Document 6wJKXdgMxk27Qw5JN2nKLn7rg

~\ *TV .-*. > :jfj**j* >*jt `r'T'fifa a i ,h ~* *,* ~<* <-'* ."'* .* 4 i* '- '| ~>r f 'Jf-tf B'lfi----- - - 1 t -i" x*:.* .* V 1 * V .'. . . . I ; i ' '77lTrT5l:7aKCT .,o 121-07-3130 60 ?' <> . virj?iL.\v:iGiT 5Tuor FVCs i-'iiVi: *: F.i i Sf par ir.v.v. W*/toi/h ..vr_....... v.;.YrtTT of :;a:^.s:::9/ii^#9188 Considerable fibrosis of both roots and all lobes. Fibrosis is characterized by the presence of peripheral nodular densities probably denoting some occupational exposure. There is substan tial evidence of pulmonary emphysema with Increased radiobility in both central zones and the uppers. -The lateral projection dem onstrates flattening of the diaphragms and a substantial increase In PA d jyinu*t.*r ivf t.h* ohct. Prt. shadow ls.Jint rAmr1fb1 e. Tliejre is no evidence of pleural dysplasia. *"'"*:*; Examination suggests examinee m .. Il.m* Ao* nar* vJ.ie* m. "p9h| |ysem a .with . r* e-- xt*1.r.jI n(tJX.ve Ti >ablyvjias substantial SFR HEVRIKF SID 11/13/75 COMMENT: CONT'D: His status today is essentially unchanged over that noted last year. ,Please advise examinee of these commonts. Aiort ! 00*: ?/*//* $e. //#cb yrJe *#*'*C *6/7a" -- }s /tif/Ci sJfJz ~t ~f *7 t , I I ' * * _ ^ ** m 1Z0J 5*f~THr, " * Xt A i\yKui^i KJDiav-is zz-.'/iK- I. COUCH C.C:i'2JT P.VIIT P* J. SIIcl.T C? SSATH ft .SIX-xSCTOCATIlM LooDr Anoi-irr/^^ iris. zn 'AC:3i /Tft ___ L \ h w3p # 1 4P - C'u;i ^ L#V V .W4AW.UW ''f /iU.y *o? *iw*'i3.u-oebo1niUOi'1 |*jeUh/U**L*uilIfnl/L ;.-!:c/day /y. A. ;.' r> --_ *fi r. . t m' . tfbt/'*-) ' . 0*4 sitiV*!* 0*4 *4**'/.^ 1'0*U y.^<t4wa*I U*":l*k UOAT4T*r ** 1 . O | * f . ^+ . ||t Y | 4 ** W<*U 'vJ i A 4-44.1 7.tui/j;::ulo.~ig nU t 'V44U * n^ .^*V4~b:t(\VHTT*Vf *^i^4r^44A X,a* t ,**TTrrT ' T ^ * ^ i m *, -7 , - <lv 4<i*mU44 Ulm<*JmMm i 1 ?.4' 1 # -4X* *4 A . Al< U W4 ojci)i,.i*ci:.iju itutcv:*: i/ii/.v jo icu jo .'.;jd uc.; ^uiia *VU hLL*U*> 'Of________ ^^feg- ^&u^kp (p yvo- vs:r*TL.vrioi: stcdi- V* M I I HlY,* *t xv >-; F^Vn : ! Y~Iy FIS? ;i.v. Ventilation study regarded as being *3f marginally abnormal. Total air vol ume would deny the presence of any *7fo restrictive disease but the charac teristics of the flow pattern does /AnVafe^ indicate evidence of mild to modera< e airway obstructive disease with a //ZA//nfa considerable portion of total lung capacity bleeding out after the 3rd ( secboantd. This would..CONT1T.REVERSE. uH*x o? c:*^` FXL.-X amissi:: o fi 7 V #8894 Mild prominence of the root areals. Some minimal Increase in bronchovascular markings, more prominent upon the right. No evidence of specific parenchymal disease. There are a few bands noted at the'.base of each lung immediately-above the diaphragm and at the cpstophrenic sulci which may denote some bleb forma tion. The lateral projection does indicate some mild increase in T-nri-t nliirowry VtftVvi wrt flip gtomiim *mri hoMnd the------CONT'P. ON REVERSE rr . - UJA. ^ . J .-xx`..ij* ' .