100-3003.png,startseq no focal areas consolidation . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2610_IM-1101_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2610_IM-1101-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2610_IM-1101-1002.png,startseq the cardiomediastinal silhouette normal size and contour . hyperepanded lungs without focal consolidation pneumothora large pleural effusion . right upper lobe scarringatelectasis . aortic calcifications . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-2001.png,startseq no focal consolidation . no visualized pneumothora . heart size normal . cardiac and mediastinal silhouette grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-3001.png,startseq no focal consolidation . no visualized pneumothora . heart size normal . cardiac and mediastinal silhouette grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2611_IM-1102-3001.png,startseq no focal consolidation . no visualized pneumothora . heart size normal . cardiac and mediastinal silhouette grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2612_IM-1103_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2612_IM-1103-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2612_IM-1103-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2614_IM-1105_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2614_IM-1105-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2614_IM-1105-2001.png,startseq the heart size within normal limits . prominent right paratracheal soft tissues representing adenopathy . no focal airspace consolidation pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2615_IM-1106_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2615_IM-1106-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2615_IM-1106-2001.png,startseq moderate cardiomegaly . mild bilateral costophrenic blunting and fissural thickening interstitial opacities greatest the central lungs and bases with indistinct vascular margination . dense right lower lobe nodule and right hilar calcifications suggest previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2616_IM-1106_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2616_IM-1106-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2616_IM-1106-2001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . the right costophrenic sulcus blunted . there the right base fluid level . the left lung clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2617_IM-1106_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2617_IM-1106-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2617_IM-1106-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are hyperepanded . no focal airspace disease . no large pleural effusion pneumothora . eaggerated kyphosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2618_IM-1107_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2618_IM-1107-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2618_IM-1107-2001.png,startseq normal cardiomediastinal contours . no pneumothora large pleural effusions . small focal retrocardiac lung opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR262_IM-1109,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR262_IM-1109-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR262_IM-1109-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . no discrete nodules adenopathy are noted . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2620_IM-1109_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2620_IM-1109-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2620_IM-1109-2001.png,startseq cardiac silhouette within normal limits . central pulmonary vasculature not engorged . no pneumothora pleural effusion . visualized osseous structures are unremarkable . no edema focal consolidation the lungs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2621_IM-1109_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2621_IM-1109-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2621_IM-1109-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2622_IM-1110_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2622_IM-1110-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2622_IM-1110-1002.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . tracheostomy tip approimately above the carina . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2623_IM-1111_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2623_IM-1111-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2623_IM-1111-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . no acute bony soft tissue abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2624_IM-1111_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2624_IM-1111-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2624_IM-1111-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . there mild anterior wedge deformity ageindeterminate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2625_IM-1112-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2625_IM-1112-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2625_IM-1112-0001-0002.png,startseq heart size and pulmonary vasculature are normal . lungs are clear . no pneumothora large effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2627_IM-1114_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2627_IM-1114-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2627_IM-1114-3001.png,startseq postsurgical changes the right chest . mild elevation the right hemidiaphragm . lungs are clear without focal airspace disease . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2628_IM-1115_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2628_IM-1115-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2628_IM-1115-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . lungs are mildly hypoinflated with minimal streaky atelectasis scar the lung bases . lungs are otherwise grossly clear focal airspace disease . there stable calcified granuloma the posterior left midlung . there no pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2629_IM-1116_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2629_IM-1116-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2629_IM-1116-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR263_IM-1116,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR263_IM-1116-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR263_IM-1116-2001.png,startseq lungs are clear . heart size normal . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2631_IM-1118_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2631_IM-1118-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2631_IM-1118-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . interval placement right humeral prosthesis incompletely evaluated . incompletely evaluated the lumbar spine fusion cholecystectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2632_IM-1119_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2632_IM-1119-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2632_IM-1119-3001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2633_IM-1120_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2633_IM-1120-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2633_IM-1120-3003.png,startseq heart size normal . prior calcified granulomatous disease . the lateral view the anterior costophrenic there nodular density which seems present previously but more nodular appearance this eamination . no pleural effusion pneumothora . endplate degenerative changes the thoracolumbar spine and mild scoliosis are unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2634_IM-1121,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2634_IM-1121-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2634_IM-1121-2001.png,startseq lungs are clear . no focal infiltrate effusion . no pneumothora . heart and mediastinal contours within normal limits . there are significant degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2635_IM-1121,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2635_IM-1121-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2635_IM-1121-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2636_IM-1121_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2636_IM-1121-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2636_IM-1121-2001.png,startseq sternotomy remain the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . minimal degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-2001.png,startseq moderatetomarked enlargement the cardiac silhouette mediastinal contours appear similar prior . mild bilateral posterior sulcus blunting interstitial and alveolar opacities greatest the central lungs and bases with indistinct vascular margination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-4004.png,startseq moderatetomarked enlargement the cardiac silhouette mediastinal contours appear similar prior . mild bilateral posterior sulcus blunting interstitial and alveolar opacities greatest the central lungs and bases with indistinct vascular margination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2637_IM-1122-4004.png,startseq moderatetomarked enlargement the cardiac silhouette mediastinal contours appear similar prior . mild bilateral posterior sulcus blunting interstitial and alveolar opacities greatest the central lungs and bases with indistinct vascular margination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2638_IM-1123_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2638_IM-1123-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2638_IM-1123-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2639_IM-1124_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2639_IM-1124-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2639_IM-1124-3001.png,startseq the cardiomediastinal silhouette within normal limits size and appearance . the pulmonary vascularity unremarkable . lungs are epanded and clear airspace disease . negative for pneumothora pleural effusion . there mild midthoracic detroscoliosis with the otherwise grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR264_IM-1125_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR264_IM-1125-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR264_IM-1125-2001.png,startseq heart mediastinum bony structures and lung are unremarkable . no significant interval change compared prior study no infiltrates noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2640_IM-1126,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2640_IM-1126-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2640_IM-1126-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2643_IM-1129_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2643_IM-1129-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2643_IM-1129-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2644_IM-1130_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2644_IM-1130-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2644_IM-1130-2001.png,startseq mild cardiomegaly . pulmonary vasculature within normal limits . costophrenic are there increased kyphotic curvature the thoracic spine . within the heart there small area ovalshaped density measuring without correction for magnification . there calcified lymph node the right hilum . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2645_IM-1131_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2645_IM-1131-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2645_IM-1131-2001.png,startseq surgical clips within the right upper quadrant . lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2646_IM-1131,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2646_IM-1131-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2646_IM-1131-1001.png,startseq no focal airspace disease pleural effusion pneumothora . cardiomediastinal silhouette within normal limits . there are prominent lateral osteophytes along the right aspect the mid thoracic spine which are stable . no free subdiaphragmatic air . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2647_IM-1132_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2647_IM-1132-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2647_IM-1132-2001.png,startseq the lungs are clear and without focal airspace opacity . the cardiomediastinal silhouette normal size and contour and stable . there no pneumothora large pleural effusion . foreign body the posterior soft tissues appear stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2648_IM-1133,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2648_IM-1133-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2648_IM-1133-2001.png,startseq borderline cardiomegaly partially accentuated low lung volumes . right upper lobe calcified granuloma . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2649_IM-1133,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2649_IM-1133-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2649_IM-1133-2001.png,startseq heart size and mediastinal contour are within normal limits . pulmonary vascularity normal . no focal consolidation large pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2650_IM-1135,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2650_IM-1135-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2650_IM-1135-2001.png,startseq there redemonstration aicd the left chest wall with intact stable placement . there are multiple intact sternotomy there persistent enlargement cardiac silhouette . mediastinal silhouette appears unremarkable . there elevation the left hemidiaphragm . no visible pneumothora focal airspace opacity pleural effusion seen . no visible free air under the diaphragm . redemonstration degenerative change the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2651_IM-1136_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2651_IM-1136-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2651_IM-1136-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2652_IM-1136_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2652_IM-1136-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2652_IM-1136-3003.png,startseq and lateral chest eamination was obtained . the heart silhouette and mediastinal contours are not enlarged . there calcified mediastinal lymph lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2653_IM-1137_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2653_IM-1137-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2653_IM-1137-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2654_IM-1137_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2654_IM-1137-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2654_IM-1137-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2655_IM-1137_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2655_IM-1137-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2655_IM-1137-2001.png,startseq the cardiomediastinal silhouette normal size appearance and stable from the lungs are clear . soft tissues and bony structures are unremarkable . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2656_IM-1138,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2656_IM-1138-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2656_IM-1138-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . there are residuals prior granulomatous infection . lungs otherwise clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2658_IM-1140_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2658_IM-1140-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2658_IM-1140-2001.png,startseq normal heart size and mediastinal contours . atherosclerotic calcifications the thoracic aorta . no focal airspace opacity . no pleural effusion pneumothora . the visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2659_IM-1140_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2659_IM-1140-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2659_IM-1140-2001.png,startseq no focal lung consolidation . no pneumothora large pleural effusion . heart size and pulmonary vascularity are within normal limits . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR266_IM-1141_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR266_IM-1141-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR266_IM-1141-4004.png,startseq the lungs and pleural spaces show no acute abnormality . heart size mildly enlarged pulmonary vascularity within normal limits . atherosclerotic calcifications are present the aortic endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2660_IM-1142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2660_IM-1142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2660_IM-1142-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2661_IM-1142_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2661_IM-1142-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2661_IM-1142-2001.png,startseq mild cardiomegaly . low lung volumes without focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2662_IM-1143_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2662_IM-1143-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2662_IM-1143-3003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2663_IM-1144_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2663_IM-1144-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2663_IM-1144-2001.png,startseq the lungs are clear . no pleural effusion pneumothora identified . the heart and mediastinum are normal . the skeletal structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2665_IM-1145_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2665_IM-1145-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2665_IM-1145-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2667_IM-1146_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2667_IM-1146-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2667_IM-1146-1002.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . no bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2668_IM-1147_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2668_IM-1147-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2668_IM-1147-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR267_IM-1147_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR267_IM-1147-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR267_IM-1147-2001.png,startseq endotracheal tube and tube have been removed . mild patchy bilateral airspace disease . there are small bilateral pleural effusions . no pneumothora . heart and mediastinum are stable with normal size heart . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2670_IM-1148_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2670_IM-1148-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2670_IM-1148-1002.png,startseq hyperepanded lungs with flattened hemidiaphragms consistent with emphysema . there streaky airspace opacities the left suprahilar and lingular regions . no pneumothora effusions . mild bilateral costophrenic blunting represents pleural thickening and scarring . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2672_IM-1148_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2672_IM-1148-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2672_IM-1148-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2673_IM-1149_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2673_IM-1149-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2673_IM-1149-2001.png,startseq the heart large . the interval pulmonary venous engorgement has developed . also bibasilar interstitial infiltrates are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2676_IM-1151_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2676_IM-1151-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2676_IM-1151-2001.png,startseq nasogastric tube tip within the stomach body stable . low lung volumes . stable enlarged cardiomediastinal silhouette . atherosclerosis the thoracic aorta . no focal consolidation pneumothora large pleural effusion . relative elevation right hemidiaphragm . stable obscuration lateral left diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2677_IM-1151_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2677_IM-1151-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2677_IM-1151-2001.png,startseq heart size normal . mild tortuosity the thoracic aorta . there no focal consolidation pneumothora pleural effusion identified . bullet noted the soft tissues the inferior right chest wall . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR268_IM-1153_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR268_IM-1153-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR268_IM-1153-2001.png,startseq there right upper lobe opacity . cardiomediastinal silhouette normal . pulmonary vasculature and are normal . osseous structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-3001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2680_IM-1154-3001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2681_IM-1154_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2681_IM-1154-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2681_IM-1154-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there small stable foreign body noted over the left chest . there are vascular calcifications over the aortic there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2683_IM-1156_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2683_IM-1156-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2683_IM-1156-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2684_IM-1157_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2684_IM-1157-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2684_IM-1157-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . calcified granuloma identified the peripheral aspect the left lower lobe . calcified lymph are identified left hilar region . no pneumothora . no pleural effusion . minimal degenerative endplate changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2685_IM-1158_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2685_IM-1158-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2685_IM-1158-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . there mild eventration right hemidiaphragm . no pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2686_IM-1158_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2686_IM-1158-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2686_IM-1158-2001.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2687_IM-1158_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2687_IM-1158-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2687_IM-1158-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusions pneumothora . surgical clips overlying the left breast soft tissues . multilevel degenerative changes the thoracic spine . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2688_IM-1159_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2688_IM-1159-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2688_IM-1159-4004.png,startseq there mild cardiomegaly . aorta heavily calcified and tortuous consistent with atherosclerotic disease . there are diffuse increased interstitial opacities identified . this may secondary edema alternatively atypical infection . no large effusion visualized pneumothora . osteopenia the spine identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2689_IM-1160_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2689_IM-1160-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2689_IM-1160-1004003.png,startseq calcified granulomas are present . there area focal density overlying the right first rib and medial clavicle . this approimately diameter . may secondary overlapping structures . lungs are otherwise clear . there no pleural effusion pneumothora . the heart normal . calcifications the aortic are seen . the skeletal structures are unremarkable . there has been left mastectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR269_IM-1161_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR269_IM-1161-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR269_IM-1161-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2690_IM-1162_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2690_IM-1162-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2690_IM-1162-1004003.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there calcified granuloma within the left midlung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2693_IM-1165_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2693_IM-1165-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2693_IM-1165-2001.png,startseq there are low lung volumes . the cardiac silhouette and mediastinal contours are within normal limits . there tortuosity the thoracic aorta . no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2694_IM-1165_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2694_IM-1165-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2694_IM-1165-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2695_IM-1166_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2695_IM-1166-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2695_IM-1166-2001.png,startseq the cardiac contours are normal . the lungs are hyperinflated with flattened diaphragms . no acute pulmonary findings . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2696_IM-1166_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2696_IM-1166-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2696_IM-1166-2001.png,startseq apparent cardiomegaly partially accentuated low lung volumes . relative elevation right hemidiaphragm . streaky left retrocardiac densities . no pneumothora large pleural effusion . surgical clips near the gastroesophageal junction . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2698_IM-1167_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2698_IM-1167-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2698_IM-1167-2001.png,startseq the lungs appear clear . the heart and pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2699_IM-1167_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2699_IM-1167-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2699_IM-1167-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . multiple punctate round over the abdomen the lateral view . these may reside within outside the patient . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR27_IM-1168_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR27_IM-1168-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR27_IM-1168-3003.png,startseq lungs are overall hyperepanded with flattening the diaphragms . no focal consolidation . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR270_IM-1168_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR270_IM-1168-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR270_IM-1168-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2700_IM-1169_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2700_IM-1169-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2700_IM-1169-2001.png,startseq cardiac and mediastinal contours are within normal limits . granulomatous calcifications and mediastinum . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2701_IM-1169_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2701_IM-1169-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2701_IM-1169-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2702_IM-1170_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2702_IM-1170-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2702_IM-1170-2001.png,startseq cardiomegaly . prominent are stable . low lung volumes . no pneumothora . minimal right costophrenic blunting . no focal infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2704_IM-1171_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2704_IM-1171-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2704_IM-1171-2001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . the aorta unfolded . there left base streaky opacity due scarring discoid atelectasis . there midright lung small calcified granuloma . there are small nodular opacities projecting over the right base the right costophrenic sulcus posterior right rib and the anterior vertebral body . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2706_IM-1172_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2706_IM-1172-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2706_IM-1172-2001.png,startseq the lungs are clear . there no pleural effusion . the heart and mediastinum are normal . arthritic changes are seen throughout the spine and both endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2708_IM-1174_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2708_IM-1174-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2708_IM-1174-3003.png,startseq the cardiac and mediastinal contours are within normal limits . there are calcified mediastinal lymph with calcified right lower lobe pulmonary nodule . the lungs are wellinflated and clear . there no focal consolidation pneumothora effusion . there are degenerative changes the first costochondral joints bilaterally . no acute bony abnormalities are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2709_IM-1175_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2709_IM-1175-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2709_IM-1175-2001.png,startseq there subtle left medial base opacity . cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no pneumothora large pleural effusion . osseous structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR271_IM-1176_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR271_IM-1176-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR271_IM-1176-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2710_IM-1177_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2710_IM-1177-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2710_IM-1177-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2711_IM-1178-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2711_IM-1178-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2711_IM-1178-0001-0002.png,startseq right chest central venous line noted with tip the mid svc . there no pneumothora . heart size normal . no large pleural effusions . no acute focal airspace opacification . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2713_IM-1180_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2713_IM-1180-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2713_IM-1180-2001.png,startseq the heart normal size and contour . the aorta calcified and tortuous . the lung volumes are low . there elevation the right hemidiaphragm . minimal streaky opacities the lung bases subsegmental atelectasis . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2715_IM-1180_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2715_IM-1180-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2715_IM-1180-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . there right lower lobe pulmonary nodule not seen prior eams . there are posttraumatic deformities the right posterior ribs . no focal airspace consolidation effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2716_IM-1181_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2716_IM-1181-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2716_IM-1181-2001.png,startseq within the right lower lobes there are airspace opacities representing consolidation and atelectasis with blunting the bilateral costophrenic the cardiomediastinal silhouette within normal limits . bibasilar subsegmental atelectasis . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2717_IM-1181-1001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2717_IM-1181-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2717_IM-1181-1001-0001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2718_IM-1182_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2718_IM-1182-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2718_IM-1182-2001.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . there are mild degenerative changes along the thoracic spine . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2719_IM-1182_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2719_IM-1182-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2719_IM-1182-2001.png,startseq heart size within normal limits . prominent interstitial and nodular opacities are increased since comparison eam . there nodular opacity the right costophrenic increased since comparison eamination . cystic lesion the right upper lobe appears similar prior eamination . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR272_IM-1182_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR272_IM-1182-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR272_IM-1182-2001.png,startseq the lungs are clear . no focal airspace consolidation . no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2720_IM-1182_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2720_IM-1182-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2720_IM-1182-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2721_IM-1183_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2721_IM-1183-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2721_IM-1183-2001.png,startseq heart size the upper limits normal . there are scattered calcified granulomas . no focal airspace consolidation large effusion appreciable pneumothora . tortuous unfolded descending aorta . calcified aortic curvature the thoracic spine . eaggerated kyphosis . are diffusely osteopenic . multilevel degenerative changes the thoracic spine with minimal anterior loss several vertebral bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2722_IM-1184_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2722_IM-1184-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2722_IM-1184-2001.png,startseq overall low lung volumes . lungs are grossly clear . pleural thickening along the inferior left lateral chest . this appears relatively stable compared the prior eamination . no pleural effusions pneumothoraces . cardiomegaly . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2723_IM-1185_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2723_IM-1185-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2723_IM-1185-2001.png,startseq negative for cardiac enlargement vascular congestion . minimal subsegmental atelectasis the left base otherwise negative for focal confluent airspace disease . the visualized bony structures are intact . there are minimal degenerative disc changes the midlower thoracic spine . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2724_IM-1186_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2724_IM-1186-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2724_IM-1186-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart size normal . there some tortuosity the aorta . degenerative changes the thoracic spine endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2725_IM-1186_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2725_IM-1186-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2725_IM-1186-2001.png,startseq cardiac and mediastinal contours are within normal limits . emphysematous changes are present . the lungs are free active disease . deformed right ribs . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2726_IM-1186_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2726_IM-1186-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2726_IM-1186-2001.png,startseq the heart normal size . the mediastinum within normal limits . the study somewhat limited . no focal consolidation seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1002.png,startseq heart size normal . cardiomediastinal silhouette stable . no pneumothora pleural effusion focal airspace disease . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . emphysema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1004.png,startseq heart size normal . cardiomediastinal silhouette stable . no pneumothora pleural effusion focal airspace disease . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . emphysema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2727_IM-1187-1004.png,startseq heart size normal . cardiomediastinal silhouette stable . no pneumothora pleural effusion focal airspace disease . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . emphysema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2728_IM-1187_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2728_IM-1187-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2728_IM-1187-2001.png,startseq lungs remain hyperepanded . no change the right middle lobe opacification . no infiltrates masses . pulmonary arteries are prominent centrally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2729_IM-1187_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2729_IM-1187-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2729_IM-1187-2001.png,startseq normal heart size mediastinal and aortic contours . normal pulmonary vascularity . elevated left hemidiaphragm with scarring the left costophrenic there bullet fragment overlying the left vertebra . retained bullet fragments noted within the left upper and lower lobes . no focal consolidation visible pneumothora large pleural effusion . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR273_IM-1188_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR273_IM-1188-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR273_IM-1188-2001.png,startseq heart size mildly moderately enlarged . mild right hemidiaphragm elevation with mild bronchovascular crowding right greater than left indistinct vascular margination . no definite focal alveolar consolidation no pleural effusion demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2730_IM-1189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2730_IM-1189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2730_IM-1189-2001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2733_IM-1189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2733_IM-1189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2733_IM-1189-2001.png,startseq bibasilar airspace opacities right greater than left . the heart size and mediastinal silhouette are within normal limits for contour . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2734_IM-1189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2734_IM-1189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2734_IM-1189-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2735_IM-1189_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2735_IM-1189-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2735_IM-1189-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2737_IM-1191,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2737_IM-1191-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2737_IM-1191-4004.png,startseq the heart normal size . the mediastinum unremarkable . there slight elevation left hemidiaphragm with left basilar subsegmental atelectasis . the lungs are otherwise grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2738_IM-1192_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2738_IM-1192-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2738_IM-1192-2001.png,startseq the heart size upper limits normal . aorta tortuous . the lungs are clear without focal infiltrate . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2739_IM-1193_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2739_IM-1193-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2739_IM-1193-1002.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR274_IM-1194_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR274_IM-1194-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR274_IM-1194-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the thoracic aorta tortuous and calcified . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . degenerative endplate changes the thoracic spine with ageindeterminate mild wedge deformity midthoracic vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2740_IM-1195_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2740_IM-1195-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2740_IM-1195-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . lateral view reveals degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2742_IM-1197_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2742_IM-1197-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2742_IM-1197-2001.png,startseq the cardiac contours are normal . prior granulomatous disease . the lungs are clear . thoracic spondylosis . lower cervical degenerative arthritis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2743_IM-1197_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2743_IM-1197-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2743_IM-1197-1002.png,startseq there are no acute osseous abnormalities . degenerative changes throughout the thoracic spine . normal heart size . calcific aorta . normal vascular markings . no focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2744_IM-1197_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2744_IM-1197-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2744_IM-1197-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-12012.png,startseq normal heart size and mediastinal contours . clear lungs besides scattered calcified granulomas . no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-2001.png,startseq normal heart size and mediastinal contours . clear lungs besides scattered calcified granulomas . no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2745_IM-1197-2001.png,startseq normal heart size and mediastinal contours . clear lungs besides scattered calcified granulomas . no pneumothora pleural effusion . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2746_IM-1198,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2746_IM-1198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2746_IM-1198-1001.png,startseq the heart normal size . the mediastinum unremarkable . right chest visualized with tip cavoatrial junction . there no pneumothora . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2747_IM-1198_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2747_IM-1198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2747_IM-1198-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . small pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2748_IM-1198_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2748_IM-1198-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2748_IM-1198-2001.png,startseq the lungs are clear . there no focal airspace consolidation . no suspicious pulmonary mass nodule identified . there no pleural effusion pneumothora . heart size and mediastinal contour are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2749_IM-1199_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2749_IM-1199-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2749_IM-1199-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . there no pleural effusion pneumothora . old rightsided rib deformities are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR275_IM-1200_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR275_IM-1200-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR275_IM-1200-2001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2751_IM-1201_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2751_IM-1201-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2751_IM-1201-2001.png,startseq the cardiopulmonary silhouette normal . the heart size normal . the lungs are clear with no pulmonary effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2752_IM-1202-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2752_IM-1202-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2752_IM-1202-0001-0002.png,startseq the cardiac silhouette mildly enlarged . mediastinal contours are within normal limits . the pulmonary vasculaturity increased . there large rightsided pleural effusion and probable underlying associated compressive atelectasis . mild perihilar opacities edema . no pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2753_IM-1203_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2753_IM-1203-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2753_IM-1203-1002.png,startseq stable calcified superior mediastinal lymph lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2754_IM-1204_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2754_IM-1204-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2754_IM-1204-3003.png,startseq the lungs are clear . the heart and pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2755_IM-1204_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2755_IM-1204-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2755_IM-1204-2001.png,startseq cardiomediastinal silhouette unchanged with mild cardiomegaly . there relative elevation the right hemidiaphragm consistent with history right lower lobectomy without focal consolidation pneumothora effusion identified . irregularity the right fifth and sith ribs stable since and postsurgicalpost traumatic left shoulder rotator bone anchor noted . