Chest PA X-ray Report

Patient: Female, DOB: 11-07-2003 (age ~22 years) Study Date: 11 July 2026 Institution: Niramay Advanced Diagnostics Reporting Radiologist: Dr. Sunny Duragkar Sir

Technical Adequacy

Projection: PA (Posterior-Anterior) view - correct
Inspiration: Adequate - 9-10 posterior ribs visible above the diaphragm
Rotation: Minimal - medial clavicle ends are roughly equidistant from the spinous processes
Positioning: Arms elevated, scapulae projected out of the lung fields - good technique

Systematic Findings

Lung Fields

Both lungs are clear with normal, symmetric radiolucency
No focal consolidation, patchy opacities, nodules, or masses
Bronchovascular markings are normal in distribution and caliber, tapering appropriately toward the periphery
No interstitial infiltrates

Pleura

Costophrenic angles are sharp and clear bilaterally - no pleural effusion
No pneumothorax

Cardiac and Mediastinum

Heart size is normal - cardiothoracic ratio less than 0.5
Cardiac borders are well-defined bilaterally
Trachea is central and midline - no deviation
Mediastinal width and contour are normal - no widening or shift
Bilateral hilar shadows are normal in size and position - no hilar lymphadenopathy

Diaphragm

Both hemidiaphragms are smooth and well-outlined
Right dome is slightly higher than the left - normal physiological variant
No free subdiaphragmatic air (no pneumoperitoneum)
Gastric air bubble visible below the left hemidiaphragm - normal

Osseous Structures

Ribs, clavicles, and scapulae are intact - no acute fracture or bony lesion
Thoracic and upper lumbar spine: normal vertebral body heights, disc spaces, and alignment
No lytic or sclerotic bone lesions

Soft Tissues

Chest wall and axillary soft tissues are normal
No subcutaneous emphysema

Impression

Normal PA chest radiograph. No active cardiopulmonary disease identified. No focal consolidation, pleural effusion, pneumothorax, cardiomegaly, mediastinal widening, or bony abnormality detected.

Disclaimer: This is an AI-assisted interpretation for educational or supportive purposes only. It does not replace a formal radiological report by a qualified radiologist. Clinical correlation is always required.

Write this report as per standard radiological format and give appropriate recommendation also.

NIRAMAY ADVANCED DIAGNOSTICS

Radiology Report


Patient Name:	(Not provided)
Date of Birth:	11-07-2003
Age / Sex:	22 years / Female
Accession No.:	—
Study Date:	11 July 2026
Study Time:	14:57:02
Referring Physician:	—
Reporting Radiologist:	Dr. Sunny Duragkar
Examination:	X-Ray Chest PA View
Institution:	Niramay Advanced Diagnostics

CLINICAL INDICATION

Not provided. Routine / screening chest radiograph.

TECHNIQUE

Single posteroanterior (PA) projection of the chest in full inspiration, obtained in the erect position. Image acquired at 96 dpi, 3072 x 3072 pixels. Windowing: L/W 45.4% / 73.3%, Sigmoid.

TECHNICAL ADEQUACY

Inspiration: Adequate - posterior aspects of 9-10 ribs are visible above the right hemidiaphragm.
Rotation: Satisfactory - medial ends of clavicles are equidistant from the midline spinous processes.
Exposure: Adequate - thoracic vertebral bodies are faintly visible through the cardiac shadow; lung vascularity is well-delineated.
Positioning: Arms abducted; scapulae projected clear of the lung fields bilaterally.

FINDINGS

1. Trachea and Mediastinum

The trachea is central and midline, with no deviation or intrinsic narrowing. The mediastinal contour is normal in width and outline. No mediastinal widening, mass, or lymphadenopathy is identified. The aortic knuckle is normal in contour.

2. Cardiac Silhouette

The heart is normal in size. The cardiothoracic ratio is estimated at less than 0.5. Cardiac borders - right, left, and inferior - are sharply defined. No cardiomegaly. No pericardial effusion.

3. Hilar Regions

Bilateral hilar shadows are normal in size, density, and position. No hilar enlargement, lymphadenopathy, or abnormal vascular prominence is seen.

4. Lungs and Pleura

Both lung fields are clear and symmetrically radiolucent. Bronchovascular markings are normal in distribution and caliber, tapering appropriately to the periphery. No focal consolidation, collapse, nodule, mass, or interstitial opacification is identified in either lung.

Both costophrenic angles are acute and clearly defined. No pleural effusion. No pneumothorax. Pleural surfaces appear smooth with no thickening or plaques.

5. Diaphragm and Subdiaphragmatic Region

Both hemidiaphragms are smooth and well-marginated. The right hemidiaphragm is slightly higher than the left - a normal physiological variant. No free subdiaphragmatic gas. A normal gastric air bubble is visible beneath the left hemidiaphragm.

6. Osseous Structures

The visualized ribs, clavicles, and scapulae are intact, with no acute fracture, lytic lesion, or sclerotic change. The thoracic and upper lumbar vertebral bodies demonstrate normal height and alignment. Disc spaces appear preserved. No scoliosis or vertebral abnormality.

7. Soft Tissues

The chest wall, axillary, and supraclavicular soft tissues are unremarkable. No subcutaneous emphysema, soft tissue mass, or calcification noted.

IMPRESSION

Normal PA Chest Radiograph.

No evidence of active cardiopulmonary disease. No focal pulmonary consolidation, pleural effusion, pneumothorax, cardiomegaly, mediastinal widening, hilar lymphadenopathy, or osseous abnormality identified.

RECOMMENDATION

No further imaging is required on the basis of this radiograph alone, provided the clinical picture is concordant with a normal study.
If the patient presents with persistent respiratory symptoms (cough > 2 weeks, haemoptysis, unexplained weight loss, or fever), clinical re-evaluation and repeat imaging or CT chest should be considered irrespective of this normal radiograph.
Correlation with clinical findings and laboratory investigations is advised. A normal chest X-ray does not exclude early interstitial lung disease, small pulmonary emboli, or mediastinal pathology - CT chest with contrast should be obtained if clinical suspicion remains high.
This radiograph may serve as a useful baseline study for future comparison in this young patient.

Electronically reported by: Dr. Sunny Duragkar Date of Report: 11 July 2026 Disclaimer: This AI-assisted interpretation is for educational and supportive reference only. It does not constitute a formal radiological report and must not replace evaluation by a qualified, licensed radiologist. All clinical decisions must be based on the reporting radiologist's findings in the context of the patient's clinical presentation.

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