*1 Iry'';' toXMW i t i X-> i. <_* \`A> 11 j . |/J S~\\/ / CLU\l[ Ka0 /.), t / / {S' ;..d. / VENT.'LATION INTKItl'JtKTATlON (CONTMJ. ) . .hu,"/okI, momm <<<m|nr i* l.n 1.1 mi nr *.i ' Jun/f, wi Ui Noin*' Ni|iimil.ini finpl.y I ii/< l.n hw<hhi|. Mm* l*lny I it ;mih|i I till* Jlltl/',H. xpu I u I on 1* (.!* nlr Iron CHEST X-RAY #8894:. (CONT'D.)....heart. The general interpretation must be that of mild pulmonary emphysema probably not symptomatic and probably not requiring any active care. Examinee should be advised. POSITION THIS tOOC NEAREST CABINET .1 JJ. J.3.J: 6604 v/ttlcotftsvii <. e >:o. /u\uuA, 113-32-3G32 .39 IIJDIOVJS i^.nnvv*zm Jt^44Wta > ?*t {v%lnt i->^iw?Uaei f--U *n it rfr i H * r.r.ocar } i1 a tnr^rp /?b. T*T'r`! 1y .......,xAJ * , up ! *Y . V*.f! -'-s r\"`r%*% .. d^it U ^wl^V.1 /V t Jv* w/ / '.U^ * * 4 UJi W' * Im ^ "*#% a \ ^ Uuva J . o-.;* A:':uAU;y _T* ^ A / r . / V- * . .C.W 4V*ia r.** ,*. * **ai 44iW f *^*T * / .-1- * `J m * Ud`A/*a4S** C*fc ^ 1 r.-C-lCUtACSIC ;.--:;sic::ic snoircuiTiJ 10 A <WtUii jIaJaIuj. + ITT/* } 3 T>1 ! <i- 4*' '. --w tVi'^ #i< /cz^y) dUAVV * .`W 0 w w Ux < i'i( i .ttij I '.X ^ x'Caaa *'C*ufc kiii.*V .*0 xCU JO <jJ.J LOiJ jaUii'.i *v.;0 va;rciu\sion ctudi' r/c* x'avis r'-72: FJ v ^ ^er FaF 2#-75? /.lC/*/aei, i.-.V.y. /^P /<//>?/>) | --i 0? cii-:-.' KUiSi;! ^/rfy #9is9 Moderate fibrosis of both roots. Some general increase in bronchovascular markings throughout all lobes. No evidence of specific parenchymal disease. Heart shadow is normal in size, position and configuration. Lateral projection does indicate some Increase in radiobility behind the heart but this is not grossly abnormal. Bony cage is normal. Chest x-ray generally -considered-asatisfactory-anqd-compatible wwHi-i>hh-exaammiinneeeen*oj oago.i CChest x-ray is satisfactory. Ventilation studies sliow^ini'nimal impairment but certainly not disabling. Please ad- -vino . axawineoi ..- y.-.-r-.--wtv!.- Soi ax, ,Q- o? esj?2 <$?*#B89o Mild prominence of the right root. Minimal*increase in bronchovascular markings into the right lower lobe. No evidence of specific parenchymal disease. Heart shadow and bony cage are normal. v Status as indicated by ventilation;studies and chest . : x-r0y vould seem to be satisfactory. Please advise examines. .--,-- . -- -------- -------- .-------- -- MLA/kr f //,M. n__r_v_i_'_n___1__ :*////& __A_#i ^ * /ss\ ... o, * * r* i *. %I ,' ' ^ -. a^: j.:.; : > 0 .1 7T*-.> a n/ / />/ f t* *i< o Pg/rv^o/y n:;iuii e:dsc.vxls zz^/i's / l.coven 'Vj *.ivj I<w :.C^:. 1 'CCJp ? * 1* iaSI) . - fcup *ou j;;ci:s? ,,.-, ......./ /.<.,, fj w/ /iU*y ^ pipiJ /iioutb " p::e/<lay /yrc. 3 * XX *ti^ ^ **r*' r jJC' *w"*` J0*4 *ia VJl# 0*i ****iOU ili'wV u.nijuiiJiiL: " n?T * "f:T I f * tww ^w u\. , v.' I** 1 ( J.'^w v -r 4 * lVfc.t ?. ci-ionic u:icucniTi; 10 ImImiV ^ n -- y -* ^ . :*- . X*J i- ** * <`Jy * ** *-------V-- 4--*-w-- 0lCC`i iiiaVj ill iiX<^J.C**b '***, 4-`0 mOu Ju .-.. . -< 3 if *p*&**>~'0 iifID uCii i^Oi**.