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2756_IM-1205,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2756_IM-1205-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2756_IM-1205-1001.png,startseq right lower lobe infiltrate . the trachea midline . negative for pneumothora pleural effusion . the heart size normal . there has been interval placement left chest with its distal tip the left sided svc endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2758_IM-1206,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2758_IM-1206-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2758_IM-1206-1001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2759_IM-1207_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2759_IM-1207-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2759_IM-1207-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal air prominent consolidation . no pneumothora . no large pleural effusion . minimal degenerative changes the thoracic spine with mild wedge deformity midthoracic vertebral body . this ageindeterminate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR276_IM-1207_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR276_IM-1207-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR276_IM-1207-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2760_IM-1207_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2760_IM-1207-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2760_IM-1207-2001.png,startseq there minimal scarring within the left lung base . the lungs are otherwise clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2761_IM-1208_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2761_IM-1208-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2761_IM-1208-2001.png,startseq stable normal cardiac size mediastinum and central pulmonary vasculature . interval development mild patchy airspace opacities within the posterior aspect the right upper lobe concerning for underlying pneumonia . stable mild background chronic interstitial changes . no evidence associated pleural effusion pneumothora . multilevel midthoracic degenerative changes with prominent anterolateral marginal osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2762_IM-1208_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2762_IM-1208-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2762_IM-1208-2001.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . there evidence granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2763_IM-1209_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2763_IM-1209-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2763_IM-1209-3001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . there mild prominence the interstitial markings which are unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2767_IM-1212_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2767_IM-1212-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2767_IM-1212-2001.png,startseq lungs are clear . no pleural effusion pneumothora . cardiomediastinal silhouette normal . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2768_IM-1212_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2768_IM-1212-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2768_IM-1212-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2769_IM-1212_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2769_IM-1212-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2769_IM-1212-2001.png,startseq cardiomediastinal silhouette are normal size and contour . again demonstrated are biapical bullous emphysematous changes . no focal consolidation pneumothora pleural effusion . mild multilevel degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR277_IM-1213_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR277_IM-1213-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR277_IM-1213-2001.png,startseq the heart normal size . the mediastinum stable . mild biapical scarring identified . there nodular density the right midlung which stable from prior studies and noted represent granuloma however additional foci the right upper lung are questioned . there no acute infiltrate pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2770_IM-1213_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2770_IM-1213-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2770_IM-1213-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2771_IM-1213_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2771_IM-1213-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2771_IM-1213-2001.png,startseq chest . both lungs clear and epanded . heart and mediastinum normal . ankle . soft tissue present around the malleoli . intact . mortise radiographically stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2773_IM-1214_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2773_IM-1214-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2773_IM-1214-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . mild degenerative changes the lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2774_IM-1215_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2774_IM-1215-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2774_IM-1215-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size mildly enlarged pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2775_IM-1216_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2775_IM-1216-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2775_IM-1216-4001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2777_IM-1217_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2777_IM-1217-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2777_IM-1217-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion focal air space consolidation . minimal scarring atelectasis left lung base . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2778_IM-1218_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2778_IM-1218-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2778_IM-1218-2001.png,startseq the pulmonary nodules and masses masses previous eam are smaller and not definitely seen . the lungs are otherwise clear . heart size normal . no pneumothora . there right chest with tip projecting over the lower svc . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR278_IM-1218_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR278_IM-1218-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR278_IM-1218-2001.png,startseq no pneumothora pleural effusion focal airspace disease . heart size normal . stable cardiomediastinal silhouette . nodular opacities consistent with chronic granulomatous disease . bony structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2780_IM-1218_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2780_IM-1218-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2780_IM-1218-1003.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2781_IM-1219_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2781_IM-1219-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2781_IM-1219-2001.png,startseq normal heart . clear lungs . no pneumothora . no pleural effusion . trachea midline . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2782_IM-1220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2782_IM-1220-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2782_IM-1220-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2783_IM-1220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2783_IM-1220-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2783_IM-1220-1002.png,startseq no interval change found the bony thora . the heart size remains normal with ectatic tortuous aorta . the pulmonary vasculature not engorged . lungs are free infiltrate and there no pleural effusion . the fullness the right hilum again noted but this unchanged suggesting no progression the retrohilar nodule the ct scan . no pulmonary nodule found . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2784_IM-1220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2784_IM-1220-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2784_IM-1220-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2785_IM-1220_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2785_IM-1220-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2785_IM-1220-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2786_IM-1221_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2786_IM-1221-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2786_IM-1221-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2787_IM-1222_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2787_IM-1222-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2787_IM-1222-2001.png,startseq no pneumothora pleural effusion airspace consolidation . heart size upper limits normal . pulmonary vasculature appear within normal limits . are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2788_IM-1222_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2788_IM-1222-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2788_IM-1222-3001.png,startseq there no focal consolidation . there no pneumothora large pleural effusion . the cardiomediastinal contours are grossly unremarkable . the heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2789_IM-1223_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2789_IM-1223-8001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2789_IM-1223-9001.png,startseq heart size near top normal limits mild aortic ectasia size tortuosity . mediastinal calcifications and dense nodule the lingula suggest previous granulomatous process . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR279_IM-1224-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR279_IM-1224-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR279_IM-1224-1001-0002.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2790_IM-1224_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2790_IM-1224-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2790_IM-1224-2001.png,startseq normal and stable cardiomediastinal contours . no pneumothora pleural effusions significant pulmonary edema . no focal lung consolidation . stable mild interstitial prominence and bilateral lung bases . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2791_IM-1225_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2791_IM-1225-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2791_IM-1225-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2792_IM-1226_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2792_IM-1226-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2792_IM-1226-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2793_IM-1226_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2793_IM-1226-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2793_IM-1226-2001.png,startseq the cardiomediastinal silhouette normal size and contour . hyperepanded lungs without focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2794_IM-1226_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2794_IM-1226-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2794_IM-1226-1002.png,startseq lungs are hyperepanded . no infiltrates masses the lungs . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2795_IM-1227_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2795_IM-1227-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2795_IM-1227-2001.png,startseq cardiomediastinal silhouettes are within normal limits . the there diffuse reticulonodular pattern the lungs bilaterally . pulmonary vasculature within normal limits . negative for pneumothora large pleural effusion . bony thora unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-12012.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-3003.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2796_IM-1228-3003.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2797_IM-1229_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2797_IM-1229-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2797_IM-1229-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2799_IM-1231_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2799_IM-1231-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2799_IM-1231-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR28_IM-1231_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR28_IM-1231-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR28_IM-1231-2001.png,startseq bilateral patchy pulmonary opacities noted . interval improvement left base consolidative opacity . pulmonary vascular congestion again noted . stable enlarged cardiomediastinal silhouette . stable left no evidence pneumothora . no large pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR280_IM-1232_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR280_IM-1232-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR280_IM-1232-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2802_IM-1234_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2802_IM-1234-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2802_IM-1234-2001.png,startseq hyperepanded lungs . lungs are clear without focal consolidation effusion pneumothora . normal heart size . multiple surgical clips overlie the midabdomen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2803_IM-1234_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2803_IM-1234-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2803_IM-1234-2001.png,startseq there are low lung volumes . the cardiac silhouette upper mediastinum pulmonary vasculature are within normal limits . there no acute pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2804_IM-1235_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2804_IM-1235-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2804_IM-1235-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . no nodules adenopathy identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2805_IM-1235_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2805_IM-1235-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2805_IM-1235-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2806_IM-1236_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2806_IM-1236-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2806_IM-1236-2001.png,startseq heart size normal lungs are clear . no edema effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2807_IM-1237_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2807_IM-1237-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2807_IM-1237-2001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2808_IM-1238_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2808_IM-1238-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2808_IM-1238-2001.png,startseq sequelae old granulomatous disease . lungs are clear without focal consolidation . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR281_IM-1238,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR281_IM-1238-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR281_IM-1238-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2810_IM-1238_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2810_IM-1238-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2810_IM-1238-2001.png,startseq heart size and cardiomediastinal contours are normal . aorta mildly tortuous . lungs are clear without focal airspace opacity pleural effusion pneumothora . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2812_IM-1239_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2812_IM-1239-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2812_IM-1239-2001.png,startseq lung volumes are low . the interval patchy infiltrate has developed the right lower lobe . heart and pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2813_IM-1239_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2813_IM-1239-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2813_IM-1239-2001.png,startseq heart size within normal limits . no focal airspace disease . no pneumothora effusion . mild degenerative change the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2815_IM-1240_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2815_IM-1240-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2815_IM-1240-2001.png,startseq the heart normal size . the mediastinum unremarkable . granulomatous sequela are noted . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2816_IM-1240,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2816_IM-1240-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2816_IM-1240-2001.png,startseq the lungs and pleural spaces show no acute abnormality . stable calcified granuloma the left midlung . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-2001.png,startseq evaluation limited due obscuration the patient arm the lateral view . cardiomediastinal silhouette within normal limits size and appearance . pulmonary vascular unremarkable . are chronic coarse interstitial lung markings . peripheral opacity along the right mid lung reflects scar small amount loculated pleural fluid thickening . otherwise negative for focal airspace disease consolidation . hyperlucent lungs with apical negative for pneumothora pleural effusion . limited evaluation reveals the grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-3001.png,startseq evaluation limited due obscuration the patient arm the lateral view . cardiomediastinal silhouette within normal limits size and appearance . pulmonary vascular unremarkable . are chronic coarse interstitial lung markings . peripheral opacity along the right mid lung reflects scar small amount loculated pleural fluid thickening . otherwise negative for focal airspace disease consolidation . hyperlucent lungs with apical negative for pneumothora pleural effusion . limited evaluation reveals the grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2817_IM-1241-3001.png,startseq evaluation limited due obscuration the patient arm the lateral view . cardiomediastinal silhouette within normal limits size and appearance . pulmonary vascular unremarkable . are chronic coarse interstitial lung markings . peripheral opacity along the right mid lung reflects scar small amount loculated pleural fluid thickening . otherwise negative for focal airspace disease consolidation . hyperlucent lungs with apical negative for pneumothora pleural effusion . limited evaluation reveals the grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2818_IM-1242_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2818_IM-1242-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2818_IM-1242-2001.png,startseq there stable cavity the right ape related prior tuberculosis infection . there increased opacity the left upper lobe peripherally . there pulmonary hyperepansion . there no large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2819_IM-1243,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2819_IM-1243-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2819_IM-1243-1001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum unremarkable . no change the mediastinal surgical clips . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1002.png,startseq mediastinal contours are within normal limits . heart size within normal limits . no focal consolidation pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1003.png,startseq mediastinal contours are within normal limits . heart size within normal limits . no focal consolidation pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR282_IM-1243-1003.png,startseq mediastinal contours are within normal limits . heart size within normal limits . no focal consolidation pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2820_IM-1244_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2820_IM-1244-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2820_IM-1244-2001.png,startseq and lateral views the chest were obtained . the heart normal size . mediastinal contours are within normal limits . the lungs are clear . there no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2821_IM-1244_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2821_IM-1244-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2821_IM-1244-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . aortic calcifications and tortuosity . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2822_IM-1244_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2822_IM-1244-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2822_IM-1244-2002.png,startseq no focal consolidation effusion pneumothora . normal heart size . stable left subclavian chest catheter tip mid svc . lungs are well epanded . calcified granuloma posteriorly the medial right lower lobe . postsurgical changes anterior lower cervical spine fusion . thoracic spine demonstrates mild degenerative changes with some mild loss and vertebral bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2824_IM-1245_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2824_IM-1245-13001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2824_IM-1245-15001.png,startseq the lungs and pleural spaces show no acute abnormality . hyperepanded lungs . calcified right upper lobe granuloma unchanged . heart size and pulmonary vascularity within normal limits . no displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2825_IM-1246,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2825_IM-1246-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2825_IM-1246-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2826_IM-1246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2826_IM-1246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2826_IM-1246-1002.png,startseq prominent interstitial markings the lungs are unchanged . no focal infiltrates . heart and pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2827_IM-1246_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2827_IM-1246-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2827_IM-1246-6006.png,startseq there endotracheal tube the level the carina recommend retraction . heart size normal . the mediastinal silhouette unremarkable . shrapnel overlying the right lower lobe . there round bullet overlying the vertebral body . density seen within the right lower lobe representing hemorrhage . there rightsided pneumothora with maimal thickness . there right aillary subcutaneous emphysema . probable lateral right rib fracture . the osseous structures are otherwise normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2828_IM-1247_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2828_IM-1247-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2828_IM-1247-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are hyperepanded but clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-3001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2829_IM-1247-3001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR283_IM-1248_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR283_IM-1248-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR283_IM-1248-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2832_IM-1249_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2832_IM-1249-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2832_IM-1249-2001.png,startseq there stable cardiomegaly . the mediastinum unremarkable . atherosclerotic calcifications are present within the thoracic aorta . there no pleural effusion pneumothora focal airspace disease . chronic degenerative changes are present the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2833_IM-1249_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2833_IM-1249-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2833_IM-1249-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . both clavicles appear within normal limits this limited radiographic evaluation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-2001.png,startseq heart size within normal limits . low lung volumes . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-3001.png,startseq heart size within normal limits . low lung volumes . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2835_IM-1251-3001.png,startseq heart size within normal limits . low lung volumes . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2836_IM-1252_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2836_IM-1252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2836_IM-1252-2001.png,startseq frontal and lateral views the chest with overlying eternal cardiac monitor leads show reduced lung volumes with bronchovascular crowding basilar atelectasis . no definite focal airspace consolidation pleural effusion . the cardiac silhouette appears mildly enlarged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2837_IM-1252_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2837_IM-1252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2837_IM-1252-2001.png,startseq rounded projecting retrosternally lateral view only . no focal consolidation effusion pneumothora . normal heart size . minimal degenerative changes the thoracic spine . negative for pneumoperitoneum . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2838_IM-1252,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2838_IM-1252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2838_IM-1252-1001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2839_IM-1252_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2839_IM-1252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2839_IM-1252-1002.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR284_IM-1252_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR284_IM-1252-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR284_IM-1252-5005.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute displaced rib fracture . no discrete projectile visualized . contrast within the bilateral renal collecting systems . contrast also probably within the left colon . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0002.png,startseq this study limited the patient body habitus . lungs appear clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0002.png,startseq this study limited the patient body habitus . lungs appear clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-2001.png,startseq this study limited the patient body habitus . lungs appear clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2840_IM-1253-2001.png,startseq this study limited the patient body habitus . lungs appear clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2841_IM-1253,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2841_IM-1253-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2841_IM-1253-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2842_IM-1254_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2842_IM-1254-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2842_IM-1254-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2843_IM-1254-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2843_IM-1254-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2843_IM-1254-1001-0002.png,startseq the heart normal size . there right paratracheal density concerning for lymphadenopathy . there are patchy right upper lobe streaky opacities . the remainder the lungs are clear . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2844_IM-1254_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2844_IM-1254-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2844_IM-1254-2001.png,startseq normal heart size and mediastinal contours . the lungs are clear . there no pneumothora pleural effusion . left shoulder arthroplasty noted . old left rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2845_IM-1254_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2845_IM-1254-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2845_IM-1254-2001.png,startseq lungs are clear . heart size normal . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2847_IM-1256_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2847_IM-1256-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2847_IM-1256-3001.png,startseq the heart size within normal limits . the thoracic aorta tortuous stable from the prior radiograph . aortic stent graft overlies the descending thoracic aorta and upper abdominal aorta grossly stable from the prior chest radiograph . there are scattered calcified granulomas . there no focal airspace consolidation . no pleural effusion pneumothora . the left hemidiaphragm remains mildly elevated . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2848_IM-1256_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2848_IM-1256-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2848_IM-1256-1002.png,startseq mild cardiomegaly . lungs are clear . calcified hilar no pleural effusion pneumothora . soft tissues and showed unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2851_IM-1260-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2851_IM-1260-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2851_IM-1260-0001-0002.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2852_IM-1261_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2852_IM-1261-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2852_IM-1261-3001.png,startseq normal cardiac contours . no pleural effusion pneumothora . no acute bony abnormalities . clear lung bilaterally . no intervertebral disc narrowing loss vertebral body endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2854_IM-1262_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2854_IM-1262-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2854_IM-1262-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2855_IM-1263_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2855_IM-1263-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2855_IM-1263-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2856_IM-1263_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2856_IM-1263-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2856_IM-1263-2001.png,startseq normal heart size . no focal airspace consolidation pneumothora pleural effusion pulmonary edema . no focal bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2857_IM-1264_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2857_IM-1264-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2857_IM-1264-2001.png,startseq there are sternotomy and mediastinal surgical clips secondary cabg procedure . small tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are cholecystectomy clips . there eventration right hemidiaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-2001.png,startseq heart size normal . tortuous aorta . sequela primary granulomatous disease . lungs clear . minimal spurring the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-3001.png,startseq heart size normal . tortuous aorta . sequela primary granulomatous disease . lungs clear . minimal spurring the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2858_IM-1265-3001.png,startseq heart size normal . tortuous aorta . sequela primary granulomatous disease . lungs clear . minimal spurring the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2859_IM-1266_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2859_IM-1266-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2859_IM-1266-2001.png,startseq there rounded dense opacity the lateral left midlung zone probably the left upper lobe most suggestive rounded pneumonia . there no pleural effusion . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR286_IM-1267_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR286_IM-1267-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR286_IM-1267-3001.png,startseq lungs are clear . there no pneumothora pleural effusion . calcified left suprahilar the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2860_IM-1268_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2860_IM-1268-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2860_IM-1268-1002.png,startseq no acute osseous abnormality . scattered degenerative changes the thoracic spine . surgical clips overlying the right upper quadrant . anterior cervical fusion tortuous and ectatic aorta . no focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2861_IM-1269_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2861_IM-1269-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2861_IM-1269-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2862_IM-1270_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2862_IM-1270-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2862_IM-1270-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2863_IM-1271_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2863_IM-1271-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2863_IM-1271-3001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2865_IM-1273_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2865_IM-1273-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2865_IM-1273-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . closure device demonstrated projecting over the right heart . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2866_IM-1273_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2866_IM-1273-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2866_IM-1273-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2867_IM-1274_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2867_IM-1274-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2867_IM-1274-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the superior thoracic spine again noted unchanged from prior . lucent pulmonary parenchyma consistent appearance with emphysema and appears unchanged from prior eaminations . no evidence pneumothora . no focal airspace disease pleural effusion . vague density the medial right lung ape most representing overlying shadows bony structures which stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2868_IM-1275_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2868_IM-1275-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2868_IM-1275-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation large pleural effusion pneumothora identified . minimal thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR287_IM-1276_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR287_IM-1276-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR287_IM-1276-4004.png,startseq heart size normal . the lungs are grossly clear . no pleural effusions pneumothoraces . the hilar and mediastinal contours are stable . normal pulmonary vascularity . no overt edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2870_IM-1276_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2870_IM-1276-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2870_IM-1276-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2871_IM-1277_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2871_IM-1277-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2871_IM-1277-2001.png,startseq the heart size upper limits normal . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2873_IM-1279_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2873_IM-1279-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2873_IM-1279-3003.png,startseq heart size and vascularity normal . eternal contour normal . lungs clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2874_IM-1280_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2874_IM-1280-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2874_IM-1280-2001.png,startseq the lungs appear clear . there calcified granuloma the right lung base and calcified right hilar lymph this was seen well prior there are no suspicious appearing pulmonary nodules masses . heart and pulmonary appear normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2876_IM-1282_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2876_IM-1282-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2876_IM-1282-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2877_IM-1283_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2877_IM-1283-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2877_IM-1283-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2878_IM-1283,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2878_IM-1283-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2878_IM-1283-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2879_IM-1284_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2879_IM-1284-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2879_IM-1284-2001.png,startseq borderline heart size . tortuous calcified aorta . no active pulmonary disease . mild spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR288_IM-1284_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR288_IM-1284-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR288_IM-1284-1002.png,startseq heart size appears within normal limits . pulmonary vasculature appears within normal limits . radiodensity overlying the middle cardiac silhouette representing hiatal hernia . no focal consolidation pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2880_IM-1284_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2880_IM-1284-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2880_IM-1284-2001.png,startseq heart and mediastinal contour normal . pulmonary vascularity normal . lungs clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2882_IM-1286_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2882_IM-1286-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2882_IM-1286-2001.png,startseq there are no focal areas consolidation . no suspicious bony opacities . heart size slightly enlarged . no pleural effusions . there no evidence pneumothora . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2884_IM-1286_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2884_IM-1286-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2884_IM-1286-2001.png,startseq the postoperative cardiomediastinal silhouette stable and upper limits normal size . there are sternotomy and surgical clips compatible with prior cabg . there one leftsided coronary artery stent . pulmonary vasculature normal caliber . the lungs are grossly clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2885_IM-1287_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2885_IM-1287-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2885_IM-1287-3001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . there obliquely oriented lucency through the posterior right rib . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2886_IM-1288-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2886_IM-1288-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2886_IM-1288-0001-0002.png,startseq low lung volumes . question patchy opacity left base . no pneumothora . osseous structures intact . small right effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-2001.png,startseq the cardiomediastinal silhouette normal size and contour . there are few opacities the lung bases bilaterally . no definitive pneumothora pleural effusion . displaced fracture the mid onethird the right clavicle . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-4001.png,startseq the cardiomediastinal silhouette normal size and contour . there are few opacities the lung bases bilaterally . no definitive pneumothora pleural effusion . displaced fracture the mid onethird the right clavicle . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2887_IM-1289-4001.png,startseq the cardiomediastinal silhouette normal size and contour . there are few opacities the lung bases bilaterally . no definitive pneumothora pleural effusion . displaced fracture the mid onethird the right clavicle . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2888_IM-1290-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2888_IM-1290-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2888_IM-1290-0001-0002.png,startseq heart size and pulmonary vascularity appear within normal limits . descending thoracic aorta tortuous . lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2889_IM-1291_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2889_IM-1291-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2889_IM-1291-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR289_IM-1292-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR289_IM-1292-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR289_IM-1292-0001-0002.png,startseq heart size within normal limits stable mediastinal and hilar contours right chest tip the low svc . monitoring device artifacts . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-22001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-23001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . no definite pneumothora . no displaced fracture . small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-22001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-8001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . no definite pneumothora . no displaced fracture . small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-23001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2890_IM-1293-8001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . no definite pneumothora . no displaced fracture . small rounded radiopaque density within the posterior superficial subcutaneous fat represents projectile fragment . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2891_IM-1294,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2891_IM-1294-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2891_IM-1294-1001.png,startseq both lungs remain clear and epanded . no focal parenchymal infiltrates pleural air collections . heart and aorta are normal . no change the large hiatus hernia . pelvis . bone density decreased . hips are normal and symmetric . no fractures dislocations bone destruction . note severe rotatory detroscoliosis the lumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2892_IM-1295_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2892_IM-1295-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2892_IM-1295-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there are calcified granulomas within the left lower lobe . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2893_IM-1295_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2893_IM-1295-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2893_IM-1295-2001.png,startseq lungs are clear bilaterally with no focal infiltrate pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2894_IM-1296-4001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2894_IM-1296-4001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2894_IM-1296-4001-0002.png,startseq the tracheostomy tube stable position . right subclavian catheter tip the lower svc . the left upper etremity picc tip the mid svc . surgical overlie the soft tissues the neck . the lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2897_IM-1299_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2897_IM-1299-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2897_IM-1299-3001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0002.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0003.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2898_IM-1300-0001-0003.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2899_IM-1301_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2899_IM-1301-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2899_IM-1301-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR290_IM-1303_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR290_IM-1303-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR290_IM-1303-2001.png,startseq the lungs are clear . there are multiple surgical seen near the apical regions and lower cervical region bilaterally . the heart and mediastinum are normal . there screw the right shoulder . the soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2902_IM-1306_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2902_IM-1306-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2902_IM-1306-4001.png,startseq the cardiac silhouette upper mediastinum and pulmonary vasculature are within normal limits . there no acute air space infiltrate pleural effusion pneumothora . the visualized osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2903_IM-1307_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2903_IM-1307-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2903_IM-1307-4004.png,startseq cardiac silhouette within normal limits size for technique . lungs are mildly hypoinflated but grossly clear focal airspace disease pneumothora pleural effusion . pulmonary vasculature normal caliber . