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XRAY Chest Atx, Eff, Pn

Findings: A frontal, portable radiograph of the chest demonstrates satisfactory aeration of the lungs. There is subtle silhouetting of the cardiac apex and blunting of the left costophrenic sulcus. Multiple skin folds overlie the bilateral apices and right midlung and limit evaluation for pneumothorax; however there is no obvious pneumothorax identified. The trachea is midline; the cardiomediastinal silhouette is within normal limits for age. The aorta is tortuous in course. Degenerative changes are noted in the acromioclavicular joints, shoulders and spine. The soft tissues are unremarkable. IMPRESSION: 1. Subtle silhouetting of the cardiac apex and blunting of the left costophrenic sulcus. These findings may represent a small pleural effusion with superimposed basilar atelectasis or pneumonia. Correlate clinically. Consider PA and lateral views for further evaluation. 2. Multiple skin fold limits the exam. Senescent changes; see comments above. --------------- Findings: A frontal, portable radiograph of the chest demonstrates symmetrical and satisfactory lung volumes without evidence of focal consolidation, pleural effusion or pneumothorax. Linear opacity in left midlung is likely related to subsegmental atelectasis. The trachea is midline; the cardiomediastinal silhouette is normal in appearance. The soft tissues and osseous structures are unremarkable. IMPRESSION: Probable left lower lobe subsegmental atelectasis. No acute cardiopulmonary disease.