* 4* -r O- x^li vzui'iLVi'ici: CTUor rvei cU tro L-Cs' **-/> A " T C 1 ?. M;' . '.< '. \ ' v r.T t Value for PEV. is marginal but pro bably, at least at this point, sat isfactory. No real evidence of air way obstructive disease. No evidence of significant restrictive disease. Overall curve is probably satisfactory u.v.v. 1 0? C^J,:r2 71LH aVWJSHs ?Yl! #6891 \**a* X Mild prominence of both root areas. Some general increase in markings throughout all lobes. There is a generalized pattern of irregularly shaped densities bilaterally distributed. No evidence of pleural disease. Trachea is in the midline. Heart shadow and bony cage arc normal. " Chest x-ray does exhibit evidence of mild pulmonary C...IM...1. fibrosis^predicated upon ventilation study probably -n--o--t----d--isa---blin*-g*--. --Ot--herwise ail-.ta* u.i.t....e.....s...u..t..i.s..T...u...c..o...o...r1y--.P=--leaesxaefflnaiuov'ji'b."e l'W4 4 TD) vr;*: AU li/xj/i/r^>y\ MT.A/kl' / t(/y/A^ Y^T ft-Mv,*\ ;>.d Mnr'vln* 1.1 '`Ai.n*>i'r ' 'y.` ' > ,f I .V . * 4 MStfrU li^X - 59 " T-- X4.JJXWlXX> .?- i.couch s.cinj'x' ?:.iit SS. J/V.^.AmaOi 4*4iA^4WWwk ^m4444*flUrt.t*tt***l r.r.ooDr *n 33 Aiior.rrA';- ns. 4 ? \ lM#l3p0 J i; tvi rut Uw 4V'U wuvnw i |.* t*4*< **> /kU^ / 4ttV*| Cai .vJL Ow L`Ju 4i Examinee indicates no shortness of breath but he is visibly short of breath although.not markedly so. History noted as ftoj chronic bronchitis. --^7! vzirriLArici: studi* rvcj; r-V^: FS v ^: 2-Gcry ct^ ' 1 '10% ns? ?-5?-?sZ: 1,0 if.v.v., *7i ^//7?i vrr Ventilation studies exhibit mild to moderate evidence of restrictive and airway obstructive disease. Comparing ventilation studies this year with studies of 9/30/74, indicates essen tially no ohange. 4-.x of Fiiu-. ::u.use : Qf\l Ct #9019 = Mild prominenoe of both root area^. Peripheral lung fields are generally not remarkable beyond some blunting of both costophrenic sulci. Hear^ shadow and bony cage are normal. Lateral projection indicates minimal flattening of the diaphragms. Heart shadow is normal. Essentially no change from previous film #3838 taken 9/30/79 Examinee does have mild pulmonary emphysoma, at least t't a subjectively it is not disabling. Ploase advise examinee as to his present status, lie probably requires no activo care.. Ui |(M . ' I ' *'....... ;i!3 Tndianola Ave. AVroi. N.Y. t:- i." *ii ^U ^A4 k 1 rc'r;'** WX ^ ' s** *. /?r *> ftV tip ^* T*T * t wi i .w*X ^4XI h ",vn /^n --v***? * m /t*J*WA44b Wfc ^UWUA r ^r>* *ri ^>*^ ^^^fhiva.*y' ^*n*xf<v*vit JHVWte* aA i*iACTw'.Ti,a|i //*^*vb T**' * f `tor ( fur 1_ iff* 'h.-s A*i * # . ?. * .*#!/ 'p i .... T u*^ v* * f* *%r. * -/;Tl V/-i 'C? J MW # V *. wiiW'kbt t .,<5 ------------ ' w X^** |4//vi'U*W^. # il^wUU I ---------- /vX1^WkX.'i%k0 + f\** k.o* # w l /j-~ . f % - i A <.# y ,. . **... ,! , V.* ._________ Lv 4 W .C Xk *l 0*4 MkAtfw f < . w*X lUXjJ f *v ; kT *** * J4 - Ui 4 W. ^4 ILlli 7.v7u.:;.jtjr.o.?.i3 ^ iiXv m'aiC ilVtiX^X'^ 1 n * * i T * ; . LtJ , ~4*4a.4 A iJX'-'.