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2904_IM-1308_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2904_IM-1308-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2904_IM-1308-3001.png,startseq stable cardiomediastinal silhouette with borderline heart size and aortic ectasiatortuosity . stable hyperinflation without focal alveolar consolidation . no definite pleural effusion seen . no typical findings pulmonary edema . healed left rib fractures again noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2908_IM-1312_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2908_IM-1312-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2908_IM-1312-4004.png,startseq heart size upper limits normal but stable . mediastinal contours are within normal limits . chronically increased interstitial markings without focal airspace consolidation pleural effusion pneumothora . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2909_IM-1313_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2909_IM-1313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2909_IM-1313-2001.png,startseq patchy airspace disease the left lingula . no significant effusion . clear right lung . normal heart size . granulomatous mediastinal calcifications . right chest tip svc . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR291_IM-1313_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR291_IM-1313-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR291_IM-1313-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2910_IM-1314_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2910_IM-1314-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2910_IM-1314-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2915_IM-1317_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2915_IM-1317-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2915_IM-1317-3001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2916_IM-1318_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2916_IM-1318-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2916_IM-1318-2001.png,startseq heart size within normal limits . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2917_IM-1319_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2917_IM-1319-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2917_IM-1319-2001.png,startseq lungs are hyperepanded . bullae are present the upper lobes . no focal infiltrates masses the lungs . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2918_IM-1320_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2918_IM-1320-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2918_IM-1320-2001.png,startseq cardiomediastinal silhouette normal . pulmonary vasculature and are normal . no consolidation pneumothora large pleural effusion . osseous structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2919_IM-1321_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2919_IM-1321-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2919_IM-1321-3001.png,startseq the heart significantly enlarged . prominent pulmonary vascularity . no focal airspace consolidation suspicious pulmonary opacity definite pleural effusion . no pneumothora . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR292_IM-1322_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR292_IM-1322-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR292_IM-1322-2001.png,startseq the heart normal size and contour . there vague area airspace disease identified within the right midlung the view . this not welldemonstrated the lateral view . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2920_IM-1323_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2920_IM-1323-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2920_IM-1323-2001.png,startseq the lungs are clear . there no pleural effusion . the heart and mediastinum are normal the skeletal structures and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2921_IM-1324,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2921_IM-1324-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2921_IM-1324-2001.png,startseq minimal left costophrenic airspace disease andor pleural effusion . lungs are otherwise clear . no pneumothora . heart and mediastinum are stable with normal sized heart . there tortuosity and ectasia the aorta . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-12012.png,startseq hyperinflated lungs with flattened diaphragm and increased retrosternal airspace . no alveolar consolidation no findings pleural effusion pulmonary edema . heart size within normal limits . right hilar calcification suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-2001.png,startseq hyperinflated lungs with flattened diaphragm and increased retrosternal airspace . no alveolar consolidation no findings pleural effusion pulmonary edema . heart size within normal limits . right hilar calcification suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2922_IM-1325-2001.png,startseq hyperinflated lungs with flattened diaphragm and increased retrosternal airspace . no alveolar consolidation no findings pleural effusion pulmonary edema . heart size within normal limits . right hilar calcification suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2923_IM-1326_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2923_IM-1326-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2923_IM-1326-3001.png,startseq clear lungs . heart and pulmonary appear normal . pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2924_IM-1327_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2924_IM-1327-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2924_IM-1327-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there small calcified granuloma within the left upper lobe . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2925_IM-1327_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2925_IM-1327-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2925_IM-1327-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2926_IM-1328_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2926_IM-1328-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2926_IM-1328-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2928_IM-1330_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2928_IM-1330-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2928_IM-1330-13013.png,startseq mediastinum stable . retrocardiac lucency represents large hiatal hernia unchanged from prior . the lungs are clear without focal infiltrate pleural effusion . there no pneumothora . visualized bony structures reveal no acute abnormalities . stable thoracic deformity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2929_IM-1331_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2929_IM-1331-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2929_IM-1331-2001.png,startseq the heart top normal size . the mediastinum unremarkable . the lungs are hypoinflated but grossly clear . significant degenerative changes the are again noted bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR293_IM-1332,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR293_IM-1332-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR293_IM-1332-1001.png,startseq sternotomy mediastinal clips noted . heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . there deformity since thoracic spine mild deformity stable . prior cholecystectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1003002.png,startseq there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1004003.png,startseq there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2930_IM-1333-1004003.png,startseq there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2931_IM-1334_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2931_IM-1334-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2931_IM-1334-2001.png,startseq the trachea midline . the heart size normal . opacities are seen the left lower lobe and left costodiaphragmatic which could represent scarring atelectasis . there no pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2932_IM-1335_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2932_IM-1335-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2932_IM-1335-1002.png,startseq the trachea midline . the cardiomediastinal silhouette normal contour and unchanged comparison prior eams . the lungs are clear with no evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-2001.png,startseq normal heart size . no focal air space consolidation pneumothora pleural effusion pulmonary edema . no focal bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-3001.png,startseq normal heart size . no focal air space consolidation pneumothora pleural effusion pulmonary edema . no focal bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2933_IM-1336-3001.png,startseq normal heart size . no focal air space consolidation pneumothora pleural effusion pulmonary edema . no focal bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2934_IM-1337_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2934_IM-1337-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2934_IM-1337-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are mildly hyperlucent but clear . there denser lumbar scoliosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2935_IM-1337_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2935_IM-1337-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2935_IM-1337-2001.png,startseq scoliosis and focal eventration the posterior left hemidiaphragm . no focal alveolar consolidation . rotated position considering technical factors heart size within normal limits . no definite pleural effusion seen left bronchovascular crowding without typical findings pulmonary edema . eaggerated kyphosis with increased dimension the thora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1003002.png,startseq the heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there moderate sized hiatal hernia . there mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1004003.png,startseq the heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there moderate sized hiatal hernia . there mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2936_IM-1338-1004003.png,startseq the heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there moderate sized hiatal hernia . there mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2937_IM-1339_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2937_IM-1339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2937_IM-1339-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2938_IM-1339_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2938_IM-1339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2938_IM-1339-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2939_IM-1339_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2939_IM-1339-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2939_IM-1339-1002.png,startseq there are no acute osseous abnormalities . there are surgical clips the right upper abdomen from cholecystectomy . normal heart size . normal hilar vascular markings . the lungs are grossly clear without focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR294_IM-1340_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR294_IM-1340-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR294_IM-1340-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are grossly clear . underlying emphysematous changes are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2940_IM-1341_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2940_IM-1341-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2940_IM-1341-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2941_IM-1342_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2941_IM-1342-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2941_IM-1342-2001.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2942_IM-1343_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2942_IM-1343-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2942_IM-1343-2001.png,startseq postsurgical changes sternotomy with screw fiation anterior plates . heart size and cardiomediastinal silhouette are normal . no focal consolidation suspicious bony opacity pneumothora pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2945_IM-1345_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2945_IM-1345-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2945_IM-1345-3001.png,startseq diffuse bilateral coarse interstitial markings are unchanged . no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . degenerative changes the shoulder . soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2946_IM-1346_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2946_IM-1346-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2946_IM-1346-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . lungs are clear focal airspace disease . there no pneumothora . there mild blunting the right costophrenic without definite pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2948_IM-1348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2948_IM-1348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2948_IM-1348-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2949_IM-1348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2949_IM-1348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2949_IM-1348-1002.png,startseq scattered calcified pulmonary nodules represents calcified granulomas . lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . stable calcified hilar and mediastinal lymph decreased size from prior eam . heart size normal . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR295_IM-1348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR295_IM-1348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR295_IM-1348-2001.png,startseq limited lateral projection . the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . healed distal left clavicular fracture noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2950_IM-1348_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2950_IM-1348-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2950_IM-1348-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2951_IM-1349_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2951_IM-1349-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2951_IM-1349-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . no pleural air collections . heart and mediastinum normal . vague lucency present left rib anteriorly . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2952_IM-1350,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2952_IM-1350-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2952_IM-1350-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are mildly hypoinflated but grossly clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2953_IM-1351_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2953_IM-1351-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2953_IM-1351-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2954_IM-1352_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2954_IM-1352-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2954_IM-1352-2001.png,startseq there obscuration the bilateral lung bases with lower lung volumes compared prior eamination . stable atelectaticfibrotic changes the visualized lung and stable leftsided calcified granuloma . no acute osseous abnormalities identified . cardiomediastinal silhouette unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2956_IM-1353_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2956_IM-1353-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2956_IM-1353-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2957_IM-1354_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2957_IM-1354-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2957_IM-1354-1003.png,startseq the heart mildly enlarged . pulmonary vascularity increased . there again mild elevation the right hemidiaphragm . air space disease andor atelectasis noted right lung base . there also streaky opacity the left base . the costophrenic are blunted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2959_IM-1354,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2959_IM-1354-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2959_IM-1354-1001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2960_IM-1354_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2960_IM-1354-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2960_IM-1354-2001.png,startseq normal cardiac contours . clear lung bilaterally . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2961_IM-1355_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2961_IM-1355-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2961_IM-1355-2001.png,startseq there patchy opacity the left base concerning for atelectasis versus pneumonitis . there curvilinear lucency that appears the right hemidiaphragm and small amount free intraperitoneal air may present . there small left pleural effusion . the heart not significantly enlarged . there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2962_IM-1355_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2962_IM-1355-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2962_IM-1355-2001.png,startseq stable mild thoracic levoscoliosis . stable cardiomegaly . multiple scattered round calcific densities represent old granulomatous disease . no pneumothora pleural effusion . no focal consolidation . moderate degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2963_IM-1356_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2963_IM-1356-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2963_IM-1356-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2964_IM-1357_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2964_IM-1357-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2964_IM-1357-3001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . heart size and mediastinal contour are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2965_IM-1358_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2965_IM-1358-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2965_IM-1358-1002.png,startseq heart size within normal limits . no focal airspace disease . no pleural effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2966_IM-1359_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2966_IM-1359-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2966_IM-1359-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . scoliosis and degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2967_IM-1360,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2967_IM-1360-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2967_IM-1360-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2968_IM-1360_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2968_IM-1360-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2968_IM-1360-2001.png,startseq right paratracheal stripe denser and than normal . the are normal . heart size normal . lungs clear and epanded with no infiltrates . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2969_IM-1360_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2969_IM-1360-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2969_IM-1360-2001.png,startseq heart size and mediastinal contours are stable . atherosclerotic calcifications the aorta . moderate severe hyperepansion the lungs and decreased peripheral vascular markings consistent with emphysema . stable biapical pleuralparenchymal scarring . scattered granulomas . no abnormal airspace consolidation . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR297_IM-1361_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR297_IM-1361-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR297_IM-1361-4004.png,startseq cardiac silhouette within normal limits size . the lungs are hypoinflated with mild bronchovascular crowding . there mild opacity projected over the left lung base . this partly due overlying soft tissues however there partial obscuration the lateral left hemidiaphragm . the lungs are otherwise grossly clear . there no pneumothora pleural effusion . there are no acute bony findings . there are degenerative endplate changes throughout the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2970_IM-1362_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2970_IM-1362-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2970_IM-1362-2001.png,startseq heart size and mediastinal contours are stable . stable calcification the thoracic aorta . pulmonary vasculature within normal limits . there no focal air space opacity . no pleural effusion pneumothora seen . no acute bony abnormality demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2971_IM-1362,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2971_IM-1362-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2971_IM-1362-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2972_IM-1363_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2972_IM-1363-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2972_IM-1363-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated . costophrenic are blunted corresponding small bilateral pleural effusions . there no focal consolidation pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2974_IM-1364_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2974_IM-1364-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2974_IM-1364-2001.png,startseq postsurgical changes are noted the mediastinum . there tortuosity andor ectasia the thoracic and upper abdominal aorta . no consolidative airspace opacities . blunting the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion pleuralparenchymal scarring . no demonstrable pneumothora . cardiomediastinal silhouette within normal limits . multilevel anterior osteophytes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2976_IM-1365_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2976_IM-1365-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2976_IM-1365-3003.png,startseq heart size and vascularity normal . lungs are hyperepanded but clear . mediastinal contour normal . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2978_IM-1367_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2978_IM-1367-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2978_IM-1367-4001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size and contour . there terminating the caval atrial junction without evidence pneumothora . there no focal airspace disease . there are small calcified nodules the superior segment the right lower lobe old granulomatous infection . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2979_IM-1368-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2979_IM-1368-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2979_IM-1368-1001-0002.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart not significantly enlarged . there are calcified mediastinal lymph there are atherosclerotic changes the aorta . arthritic changes the skeletal structures are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR298_IM-1369_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR298_IM-1369-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR298_IM-1369-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2980_IM-1370_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2980_IM-1370-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2980_IM-1370-1003002.png,startseq negative for cardiac enlargement . negative for vascular congestion . negative for focal confluent airspace disease . negative for pneumothora . few scattered calcified granulomas are identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2981_IM-1371_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2981_IM-1371-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2981_IM-1371-1002.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . no pneumothora pleural effusion . mild detro curvature the lower thoracic spine this may positional . visualized bony structures are otherwise unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2982_IM-1371_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2982_IM-1371-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2982_IM-1371-2001.png,startseq the heart normal size . the mediastinum unremarkable . scarring noted the lingula . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2983_IM-1371_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2983_IM-1371-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2983_IM-1371-2001.png,startseq cardiomediastinal silhouette within normal limits . no focal consolidation . there right lower lobe scarring . no pneumothora large pleural effusion . granulomas present . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2984_IM-1372,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2984_IM-1372-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2984_IM-1372-1001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . there duct calcified lymph node . the aorta unfolded . cardiac silhouette remains moderately enlarged . low lung volumes due eaggerated kyphosis . no focal airspace consolidation pleural effusion . spine spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2985_IM-1373_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2985_IM-1373-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2985_IM-1373-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora demonstrate stable mild multilevel thoracolumbar degenerative disc disease without acute abnormality . upper abdominal midline surgical sutures are likewise stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . mild detro curvature the thoracic spine possibly positional . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-3001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . mild detro curvature the thoracic spine possibly positional . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2986_IM-1374-3001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . mild detro curvature the thoracic spine possibly positional . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2988_IM-1375_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2988_IM-1375-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2988_IM-1375-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2989_IM-1376_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2989_IM-1376-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2989_IM-1376-1002.png,startseq mediastinal contours are within normal limits . heart size within normal limits . no focal consolidation pneumothora pleural effusion . cervical fusion degenerative changes the spine and the acromioclavicular joints . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR299_IM-1377_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR299_IM-1377-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR299_IM-1377-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . small hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2992_IM-1379_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2992_IM-1379-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2992_IM-1379-3003.png,startseq the lungs are clear . heart size normal . no pneumothora . calcified granuloma within the right lung base . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2993_IM-1380_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2993_IM-1380-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2993_IM-1380-2001.png,startseq the lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2994_IM-1380_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2994_IM-1380-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2994_IM-1380-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2997_IM-1381_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2997_IM-1381-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2997_IM-1381-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2998_IM-1382_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2998_IM-1382-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2998_IM-1382-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . no displaced rib fractures identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2999_IM-1383-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2999_IM-1383-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR2999_IM-1383-0001-0002.png,startseq the cardiac silhouette the upper limits normal for size . patchy opacities are demonstrated the left lung base . no focal pulmonary consolidation . no pneumothora . minimal degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR30_IM-1385_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR30_IM-1385-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR30_IM-1385-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . negative for pneumoperitoneum . bony thora and soft tissue grossly unremarkable endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR300_IM-1385_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR300_IM-1385-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR300_IM-1385-1002.png,startseq heart size within normal limits . mild hyperinflation the lungs . mild pectus ecavatum deformity . stable left mid lung calcified granuloma . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3000_IM-1386-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3000_IM-1386-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3000_IM-1386-0001-0002.png,startseq there are multiple bilateral pulmonary nodules . for eample there left lower lobe nodule seen the frontal view . there no pleural effusion pneumothora . heart size within normal limits . the left hilar contour prominent . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3001_IM-1387_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3001_IM-1387-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3001_IM-1387-3001.png,startseq frontal and lateral views the chest show unchanged cardiomediastinal silhouette . normal mediastinal contour pulmonary and vasculature central airways and aeration the lungs . the inferior posterior sulcus ecluded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3002_IM-1388_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3002_IM-1388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3002_IM-1388-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3003_IM-1388,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3003_IM-1388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3003_IM-1388-1001.png,startseq no focal consolidation pneumothora pleural effusions . stable calcified granulomas . cardiomediastinal silhouette demonstrates mild tortuosity the thoracic aorta and atherosclerotic calcifications the aortic no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3004_IM-1388_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3004_IM-1388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3004_IM-1388-2001.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . and scattered calcified granulomas . left greater than right basilar opacity probable atelectasis andor scarring . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3005_IM-1388,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3005_IM-1388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3005_IM-1388-1001.png,startseq the heart normal size . the mediastinum stable . aorta tortuous . calcified lymph are again identified . there mild prominence the right paratracheal soft tissues stable appearance from prior studies . there no acute infiltrate pleural effusion . osteopenia and degenerative changes are identified . deformity appears worse than prior study . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3006_IM-1388,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3006_IM-1388-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3006_IM-1388-1001.png,startseq cardiomegaly present . the pulmonary vascularity appears within normal limits . thoracic aorta tortuous . patient status post sternotomy . surgical clips are present the left ailla . lungs are free focal airspace disease . no pneumothora pleural effusion seen . there eventration the right hemidiaphragm . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3009_IM-1389,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3009_IM-1389-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3009_IM-1389-1001.png,startseq no focal areas consolidation . no pleural effusions . no pneumothora . degenerative changes thoracic spine . heart size normal limits . cholecystectomy clips . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR301_IM-1389_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR301_IM-1389-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR301_IM-1389-2001.png,startseq normal cardiomediastinal contours . clear lungs bilaterally . no pneumothora large effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3010_IM-1389_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3010_IM-1389-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3010_IM-1389-2001.png,startseq heart and mediastinum are the upper limits normal size . there no focal consolidation pneumothora large pleural effusion . there no acute displaced rib fracture . bony structures are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3011_IM-1390_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3011_IM-1390-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3011_IM-1390-3003.png,startseq aortic atherosclerotic calcifications . large hiatal hernia . no pleural effusion pneumothora . no focal opacity . cardiomediastinal silhouette stable size and appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3012_IM-1390_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3012_IM-1390-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3012_IM-1390-1002.png,startseq the cardiomediastinal silhouette normal size and contour . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3013_IM-1391-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3013_IM-1391-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3013_IM-1391-0001-0002.png,startseq the cardiac silhouette mildly enlarged and appears mildly increased size from the study . there normal caliber pulmonary vasculature . the lungs are grossly clear focal airspace disease pneumothora pleural effusion . there no evidence pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3014_IM-1392_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3014_IM-1392-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3014_IM-1392-2001.png,startseq there distortion the right hilum which may postsurgical versus neoplastic . volume loss the right hand side . there no evidence focal infiltrate . no pneumothora . no pleural effusion . normal heart size . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3015_IM-1392,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3015_IM-1392-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3015_IM-1392-1001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3016_IM-1392_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3016_IM-1392-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3016_IM-1392-2001.png,startseq cardiac and mediastinal contours are within normal limits . prior granulomatous disease . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3017_IM-1393,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3017_IM-1393-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3017_IM-1393-1001.png,startseq the heart normal size . the mediastinum unremarkable . there are opacities both lung bases compatible with scarring atelectasis . calcified granuloma the left upper lung noted well right retrocardiac calcified nodule . no significant pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3018_IM-1393_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3018_IM-1393-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3018_IM-1393-1002.png,startseq heart size within normal limits . no focal airspace disease . stable lateral left midlung calcified granuloma . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3019_IM-1393,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3019_IM-1393-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3019_IM-1393-1001.png,startseq the heart normal size . the mediastinum stable with aortic tortuosity . lungs are clear with no pleural effusion pneumothora . no displaced rib fractures are noted . there are multilevel degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR302_IM-1394,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR302_IM-1394-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR302_IM-1394-1001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . mild spine curvature again noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3020_IM-1395_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3020_IM-1395-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3020_IM-1395-2001.png,startseq heart size and mediastinal contours are normal appearance . no consolidative airspace opacities . no radiographic evidence pleural effusion pneumothora . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3023_IM-1398,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3023_IM-1398-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3023_IM-1398-1001.png,startseq the heart normal size . the mediastinum unremarkable . small calcified left upper lung granuloma noted . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3024_IM-1399_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3024_IM-1399-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3024_IM-1399-2001.png,startseq cardiomediastinal silhouette within normal limits overall size and appearance . central vascular markings are symmetric and within normal limits . the lungs are normally inflated with no focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3025_IM-1400_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3025_IM-1400-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3025_IM-1400-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3027_IM-1402,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3027_IM-1402-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3027_IM-1402-1001.png,startseq normal heart size mediastinal contours . no focal airspace consolidation . no pneumothora pleural effusion . stable mild detro curvature the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3028_IM-1403_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3028_IM-1403-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3028_IM-1403-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . atherosclerotic calcifications the aortic are again seen . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3029_IM-1404_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3029_IM-1404-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3029_IM-1404-2001.png,startseq normal cardiac contour . clear lung bilaterally . no pleural effusion pneumothora . degenerative seen throughout cervical spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR303_IM-1404,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR303_IM-1404-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR303_IM-1404-1001.png,startseq the heart normal size . the mediastinum stable . rectal balloon noted . lungs are mildly hypoinflated . there again eventration the hemidiaphragms bochdalek hernia posteriorly seen the lateral projection . bilateral pleural thickening noted . there are streaky opacities the lung bases unchanged chronic atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3030_IM-1405_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3030_IM-1405-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3030_IM-1405-4001.png,startseq normal cardiomediastinal silhouette . there no focal consolidation . there are no large pleural effusion . there no pneumothora . there no acute bony abnormality seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3031_IM-1406_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3031_IM-1406-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3031_IM-1406-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3032_IM-1407_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3032_IM-1407-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3032_IM-1407-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . sternotomy sutures and coronary bypass clips remain intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3033_IM-1408,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3033_IM-1408-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3033_IM-1408-1001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3034_IM-1408_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3034_IM-1408-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3034_IM-1408-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . multilevel cervical arthritis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3036_IM-1409_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3036_IM-1409-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3036_IM-1409-2001.png,startseq evaluation limited body habitus and technique . enteric suction catheter courses below diaphragm and film . stable heart size and mediastinal contours . low lung volumes . no pneumothora . cardiac generator leads over the right atrium and right ventricle . two bilateral pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3037_IM-1410_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3037_IM-1410-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3037_IM-1410-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3038_IM-1411_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3038_IM-1411-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3038_IM-1411-2001.png,startseq the heart and mediastinum are unremarkable . there calcified granuloma within the left upper lobe . the lungs are clear without infiltrate . there no effusion pneumothora . there are acute mild anterior deformities identified ll . there retropulsion the posterior vertebral body ct the lumbar spine was already ordered the time this dictation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3039_IM-1412_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3039_IM-1412-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3039_IM-1412-2001.png,startseq normal heart size . clear lungs . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . total images were obtained . the cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation . there atelectasis . no consolidation pleural effusion pneumothora . calcified right infrahilar lymph again seen . partially visualized lower cervical spine fusion endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-4004.png,startseq the eamination consists frontal and lateral radiographs the chest . total images were obtained . the cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation . there atelectasis . no consolidation pleural effusion pneumothora . calcified right infrahilar lymph again seen . partially visualized lower cervical spine fusion endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR304_IM-1413-4004.png,startseq the eamination consists frontal and lateral radiographs the chest . total images were obtained . the cardiomediastinal contours are within normal limits allowing for low lung volumes and patient rotation . there atelectasis . no consolidation pleural effusion pneumothora . calcified right infrahilar lymph again seen . partially visualized lower cervical spine fusion endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3040_IM-1414,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3040_IM-1414-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3040_IM-1414-12012.