^WM * ** *k.*k ----------- -r-r t* #*4 4 A* *J-' -*?C`**^S l^l .ii&C{ nr_3 -- l *J J? fcjO 0#L) XiO.i 095-03-1151 > > *V uU -Si ' . i . 4**4*'w Xl t jaJ^ ({p'/vf^iAo------------ ,----------------- -_____ v.-;i rriv. '*10:7 OTuir 77C; F.'ivi: r-7;;: /j s ft / _zOr0' Kit VI, , ... 1> . ' ..'<* | Very mild restrictive defects but probably not d-isabling. No signifi cant evidence of airway obstruction. ?::? 2.0 A/^ r .# I.|V e 9b /-Av'/i j j'j filx :;u;: /(3/6- #9Qi6 M4X *OF U*. Slight fibrosis of both roots. 'Some increased radiobility in the left upper and both bases. The lateral projection does in dicate some distinct increase in PA diameter of the chest. Heart shadow appears rather broad but not abnormally so. The bony cage as indicated has an increased PA diameter. IMPRESSION: Very mild unt(g| evidence of pulmonary disability probably not particularly 4MIM .* < Please advise examinee. Vi if; l -isJzkJ: mlaAi/ r 1 C-'h.bJ- L r>a>4A S-' Marvfn I., Aiiulur, M. 1). . i ! t i'jt.:i . > j.J. / O_a'_iu_Vr i jV.* ; . i;:oxa\^ xju:/i:c l.cough ~ s.circiT ?ai:i 1-- "u 1 If#* t V<4i V4 4>J.fc.P4* *4VAM*MUAV4< 1 JA r-LQODl' ' l_ Jli AiioKrr/s^ sis 1 tap. L * tl.'ijp t. 1 cup 5.dj xou c;:ci:s? wcs I cljiVra/ /day /TuOaI U'l ci^ai^uj Lea tf*ttifoi/_da5yr * j.# *. .. /jvs. iG igu now o:; --v/* utiD'i p.rii:w.o::iA rU^.TU14yLa-*JWi4C*4ULCCIS <^?TL1rU.t o>4:4u. ;ectU:tiAtic .Jv*Xi3/T.wn~'mcn*4:*4:rUc. m:?:iTiG * I'UU . ?rw3 1 t i i .::c{ 1A i ii fi 3 ' ^ if ' r> .ImW lv>*V * * l**w ocGui-.i'lci:.L ]J:aiX:.;.*T.Ccv':e:eXa : ilLlj. '.;oiuk uCu JO . 4 iJ O 4*04* ArfUlJ'i J.L- w *? ^/r f/n//o C f*70j/73& /*/ VySlITIt-VriOII 5TUD1* r/cs A^Vi . riv'J. //2-s: ttfhdecs frit) tr7, TZ? 2$ ii.v.v. /S% a//>w\ t:!t.'' .rir>-:,i,:,rro-? Normal flow rates. No restrictive parenchymal and no airway obstructive disease. QUITE SATISFACTORY. OF (ZLJ FXLi'. isUi:3iSII: f&TL #8892 Mild prominence of both root areas. Minimal increase in bronchovascular markings throughout but no evidence of specific parenchy matous disease. There is some equivocal pleural thickening along the parieta.l border of the left chest at the level of the inferior margin of the 8th rib. Otherwise no abnormalities noted. Heart shadow and bony cage are normal. rr . As indicated above, status would seem to be satisfactory --Vu-Mi.Vi: at this time. Please advise examinee. U/ofifa' MT.A/irT' I QL (UM[ fern. .........* ' ' ` :_131 Pari; Dale Ava.- uiffaln, M.v 103-24-3225 /CJ; 47 li ?:/__ V3iK?Iu\T2GiI oTUDi* P/0: F*< K7tLi FE7 . Quite satisfactory. No evidence of restrictive parenchymal or airway obstructive disease. 07 FLL'. ; Q &/?#901S Mild prominence of both root areas. Some general increase in markings into both lower lobes. Some evidence of pleural thick ening at the summit of each lung particularly upon the right. The lateral projection does indicate some increase in radiobility be hind the sternum. Heart shadow and bony cage are normal. IMPRES SION: Chest x-ray generally satisfactory. Ventilation study and x-ray studies are satisfactory. CC.u^.ci'sNo evident disability. Please advise the examinee. i.'s ***eJ' iJ !