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . minimal degenerative changes the thoracic spine . there anterior fusion the cervicothoracic junction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3041_IM-1415_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3041_IM-1415-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3041_IM-1415-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3042_IM-1416,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3042_IM-1416-5001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3042_IM-1416-5001.png,startseq stable appearance bipolar dual cardiac pacemaker overlying the left hemithora . no interval change position . cardiomediastinal silhouette appears within normal limits . lungs are wellaerated . no areas parenchymal consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3043_IM-1417_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3043_IM-1417-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3043_IM-1417-3001.png,startseq the heart and mediastinum are normal . the lungs are clear . there mild blunting the right costophrenic there no infiltrate mass pneumothora . the right internal jugular catheter has been removed . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3044_IM-1418_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3044_IM-1418-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3044_IM-1418-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . eternal monitor leads the thora . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3045_IM-1418_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3045_IM-1418-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3045_IM-1418-2001.png,startseq heart size and vascularity normal . mediastinal contour normal . lungs are clear . no pleural effusions pneumothoraces . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3046_IM-1418_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3046_IM-1418-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3046_IM-1418-1002.png,startseq redemonstration azygos lobe . redemonstrated left perihilar nodular opacity similar size from previous eamination . dense appearing may granulomatous . the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the heart size normal . limited eam for evaluation fractures . however no evidence for displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3047_IM-1418_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3047_IM-1418-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3047_IM-1418-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3048_IM-1419,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3048_IM-1419-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3048_IM-1419-3001.png,startseq normal cardiac contours . clear lung bilaterally . no pneumothora pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3049_IM-1420_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3049_IM-1420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3049_IM-1420-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR305_IM-1420,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR305_IM-1420-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR305_IM-1420-2001.png,startseq heart size mildly enlarged . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3050_IM-1420,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3050_IM-1420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3050_IM-1420-1001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3051_IM-1420_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3051_IM-1420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3051_IM-1420-2001.png,startseq lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3052_IM-1420_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3052_IM-1420-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3052_IM-1420-1002.png,startseq normal heart size . density surrounding superior mediastinum refle combination vascular osseous common pleural structures . no focal airspace consolidation . moderate degenerative disc disease with osteophyte formation bridging . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3054_IM-1422_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3054_IM-1422-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3054_IM-1422-3003.png,startseq the patient status post cabg . the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . ureteral stents are noted the right . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3056_IM-1423,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3056_IM-1423-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3056_IM-1423-2001.png,startseq there moderate layering right pleural effusion with air fluid level noted . airspace opacity the superior segment the right lower lobe . no visualized pneumothora . the right lateral heart obscured . the left lung clear without focal consolidation . no visualized pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3057_IM-1424-1001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3057_IM-1424-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3057_IM-1424-1001-0001.png,startseq the cardiomediastinal silhouette normal size and configuration . atherosclerotic calcification the thoracic aorta . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-2002.png,startseq left midlung opacity noted not visualized prior . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-3003.png,startseq left midlung opacity noted not visualized prior . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3058_IM-1425-3003.png,startseq left midlung opacity noted not visualized prior . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3059_IM-1425_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3059_IM-1425-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3059_IM-1425-2001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . cardiomediastinal silhouette within normal limits . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR306_IM-1426_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR306_IM-1426-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR306_IM-1426-2001.png,startseq the lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3060_IM-1426,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3060_IM-1426-1003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3060_IM-1426-1003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3061_IM-1427_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3061_IM-1427-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3061_IM-1427-3001.png,startseq the heart size and pulmonary vascularity appear within normal units . no pleural effusion pneumothora seen . bandlike opacities are present the right base consistent with areas atelectasis . remainder the lungs appear clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3062_IM-1428,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3062_IM-1428-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3062_IM-1428-1001.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . minimal blunting the left costophrenic no pneumothora . visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3063_IM-1428_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3063_IM-1428-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3063_IM-1428-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3064_IM-1428_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3064_IM-1428-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3064_IM-1428-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . there patchy airspace disease the right lower lobe . the lungs are otherwise grossly clear . there no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3065_IM-1429,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3065_IM-1429-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3065_IM-1429-1001.png,startseq lungs are without focal airspace disease . no pleural effusions pneumothoraces . heart size normal status post sternotomy . degenerative changes the thoracic spine . incidental note previous left rotator repair . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3066_IM-1430_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3066_IM-1430-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3066_IM-1430-2001.png,startseq the heart normal size . the mediastinum unremarkable . mild emphysematous changes without focal consolidation . there no pleural effusion . lingular scarring atelectasis noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3067_IM-1430_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3067_IM-1430-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3067_IM-1430-1002.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3069_IM-1432_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3069_IM-1432-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3069_IM-1432-2001.png,startseq right upper lobe airspace disease consistent with pneumonia given patient history . the lungs are otherwise clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR307_IM-1432_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR307_IM-1432-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR307_IM-1432-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3070_IM-1432_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3070_IM-1432-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3070_IM-1432-1002.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3071_IM-1433_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3071_IM-1433-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3071_IM-1433-2001.png,startseq heart size normal . the lungs are clear . there are no focal air space consolidations . no pleural effusions pneumothoraces . the hilar and mediastinal contours are normal . normal pulmonary vascularity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3072_IM-1433_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3072_IM-1433-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3072_IM-1433-2001.png,startseq leftsided medication injection has its tip projecting the cavoatrial junction . the trachea midline . etensive bilateral bronchiectasis cystic changes and scarring represents sequela from the patient cystic fibrosis . no evidence focal pulmonary infiltrate pleural effusion . no large pneumothora has developed the interim . the overlying bony structures reveal no acute abnormalities . the heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3073_IM-1434_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3073_IM-1434-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3073_IM-1434-2001.png,startseq heart size and cardiomediastinal contours are normal . lungs are clear without focal airspace opacity pleural effusion pneumothora . no displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3074_IM-1435_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3074_IM-1435-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3074_IM-1435-2001.png,startseq sequelae old granulomatous disease . vague patchy opacity the right midlung which may represent early pneumonia . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3075_IM-1436_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3075_IM-1436-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3075_IM-1436-2001.png,startseq the heart mildly enlarged . lung volumes are low . there no focal consolidation pneumothora large pleural effusion . bony structures are within normal limits . there no free air under the diaphragm . there mild amount seen the transverse colon . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-2001.png,startseq frontal view kyphotic and rotated low lung volumes with bronchovascular crowding . otherwise no definite airspace consolidation pleural effusion . accounting for technical factors heart size borderline enlarged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-4004.png,startseq frontal view kyphotic and rotated low lung volumes with bronchovascular crowding . otherwise no definite airspace consolidation pleural effusion . accounting for technical factors heart size borderline enlarged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3076_IM-1437-4004.png,startseq frontal view kyphotic and rotated low lung volumes with bronchovascular crowding . otherwise no definite airspace consolidation pleural effusion . accounting for technical factors heart size borderline enlarged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3077_IM-1438_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3077_IM-1438-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3077_IM-1438-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . low left paraspinalretrocrural adenopathy present . this appears unchanged . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3078_IM-1438_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3078_IM-1438-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3078_IM-1438-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . there right lower lobe pneumonia . no pleural effusion . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3079_IM-1438_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3079_IM-1438-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3079_IM-1438-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . multilevel degenerative changes are seen throughout the thoracic spine . anchors over the left humeral head . there mild bilateral acromioclavicular joint osteoarthritis . visualized upper abdomen grossly unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR308_IM-1439_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR308_IM-1439-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR308_IM-1439-2001.png,startseq stable appearing rightsided the opacities . there persistent elevation the right hemidiaphragm . the cardiac silhouette and mediastinal contours are within normal limits . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3080_IM-1440_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3080_IM-1440-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3080_IM-1440-1002.png,startseq the cavity and the left upper lobe has decreased size . bilateral apical bullae and parenchymal scars are unchanged . no infiltrates the lower lobes . heart size remains normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3081_IM-1440_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3081_IM-1440-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3081_IM-1440-1002.png,startseq the heart normal size . the aorta tortuous and ectatic . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3082_IM-1441_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3082_IM-1441-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3082_IM-1441-2001.png,startseq cardiomegaly . interstitial opacities consistent with edema the lower lobes . no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3083_IM-1442_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3083_IM-1442-7001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3083_IM-1442-8001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3084_IM-1443_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3084_IM-1443-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3084_IM-1443-2001.png,startseq heart size normal . no pleural effusions . no pneumothora . no focal air space opacities . mild degenerative osteophytes are noted the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3085_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3085_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3085_IM-1444-2001.png,startseq normal cardiomediastinal contours . marrow pneumothora focal lung consolidation pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3086_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3086_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3086_IM-1444-2001.png,startseq no airspace disease effusion noncalcified nodule . calcified granuloma seen bilaterally . normal heart size . elevated right hemidiaphragm with nodular soft tissue contour containing liver . degenerative changes demonstrated within the visualized thoracic spine . there neurostimulator overlying the mid and lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3087_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3087_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3087_IM-1444-2001.png,startseq the heart enlarged . the mediastinal contours are stable . large hiatal hernia identified containing stomach and colon . questionable small bowel loops are also visualized inthe large hernia . there adjacent compressive atelectasis . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3088_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3088_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3088_IM-1444-2001.png,startseq heart size and mediastinal contours appear within normal limits . no focal pulmonary opacity pleural effusion pneumothora . there levoscoliosis the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3089_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3089_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3089_IM-1444-1002.png,startseq normal heart size and mediastinal contours . no abnormal airspace opacities . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR309_IM-1444_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR309_IM-1444-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR309_IM-1444-2001.png,startseq normal and stable cardiomediastinal contours . no pneumothora pleural effusions . no focal lung consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3090_IM-1445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3090_IM-1445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3090_IM-1445-2001.png,startseq normal cardiac contour . right sided pleural effusion . clear left lung no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3091_IM-1445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3091_IM-1445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3091_IM-1445-2001.png,startseq the heart size mildly enlarged . the patient post aortic valve replacement . the sternotomy are intact . the pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3092_IM-1445_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3092_IM-1445-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3092_IM-1445-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . levoscoliosis the thoracolumbar spine present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3093_IM-1446_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3093_IM-1446-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3093_IM-1446-2001.png,startseq lungs are hyperepanded . bullae are present the upper lobes . no focal infiltrates . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3094_IM-1447_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3094_IM-1447-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3094_IM-1447-3001.png,startseq heart size normal . lungs are clear . low lung volumes . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3095_IM-1448_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3095_IM-1448-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3095_IM-1448-2001.png,startseq heart size mildly enlarged . there are diffusely increased interstitial opacities bilaterally . no focal consolidation pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3096_IM-1448_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3096_IM-1448-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3096_IM-1448-3003.png,startseq the heart normal size . prominent right paratracheal soft tissue density . rounded mass the right middle lobe measures approimately cm . there mild surrounding airspace disease andor atelectasis . no pleural effusions noted . the visualized bony thora appears grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3097_IM-1449,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3097_IM-1449-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3097_IM-1449-1001.png,startseq the heart size and pulmonary vascularity appear within normal limits . vascular calcification identified . calcified granuloma present the right lower lobe . no nodules are seen . no pneumothora pleural effusion seen . no focal airspace disease identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3098_IM-1450_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3098_IM-1450-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3098_IM-1450-1002.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3099_IM-1450_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3099_IM-1450-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3099_IM-1450-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues grossly unremarkable . calcified left hilar endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR310_IM-1451-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR310_IM-1451-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR310_IM-1451-0001-0002.png,startseq chest . the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . thoracic spine . the eamination consists frontal lateral and swimmers lateral radiographs the thoracic spine . there no evidence fracture malalignment . the vertebral body and disc spaces are maintained . sternum . the eamination consists oblique and one lateral radiograph the sternum . no displaced fracture demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3100_IM-1452_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3100_IM-1452-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3100_IM-1452-1002.png,startseq lungs are hyperepanded but clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3101_IM-1453_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3101_IM-1453-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3101_IM-1453-3001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes are present the spine . stent noted the abdomen . the thoracic aorta tortuous . calcified granuloma are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3102_IM-1454_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3102_IM-1454-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3102_IM-1454-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3103_IM-1454_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3103_IM-1454-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3103_IM-1454-1002.png,startseq cardiomediastinal silhouette stable and unremarkable . stable eventration the right hemidiaphragm . there redemonstration without significant interval change mild subsegmental atelectasis the left base . pneumonia seen ct eamination dated not seen prior chest not seen either chest endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3105_IM-1456_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3105_IM-1456-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3105_IM-1456-1002.png,startseq heart and mediastinum within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3106_IM-1456_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3106_IM-1456-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3106_IM-1456-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-12001.png,startseq there airspace disease the right lower lobe seen behind the right hemidiaphragm view . this also well seen lateral view . remainder the lungs appear clear . the heart and pulmonary appear normal . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-3001.png,startseq there airspace disease the right lower lobe seen behind the right hemidiaphragm view . this also well seen lateral view . remainder the lungs appear clear . the heart and pulmonary appear normal . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-12001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3108_IM-1457-3001.png,startseq there airspace disease the right lower lobe seen behind the right hemidiaphragm view . this also well seen lateral view . remainder the lungs appear clear . the heart and pulmonary appear normal . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3109_IM-1458_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3109_IM-1458-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3109_IM-1458-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3110_IM-1460_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3110_IM-1460-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3110_IM-1460-1002.png,startseq heart size mediastinal and aortic contours are within normal limits . normal pulmonary vasculature . the lungs are clear . no visible pneumothora large pleural effusion . elevated right hemidiaphragm . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3111_IM-1461_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3111_IM-1461-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3111_IM-1461-2001.png,startseq stable appearance previous sternotomy . stable cardiomegaly . stable mild bilateral interstitial opacities which may represent mild pulmonary edema . no evidence large pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3112_IM-1461_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3112_IM-1461-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3112_IM-1461-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3113_IM-1462_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3113_IM-1462-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3113_IM-1462-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . there no evidence for mass lung apices . the heart normal . there are atherosclerotic changes the aorta . the skeletal structures are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3115_IM-1463_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3115_IM-1463-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3115_IM-1463-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3116_IM-1464_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3116_IM-1464-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3116_IM-1464-2001.png,startseq the cardiac silhouette enlarged . there are bibasilar airspace opacities left greater than right with small right pleural effusion . no visualized pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3117_IM-1465_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3117_IM-1465-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3117_IM-1465-2001.png,startseq heart size normal . the lungs and costophrenic are clear . the bony thora grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3118_IM-1466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3118_IM-1466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3118_IM-1466-2001.png,startseq no pneumothora pleural effusion focal airspace disease . heart size normal . cardiomediastinal silhouette stable . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3119_IM-1466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3119_IM-1466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3119_IM-1466-2001.png,startseq heart size normal . no focal airspace consolidations . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR312_IM-1466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR312_IM-1466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR312_IM-1466-2001.png,startseq normal cardiomediastinal silhouette . leftsided aortic pulmonary vasculatures are within normal limits . central airways are no focal consolidation pleural effusion pneumothora . bony structure are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3120_IM-1466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3120_IM-1466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3120_IM-1466-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . fractures the posterior left and ribs ageindeterminate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3121_IM-1466_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3121_IM-1466-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3121_IM-1466-1002.png,startseq heart size and mediastinal contour within normal limits . calcified granuloma right midlung . no focal airspace consolidation pneumothora large pleural effusion . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3122_IM-1467_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3122_IM-1467-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3122_IM-1467-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3123_IM-1468_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3123_IM-1468-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3123_IM-1468-2001.png,startseq the heart enlarged . changes sternotomy and bypass graft are identified the lungs are grossly clear . right pleural thickening versus pleural effusion noted . there no acute infiltrate . no pneumothora seen . mild granulomatous sequela are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3124_IM-1468_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3124_IM-1468-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3124_IM-1468-2001.png,startseq there persistent marked enlargement the pulmonary arteries . normal heart size . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3125_IM-1469_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3125_IM-1469-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3125_IM-1469-2001.png,startseq the lungs are clear and without focal airspace opacity . the cardiomediastinal silhouette normal size and contour and stable . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3126_IM-1470_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3126_IM-1470-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3126_IM-1470-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3127_IM-1470,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3127_IM-1470-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3127_IM-1470-1001.png,startseq the heart size normal . there prominent left epicardial fat . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3128_IM-1471_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3128_IM-1471-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3128_IM-1471-2001.png,startseq calcified left hilar lymph from prior granulomatous disease . the cardiomediastinal silhouette within normal limits for size . pulmonary vasculature within normal limits . no focal consolidations effusions pneumothoraces . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3129_IM-1471_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3129_IM-1471-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3129_IM-1471-3001.png,startseq heart size within normal limits . tortuous aorta . there accessory azygos fissure the right upper lung . no focal air space consolidations are noted . no pneumothora pleural effusion . there severe degenerative change the thoracolumbar junction with mild anterior wedging approimately endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR313_IM-1472,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR313_IM-1472-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR313_IM-1472-1001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiac silhouette moderately enlarged with cardiothoracic ratio . diffuse coarse interstitial opacity seen throughout the lungs with perihilar and lower lobe predominance . there right greater than left bibasilar consolidation . there are small pleural effusions right larger than left . no evidence pneumothora . dense atherosclerotic calcification seen involving the thoracic and upper abdominal aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3130_IM-1472_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3130_IM-1472-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3130_IM-1472-2001.png,startseq images . heart size enlarged stable . thoracic aortic atherosclerotic calcifications are present . there dense consolidation within the retrocardiac left lower lobe . there also patchy airspace opacity within the perihilar right lung . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3131_IM-1473_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3131_IM-1473-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3131_IM-1473-2001.png,startseq no focal consolidation . no visualized pneumothora . no large pleural effusions . the heart size and cardiomediastinal silhouette are grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3132_IM-1473_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3132_IM-1473-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3132_IM-1473-2001.png,startseq the and soft tissue appear normal . the cardiac silhouette and mediastinum size are normal . the aortic the left . the trachea well seen and appears normal . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3134_IM-1474_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3134_IM-1474-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3134_IM-1474-2001.png,startseq lungs appear clear . heart and pulmonary appear normal . pleural spaces are clear . mediastinal contours are normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3135_IM-1474_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3135_IM-1474-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3135_IM-1474-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3136_IM-1475_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3136_IM-1475-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3136_IM-1475-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3137_IM-1476_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3137_IM-1476-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3137_IM-1476-1002.png,startseq the trachea midline . cardiomediastinal silhouette normal . there calcified density the left mid lung most calcified granuloma . lungs are otherwise clear without evidence acute infiltrate effusion . specifically there no evidence tuberculous disease . there no pneumothora . the bony structures show no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3138_IM-1476_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3138_IM-1476-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3138_IM-1476-1002.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no evidence tuberculous disease . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3139_IM-1476_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3139_IM-1476-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3139_IM-1476-2001.png,startseq no focal areas consolidation . no pleural effusions . no evidence pneumothora . heart size within normal limits . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR314_IM-1477_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR314_IM-1477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR314_IM-1477-2001.png,startseq low lung volumes . normal heart size . the trachea midline . lungs are clear . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3141_IM-1477_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3141_IM-1477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3141_IM-1477-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-2001.png,startseq there stable mild cardiomegaly without significant pulmonary vascular congestion . they are stable tortuosity the aorta . there no acute pulmonary consolidation large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-3001.png,startseq there stable mild cardiomegaly without significant pulmonary vascular congestion . they are stable tortuosity the aorta . there no acute pulmonary consolidation large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3142_IM-1477-3001.png,startseq there stable mild cardiomegaly without significant pulmonary vascular congestion . they are stable tortuosity the aorta . there no acute pulmonary consolidation large effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3143_IM-1477_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3143_IM-1477-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3143_IM-1477-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3144_IM-1478_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3144_IM-1478-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3144_IM-1478-2001.png,startseq and lateral views the chest were obtained the lung volumes are normal . the lungs are clear and there are no pleural effusions . the mediastinum and pulmonary are normal . the bony elements are not remarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3146_IM-1479_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3146_IM-1479-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3146_IM-1479-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3147_IM-1480,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3147_IM-1480-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3147_IM-1480-1001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3148_IM-1480_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3148_IM-1480-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3148_IM-1480-2001.png,startseq stable cardiomediastinal contour mild cardiomegaly . no pneumothora significant pulmonary edema . small left pleural effusion . no focal lung consolidation . mildly low lung volumes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3149_IM-1480_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3149_IM-1480-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3149_IM-1480-2001.png,startseq the lungs are hyperepanded . cardiomediastinal silhouette within normal limits . no pleural effusion focal airspace opacities pneumothora . no free subdiaphragmatic air . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3150_IM-1482_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3150_IM-1482-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3150_IM-1482-4001.png,startseq the trachea midline . cardiomediastinal silhouette normal . the there are opacities the left lower lobe the lung which are most dependent atelectasis . there no pneumothora . visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3151_IM-1483,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3151_IM-1483-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3151_IM-1483-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . there lingular airspace disease . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3152_IM-1484_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3152_IM-1484-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3152_IM-1484-2001.png,startseq the lungs are hyperepanded . there are stable scattered bilateral opacities most notable the left upper lobe scarring . no focal airspace consolidation suggest pneumonia . no large pleural effusion . no pneumothora . heart size normal . thoracic aorta mildly tortuous and demonstrates atherosclerotic vascular calcification . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3154_IM-1486_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3154_IM-1486-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3154_IM-1486-4004.png,startseq there severe detroscoliosis the thoracic spine with chronic deformity the bilateral ribs . the lungs are chronically hypoinflated . there visualization the hemidiaphragms which may due basilar airspace diseaseatelectasis . evaluation the lungs markedly limited . overall the appearance similar the prior study from there no evidence pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3155_IM-1486_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3155_IM-1486-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3155_IM-1486-2001.png,startseq heart size mildly enlarged with enlarged right atrium . no focal alveolar consolidation no definite pleural effusion seen . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3156_IM-1486_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3156_IM-1486-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3156_IM-1486-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3157_IM-1487_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3157_IM-1487-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3157_IM-1487-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3158_IM-1487_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3158_IM-1487-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3158_IM-1487-2001.png,startseq cardiomegaly present . the pulmonary vascularity appears within normal limits . some scattered opacities are present whose appearance scarring atelectasis . no focal airspace disease seen . no pleural effusion noted . no pneumothora identified . the left hemidiaphragm elevated . scoliosis present involving the lumbar spine . there has been previous surgical resection the left rib . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3159_IM-1487-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3159_IM-1487-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3159_IM-1487-1001-0002.png,startseq moderate cardiomegaly . prominent vascular pedicleupper mediastinal contour . mild central vascular congestion . no overt edema confluent lobar pneumonia . no pleural effusion . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3160_IM-1487,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3160_IM-1487-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3160_IM-1487-2001.png,startseq heart size upper limits normal and stable . they are multiple radiopaque densities overlying the patient . the lungs are normally inflated and clear . degenerative changes the spinal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3163_IM-1488_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3163_IM-1488-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3163_IM-1488-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3165_IM-1490_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3165_IM-1490-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3165_IM-1490-13013.png,startseq normal and stable cardiomediastinal contours . interval removal leftsided intravenous catheter . no pneumothora . opacities obscuring the hemidiaphragms slightly improved from prior eam . rightsided rib fractures again noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3166_IM-1491_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3166_IM-1491-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3166_IM-1491-2001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3167_IM-1491_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3167_IM-1491-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3167_IM-1491-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3168_IM-1492_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3168_IM-1492-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3168_IM-1492-2001.png,startseq normal heart size and mediastinal contours . no focal airspace consolidation . no pleural effusion pneumothora . chronic appearing left lateral rib deformities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3169_IM-1492_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3169_IM-1492-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3169_IM-1492-2001.png,startseq hyperlucent hyperinflated lungs with flattened diaphragms . granulomas . small sized heart . minimal apical capping slightly greater the left . unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR317_IM-1493_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR317_IM-1493-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR317_IM-1493-2001.png,startseq normal heart size . normal mediastinal silhouette . no pneumothora pleural effusion . no suspicious focal air space opacity . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3170_IM-1494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3170_IM-1494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3170_IM-1494-1002.png,startseq heart size normal . aorta tortuous and ectatic . cardiomediastinal contours are normal . lungs are clear without evidence fibrosis . pleural effusions pneumothora . endplate sclerotic changes are present the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3171_IM-1494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3171_IM-1494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3171_IM-1494-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3172_IM-1494_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3172_IM-1494-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3172_IM-1494-1002.png,startseq trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence acute infiltrate effusion . there no evidence tuberculous disease . there no pneumothora . there detroscoliosis the lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3173_IM-1495_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3173_IM-1495-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3173_IM-1495-3003.png,startseq lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3174_IM-1496_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3174_IM-1496-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3174_IM-1496-4004.png,startseq the lungs are hyperinflated with biapical pleuralparenchymal scarring and upward retraction the similar the prior study . there are multiple reticularnodular opacities the upper lobes bilaterally which appear grossly stable from the prior study . there no evidence focal airspace disease . there no pneumothora pleural effusion . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3175_IM-1497_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3175_IM-1497-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3175_IM-1497-1002.png,startseq stable obscuration the left cardiac representing left pleural thickening . stable nodular opacity within the left midlung . the lungs are clear bilaterally with no focal consolidation pleural effusions pneumothoraces . cardiomediastinal silhouette stable . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3176_IM-1497_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3176_IM-1497-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3176_IM-1497-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3177_IM-1497_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3177_IM-1497-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3177_IM-1497-2001.png,startseq the lungs are clear . there hyperinflation the lungs . there no pleural effusion pneumothora . the heart and mediastinum are normal . mild arthritic changes the spine are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3179_IM-1499_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3179_IM-1499-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3179_IM-1499-2001.png,startseq the cardiac silhouette measures near upper limits normal size . pulmonary vasculature normal caliber . there stable eventration the anterior right hemidiaphragm . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR318_IM-1500_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR318_IM-1500-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR318_IM-1500-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3180_IM-1500_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3180_IM-1500-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3180_IM-1500-3001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3181_IM-1500,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3181_IM-1500-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3181_IM-1500-1001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3182_IM-1501-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3182_IM-1501-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3182_IM-1501-0001-0002.png,startseq there moderate amount retained contrast within the distal esophagus . there no evidence aspiration . nodule present within the right hilum . no moderate large pleural effusion pneumothora identified . the cardiomediastinal silhouette within normal limits . the pulmonary vasculature normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3183_IM-1502_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3183_IM-1502-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3183_IM-1502-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3184_IM-1503_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3184_IM-1503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3184_IM-1503-2001.png,startseq the aortic mildly tortuous . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . there are tspine osteophytes . large body habitus . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3185_IM-1503_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3185_IM-1503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3185_IM-1503-2001.png,startseq the cardiomediastinal silhouette normal size and appearance . the lung are clear . there are no soft tissue bony abnormalities . there no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3186_IM-1503_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3186_IM-1503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3186_IM-1503-2001.png,startseq the lungs are hypoventilated . there no focal consolidation . cardiomediastinal silhouette normal size and contour . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3187_IM-1503_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3187_IM-1503-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3187_IM-1503-2001.png,startseq and lateral views . stable postoperative changes with midline sternotomy and myocardial revascularization . cardiac size remains mildly enlarged but stable . there mild vascular congestion . small bilateral pleural effusions are present which are endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3189_IM-1505,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3189_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3189_IM-1505-1001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are hypoinflated but grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR319_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR319_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR319_IM-1505-1002.png,startseq normal heart size . clear lungs . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3190_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3190_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3190_IM-1505-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . there vague right suprahilar density with elevation the fissure most mild subsegmental atelectasis though superimposed infection cannot entirely ecluded . the remaining lungs are clear . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3191_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3191_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3191_IM-1505-2001.png,startseq borderline cardiac enlargement . enlarged calcified thoracic aorta . emphysema . no acute pulmonary abnormality . mild spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3192_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3192_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3192_IM-1505-2001.png,startseq the heart normal size . mild fullness the left hilum small interval change from prior eam . lucencies throughout the chest representing emphysematous change . scattered bilateral calcified granulomas . no pneumothora . large hiatal hernia increased from prior eam . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3193_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3193_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3193_IM-1505-1002.png,startseq mild hyperinflation . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . heart size and pulmonary vascularity within normal limits visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3194_IM-1505_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3194_IM-1505-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3194_IM-1505-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3195_IM-1506-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3195_IM-1506-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3195_IM-1506-0001-0002.png,startseq there left base opacity . the right lung grossly clear . heart size normal . left venous catheter with tip the right atrium . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3196_IM-1507_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3196_IM-1507-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3196_IM-1507-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3199_IM-1510,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3199_IM-1510-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3199_IM-1510-1001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR32_IM-1511_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR32_IM-1511-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR32_IM-1511-4001.png,startseq the heart normal size . the mediastinum unremarkable . mild blunting right costophrenic the lungs are otherwise grossly clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3201_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3201_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3201_IM-1513-2001.png,startseq lung volumes are low . no focal infiltrates . heart size normal . mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3202_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3202_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3202_IM-1513-1002.png,startseq normal heart size and mediastinal contours . no focal airspace opacity . no pleural effusion pneumothora . multiple healed posterior left rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3203_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3203_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3203_IM-1513-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3204_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3204_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3204_IM-1513-2001.png,startseq the lungs are clear . there no pleural effusion . the heart normal . there are atherosclerotic changes the aorta . senescent changes the spine are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3205_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3205_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3205_IM-1513-1002.png,startseq no pneumothora . heart size normal . no large pleural effusions . no focal airspace opacities . no definite visualized rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3206_IM-1513_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3206_IM-1513-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3206_IM-1513-1002.png,startseq heart size normal . no large effusions . no focal airspace opacities . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3207_IM-1514_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3207_IM-1514-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3207_IM-1514-2001.png,startseq there been interval enlargement the cardiac silhouette . these not contours are within normal limits . the lungs are normally inflated and clear . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3208_IM-1515_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3208_IM-1515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3208_IM-1515-2001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . normal heart size and mediastinal contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3209_IM-1515_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3209_IM-1515-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3209_IM-1515-1002.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR321_IM-1516-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR321_IM-1516-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR321_IM-1516-0001-0002.png,startseq there are opacities the left lung subsegmental atelectasis . opacities overlying the left lung base the frontal reflect epicardial fat and overlying breast tissue . there no focal airspace consolidation . no pleural effusion pneumothora . heart size the upper limits normal . there are diffuse degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3210_IM-1517,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3210_IM-1517-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3210_IM-1517-1001.png,startseq images . heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3211_IM-1517-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3211_IM-1517-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3211_IM-1517-1001-0002.png,startseq the lungs are clear . there appear small bilateral pleural effusions . the heart not grossly enlarged . there are atherosclerotic changes the aorta . increased kyphosis seen the may thoracic deformity that not wellcharacterized . arthritic changes are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3212_IM-1517_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3212_IM-1517-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3212_IM-1517-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3213_IM-1518,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3213_IM-1518-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3213_IM-1518-3001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there calcified granuloma within the right middle lobe . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3214_IM-1519_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3214_IM-1519-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3214_IM-1519-2001.png,startseq there marked interval increase heart size . the heart also demonstrates the configuration compatible with pericardial effusion . small right pleural effusion the present . the lungs are otherwise clear without focal infiltrates . normal pulmonary vascularity . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3216_IM-1520_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3216_IM-1520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3216_IM-1520-2001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3217_IM-1520,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3217_IM-1520-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3217_IM-1520-1002.png,startseq irregularity within the right ape consistent with patient known cavitary lesion sequela prior tuberculosis . no evidence active infection . no focal consolidations pneumothora effusions identified . paramediastinal silhouette stable and within normal limits and no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-3001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . there degenerative changes the skeletal structures endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-4001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . there degenerative changes the skeletal structures endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3218_IM-1520-4001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . there degenerative changes the skeletal structures endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR322_IM-1521_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR322_IM-1521-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR322_IM-1521-2001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . chronic appearing interstitial markings the lungs are normally inflated and clear . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3220_IM-1522_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3220_IM-1522-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3220_IM-1522-2001.png,startseq lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3221_IM-1522_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3221_IM-1522-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3221_IM-1522-1003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3222_IM-1522_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3222_IM-1522-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3222_IM-1522-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3223_IM-1523_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3223_IM-1523-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3223_IM-1523-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3224_IM-1524_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3224_IM-1524-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3224_IM-1524-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3226_IM-1525_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3226_IM-1525-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3226_IM-1525-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3227_IM-1525_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3227_IM-1525-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3227_IM-1525-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute osseus abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3228_IM-1526_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3228_IM-1526-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3228_IM-1526-2001.png,startseq the heart normal size . the mediastinum unremarkable . there again biapical scarring . small stable calcified left lower lobe granuloma . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3229_IM-1526_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3229_IM-1526-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3229_IM-1526-1002.png,startseq heart size within normal limits . trachea midline . the lung volumes are somewhat low . both lungs are otherwise clear bilaterally . no pleural effusion . no pulmonary nodules visualized . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR323_IM-1526_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR323_IM-1526-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR323_IM-1526-2001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . right lung calcified densities are unchanged from prior and indicate old granulomatous disease . otherwise the lungs are clear without evidence acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . lateral view reveals mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3230_IM-1527_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3230_IM-1527-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3230_IM-1527-2001.png,startseq low lung volumes and patient rotation . given differences technique heart size within normal limits . persistent right basilar opacity atelectasis . no suspicious pulmonary opacity pneumothora definite pleural effusion . mild degenerative change the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3231_IM-1528_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3231_IM-1528-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3231_IM-1528-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size within normal limits . there tortuosity the descending thoracic aorta unchanged . there right paratracheal thickening and bilateral hilar enlargement corresponding lymphadenopathy and pulmonary arterial enlargement visualized chest radiographically the findings are grossly stable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3232_IM-1529_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3232_IM-1529-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3232_IM-1529-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . the left midlung zone there has been development small lung nodule . this measures approimately diameter . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3233_IM-1530_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3233_IM-1530-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3233_IM-1530-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are mildly hyperinflated with flattening the hemidiaphragms . coarsened interstitial testes appear chronic and compatible with emphysema . there minimal scarring atelectasis the left lung base . the lungs are otherwise clear focal infiltrate pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3234_IM-1531_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3234_IM-1531-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3234_IM-1531-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3235_IM-1532_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3235_IM-1532-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3235_IM-1532-2001.png,startseq heart size normal . the lungs are clear . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3236_IM-1533_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3236_IM-1533-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3236_IM-1533-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3237_IM-1534,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3237_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3237_IM-1534-1001.png,startseq heart size enlarged pulmonary vascularity within normal limits . cardiac defibrillator generator projects over the left mid lateral lung . no visible pneumothora pleural effusion . minimal streaky airspace opacities the lower lobes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3238_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3238_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3238_IM-1534-3003.png,startseq the heart normal size . the mediastinal contours are within normal limits . aorta mildly tortuous and demonstrates atherosclerotic calcifications . the lungs are mildly hypoinflated with increased peripheral lung markings noted predominantly the right upper and lower lung . there no acute infiltrate significant pleural effusion . mild eventration left hemidiaphragm noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3239_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3239_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3239_IM-1534-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR324_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR324_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR324_IM-1534-2001.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3240_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3240_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3240_IM-1534-2001.png,startseq the cardiac contours are normal . the lungs are hyperinflated with flattening the diaphragms and tapering the distal pulmonary vasculature . there no focal consolidation . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3241_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3241_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3241_IM-1534-2001.png,startseq the lungs focal airspace consolidation . there atelectasis the left lung base . the cardiomediastinal silhouette normal size and contour . there no pneumothora large pleural effusion . cervical vertebral partially visible the top the radiographs . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3242_IM-1534_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3242_IM-1534-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3242_IM-1534-1002.png,startseq the heart and cardiomediastinal silhouette are normal size and contour . there no focal air space opacity pleural effusion pneumothora . there are multilevel degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3243_IM-1535-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3243_IM-1535-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3243_IM-1535-0001-0001.png,startseq normal heart size . diffuse bilateral reticulonodular interstitial opacities . there are no large pleural effusion . there no evidence pneumothora . heart not enlarged . are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3244_IM-1536_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3244_IM-1536-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3244_IM-1536-2002.png,startseq heart size within normal limits . right paratracheal prominence represents tortuous lung volumes . mild streaky bibasilar opacities . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3245_IM-1537_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3245_IM-1537-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3245_IM-1537-4001.png,startseq moderate bilateral interstitial edema with cardiomegaly and bilateral effusion consistent with moderate cardiac failure . large calcified right mediastinal adenopathy chronic fungal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3246_IM-1538_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3246_IM-1538-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3246_IM-1538-2001.png,startseq the cardiac contours are normal . prominent pulmonary arteries . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3249_IM-1539_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3249_IM-1539-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3249_IM-1539-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . again seen evidence prior cabg . the cardiomediastinal contours are unchanged . right and left pleural effusions . there right greater than left bibasilar atelectasis . blines seen the lung bases . no consolidation pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR325_IM-1539_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR325_IM-1539-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR325_IM-1539-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0002.png,startseq lungs are relatively clear . heart size normal . unfolded aorta . moderate hiatal hernia . tspine osteophytes and dish . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0002.png,startseq lungs are relatively clear . heart size normal . unfolded aorta . moderate hiatal hernia . tspine osteophytes and dish . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-2001.png,startseq lungs are relatively clear . heart size normal . unfolded aorta . moderate hiatal hernia . tspine osteophytes and dish . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3250_IM-1540-2001.png,startseq lungs are relatively clear . heart size normal . unfolded aorta . moderate hiatal hernia . tspine osteophytes and dish . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3251_IM-1541_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3251_IM-1541-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3251_IM-1541-2001.png,startseq right mid lung nodule stable etiology not determined . this noncalcified and stable since ct eamination from and benign etiology . the lungs are well inflated and without focal consolidation . the cardiomediastinal silhouette appears unremarkable . costophrenic clear . visualized spine vertebrae appear normal and alignment . overlying leads . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3252_IM-1542_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3252_IM-1542-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3252_IM-1542-2001.png,startseq no evidence airspace opacity . no effusion noncalcified nodules . no evidence pneumothora . normal heart size and mediastinum . visualized the chest are within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3253_IM-1542_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3253_IM-1542-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3253_IM-1542-2001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . the lungs are well aerated . no pneumothora pleural effusion focal air space consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3254_IM-1543_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3254_IM-1543-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3254_IM-1543-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3255_IM-1543,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3255_IM-1543-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3255_IM-1543-2001.png,startseq stable appearance the left aillary no pneumothora . 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3256_IM-1543_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3256_IM-1543-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3256_IM-1543-2001.png,startseq there mild cardiomegaly . mediastinal contours appear within normal limits . there are small bilateral pleural effusions left greater than right with left basilar opacities . no pneumothora . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3257_IM-1544_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3257_IM-1544-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3257_IM-1544-2001.png,startseq the cardiac contours are normal . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3258_IM-1544_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3258_IM-1544-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3258_IM-1544-2001.png,startseq normal heart size and mediastinal contours . the lungs are clear . there no pneumothora pleural effusion . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3259_IM-1545_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3259_IM-1545-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3259_IM-1545-2001.png,startseq there large calcified granuloma the right ape . mild patchy opacities are seen the upper lung zones bilaterally similar prior studies . the heart and mediastinum are normal . scoliosis and arthritic changes the spine are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR326_IM-1546_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR326_IM-1546-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR326_IM-1546-2002.png,startseq the lungs are clear . heart size and mediastinal contours are normal . no osseous abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3260_IM-1547_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3260_IM-1547-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3260_IM-1547-2001.png,startseq cardiomegaly andor pericardial effusion . right base opacity combination pleural effusion and atelectasisairspace disease . cannot eclude elevation right hemidiaphragm . left lung relatively clear . limited eam due underpenetrated technique related large patient habitus . no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3261_IM-1547_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3261_IM-1547-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3261_IM-1547-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-2001.png,startseq the cardiomediastinal silhouette within normal limits . lungs are clear without focal consolidation . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-3001.png,startseq the cardiomediastinal silhouette within normal limits . lungs are clear without focal consolidation . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3262_IM-1548-3001.png,startseq the cardiomediastinal silhouette within normal limits . lungs are clear without focal consolidation . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-2001.png,startseq chest the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . left knee there no fracturedislocation . there are degenerative changes with medial compartment osteophytes . there no suprapatellar effusion . there endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-3001.png,startseq chest the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . left knee there no fracturedislocation . there are degenerative changes with medial compartment osteophytes . there no suprapatellar effusion . there endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3263_IM-1549-3001.png,startseq chest the heart size and cardiomediastinal silhouette are normal . the lungs are clear without focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . left knee there no fracturedislocation . there are degenerative changes with medial compartment osteophytes . there no suprapatellar effusion . there endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3264_IM-1550_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3264_IM-1550-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3264_IM-1550-1002.png,startseq calcified granulomas noted . symmetric apical scarring . the diaphragms are flattened and the chest somewhat shaped . the cardiothymic silhouette within normal limits for size . pulmonary vascularity unremarkable . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3265_IM-1551_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3265_IM-1551-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3265_IM-1551-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3266_IM-1551_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3266_IM-1551-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3266_IM-1551-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3267_IM-1551_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3267_IM-1551-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3267_IM-1551-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours lungs pleura osseous structures and visualized upper abdomen are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3268_IM-1551,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3268_IM-1551-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3268_IM-1551-1001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3269_IM-1552_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3269_IM-1552-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3269_IM-1552-1002.png,startseq heart size within normal limits . cardiomediastinal silhouette normal contour . lungs are clear bilaterally . no focal consolidations . no pleural effusions . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR327_IM-1552_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR327_IM-1552-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR327_IM-1552-2001.png,startseq there stable mild cardiomegaly with normal caliber pulmonary vasculature . there are grossly intact sternotomy and mediastinal surgical clips . there no focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3270_IM-1552,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3270_IM-1552-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3270_IM-1552-1001.png,startseq the lungs are clear . heart size normal . no pneumothora . there are endplate changes within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3271_IM-1552_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3271_IM-1552-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3271_IM-1552-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3272_IM-1553_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3272_IM-1553-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3272_IM-1553-2001.png,startseq lung volumes remain opacities are present both lower lobes . old rib fractures and pleural thickening are present the right . heart and pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3273_IM-1554_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3273_IM-1554-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3273_IM-1554-2001.png,startseq cardiomegaly . no focal consolidation effusion pneumothora . mild unfolding the thoracic aorta . bony thora and soft tissues grossly unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1003002.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1004003.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3275_IM-1556-1004003.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3277_IM-1558_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3277_IM-1558-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3277_IM-1558-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are without focal consolidation pneumothora pleural effusion . calcified left hilar lymph calcified granuloma seen the left lower lobe . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3278_IM-1559,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3278_IM-1559-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3278_IM-1559-0001.png,startseq chest images . heart size normal . mediastinal contours are maintained . there mild pectus ecavatum deformity . the lungs are clear focal infiltrate . there no evidence for pleural effusion pneumothora . no convincing acute bony findings . right shoulder images . there has been and screw fiation the midshaft right clavicle . the lateral most screw fractured . this ageindeterminate no prior studies are available for comparison . otherwise the surgical appears intact . the humeral head seen within the glenoid without evidence for dislocation . no bony fractures are seen . the visualized right ribs appear intact . right clavicle images . no clavicle fracture seen . once again noted the surgical fiation with fracture the lateral most fiation screw . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3279_IM-1560_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3279_IM-1560-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3279_IM-1560-1002.png,startseq the heart size normal and cardiomediastinal silhouette normal contour . lungs are clear bilaterally . there no pleural effusion pneumothora . no bony soft tissue abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR328_IM-1560_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR328_IM-1560-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR328_IM-1560-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3280_IM-1561_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3280_IM-1561-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3280_IM-1561-2001.png,startseq right middle lobe opacity present . the cardiac silhouette and mediastinal contours are within normal limits . there no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-2001.png,startseq the heart size within normal limits . cardiomediastinal contour normal . there right upper lobe nodule measuring diameter . trachea midline . the lungs otherwise clear . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-3001.png,startseq the heart size within normal limits . cardiomediastinal contour normal . there right upper lobe nodule measuring diameter . trachea midline . the lungs otherwise clear . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3281_IM-1562-3001.png,startseq the heart size within normal limits . cardiomediastinal contour normal . there right upper lobe nodule measuring diameter . trachea midline . the lungs otherwise clear . and soft tissues are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-2001.png,startseq low lung volumes bilaterally with lungs otherwise grossly clear . no focal consolidation pneumothora large pleural effusion . the cardiomediastinal silhouette unremarkable . no acute osseous abnormalities identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-3001.png,startseq low lung volumes bilaterally with lungs otherwise grossly clear . no focal consolidation pneumothora large pleural effusion . the cardiomediastinal silhouette unremarkable . no acute osseous abnormalities identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3282_IM-1563-3001.png,startseq low lung volumes bilaterally with lungs otherwise grossly clear . no focal consolidation pneumothora large pleural effusion . the cardiomediastinal silhouette unremarkable . no acute osseous abnormalities identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-3001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3283_IM-1564-3001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3284_IM-1565,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3284_IM-1565-20001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3284_IM-1565-20001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3285_IM-1566_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3285_IM-1566-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3285_IM-1566-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3286_IM-1567_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3286_IM-1567-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3286_IM-1567-2001.png,startseq lung volumes are low . the heart large the pulmonary are engorged . no infiltrates . opacity present the left midlung . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3287_IM-1568_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3287_IM-1568-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3287_IM-1568-3003.png,startseq heart size and mediastinal contour normal . there vague nodular density the right mid lung probably within the middle lobe given the opacification the lateral view . there subtle left retrocardiac density also noted with obscuration aortic contour . no pleural effusions pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3288_IM-1569_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3288_IM-1569-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3288_IM-1569-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3289_IM-1570_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3289_IM-1570-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3289_IM-1570-2001.png,startseq normal cardiac size and contour unremarkable mediastinal silhouette . normal pulmonary lungs clear no airspace disease pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR329_IM-1571_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR329_IM-1571-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR329_IM-1571-1004003.png,startseq stable borderline enlarged cardiac contour . calcified mediastinal lymph prominent right paratracheal stripe . emphysema . no active pulmonary disease . mild spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3291_IM-1572_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3291_IM-1572-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3291_IM-1572-2001.png,startseq the lungs are clear . the heart and pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3292_IM-1572_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3292_IM-1572-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3292_IM-1572-2001.png,startseq mediastinal contours are normal . opacity within the right middle and lower lobes . no displacement the fissure . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3294_IM-1573_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3294_IM-1573-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3294_IM-1573-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the thoracic aorta tortuous . calcified granuloma identified the right middle lobe . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . no acute displaced rib fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3296_IM-1575-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3296_IM-1575-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3296_IM-1575-1001-0002.png,startseq the lungs are clear . heart size normal . no pneumothora . calcified left hilar node . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3297_IM-1575_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3297_IM-1575-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3297_IM-1575-1002.png,startseq the heart normal size . the mediastinum unremarkable . mild emphysematous changes are noted . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3298_IM-1575_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3298_IM-1575-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3298_IM-1575-1002.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3299_IM-1575_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3299_IM-1575-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3299_IM-1575-2001.png,startseq the cardiac silhouette and mediastinal contours are within normal limits . there are low lung volumes with bronchovascular crowding . otherwise the lungs are clear . there no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR33_IM-1576_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR33_IM-1576-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR33_IM-1576-13013.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . left aillary surgical clips . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR330_IM-1577-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR330_IM-1577-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR330_IM-1577-0001-0002.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3300_IM-1578_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3300_IM-1578-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3300_IM-1578-2001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . stable aortic tortuosity . cardiomediastinal silhouette otherwise unremarkable . scoliosis and degenerative changes the thoracic spine . stent visualized the right upper quadrant biliary stent . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3301_IM-1579_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3301_IM-1579-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3301_IM-1579-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3302_IM-1579_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3302_IM-1579-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3302_IM-1579-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are slightly hypoinflated but clear . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3303_IM-1580,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3303_IM-1580-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3303_IM-1580-3001.png,startseq heart size and mediastinal contours appear within normal limits . there vague nodular opacity the right upper lobe between the anterior second and third ribs which could represent focal infiltrate lung nodule . no pleural effusion . no pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3304_IM-1581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3304_IM-1581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3304_IM-1581-2001.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . there levoscoliosis the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3305_IM-1581_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3305_IM-1581-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3305_IM-1581-4001.png,startseq there right picc with tip overlying the right brachiocephalic vein . the cardiac silhouette enlarged . no overt pulmonary edema . there are streaky bibasilar opacities . no large pleural effusion . the right hemidiaphragm elevated . no pneumothora identified . there are degenerative changes the spine . bilateral surgical clips are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3306_IM-1581,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3306_IM-1581-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3306_IM-1581-1002.png,startseq the heart borderline size . aorta atherosclerotic . the mediastinum stable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1003002.