*# *.fe#t*** r.wr % / o MI.A/kl* / 105- 20-2676 * Ii A ' ^ 4 78*67 *TTc'tcViSy"Ko JBTttW, ."*. * v- -* . * \4*r8',j? **.v r----------r, i.cnvu:: iwi !iyl AXl ^t^MWAiA r W4 r.LOCL'l* ..Fcr.rr/s'* me. 1 W*'. I./ Ul y '-"Kt* * n V/| t/W rfA *# Wltto'.W % . MMM Wft.UVk w/ /`W jf iA* V |, A.uuOOljil 1/ J i.ratbkMa*b* w* wJ lw*V**V4 j/.Uy ^ 3d /ii*r3. C CA/^i - /wil A14W / % r : **T ^ i i * ^T'*1 * y W wv J y.*w 1%1F yy I 1,TA I > *V _ r, / r .* A* *'.yW * -w# #> yJ k a #y 4 * ' t r * * J A<W ' i#If 1ry>WA .vv#*^wul/*Vy' rirJ/*L *vAS* rvv JTL L.'y+W Ay 1 \*\ i fi v 5 ^7 *r *%. . f . * .. t >JL> a4 y^'4 * iJ a i< *y * l*4 Ou'wL\j .*i.y. v : J *..L* Ac *.* vwi *. *' C j i^i.* *yfJ uC'iJ jyU^i * A*<*v\y 1/j vwIAI'"' Ij VSiSTILfalGi! ."TUOi V t'n <7 < . V \ |1V."T . > y * a. >..,.* ; rvc* i^vx: I.'.V.V. ca/HOtufi&juZd?. *rok/s)M\ o? fil.* :,u;3.i;i:: 7/^* #qi25 Moderate promtsnce of both root areas. Some minimal increase in bronchovascular markings in both lower lobes. Lateral projec tion demonstrates some increased radiobility behind the heart but the diaphragms are not flat and general chest status would seem satisfactory otherwise. v .Predicated upon examinoe's frame and size, h presents ' mild to moderate evidonne of parenchymal restriction and Myi-w -t-fc -jrAl\n3iJ yJ.viO n-KnH J.n c ni naira tte | . . . *.AJy * J ^r. l* 'aW.% % *J Wy.il ^i. oking.\P,1 ease advise. k VU\\Y.y\^, >n\/kl i i * \(/pv i M 1. A nit I ii r V ii * i .1 * % ii A' 1 !*** A J 4lW^ 062-13-7793 ;:v i;j*u;a*** liiDiGA^: ilsj/uo./ l.covu;: ' *<. r..c;rri-j'i' pain r' ^.ssoiiT op arjsATn nTE. it i i vm\* > n^/vr WW4 '`A 7.L0CD1* #siiw'... 1//- * X n . -M 1* T A ^ S' s( vt J. v I* 4i *.wU **4/% , .%%'*/ / V/ ] .-, i'.'.4v # itlOiluO O 0 O > ^ - ns y y ,n Jf /*- . **.? y aJ** *. Lf - *ii**Jd /wli. XUkjj'i f ^;T ! . . %?TT \ </ * 2*4^UWA** -i * '."ifiT AaTrt 1 9 - 4-W.W- 4 W U l/* U*A 4S4kJ *0U r %. i 1 J__ :cA U4 * ** r. .* ? ^A '. y " .UiW 4 .'! iiu * ^ #ulV.lJLv *V4kV4JVU.laW'f 10 uAtuiV k* L% ^i -*.*% .* ** ______f . iJL WA A^Ai V ' * *4* (Ml * J CwUl,..,^i^.' 'u,1 I " i.!Ciuk 21 *i.,iA,l.1 i(0 W0U wi1 u(*0 ^uiiv* ftrtf*! 2J 3^ - 6 WMflh i v' j U vsimivnca sxuor WrT/**?v-Tr-^-- ** i ' . 1 ..**4 . | i?;iVis i-'-Vc;: 7Uo ir. pr.? 25.?-75,-i > ^/^C. i. .'.;*i /fO/Wr ;i::rj::::AAA* ^ U. 1W UV ^** T*JV* Af*I*A *W. . i #9123 Mild prominence of both root areas. Minimal increase in bronchovascular markings over both lower lobes. Trachea is in the midlinfc Diaphragms are smooth and sulci are clear. Heart shadow and bony cage.are normal. IMPRESSION: Satisfactory c.hest. Despite negligible defect in ventilation study^cxnui'iijoe is pr{> ...* <i*bably quite satisfactory and should b<^so advised^. AUi*' X'> f w wf .