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1004003.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1005004.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1004003.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1003002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1005004.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1004003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3307_IM-1582-1005004.png,startseq the cardiomediastinal silhouette normal size and configuration . pulmonary vasculature within normal limits . the lungs are wellaerated . there no pneumothora pleural effusion focal consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3309_IM-1583_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3309_IM-1583-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3309_IM-1583-2001.png,startseq heart and mediastinum are within normal limits . no focal consolidation . no large pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR331_IM-1584_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR331_IM-1584-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR331_IM-1584-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3310_IM-1585_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3310_IM-1585-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3310_IM-1585-3003.png,startseq no pneumothora pleural effusion airspace consolidation . cardiomediastinal size within normal limits . pulmonary vasculature normal intact . chondral cartilages causing over the anterior lungs lateral view . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3311_IM-1586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3311_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3311_IM-1586-3001.png,startseq the lungs are clear . there no pleural effusion . the heart and mediastinum are normal are the skeletal structures and soft tissues . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3312_IM-1586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3312_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3312_IM-1586-1002.png,startseq patchy infiltrate has developed the right middle lobe . left lung clear . heart size normal . aorta tortuous . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3313_IM-1586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3313_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3313_IM-1586-1002.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3314_IM-1586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3314_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3314_IM-1586-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3315_IM-1586_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3315_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3315_IM-1586-2001.png,startseq the lungs are clear . there no pleural effusion pneumothora . the heart and mediastinum are normal . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3316_IM-1586,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3316_IM-1586-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3316_IM-1586-1001.png,startseq heart size normal . no focal airspace disease . emphysema . bibasilar pleural scarring . no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3317_IM-1587_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3317_IM-1587-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3317_IM-1587-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3318_IM-1587_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3318_IM-1587-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3318_IM-1587-2001.png,startseq cardiac and mediastinal contours are within normal limits . prior granulomatous disease . the lungs are otherwise clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3319_IM-1588_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3319_IM-1588-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3319_IM-1588-2001.png,startseq heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . multilevel degenerative changes are noted within the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR332_IM-1588_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR332_IM-1588-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR332_IM-1588-2001.png,startseq there are are streaky retrocardiac left lower lobe opacities the correct clinical setting this could represent pneumonia . there no pneumothora pleural effusion . the cardiac silhouette within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3321_IM-1588_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3321_IM-1588-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3321_IM-1588-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3322_IM-1588_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3322_IM-1588-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3322_IM-1588-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . no change small calcified right apical granuloma . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3323_IM-1589-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3323_IM-1589-0001-0003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3323_IM-1589-0001-0003.png,startseq heart size within normal limits . aorta appears tortuous and ectatic unchanged from comparison eam . there stable dual icdpacemaker . no focal consolidation large pleural effusion pneumothora seen . visualized osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-2001.png,startseq the heart normal size . atherosclerotic calcifications the aorta . the mediastinum stable . there again soft tissue density projected over the right mid chest patient known large breast mass . the appearance grossly stable decreased from prior study . the lateral projection suboptimal patient could not raise there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-3001.png,startseq the heart normal size . atherosclerotic calcifications the aorta . the mediastinum stable . there again soft tissue density projected over the right mid chest patient known large breast mass . the appearance grossly stable decreased from prior study . the lateral projection suboptimal patient could not raise there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3324_IM-1590-3001.png,startseq the heart normal size . atherosclerotic calcifications the aorta . the mediastinum stable . there again soft tissue density projected over the right mid chest patient known large breast mass . the appearance grossly stable decreased from prior study . the lateral projection suboptimal patient could not raise there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3325_IM-1591_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3325_IM-1591-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3325_IM-1591-1002.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3327_IM-1593_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3327_IM-1593-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3327_IM-1593-2001.png,startseq there enlargement the cardiac silhouette . there focal opacity within the right upper lung . there dense calcification the thoracic aorta . there no pneumothora . there no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3329_IM-1594_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3329_IM-1594-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3329_IM-1594-2001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR333_IM-1594_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR333_IM-1594-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR333_IM-1594-2001.png,startseq the lungs and pleural spaces show no acute abnormality . lungs are mildly hyperepanded . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3330_IM-1594_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3330_IM-1594-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3330_IM-1594-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3331_IM-1595,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3331_IM-1595-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3331_IM-1595-1001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . calcified right lower lobe granuloma the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-2001.png,startseq the heart normal size and contour . there no mediastinal widening . low lung volumes . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-3001.png,startseq the heart normal size and contour . there no mediastinal widening . low lung volumes . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3332_IM-1596-3001.png,startseq the heart normal size and contour . there no mediastinal widening . low lung volumes . no focal airspace disease . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3333_IM-1597,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3333_IM-1597-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3333_IM-1597-1001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . bony structures appear intact . the trachea and pulmonary bronchi are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3335_IM-1598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3335_IM-1598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3335_IM-1598-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3336_IM-1598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3336_IM-1598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3336_IM-1598-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are several ageindeterminate leftsided rib fractures noted . there calcified right hilar lymph node . there basilar calcified granulomas . there minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3337_IM-1598_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3337_IM-1598-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3337_IM-1598-1002.png,startseq chest . lungs are clear and epanded . heart size normal . calcified pleural plaque the right subpulmonic area has not since the abdomen ct . left and right knees . spaces and soft tissues are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3339_IM-1599_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3339_IM-1599-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3339_IM-1599-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there no evidence pneumothora . osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3340_IM-1601_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3340_IM-1601-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3340_IM-1601-2001.png,startseq the cardiomediastinal silhouette normal size and contour . atherosclerosis the aortic minimal densities left lung base . hyperepanded lungs . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3341_IM-1602_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3341_IM-1602-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3341_IM-1602-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3342_IM-1603_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3342_IM-1603-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3342_IM-1603-2001.png,startseq the patchy right lower lobe and left lower lobe interstitial infiltrates are largely unchanged the interval . no infiltrates . heart size remains large . tracheostomy tube remains the trachea . right central line has its tip the superior endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3343_IM-1603,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3343_IM-1603-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3343_IM-1603-1001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3345_IM-1603_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3345_IM-1603-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3345_IM-1603-2001.png,startseq no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . heart size and pulmonary vascularity within normal limits visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3346_IM-1604_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3346_IM-1604-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3346_IM-1604-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3347_IM-1605_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3347_IM-1605-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3347_IM-1605-4004.png,startseq the lungs and pleural spaces show no acute abnormality . lower lung volumes the projection . heart size upper limits normal pulmonary vascularity within normal limits . implantable cardiac are visualized the lateral projection the region the epected location the mitral valve sternotomy noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3348_IM-1605_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3348_IM-1605-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3348_IM-1605-2001.png,startseq stable cardiomegaly . the lungs are clear . stable left lung base calcifications . no focal consolidations . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3349_IM-1606_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3349_IM-1606-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3349_IM-1606-3003.png,startseq the lungs are hyperepanded consistent with emphysema . pectus carinatum noted . the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . calcified granuloma are noted . vascular calcification noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-2001.png,startseq leftsided hemodialysis catheter with its distal tip the right atrium . the cardiac silhouette and mediastinal contours are within normal limits . there no focal opacity . there no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-3001.png,startseq leftsided hemodialysis catheter with its distal tip the right atrium . the cardiac silhouette and mediastinal contours are within normal limits . there no focal opacity . there no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR335_IM-1606-3001.png,startseq leftsided hemodialysis catheter with its distal tip the right atrium . the cardiac silhouette and mediastinal contours are within normal limits . there no focal opacity . there no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3350_IM-1607-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3350_IM-1607-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3350_IM-1607-0001-0002.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no large pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3352_IM-1608_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3352_IM-1608-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3352_IM-1608-2001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3353_IM-1609,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3353_IM-1609-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3353_IM-1609-2001.png,startseq stable marked cardiomegaly . cardiac generator projects over the left mid hemithora with terminating the right ventricle . no focal airspace disease . mild central pulmonary vascular congestion . the heart has the same configuration seen previously with pericardial effusion abdominal ct endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3354_IM-1609_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3354_IM-1609-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3354_IM-1609-1002.png,startseq heart size and mediastinal contours appear within normal limits . hyperinflated lungs with flattening diaphragms compatible with emphysema . no focal consolidation pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3355_IM-1609_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3355_IM-1609-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3355_IM-1609-1002.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are hyperepanded . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3356_IM-1610,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3356_IM-1610-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3356_IM-1610-1001.png,startseq the lungs are clear bilaterally without focal consolidation pneumothora effusion . calcified granuloma noted the right midlung . the heart size within normal limits . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3357_IM-1610_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3357_IM-1610-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3357_IM-1610-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-3001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-4001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-6001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-4001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-6001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-4001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3359_IM-1612-6001.png,startseq heart size normal . no focal airspace disease . no pneumothora effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR336_IM-1613_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR336_IM-1613-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR336_IM-1613-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3360_IM-1613_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3360_IM-1613-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3360_IM-1613-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . left basilar subsegmental atelectasis versus scar noted . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3361_IM-1614_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3361_IM-1614-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3361_IM-1614-2001.png,startseq cardiomediastinal silhouettes are within normal limits . lungs are clear without focal consolidation pneumothora pleural effusion . bony thora unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size upper limits normal pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-3001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size upper limits normal pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3362_IM-1615-3001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size upper limits normal pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3363_IM-1616_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3363_IM-1616-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3363_IM-1616-1002.png,startseq the heart normal size . the mediastinum stable . the lungs are grossly clear . opacities the lung bases . there are fragments overlying the posterior left chest right neck base and fragments the left costophrenic there no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3365_IM-1618_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3365_IM-1618-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3365_IM-1618-2001.png,startseq no large pleural effusions . no pneumothora . no focal airspace opacities . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3366_IM-1618_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3366_IM-1618-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3366_IM-1618-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3368_IM-1620-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3368_IM-1620-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3368_IM-1620-0001-0002.png,startseq the trachea midline . the cardiomediastinal silhouette normal . low lung volumes causing mild bronchovascular crowding . no focal airspace consolidation seen . there no pleural effusion . there no large pneumothora . visualized bony structures reveal no acute abnormalities . pression low lung volumes without acute cardiopulmonary findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3369_IM-1621_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3369_IM-1621-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3369_IM-1621-2001.png,startseq large pleural air collection present the right . mediastinum shifted the left compared the previous eamination . the right lower lobe totally opaque . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR337_IM-1622_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR337_IM-1622-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR337_IM-1622-2001.png,startseq minimal opacities the posterior sulci . few septal lines the left lateral sulcus . otherwise the lungs are clear with granulomas and sulci . heart size upper normal thin contour . unfolded calcified aorta . tspine small osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3370_IM-1622_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3370_IM-1622-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3370_IM-1622-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissues unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3371_IM-1623_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3371_IM-1623-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3371_IM-1623-2001.png,startseq heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . calcified right hilar lymph noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3373_IM-1623_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3373_IM-1623-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3373_IM-1623-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . the are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3374_IM-1624_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3374_IM-1624-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3374_IM-1624-2001.png,startseq lungs are free infiltrates . however the left lower lobe there diameter nodule that not calcified . the right lung clear . the heart and mediastinum are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1002.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . there are degenerative changes the midthoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1003.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . there are degenerative changes the midthoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3375_IM-1624-1003.png,startseq heart size within normal limits . no focal airspace consolidations . no pneumothora pleural effusion . there are degenerative changes the midthoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3377_IM-1626,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3377_IM-1626-1002001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3377_IM-1626-1002001.png,startseq and lateral views were obtained . lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3378_IM-1627_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3378_IM-1627-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3378_IM-1627-2001.png,startseq there moderate rightsided pneumothora measuring approimately the right ape . there minimally displaced right lateral rib fracture and probable nondisplaced right lateral rib fracture . cardiomediastinal silhouette within normal limits . left lung clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3379_IM-1627_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3379_IM-1627-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3379_IM-1627-2001.png,startseq no pneumothora large pleural effusion . borderline cardiomegaly . minimal retrocardiac airspace disease . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR338_IM-1628_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR338_IM-1628-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR338_IM-1628-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . the patient was shielded . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3380_IM-1628_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3380_IM-1628-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3380_IM-1628-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3382_IM-1629-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3382_IM-1629-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3382_IM-1629-0001-0002.png,startseq prominent interstitial markings . there are small bilateral pleural effusions . no pneumothora focal consolidation . normal heart size . catheter tubing present the upper midabdomen . there bilateral acromioclavicular degenerative joint disease right greater than left . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3384_IM-1631_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3384_IM-1631-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3384_IM-1631-2001.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3385_IM-1632_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3385_IM-1632-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3385_IM-1632-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3386_IM-1633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3386_IM-1633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3386_IM-1633-2001.png,startseq the trachea midline . the cardiomediastinal silhouette appears normal . there are no acute infiltrates effusions . there no evidence pneumothora . visualized bony structures are intact with no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3387_IM-1633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3387_IM-1633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3387_IM-1633-2001.png,startseq cardiomediastinal silhouette within normal limits . no acute bony abnormality identified . there slightly increased opacity the right base compared the left which may minimal right basilar airspace disease the right middle lobe . the left lung clear . no pneumothora effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3388_IM-1633_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3388_IM-1633-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3388_IM-1633-1002.png,startseq normal heart size and mediastinal contours . stable calcification the left upper lobe representing granuloma . no focal airspace opacities . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3389_IM-1634_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3389_IM-1634-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3389_IM-1634-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-2001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . normal cardiomediastinal silhouette . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-3001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . normal cardiomediastinal silhouette . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3390_IM-1636-3001.png,startseq the lungs are clear . there no focal airspace consolidation . no pleural effusion pneumothora . normal cardiomediastinal silhouette . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3391_IM-1637_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3391_IM-1637-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3391_IM-1637-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . there no evidence pneumothora . stable left mid lung granuloma . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3392_IM-1637_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3392_IM-1637-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3392_IM-1637-2001.png,startseq mediastinal contours are normal . lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3393_IM-1637_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3393_IM-1637-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3393_IM-1637-2001.png,startseq lateral view over the lingula there diameter uncalcified nodule uncertain origin . the trachea midline . negative for pneumothora pleural effusion focal airspace consolidation . the heart size normal . mild tortuosity aorta redemonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3394_IM-1638_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3394_IM-1638-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3394_IM-1638-3001.png,startseq the cardiac contours are normal . scarring left base . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3398_IM-1642_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3398_IM-1642-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3398_IM-1642-4004.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . chronic appearing interstitial marking . right upper lobe granuloma stable the lungs are normally inflated and clear . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3399_IM-1643,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3399_IM-1643-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3399_IM-1643-2001.png,startseq strandy infiltrate has developed the left lower lobe . right lung clear . heart size remains normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR34_IM-1644_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR34_IM-1644-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR34_IM-1644-2001.png,startseq the heart normal size and contour . the lungs are clear without evidence infiltrate . there no pneumothora effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR340_IM-1644_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR340_IM-1644-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR340_IM-1644-4004.png,startseq heart size moderately enlarged stable mediastinal contours . lateral view curvilinear densities over the heart suggestive coronary artery stents . diaphragm eventration . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3400_IM-1644_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3400_IM-1644-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3400_IM-1644-2001.png,startseq heart size and pulmonary vascular engorgement appear within limits normal . mediastinal contour unremarkable . no focal consolidation pleural effusion pneumothora identified . no convincing acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3401_IM-1645_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3401_IM-1645-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3401_IM-1645-2001.png,startseq no focal consolidation pneumothora pleural effusion . cardiomediastinal silhouette unremarkable . stable bilateral calcified granulomaslymph bullet present the posterior soft tissues the left chest wall stable compared prior eamination . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3402_IM-1646_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3402_IM-1646-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3402_IM-1646-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusion pneumothora . scattered calcified granulomas bilaterally . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3403_IM-1647_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3403_IM-1647-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3403_IM-1647-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . negative for acute displaced rib fracture . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3404_IM-1647_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3404_IM-1647-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3404_IM-1647-2001.png,startseq the heart normal size . the mediastinum stable . there are postsurgical changes the left breast . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3405_IM-1647_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3405_IM-1647-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3405_IM-1647-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . mild degenerative changes are present within the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3406_IM-1647_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3406_IM-1647-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3406_IM-1647-2001.png,startseq the heart size and mediastinal contours appear within normal limits . calcified granuloma the left midlung . no focal airspace consolidation pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3407_IM-1647_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3407_IM-1647-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3407_IM-1647-2001.png,startseq intact sternotomy and cabg markers . calcified granulomas . heart size normal . no focal airspace consolidation suspicious pulmonary opacity pneumothora pleural effusion . tspine degenerative changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3408_IM-1648_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3408_IM-1648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3408_IM-1648-1002.png,startseq the cardiomediastinal contours are within normal limits . pulmonary vasculature unremarkable . there no focal airspace opacity . no pleural effusion pneumothora seen . multiple healed bilateral rib fractures . no acute bony abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3409_IM-1648,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3409_IM-1648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3409_IM-1648-1001.png,startseq the trachea midline . the cardiomediastinal silhouette normal . the lungs are clear without evidence focal acute infiltrate effusion . there no pneumothora . the visualized bony structures reveal no acute abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR341_IM-1648_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR341_IM-1648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR341_IM-1648-1002.png,startseq twoview chest . both lungs are clear and epanded . heart and mediastinum normal . right foot . hindfoot midfoot forefoot are intact with no fractures bone destruction . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3410_IM-1648_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3410_IM-1648-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3410_IM-1648-2001.png,startseq lungs are hyperepanded . no infiltrates masses the lungs . heart size normal . no change calcified left hilar and left small granuloma . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3411_IM-1649-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3411_IM-1649-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3411_IM-1649-0001-0002.png,startseq there are low lung volumes with bronchovascular crowding . there patchy left lower lobe airspace disease . there are opacities the right mid lung subsegmental atelectasis . no significant pleural effusion . no pneumothora . heart size within normal limits . there aortic atherosclerotic vascular calcification . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3412_IM-1650-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3412_IM-1650-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3412_IM-1650-1001-0002.png,startseq the lungs are clear . there no pneumonia . the heart and pulmonary are normal . pleural spaces are clear . mediastinal contours appear normal . bony overlap the lung apices could obscure small pulmonary nodule . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3413_IM-1650_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3413_IM-1650-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3413_IM-1650-2001.png,startseq the heart and mediastinal contours are stable . the lungs are clear without focal infiltrate . there no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3414_IM-1650_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3414_IM-1650-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3414_IM-1650-2001.png,startseq heart size appears enlarged . mediastinal contours are within normal limits . lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3415_IM-1650_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3415_IM-1650-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3415_IM-1650-1002.png,startseq no acute osseous abnormality . mild degenerative changes the thoracic spine . stable normal cardiomediastinal silhouette and hilar contours . prominence superior mediastinal superimposed structures . no focal area consolidation pleural effusion pneumothora . mild bibasilar atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3416_IM-1651-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3416_IM-1651-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3416_IM-1651-0001-0002.png,startseq redemonstration the left basilar patchy atelectasis unchanged from last eam . lungs are otherwise clear . no evidence pneumothora pleural effusions present . there focal calcified nodules the left upper lung stable appearance from the cardiomediastinal silhouette unremarkable . no suspicion bony destruction identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3417_IM-1652_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3417_IM-1652-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3417_IM-1652-2001.png,startseq the lungs are hyperepanded consistent with copd . mild cardiomegaly . no focal lung consolidation . no pneumothora pleural effusion . pulmonary vascularity within normal limits . mild degenerative changes the thoracic spine . aortic calcifications consistent with atherosclerotic disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3418_IM-1653_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3418_IM-1653-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3418_IM-1653-2001.png,startseq prominent interstitial markings . there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR342_IM-1655-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR342_IM-1655-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR342_IM-1655-0001-0002.png,startseq the lungs and pleural spaces show no acute abnormality . stable left upper lobe calcified granuloma . heart size mildly enlarged pulmonary vascularity within normal limits . mild tortuosity the descending thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3420_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3420_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3420_IM-1656-2001.png,startseq clear lungs . heart size normal . no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3421_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3421_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3421_IM-1656-3001.png,startseq and lateral views the chest were obtained . the cardiomediastinal silhouette normal size and configuration . mildly tortuous thoracic aorta . the lungs are well aerated . there no pneumothora pleural effusion focal air space consolidation . mild elevation right hemidiaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3422_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3422_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3422_IM-1656-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3423_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3423_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3423_IM-1656-2001.png,startseq the heart size normal . there tortuosity aorta . pulmonary vascularity normal . no focal airspace disease effusion . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3424_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3424_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3424_IM-1656-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . there are multiple calcified granulomas within the left lower lobe . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3426_IM-1656_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3426_IM-1656-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3426_IM-1656-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are minimal degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3427_IM-1657_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3427_IM-1657-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3427_IM-1657-2001.png,startseq the cardiac silhouette and mediastinum size are within normal limits . there no pulmonary edema . there no focal consolidation . there are no large pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3428_IM-1657_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3428_IM-1657-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3428_IM-1657-2001.png,startseq there prominent calcified head the right anterior first rib . the aorta tortuous . there are tspine osteophytes . the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3429_IM-1657_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3429_IM-1657-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3429_IM-1657-2001.png,startseq low lung volumes . heart size normal . no pneumothora pleural effusion focal airspace disease . bony structures appear intact . left humeral head bone anchors . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR343_IM-1658_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR343_IM-1658-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR343_IM-1658-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . not diffuse interstitial prominence which has chronic appearance . cannot eclude early pulmonary edema . two airspace consolidation effusion . are osteopenic . no visible pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3430_IM-1659_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3430_IM-1659-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3430_IM-1659-4004.png,startseq heart size mildly moderately enlarged distal tip duallumen catheter near the caval atrial junction . mild vascular cephalization no definite interstitial changes pulmonary edema no focal alveolar consolidation . no pleural effusion demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3431_IM-1660_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3431_IM-1660-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3431_IM-1660-2001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . bony structures grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3432_IM-1661_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3432_IM-1661-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3432_IM-1661-2001.png,startseq cardiomegaly noted . no pleural effusions . no pneumothora . there perihilar prominence and interstitial opacification . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3433_IM-1662_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3433_IM-1662-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3433_IM-1662-2001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . bony structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3436_IM-1663_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3436_IM-1663-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3436_IM-1663-2002.png,startseq the lungs appear hyperepanded suggesting emphysema . the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . calcified granuloma identified . no pneumothora pleural effusion seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3437_IM-1663_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3437_IM-1663-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3437_IM-1663-2001.png,startseq stable normal cardiac size mediastinum and central pulmonary vasculature . the lungs remain grossly clear aside from mild biapical pleuralperipheral scarring and minimal chronic interstitial changes . no focal airspace consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3438_IM-1664,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3438_IM-1664-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3438_IM-1664-1001.png,startseq the heart normal size and contour . there no mediastinal widening . the lungs are clear bilaterally . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3439_IM-1664_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3439_IM-1664-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3439_IM-1664-2001.png,startseq normal heart size . clear lungs . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR344_IM-1664_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR344_IM-1664-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR344_IM-1664-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3440_IM-1665_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3440_IM-1665-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3440_IM-1665-2001.png,startseq mild detroscoliosis the lower thoracic spine . cardiomediastinal silhouette within normal size and appearance . pulmonary vascular unremarkable . lungs are epanded and clear airspace disease . negative for pneumothora pleural effusion . limited evaluation the grossly intact endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3441_IM-1666_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3441_IM-1666-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3441_IM-1666-1002.png,startseq heart size and mediastinal contour within normal limits . no focal airspace consolidation pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3442_IM-1667_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3442_IM-1667-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3442_IM-1667-2001.png,startseq normal cardiomediastinal contours . low lung volumes with minimal left basilar opacities . no pneumothora pleural effusions . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3445_IM-1668_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3445_IM-1668-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3445_IM-1668-3001.png,startseq no gross consolidation atelectasis infiltrate . no pleural fluid collection pneumothora . cardiomediastinal silhouette within normal limits . intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3446_IM-1669_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3446_IM-1669-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3446_IM-1669-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3448_IM-1671_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3448_IM-1671-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3448_IM-1671-3001.png,startseq the lungs are hyperepanded . the heart normal size . the pulmonary vascularity within normal limits appearance . no focal airspace opacities pneumothora pleural effusion . calcific density the left midlung zone represents old granulomatous disease . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3449_IM-1672_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3449_IM-1672-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3449_IM-1672-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . eternal monitor leads the thora . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . the visualized osseous structures and upper abdomen are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR345_IM-1672_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR345_IM-1672-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR345_IM-1672-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3450_IM-1673_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3450_IM-1673-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3450_IM-1673-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3451_IM-1674_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3451_IM-1674-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3451_IM-1674-3001.png,startseq the heart normal size . the mediastinum stable . calcified lymph are seen . small rightsided pleural effusion versus thickening . right inferior rib deformities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3452_IM-1675_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3452_IM-1675-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3452_IM-1675-1002.png,startseq heart size and pulmonary vascularity within normal limits . no focal infiltrate pneumothora pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3455_IM-1677_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3455_IM-1677-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3455_IM-1677-2001.png,startseq central vascular prominence and diffuse bilateral interstitial and alveolar opacities . left basilar airspace opacities . no pneumothora . heart size large . unremarkable . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3456_IM-1678_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3456_IM-1678-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3456_IM-1678-2001.png,startseq the cardiomediastinal silhouette normal size and contour . low lung volumes without focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3458_IM-1678_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3458_IM-1678-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3458_IM-1678-2001.png,startseq the lungs are clear . the heart pulmonary are normal . the pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3459_IM-1679_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3459_IM-1679-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3459_IM-1679-2001.png,startseq stable appearance lower cervical fusion heart size normal . no pneumothora pleural effusion . no focal airspace disease . calcified nodules consistent with chronic granulomatous disease . bony structures appear intact . dish the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-2001.png,startseq frontal two cassettes and lateral views the chest with overlying eternal cardiac monitor leads show unchanged cardiomediastinal silhouette . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-4004.png,startseq frontal two cassettes and lateral views the chest with overlying eternal cardiac monitor leads show unchanged cardiomediastinal silhouette . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR346_IM-1680-4004.png,startseq frontal two cassettes and lateral views the chest with overlying eternal cardiac monitor leads show unchanged cardiomediastinal silhouette . no focal airspace consolidation pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3460_IM-1681_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3460_IM-1681-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3460_IM-1681-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3461_IM-1682,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3461_IM-1682-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3461_IM-1682-1001.png,startseq clear lungs . no pneumothora . no pleural effusion . normal heart . trachea midline . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3462_IM-1683_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3462_IM-1683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3462_IM-1683-2001.png,startseq the heart top normal size . the mediastinum stable . there small retrocardiac density which may secondary small hiatal hernia . left catheter tip cavoatrial junction . no pneumothora seen . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3464_IM-1683_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3464_IM-1683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3464_IM-1683-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3465_IM-1683_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3465_IM-1683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3465_IM-1683-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3466_IM-1683_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3466_IM-1683-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3466_IM-1683-2001.png,startseq the cardiomediastinal silhouette normal size and contour . streaky perihilar opacities . peribronchial cuffing also noted . no focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3467_IM-1684-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3467_IM-1684-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3467_IM-1684-0001-0002.png,startseq the lungs are clear . the heart and pulmonary are normal . pleural spaces are clear . the mediastinal contours are normal . there calcification the thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0002.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0003.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0004.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0003.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0004.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0003.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3468_IM-1684-0001-0004.png,startseq heart size the upper limits normal . there aortic atherosclerotic vascular calcification . the lungs remain hyperepanded . there are biapical opacities stable from the prior study . no focal airspace consolidation . no significant pleural effusion . no pneumothora . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3469_IM-1685_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3469_IM-1685-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3469_IM-1685-2001.png,startseq normal heart size and pulmonary vascularity . there are changes chronic lung disease noticed hyperinflated lungs and streaky opacities compatible with scar . interval placement the chest with the tip the superior no focal infiltrate pneumothora pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR347_IM-1686_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR347_IM-1686-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR347_IM-1686-2001.png,startseq cardiac and mediastinal contours are unremarkable . pulmonary vascularity within normal limits . no focal air space opacities pleural effusion pneumothora . are grossly unremarkable . there are some minimal degenerative changes the thoracic spine . evidence chronic granulomatous disease . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3470_IM-1686_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3470_IM-1686-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3470_IM-1686-2001.png,startseq the patient rotated . the heart normal size . the pulmonary vascularity within normal limits appearance . no pneumothora pleural effusion . no focal airspace opacities . mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3471_IM-1687_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3471_IM-1687-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3471_IM-1687-3003.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . there rounded lucency seen above the diaphragm lateral view suggestive small hiatal hernia . visualized osseous structures appear intact . degenerative changes the thoracic spine seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3472_IM-1688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3472_IM-1688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3472_IM-1688-2001.png,startseq 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 . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3473_IM-1688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3473_IM-1688-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3473_IM-1688-3003.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . no discrete nodules adenopathy are noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3474_IM-1688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3474_IM-1688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3474_IM-1688-2001.png,startseq crowded bronchovascular markings the hilar and perihilar region right lower lung zones . low lung volumes . no noncalcified pulmonary nodules seen . no pleural effusion pneumothora . no small heart size . there right diaphragmatic hump . the soft tissues seen the left cardiophrenic could represent ectatic descending aorta hiatal hernia . visualized the chest are within normal limits . degenerative changes demonstrated within the visualized thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3475_IM-1688_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3475_IM-1688-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3475_IM-1688-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3477_IM-1690_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3477_IM-1690-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3477_IM-1690-3001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . no evidence active tuberculosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3478_IM-1690_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3478_IM-1690-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3478_IM-1690-2001.png,startseq lungs are clear . no pleural effusions pneumothoraces . heart and mediastinum normal size and contour . scoliosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3479_IM-1690_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3479_IM-1690-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3479_IM-1690-2001.png,startseq soft tissue neck . the airway no laryngeal edema . laryngeal intact . cervical spine intact . chest . the heart large . diffuse parahilar and alveolar consolidations are present . bilateral costophrenic blunting present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR348_IM-1690_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR348_IM-1690-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR348_IM-1690-2001.png,startseq heart size and mediastinal contour normal . lungs are clear . pulmonary vascularity normal . no pleural effusions pneumothoraces . minimal degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3480_IM-1691_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3480_IM-1691-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3480_IM-1691-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits . there no pneumothora pleural effusion . there are no focal areas consolidation . cholecystectomy clips are present . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3481_IM-1692_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3481_IM-1692-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3481_IM-1692-2001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . lungs are hyperepanded without focal airspace consolidation pleural effusion pneumothora . degenerative endplate changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3482_IM-1692_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3482_IM-1692-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3482_IM-1692-2001.png,startseq severe emphysematous disease again noted . multifocal areas scarring are unchanged appearance . no pneumothora . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3483_IM-1692_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3483_IM-1692-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3483_IM-1692-2001.png,startseq heart size and pulmonary vascularity appear within normal limits . lungs are free focal airspace disease . no pleural effusion pneumothora seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3485_IM-1694_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3485_IM-1694-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3485_IM-1694-3003.png,startseq the heart size and pulmonary vascular appear within normal limits . the lungs appear hyperepanded consistent with emphysema . calcified lymph and granuloma are noted . no acute appearing focal airspace disease seen . no pleural effusion pneumothora noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3486_IM-1695_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3486_IM-1695-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3486_IM-1695-2001.png,startseq the heart normal size . the mediastinum unremarkable . there no pleural effusion pneumothora focal airspace disease . mild chronic degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3487_IM-1696_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3487_IM-1696-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3487_IM-1696-2001.png,startseq the lungs and pleural spaces show no acute abnormality . heart size and pulmonary vascularity within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3488_IM-1696_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3488_IM-1696-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3488_IM-1696-4004.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . the lungs are normally inflated and clear . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3489_IM-1696_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3489_IM-1696-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3489_IM-1696-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR349_IM-1697_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR349_IM-1697-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR349_IM-1697-2001.png,startseq the heart size enlarged . the aorta tortuous . the pulmonary vasculature appears normal . lungs are otherwise clear bilaterally . no pleural effusions pneumothora . no bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3491_IM-1698_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3491_IM-1698-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3491_IM-1698-2001.png,startseq the heart size and pulmonary vascularity appear within normal limits . the thoracic aorta prominent with calcification within the aorta . azygos lobe noted . lungs are free focal airspace disease . no pleural effusion pneumothora seen . degenerative changes noted the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3492_IM-1698_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3492_IM-1698-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3492_IM-1698-2001.png,startseq the lungs remain hyperepanded . no masses infiltrates the lungs . no pleural mediastinal air collections . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3493_IM-1698_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3493_IM-1698-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3493_IM-1698-1002.png,startseq heart size within normal limits . trachea midline . the lung volumes are slightly the low side . lungs are otherwise clear without pleural effusion pneumothora . no focal consolidations . no bony soft tissue abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3494_IM-1699_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3494_IM-1699-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3494_IM-1699-2001.png,startseq there are low lung volumes with bronchovascular crowding . there no focal consolidation . no visualized pneumothora . heart size within normal limits . the cardiomediastinal contours grossly normal size and contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-3001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3495_IM-1700-3001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3496_IM-1701,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3496_IM-1701-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3496_IM-1701-2001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3497_IM-1702,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3497_IM-1702-1002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3497_IM-1702-1002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . multiple calcified granulomas identified bilaterally . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3498_IM-1702_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3498_IM-1702-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3498_IM-1702-2001.png,startseq chest . minimally displaced fracture present right rib the small amount pleural fluid deep the fracture . no pleural air collection . both lungs clear and epanded . heart and mediastinum normal . note levoscoliosis the thoracolumbar spine . right shoulder . soft tissues and alignment are normal . right humerus . and soft tissues are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR35_IM-1704_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR35_IM-1704-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR35_IM-1704-1002.png,startseq the heart size and cardiomediastinal silhouette are normal . there hyperepansion the lungs with flattening the hemidiaphragms . there no focal airspace opacity pleural effusion pneumothora . there multilevel degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR350_IM-1705-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR350_IM-1705-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR350_IM-1705-0001-0002.png,startseq normal cardiomediastinal contours . no pneumothora large pleural effusions . left basilar patchy opacities . small hiatal hernia . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3500_IM-1706_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3500_IM-1706-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3500_IM-1706-2001.png,startseq frontal and lateral views demonstrate the cardiomediastinal silhouette within normal limits . there normal distribution the pulmonary vascularity . the lungs are clear . no effusion consolidation pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3501_IM-1706_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3501_IM-1706-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3501_IM-1706-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . no focal consolidation pleural effusion pneumothora identified . no acute osseous abnormality identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3502_IM-1707_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3502_IM-1707-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3502_IM-1707-1003.png,startseq there has been interval performance cabg with multiple sternotomy surgical clips and cabg markers . all the sternotomy are broken and fragment sternotomy appears within the left posterior pleural space . stable cardiomegaly and central pulmonary vascular prominence . no focal consolidation pneumothora effusion . relative elevation the left hemidiaphragm noted . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3503_IM-1707,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3503_IM-1707-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3503_IM-1707-3001.png,startseq the heart size normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3504_IM-1707_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3504_IM-1707-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3504_IM-1707-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3505_IM-1707_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3505_IM-1707-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3505_IM-1707-2001.png,startseq heart size normal and the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3506_IM-1708_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3506_IM-1708-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3506_IM-1708-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3507_IM-1709_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3507_IM-1709-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3507_IM-1709-4004.png,startseq cardiac and mediastinal appear normal . no visible pneumothora focal airspace opacity pleural effusion seen . no visible free air under the diaphragm . the osseous structures appear intact . there mild detro scoliotic curvature the midthoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3508_IM-1710_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3508_IM-1710-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3508_IM-1710-2001.png,startseq the heart normal size . the cardiomediastinal contours are stable . there are stable bilateral pleural effusions with partial rightsided loculation . biapical scarring and pleural thickening appears stable . there again rightsided superior hilar retraction and mild rightward deviation . no acute infiltrate appreciated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0002.png,startseq the heart size and pulmonary vascularity appear within normal limits . right pleural effusion present and appears increased . no pneumothora identified . some scattered right base atelectasis are seen . surgical remain the left lung appears clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0003.png,startseq the heart size and pulmonary vascularity appear within normal limits . right pleural effusion present and appears increased . no pneumothora identified . some scattered right base atelectasis are seen . surgical remain the left lung appears clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3509_IM-1711-0001-0003.png,startseq the heart size and pulmonary vascularity appear within normal limits . right pleural effusion present and appears increased . no pneumothora identified . some scattered right base atelectasis are seen . surgical remain the left lung appears clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR351_IM-1712_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR351_IM-1712-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR351_IM-1712-2001.png,startseq the lungs and pleural spaces show no acute abnormality . lungs are hyperepanded . minimal scarring both lower lobes . heart size and pulmonary vascularity within normal limits . stable mild tortuosity the descending thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3512_IM-1714_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3512_IM-1714-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3512_IM-1714-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3513_IM-1715,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3513_IM-1715-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3513_IM-1715-1001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3514_IM-1715_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3514_IM-1715-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3514_IM-1715-2001.png,startseq no focal lung consolidation . density overlying the left costophrenic due overlying soft tissues . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . osseous structures are grossly intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3515_IM-1715_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3515_IM-1715-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3515_IM-1715-1002.png,startseq lungs are clear . calcified small granuloma present the left lower lobe . heart size normal . mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3516_IM-1715_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3516_IM-1715-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3516_IM-1715-1002.png,startseq normal heart size and mediastinal contours . minimal blunting the costophrenic no focal airspace consolidation . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3517_IM-1716,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3517_IM-1716-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3517_IM-1716-2001.png,startseq normal heart size . aortic atherosclerotic calcifications . right central venous catheter tip region mid svc . there are aicd leads one tip epected region right atrium and one tip epected region right ventricle . there no pulmonary edema . there no focal consolidation . there are no large pleural effusion . there no evidence pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3518_IM-1717_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3518_IM-1717-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3518_IM-1717-2001.png,startseq the heart and mediastinal silhouettes are within normal limits . the lungs are clear without focal airspace opacity large effusion pneumothora . the are grossly intact . degenerative tspine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3519_IM-1717_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3519_IM-1717-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3519_IM-1717-1002.png,startseq large left lower lobe opacity present . there does not appear significant mediastinal shift . there no pneumothora . the cardiac silhouette not definitively identified and not fully evaluated . the mediastinal contours are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR352_IM-1718_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR352_IM-1718-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR352_IM-1718-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the trachea midline . no focal pulmonary consolidation . no pneumothora . no pleural effusion . minimal degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3520_IM-1718_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3520_IM-1718-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3520_IM-1718-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . minimal streaky atelectasis the left lung base . no focal consolidation suspicious pulmonary opacity large pleural effusion pneumothora identified . thoracic spondylosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . there right greater than left biapical bullous emphysema . no focal consolidation pleural effusion pneumothora identified . there are degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-4001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . there right greater than left biapical bullous emphysema . no focal consolidation pleural effusion pneumothora identified . there are degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3521_IM-1719-4001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . there right greater than left biapical bullous emphysema . no focal consolidation pleural effusion pneumothora identified . there are degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3522_IM-1720_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3522_IM-1720-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3522_IM-1720-2001.png,startseq lungs are clear . there no pneumothora pleural effusion . the heart and mediastinum are within normal limits . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3523_IM-1721_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3523_IM-1721-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3523_IM-1721-1002.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . no change right anterior soft tissue surgical clips . configuration breast shadows the view suggests prior right lumpectomy . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3524_IM-1721_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3524_IM-1721-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3524_IM-1721-2001.png,startseq the heart size and mediastinal silhouette are within normal limits for contour . the lungs are clear . no pneumothora pleural effusions . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3525_IM-1722_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3525_IM-1722-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3525_IM-1722-6001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . the visualized bony structures appear intact . there radiodensity overlying the right shoulder which eternal the patient however clinical correlation recommended . scattered calcified granulomas . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3526_IM-1723_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3526_IM-1723-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3526_IM-1723-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . there are diminished lung volumes with hypoventilatory changes . the cardiac silhouette not enlarged . there mild tortuosity the thoracic aorta . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . surgical clips are seen the upper abdomen . no acute osseous abnormalities demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3527_IM-1724_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3527_IM-1724-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3527_IM-1724-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3528_IM-1725_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3528_IM-1725-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3528_IM-1725-3003.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3529_IM-1725_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3529_IM-1725-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3529_IM-1725-2001.png,startseq status post midline sternotomy with intact stable mild cardiomegaly . normal lung vascularity . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR353_IM-1726_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR353_IM-1726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR353_IM-1726-2001.png,startseq and lateral chest eamination was obtained . there improvement bilateral pulmonary edema with mild residual . there minimal rightsided pleural effusion . heart silhouette not enlarged . there calcified mediastinal lymph there no pneumothora endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3531_IM-1726_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3531_IM-1726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3531_IM-1726-1002.png,startseq normal heart size . mild unfolding the thoracic aorta . no focal airspace opacity . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-3001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3532_IM-1726-3001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3533_IM-1726_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3533_IM-1726-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3533_IM-1726-2001.png,startseq heart size mediastinal contour and pulmonary vascularity are within normal limits . there bilateral hyperinflation without focal consolidation pneumothora pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3534_IM-1727_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3534_IM-1727-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3534_IM-1727-2001.png,startseq lungs are clear bilaterally . there no focal consolidation pleural effusion pneumothoraces . heart size normal . stable right paratracheal prominence consistent with known calcified lymph node seen prior ct chest dated are unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3535_IM-1728-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3535_IM-1728-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3535_IM-1728-0001-0002.png,startseq the lungs are clear . the heart and pulmonary are normal . pleural spaces are clear . mediastinal contours are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3536_IM-1729_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3536_IM-1729-4004.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3536_IM-1729-5001.png,startseq heart size enlarged pulmonary vascularity within normal limits . no visible pneumothora right pleural effusion blunting posterior costophrenic there subsegmental atelectasis the left lung base . there alveolar airspace disease the medial right lung base . multilevel degenerative disease the visualized portions the thoracolumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3537_IM-1730_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3537_IM-1730-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3537_IM-1730-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3539_IM-1731_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3539_IM-1731-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3539_IM-1731-3001.png,startseq normal heart size . the lungs are clear without pneumothora large pleural effusion . the trachea midline and endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR354_IM-1731_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR354_IM-1731-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR354_IM-1731-3003.png,startseq the heart normal size . the mediastinum stable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3540_IM-1732_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3540_IM-1732-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3540_IM-1732-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are hyperepanded . the lungs are clear without infiltrate . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3541_IM-1733-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3541_IM-1733-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3541_IM-1733-0001-0002.png,startseq lung volumes are mildly decreased . the cardiac silhouette and pulmonary vascularity are normal . there bilateral lower lobe airspace opacities compatible with discoid atelectasis . there no evidence pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3542_IM-1734_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3542_IM-1734-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3542_IM-1734-2001.png,startseq heart size and mediastinal contours appear within normal limits . pulmonary vascularity within normal limits . no focal consolidation suspicious pulmonary opacity pneumothora definite pleural effusion . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3543_IM-1735_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3543_IM-1735-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3543_IM-1735-3001.png,startseq heart size and mediastinal contour within normal limits . multiple calcified granulomas the bilateral and lung parenchyma . no focal airspace consolidation pneumothora large pleural effusion . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3544_IM-1736_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3544_IM-1736-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3544_IM-1736-2001.png,startseq cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . no acute bony abnormality . opacities reflecting atelectasis versus bronchovascular crowding . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3545_IM-1737_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3545_IM-1737-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3545_IM-1737-3003.png,startseq opacities the lung bases are slightly worse compared prior study . lung volumes are low . heart size and pulmonary are normal . there no focal airspace opacities suggest pneumonia . the patient status post sternotomy . there calcifications the thoracic aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3546_IM-1738_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3546_IM-1738-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3546_IM-1738-4004.png,startseq unchanged cardiomegaly . there continued interstitial prominence bilaterally . unchanged vascular appearance . there patchy retrocardiac opacity . negative for pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3547_IM-1739_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3547_IM-1739-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3547_IM-1739-2001.png,startseq heart size and mediastinal contour are normal . pulmonary vascularity normal . lungs are clear . no pleural effusions pneumothoraces . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3548_IM-1739_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3548_IM-1739-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3548_IM-1739-2001.png,startseq the heart normal size . the pulmonary vascularity within normal limits appearance . no focal air space opacities . no pleural effusions pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0002.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3549_IM-1739-1001-0003.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR355_IM-1739_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR355_IM-1739-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR355_IM-1739-2001.png,startseq lung volumes are low . prominent increased interstitial markings both lungs are unchanged the interval . bullae are present both upper lobes right worse than left . no pleural air collections . heart size normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3550_IM-1740,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3550_IM-1740-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3550_IM-1740-1001.png,startseq normal heart size . prominent contour the ascending aorta consistent with ectasia . normal mediastinal contours . no focal airspace consolidation . no pleural effusion pneumothora . minimal degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-12012.png,startseq heart size near top normal limits for technique . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . dense left lower lobe nodule suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-2001.png,startseq heart size near top normal limits for technique . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . dense left lower lobe nodule suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3551_IM-1740-2001.png,startseq heart size near top normal limits for technique . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . dense left lower lobe nodule suggests previous granulomatous process . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3552_IM-1741_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3552_IM-1741-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3552_IM-1741-3001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3555_IM-1741,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3555_IM-1741-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3555_IM-1741-2001.png,startseq the heart and mediastinum are unremarkable . the lungs are clear without infiltrate . there no effusion pneumothora . degenerative disease multiple midthoracic vertebral bodies . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3556_IM-1741-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3556_IM-1741-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3556_IM-1741-1001-0002.png,startseq the lungs are clear . there no pleural effusion pneumothora . there has been sternotomy . the heart not enlarged . some atherosclerotic changes the aorta are seen . the skeletal structures are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3557_IM-1742-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3557_IM-1742-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3557_IM-1742-0001-0002.png,startseq left picc line and tube remain heart size and vascularity appear within normal limits . the lungs are free focal airspace disease . small bilateral pleural effusions are present . no pneumothora noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3559_IM-1744_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3559_IM-1744-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3559_IM-1744-2001.png,startseq heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . mild levocurvature thoracic spine . pulmonary nodule noted partially overlying the posterior right rib the frontal view . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR356_IM-1744_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR356_IM-1744-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR356_IM-1744-2001.png,startseq the cardiomediastinal silhouette within normal limits for size and contour . the lungs are normally inflated without evidence focal airspace disease pleural effusion pneumothora . osseous structures are within normal limits for patient age . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3560_IM-1745_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3560_IM-1745-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3560_IM-1745-1002.png,startseq both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3561_IM-1746_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3561_IM-1746-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3561_IM-1746-2001.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3562_IM-1747_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3562_IM-1747-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3562_IM-1747-2001.png,startseq the cardiomediastinal silhouette and vasculature are within normal limits for size and contour . sequela prior granulomatous disease lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis . degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3564_IM-1749-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3564_IM-1749-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3564_IM-1749-0001-0002.png,startseq the heart top normal size . the mediastinum stable . surgical clips again seen overlying the superior mediastinum . there retrocardiac density compatible hiatal hernia . the lungs are mildly hypoinflated . no acute infiltrate pleural effusion are seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3565_IM-1750_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3565_IM-1750-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3565_IM-1750-2001.png,startseq the cardiomediastinal silhouette stable appearance . there redemonstration complete opacification the right middle lobe no significant associated volume loss . the left lung appears clear . no pneumothora pleural effusion demonstrated . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-12012.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-2001.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-4004.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_3,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-2001.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_4,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-12012.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-4004.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751_5,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3566_IM-1751-4004.png,startseq normal heart size and mediastinal contours . low lung volumes mild bibasilar atelectasis . no focal airspace consolidation . no pleural effusion pneumothora . visualized osseous structures are unremarkable appearance . the lateral views are limited patient positioning and motion . large cervical spine osteophytes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3567_IM-1752,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3567_IM-1752-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3567_IM-1752-1001.png,startseq and lateral chest eamination was obtained . the heart silhouette and mediastinal contours are not enlarged . pacemaker leads are within the right atrium and ventricle . lungs demonstrate there right lower lobe airspace disease and small effusion suspicious for pneumonia . left lung clear . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3568_IM-1753_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3568_IM-1753-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3568_IM-1753-2001.png,startseq the heart size normal with stable appearance the cardiomediastinal silhouette . the lungs are clear without focal airspace opacity pleural effusion pneumothora . there are stable calcified right peritracheal lymph the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3569_IM-1753,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3569_IM-1753-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3569_IM-1753-1001.png,startseq normal heart size and mediastinal contours . low lung volumes . no focal airspace consolidation . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR357_IM-1753_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR357_IM-1753-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR357_IM-1753-2001.png,startseq cardiac size mediastinal contour and pulmonary vascularity are within normal limits . the right heart appears obscured and there are streaky right medial basilar airspace opacities possibly due airspace disease atelectasis . otherwise no focal consolidation pleural effusion pneumothora . the visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-2001.png,startseq normal heart size mediastinal contours . subsegmental atelectasis versus scarring the right midlung and left lower lobe . no focal airspace disease . no pleural effusion pneumothora . low lung volumes . visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-3001.png,startseq normal heart size mediastinal contours . subsegmental atelectasis versus scarring the right midlung and left lower lobe . no focal airspace disease . no pleural effusion pneumothora . low lung volumes . visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3570_IM-1754-3001.png,startseq normal heart size mediastinal contours . subsegmental atelectasis versus scarring the right midlung and left lower lobe . no focal airspace disease . no pleural effusion pneumothora . low lung volumes . visualized bony structures are unremarkable appearance . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3571_IM-1754_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3571_IM-1754-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3571_IM-1754-3001.png,startseq heart size and pulmonary vascularity normal . the stomach contour normal . there right hemidiaphragm elevation . lungs are clear . degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3573_IM-1756_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3573_IM-1756-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3573_IM-1756-2001.png,startseq the cardiomediastinal silhouette within normal limits for appearance . the thoracic aorta mildly tortuous and calcified . no focal areas pulmonary consolidation . no pneumothora . no pleural effusion . mild degenerative changes the thoracic spine . mild levoscoliosis the thoracolumbar spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3574_IM-1756_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3574_IM-1756-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3574_IM-1756-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . suspected artifact over the bilateral neck soft tissues and supraclavicular fossae . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3575_IM-1757_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3575_IM-1757-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3575_IM-1757-2001.png,startseq heart size normal . no pneumothora pleural effusion focal airspace disease . central left midlung granuloma with calcified left hilar adenopathy . bony structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3576_IM-1757_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3576_IM-1757-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3576_IM-1757-2001.png,startseq the cardiomediastinal silhouette within normal limits . the lungs are clear without areas focal consolidation . no pneumothora large pleural effusion . no acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3577_IM-1758_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3577_IM-1758-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3577_IM-1758-2001.png,startseq there are no focal areas consolidation . no suspicious pulmonary opacities . heart size within normal limits . no pleural effusions . no evidence pneumothora . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3578_IM-1758_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3578_IM-1758-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3578_IM-1758-2001.png,startseq the heart and lungs have the interval . both lungs are clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3579_IM-1759_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3579_IM-1759-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3579_IM-1759-1003.png,startseq interval resolution the left pleural effusion . lungs are grossly clear . postsurgical changes from cabg are noted . no pneumothora pleural effusion . no acute bony abnormalities are visualized . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR358_IM-1759_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR358_IM-1759-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR358_IM-1759-1002.png,startseq lungs are clear bilaterally . cardiac and mediastinal silhouettes are normal . pulmonary vasculature normal . no pneumothora pleural effusion . limbus vertebra noted within the partial visualized lumbar vertebral body . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3580_IM-1760_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3580_IM-1760-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3580_IM-1760-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . normal endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3581_IM-1761_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3581_IM-1761-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3581_IM-1761-3001.png,startseq heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . pectus carinatum noted . calcified lymph and granuloma are noted . no pleural effusion pneumothora seen . mild deformity noted the lower thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3582_IM-1761_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3582_IM-1761-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3582_IM-1761-2001.png,startseq heart size normal . the lungs are clear . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3583_IM-1762_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3583_IM-1762-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3583_IM-1762-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there are mild degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3586_IM-1764_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3586_IM-1764-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3586_IM-1764-2001.png,startseq the heart mildly enlarged . the mediastinal contours are stable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3587_IM-1765_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3587_IM-1765-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3587_IM-1765-1002.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3588_IM-1766_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3588_IM-1766-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3588_IM-1766-2001.png,startseq and lateral chest eamination was obtained . the heart silhouette normal size and contour . aortic appear unremarkable . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3589_IM-1767_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3589_IM-1767-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3589_IM-1767-1002.png,startseq cardiomediastinal contour and pulmonary vascularity stable and within normal limits . lung volumes are slightly low . there are streaky left basal opacities . no pleural effusion pneumothora . no acute osseous findings . no free air demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR359_IM-1768_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR359_IM-1768-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR359_IM-1768-2001.png,startseq heart size upper limits normal . the mediastinal contour within normal limits . the lungs are free any focal infiltrates . there are no nodules masses . no visible pneumothora . no visible pleural fluid . the are grossly normal . there no visible free intraperitoneal air under the diaphragm . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3590_IM-1769_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3590_IM-1769-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3590_IM-1769-4001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3591_IM-1770-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3591_IM-1770-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3591_IM-1770-1001-0002.png,startseq the heart and mediastinal contours are unchanged . there moderate hiatal hernia . the lungs are clear without focal infiltrate . no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3593_IM-1772_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3593_IM-1772-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3593_IM-1772-2001.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3594_IM-1772_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3594_IM-1772-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3594_IM-1772-1002.png,startseq the cardiomediastinal silhouette normal . no focal airspace consolidation . no pneumothora pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3595_IM-1773-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3595_IM-1773-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3595_IM-1773-0001-0002.png,startseq stable cardiomegaly and mediastinal contour . increased interstitial lung markings are seen possibly due volume overload . there improved aeration the lung bases with small residual left basilar effusion . no focal consolidation pneumothora . stable tunneled dialysis catheter . visualized osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3597_IM-1775_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3597_IM-1775-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3597_IM-1775-2001.png,startseq left noted with tip approimating the high svc stable . no pleural effusions . no pneumothora . heart size normal limits . degenerative changes thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3598_IM-1775_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3598_IM-1775-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3598_IM-1775-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . conveity also present the previous eam . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3599_IM-1775_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3599_IM-1775-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3599_IM-1775-2001.png,startseq there are intact midline sternotomy and postsurgical changes prior cabg . the aorta unfolded . the heart size and cardiomediastinal silhouette are normal . there no focal airspace opacity pleural effusion pneumothora . there are mild degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR36_IM-1776_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR36_IM-1776-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR36_IM-1776-2001.png,startseq the lungs are clear bilaterally . specifically no evidence focal consolidation pneumothora pleural effusion . cardio mediastinal silhouette unremarkable . visualized osseous structures the thora are without acute abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3601_IM-1777_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3601_IM-1777-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3601_IM-1777-3003.png,startseq the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . large hiatal hernia present . osteopenia and degenerative changes are present the spine . vascular calcification noted . degenerative changes are present the right shoulder . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3602_IM-1778_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3602_IM-1778-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3602_IM-1778-2001.png,startseq normal cardiomediastinal silhouette and hilar contours . calcified bilateral lung and perihilar granulomas . the lungs are clear without focal area consolidation pleural effusion pneumothora . are intact without acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3603_IM-1779_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3603_IM-1779-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3603_IM-1779-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3605_IM-1781_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3605_IM-1781-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3605_IM-1781-1002.png,startseq heart size within normal limits . no focal airspace disease . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3606_IM-1781_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3606_IM-1781-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3606_IM-1781-2001.png,startseq cardiac and mediastinal contours are within normal limits . the lungs are clear . bony structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3607_IM-1781,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3607_IM-1781-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3607_IM-1781-1001.png,startseq heart size and pulmonary vascularity appear within normal limits . the patient status post cabg . few opacities are present the left base the appearance which scarring atelectasis . no pneumothora pleural effusion seen . degenerative changes are present the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3608_IM-1781_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3608_IM-1781-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3608_IM-1781-2001.png,startseq chest the heart enlarged . there may pericardial effusion . no definite pulmonary edema seen . lungs appear clear . there no pleural effusion . the skeletal structures and soft tissues are unremarkable . kub single view the abdomen was obtained . the bowel pattern nonspecific . there no evidence for obstruction free intraperitoneal air . no large soft tissue masses organomegaly are identified . the skeletal structures appear normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3609_IM-1782_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3609_IM-1782-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3609_IM-1782-3001.png,startseq there borderline cardiomegaly . mediastinum and pulmonary vasculature are unremarkable . lungs are clear . no pleural fluid pneumothora appreciated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR361_IM-1783_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR361_IM-1783-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR361_IM-1783-1002.png,startseq lungs remain clear and epanded . heart and mediastinum normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3610_IM-1783_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3610_IM-1783-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3610_IM-1783-1002.png,startseq heart size normal . lungs are clear . are normal . no pneumonia effusions edema pneumothora adenopathy nodules masses . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3611_IM-1784-0001,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3611_IM-1784-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3611_IM-1784-0001-0001.png,startseq stable appearance the cardiomediastinal silhouette . the aorta calcified and tortuous . there detroscoliosis the thoracolumbar spine . multiple thoracic deformities appear unchanged . there no displaced rib fracture identified . there no pneumothora large pleural effusion . stable changes chronic lung disease with flattening the left hemidiaphragm . there mild right basilar airspace disease which may represent atelectasis versus infiltrate . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3612_IM-1785_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3612_IM-1785-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3612_IM-1785-2001.png,startseq the heart normal size . the mediastinum stable . calcified right paratracheal lymph are seen . aorta atherosclerotic . the lungs are mildly hypoinflated without focal consolidation . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3614_IM-1787_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3614_IM-1787-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3614_IM-1787-4001.png,startseq and lateral views were obtained . bibasilar atelectasis and small leftsided pleural effusion . stable cardiomegaly . no pneumothora . mild pulmonary vascular congestion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3616_IM-1789_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3616_IM-1789-2002.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3616_IM-1789-3003.png,startseq the heart normal size . the mediastinum stable . the aorta atherosclerotic . there are emphysematous changes with increased interstitial markings particularly the periphery and lung bases . the lungs are clear focal infiltrates . there no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3617_IM-1789_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3617_IM-1789-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3617_IM-1789-2001.png,startseq the cardiac silhouette and mediastinal contours are within normal limits . there no focal opacity . there no pneumothora . there no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3618_IM-1790_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3618_IM-1790-82420001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3618_IM-1790-82420002.png,startseq the heart size and mediastinal silhouette are within normal limits . no pneumothora pleural effusions . the lungs are clear . no focal consolidations . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3619_IM-1791_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3619_IM-1791-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3619_IM-1791-2001.png,startseq cardiac and mediastinal appear normal . no visible pneumothora focal airspace opacity pleural effusion seen . no visible free air under the diaphragm . the osseous structures appear intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3620_IM-1791-1001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3620_IM-1791-1001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3620_IM-1791-1001-0002.png,startseq the cardiac silhouette near upper limits normal size . pulmonary vasculature normal caliber . there minimal atelectasis scar the left lung base . the lungs are otherwise grossly clear . there small calcified granuloma the left upper lobe . there no pneumothora pleural effusion . no acute displaced rib fractures are demonstrated . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3621_IM-1792_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3621_IM-1792-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3621_IM-1792-5001.png,startseq lung volumes remain low . no infiltrates . heart and pulmonary are normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3623_IM-1793_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3623_IM-1793-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3623_IM-1793-1002.png,startseq soft tissue and bony structures unremarkable . heart size upper limit normal . lung are clear . no effusion pneumothora . calcified lymph stable from prior eam . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3624_IM-1794_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3624_IM-1794-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3624_IM-1794-2001.png,startseq the heart size and mediastinal contours appear within normal limits . no focal airspace consolidation pleural effusion pneumothora . no acute bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3625_IM-1794_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3625_IM-1794-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3625_IM-1794-2001.png,startseq the lungs appear clear . there are no suspicious pulmonary nodules masses . the heart and pulmonary appear normal . mediastinal contours appear normal . there no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3627_IM-1795,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3627_IM-1795-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3627_IM-1795-2001.png,startseq no acute osseous abnormality . scattered degenerative changes the thoracic spine . soft tissues are within normal limits . normal heart size . stable elevation right hemidiaphragm compared eam bilateral hilar lymph no focal area consolidation pleural effusion pneumothora . bibasilar atelectasis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3628_IM-1796_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3628_IM-1796-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3628_IM-1796-2001.png,startseq the eamination consists frontal and lateral radiographs the chest . the cardiomediastinal contours are within normal limits . pulmonary vascularity within normal limits . no focal consolidation pleural effusion pneumothora identified . there are multilevel degenerative changes the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR363_IM-1798_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR363_IM-1798-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR363_IM-1798-4004.png,startseq normal cardiomediastinal contours . no focal consolidation pleural effusions . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3630_IM-1798_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3630_IM-1798-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3630_IM-1798-4004.png,startseq frontal and lateral views the chest show normal size and configuration the cardiac silhouette . there aortic vascular calcification . and there hyper left lung calcified granuloma . normal mediastinal contour pulmonary and vasculature central airways and lung volumes . no pleural effusion . there are vascular and skeletal senescent changes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3632_IM-1799_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3632_IM-1799-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3632_IM-1799-2001.png,startseq normal heart size and mediastinal contours . calcified aortic opacities the left lung base atelectasis . the lateral view shows left pleural effusion . no focal airspace consolidation . no pneumothora . stable bilateral apical pleural capping . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3633_IM-1800_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3633_IM-1800-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3633_IM-1800-1002.png,startseq degenerative changes the thoracic spine . heart size normal . lungs are clear . no pneumothora pleural effusion . low lung volumes . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3634_IM-1801_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3634_IM-1801-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3634_IM-1801-2001.png,startseq stable cardiomediastinal silhouette . no focal pulmonary opacity pleural effusion pneumothora . no acute bony abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3635_IM-1802_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3635_IM-1802-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3635_IM-1802-2001.png,startseq stable cardiomediastinal silhouette . no focal pulmonary opacity pleural effusion pneumothora . no acute bony abnormality . there are stable degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3636_IM-1803_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3636_IM-1803-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3636_IM-1803-2001.png,startseq normal cardiomediastinal silhouettes . mild hyperepansion the lungs . stable appearance scarring lung bases . prominent bilateral interstitial opacities are chronic no focal consolidation pleural effusion pneumothora . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-2001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-3001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3637_IM-1804-3001.png,startseq heart size within normal limits stable mediastinal and hilar contours . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3638_IM-1804_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3638_IM-1804-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3638_IM-1804-2001.png,startseq cardiomegaly . no pneumothora pleural effusion . clear lung bilaterally . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3639_IM-1804_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3639_IM-1804-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3639_IM-1804-1002001.png,startseq the cardiac and mediastinal silhouette normal there no evidence pneumomediastinum pneumothora . clear lungs there are no large pleural effusions no evidence displaced fractures . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR364_IM-1804_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR364_IM-1804-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR364_IM-1804-2001.png,startseq the cardiomediastinal silhouette and pulmonary vasculature are within normal limits size . the lungs are clear focal airspace disease pneumothora pleural effusion . there are no acute bony findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3641_IM-1805_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3641_IM-1805-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3641_IM-1805-2001.png,startseq heart size within normal limits stable mediastinal contours mediastinal clips left base pleuralparenchymal irregularity compatible with scarring . no focal alveolar consolidation no definite pleural effusion seen . no typical findings pulmonary edema . chronic appearing left rib contour irregularities may posttraumatic postsurgical . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3642_IM-1806_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3642_IM-1806-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3642_IM-1806-2001.png,startseq no focal lung consolidation . heart size and pulmonary vascularity are within normal limits . no pneumothora pleural effusion . mild degenerative changes the thoracic spine . degenerative changes the tortuous aorta . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3644_IM-1807_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3644_IM-1807-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3644_IM-1807-2001.png,startseq stable including elongation the left ventricle and tortuous thoracic aorta . subcarinal calcified lymph lung volumes . no focal consolidation pneumothora large pleural effusion . negative for acute bone abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3646_IM-1808-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3646_IM-1808-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3646_IM-1808-0001-0002.png,startseq the lungs are clear . heart size normal . no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3647_IM-1809_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3647_IM-1809-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3647_IM-1809-2001.png,startseq lungs are clear . heart normal size . trachea midline . no pneumothora . no large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3648_IM-1810_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3648_IM-1810-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3648_IM-1810-3001.png,startseq the heart and cardiomediastinal silhouette are normal size and contour . there no focal airspace opacity pleural effusion pneumothora . the osseous structures are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3649_IM-1811_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3649_IM-1811-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3649_IM-1811-3001.png,startseq clear lungs bilaterally . no pneumothora large pleural effusion . normal cardiac contour . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR365_IM-1812_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR365_IM-1812-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR365_IM-1812-1002.png,startseq the lungs are clear . the cardiomediastinal silhouette within normal limits . no pleural effusion identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3650_IM-1813_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3650_IM-1813-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3650_IM-1813-2001.png,startseq the heart not enlarged . the bilateral pulmonary arteries appear enlarged . the lungs are hyperepanded the hemidiaphragms are flattened . there no pneumothora pleural effusion . there are no focal areas consolidation . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3651_IM-1813_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3651_IM-1813-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3651_IM-1813-2001.png,startseq blunting the costophrenic represents scarring . no pleural effusion identified the lateral view . there no focal consolidation . no pneumothora present . the cardiomediastinal silhouette within normal limits are the pulmonary vasculature normal . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3652_IM-1814_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3652_IM-1814-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3652_IM-1814-2001.png,startseq no pneumothora pleural effusion airspace consolidation . heart size and pulmonary vasculature appear within normal limits . are intact . there are calcified right hilar granulomas . there mild thoracic detroscoliosis . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3653_IM-1815_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3653_IM-1815-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3653_IM-1815-3001.png,startseq the eamination consists frontal and lateral radiographs the chest . there are diminished lung volumes with atelectasis . the cardiac silhouette unchanged . there mild moderate tortuosity the thoracic aorta . no focal consolidation pleural effusion pneumothora identified . thoracic spondylosis again seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3654_IM-1816,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3654_IM-1816-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3654_IM-1816-1001.png,startseq there nodular opacity the right upper lobe . this appears from the prior study . the lungs otherwise appear clear . no pleural effusion pneumothora seen . heart size and mediastinal contour appear within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3655_IM-1817_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3655_IM-1817-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3655_IM-1817-2001.png,startseq well circumscribed right upper lobe nodule unchanged appearance from previous eamination years ago . the trachea midline . negative for pneumothora pleural effusion . the heart size normal . redemonstrated syndesmophyte . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3656_IM-1817_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3656_IM-1817-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3656_IM-1817-2001.png,startseq heart size borderline enlarged . stable cardiomediastinal silhouette . no pneumothora large pleural effusion . no focal airspace disease . low lung volumes . nodular densities consistent with chronic granulomatous disease . bony structures appear intact . mild degenerative disease the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3657_IM-1818_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3657_IM-1818-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3657_IM-1818-1002.png,startseq the heart size normal . there vascular congestion bilateral hilar areas . the lungs are hyperepanded with flattened diaphragms . no acute bony abnormalities . no effusion infiltrate . no pneumothora pneumomediastinum . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3658_IM-1819_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3658_IM-1819-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3658_IM-1819-2001.png,startseq the cardiomediastinal silhouette normal size and contour . no focal consolidation pneumothora large pleural effusion . biapical fibronodular pleural thickeningscarring . there like deformity the anterior corte the body lateral view . negative for retrosternal density . prior cholecystectomy . critical result notification documented through primordial . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3659_IM-1819_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3659_IM-1819-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3659_IM-1819-2001.png,startseq patient status post cabg . the heart size and pulmonary vascularity appear within normal limits . the lungs are free focal airspace disease . no pleural effusion pneumothora seen . calcified granuloma noted . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR366_IM-1820_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR366_IM-1820-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR366_IM-1820-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3660_IM-1820_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3660_IM-1820-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3660_IM-1820-2001.png,startseq lungs are clear without focal consolidation effusion pneumothora . normal heart size . bony thora and soft tissue unremarkable . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3661_IM-1821_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3661_IM-1821-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3661_IM-1821-2001.png,startseq there are no focal areas consolidation . no pleural effusions . no pneumothora . heart size within normal limits . osseous structures intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3662_IM-1821_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3662_IM-1821-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3662_IM-1821-2001.png,startseq stable normal cardiomediastinal silhouette . bilateral calcified hilarperihilar lymph left lateral lung calcified granuloma . lungs are grossly clear without focal consolidation pleural effusion pneumothora . stable degenerative changes the thoracic spine . no acute osseous abnormality . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3663_IM-1822_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3663_IM-1822-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3663_IM-1822-2001.png,startseq the heart normal size . the mediastinum unremarkable . the lungs are clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3664_IM-1822_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3664_IM-1822-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3664_IM-1822-2001.png,startseq there are no acute osseous abnormalities . soft tissue structures are within normal limits . normal heart size and hilar vascular markings . the lungs are clear without focal area consolidation pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3665_IM-1823_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3665_IM-1823-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3665_IM-1823-2001.png,startseq heart size within normal limits . negative for focal pulmonary consolidation pleural effusion pneumothora . no upper lobe airspace disease cavitary lesions identified . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3666_IM-1824_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3666_IM-1824-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3666_IM-1824-3001.png,startseq onset right basal atelectasis with airspace disease and effusion suggestive the chest infection . stable cardiomegaly and features cabg . interval removal left picc line no pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3667_IM-1824,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3667_IM-1824-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3667_IM-1824-2001.png,startseq density the left upper lung represents superimposed bony and vascular structures . there calcification the first rib costicartilage junction which contributes this appearance . the lungs otherwise appear clear . the heart and pulmonary appear normal . the pleural spaces are clear . the mediastinal contour normal . there are degenerative changes thoracic spine . there electronic cardiac device overlying the left chest wall with intact distal leads the right heart . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR367_IM-1826_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR367_IM-1826-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR367_IM-1826-1002.png,startseq the lungs are clear . no focal airspace consolidation . no pleural effusion pneumothora . heart size within normal limits . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3670_IM-1826_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3670_IM-1826-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3670_IM-1826-2001.png,startseq the heart pulmonary and mediastinum are within normal limits . there no pleural effusion pneumothora . there no focal air space opacity suggest pneumonia . there mild biapical pleural thickening which smooth . there evidence previous anterior cervical spine fusion . there are degenerative changes the spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-2001.png,startseq stable cardiomediastinal silhouette . mild patchy right upper lobe opacities similar slightly improved from left lung clear . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827_1,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-3001.png,startseq stable cardiomediastinal silhouette . mild patchy right upper lobe opacities similar slightly improved from left lung clear . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827_2,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-2001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3671_IM-1827-3001.png,startseq stable cardiomediastinal silhouette . mild patchy right upper lobe opacities similar slightly improved from left lung clear . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3672_IM-1828_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3672_IM-1828-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3672_IM-1828-2001.png,startseq stable appearance aortic valve prosthesis . sternotomy aortic calcifications . mild interstitial edema . no focal infiltrate . no effusion pneumothora . mild cardiomegaly . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3673_IM-1828_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3673_IM-1828-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3673_IM-1828-1002.png,startseq the heart normal size . the mediastinal contours are stable . aortic calcifications are noted . there are small calcified lymph emphysema and chronic changes are identified . there opacity the left perihilar upper lobe . there questionable etension the pleural surface . this may represent acute infiltrate developing density . there no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3675_IM-1829-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3675_IM-1829-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3675_IM-1829-0001-0002.png,startseq and lateral chest eamination was obtained . the heart silhouette and mediastinal contours are not enlarged . lungs demonstrate no acute findings . there no effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3676_IM-1829-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3676_IM-1829-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3676_IM-1829-0001-0002.png,startseq the cardiomediastinal silhouette appears irregular secondary the diffuse bilateral pulmonary interstitial disease . the thoracic aorta tortuous . calcified lymph are demonstrated the left hilum . no focal pulmonary consolidation . diffuse increased bilateral pulmonary interstitial markings consistent with the patient history known pulmonary fibrosis with relative sparing the bilateral lung apices . no pneumothora pleural effusion demonstrated . the thoracic spine appears intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3677_IM-1830_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3677_IM-1830-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3677_IM-1830-2001.png,startseq heart size within normal limits . aorta tortuous . remainder the cardiomediastinal silhouette normal . lungs are clear bilaterally without pleural effusion pneumothora . no bony abnormalities . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3678_IM-1831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3678_IM-1831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3678_IM-1831-2001.png,startseq the heart normal size . the mediastinum unremarkable . the costophrenic are blunted . the interstitial markings are slightly accentuated suggesting underlying chronic diseaseemphysema . no focal consolidation seen . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3679_IM-1831_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3679_IM-1831-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3679_IM-1831-2001.png,startseq normal heart . clear lungs . no pneumothora . no pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR368_IM-1832_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR368_IM-1832-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR368_IM-1832-2001.png,startseq cardiomediastinal silhouette and pulmonary vasculature are within normal limits . lungs are clear . no pneumothora pleural effusion . no acute osseous findings . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3680_IM-1832_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3680_IM-1832-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3680_IM-1832-2001.png,startseq the heart normal size and contour . there no mediastinal widening . streaky bibasilar opacities atelectasis . vague opacity the right midlung . scattered calcified granulomas . no large pleural effusion pneumothora . the are intact . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3681_IM-1833-0001_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3681_IM-1833-0001-0001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3681_IM-1833-0001-0002.png,startseq there are lower lung volumes . there central bronchovascular crowding . volume loss the medial right upper lobe seen not welldemonstrated radiography . no lobar consolidation . no pleural effusion pneumothora . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3682_IM-1834_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3682_IM-1834-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3682_IM-1834-2001.png,startseq the lungs are hypoventilated . there no focal airspace opacity . the cardiomediastinal silhouette normal size . there no pneumothora large pleural effusion . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3683_IM-1835_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3683_IM-1835-3001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3683_IM-1835-4001.png,startseq eamination was performed with nipple markers . the previously noted small nodule the right lower lung not wellseen today study and may have been secondary summation structures . the heart normal size . the mediastinum unremarkable . the lungs are otherwise clear . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3685_IM-1836_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3685_IM-1836-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3685_IM-1836-1002.png,startseq calcified thoracic aorta . mild rightward deviation the trachea unchanged from comparison secondary goiter . heart size within normal limits . no focal airspace disease . no pneumothora effusions . advanced degenerative change the thoracic spine . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3687_IM-1838_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3687_IM-1838-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3687_IM-1838-2001.png,startseq heart size and mediastinal contours are within normal limits given projection . the right lung appears clear . there minimal patchy atelectasis early infiltrate left lung base . no visible pleural effusion pneumothora . there partially visualized ivc the lateral view . there are partially visualized surgical changes the cervical spine compatible with prior fusion procedure . endseq /content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3689_IM-1840_0,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3689_IM-1840-1001.png,/content/drive/MyDrive/cnn-rnn/NLMCXR_png/CXR3689_IM-1840-2001.png,startseq normal heart size and mediastinal contours . calcified aortic calcified granuloma the anterior segment the right lower lobe . no pleural effusion pneumothora . degenerative disc disease the thoracic spine . coronary artery stent . endseq