*V* mV 095-01-9800 a ;__ 6223 Crittenden ?v<. Akron.. H.Y. AC.3;_2_ nroic-viAS ^a/uo 1.couu:i 2.Cnrio:A PAUJ p.S^villT OP LiaATH - ]*- 'i.ssuctogasiou A-- . SLOODI* ___t-- . Aiiotnrr/2^ mis. i *! { * uup Ti/Vw* *a*vn?Ui '!*' j* f / Ala/ Aaoii ciu^i'ccb is /':o/day w * \*r'i r, . _tl*l Aiivi*v,*ii 1 u. ! J.TUi^ISULOaiS Oil mVj ^Sloific sici;cniTX3 ^ n TT I *;T * * ? ................-- f- 'IN - 9 A U* ^ 4tl vl ilr> i * * ,*% ' -- * !i*.tL: ',--J<|L**, ito "ciu urtsU*-*' *i #7) jpakJfr we.-*** ! i .1 i X ... i |,0 1H H i 4--4 `H p V _ V* ,' - v *b* '. o^W * U /* 1 A M I J'~ *4V>U* JO A , - * '?n*t/. 'Midi WiW, vamwiicH stud* TVC* ^1 = c hit /#% FS? S5.^-75?: 1 j V/ M4 /foA//>vj' WTV'-^V! ' ' 'li'V.VT There is no evidence of restrictive or airway obstructive disease. Spirt gran is quite satisfactory. ..I 0? GLSJT 72ii-. ia\:^8 ffi)/i*Q01S Moderate fibrosis of both roots. Moderate fibrosis of all lobca fibrosis is essentially linear in configuration. No evidence of {specific parenchymatous disease. Heart shadow is distinctly full ibut does not exceed 50# of the transverse thoracic diameter (l6.5^/35) {Bony cage does exhibit some proliferative change involving the jdorsal spine ;G Examinee's health status with regard to his chest appears -A.to be.satisfactory. Certainly no significant evidence of any disability. House advise.examijiceT^ . , ... -. - . . (.'* a**e* J.lim ^ *( ' *V.i % < x i.`. :jaoo/25 MLA/kl M;i r*v I ti I. ^ --- -- i. D . Amilnr M. I). a vv * * l * < -U*. ^atan rnVVTOrj *.% " . .-'U.-*wW HU isroiCiVES 1.cough 2,CH3Srf ?AHI p.SUOUT 07 3E3ACT ____ ; /i-.si^cTonATioij; 2L00DY ' A;iotr.rr/^ z&is. 1 top* 1fcLsp. 1 CSUy - cup 5.dj rou j;:o'.:e? i ciipii'fi/ AW pipe /month oik-res too i?:a/clay /yarn . jr i-'o - ?:c Lo:;r. w A '<t r*- Dt' xou :-o.; jiAVj; oi; kV-i i'OU ? **, V*. ' 1 , * ^4 *.wW ** i/W W l ll.'t'l ^V<2u uiM/'i Uf *iVT(MrW::4. 4*Wv?4T^** I 7 TUDEIICULOSIw A/K^ V 0* 4 *M 4 S?.c-2io;iic Lnos;cniK3 + IO.&IVu'j.' JIJEAJ.2 1 * --A---iX--^--*-----4-P--4-.fV-.VT^.-Wr%----"A-V------- --V--*-4-*,-W'-1- T 4 CUCUPA i'POAAL) LI^TOAl. : iaIAA1 a?C A0U jp .*'[0 ^Oil aiA *<o*uw cvxn^+*L ^4rw jlJL*s*c6 *? (Po~C*&JUV <aa~> --gt 1 ventilation studs rvc; FEVt: r'-/2: FlZVj i -7? % *<Pf 7i fra FF.F Ztf-75Z: ?Aj/42C^ ii.v.v. /fh a/wM- vTT'pv*'T;'.'*. ri"** IMPRESSION: Flow rates are normal. No evidence of restrictive paren chymal or airway obstructive disease Quite satisfactory. 'ZJ* 07 GLEET FILL IUI-;S15IIs Pr?3 #8693 Mild prominence of both root areas. Multiple small calcific densities noted in each, particularly the right and in the right lower lobe. Some general increase in bronchovascular markings throughout but no evidence of specific parenchymal disease. Heart shadow and bony cage are normal. Significant proliferative disease noted to involve the dorsal spine in the lateral project ion-only. Status with regard to ventilation studies and chest CC7m'mu'1`: x-ray wwoouuld seem to be satisfactory. Please advise examnlirnee. j. 11 Wmi mla/ri 1 * arvin m ,..0. Atiulur. M. 1).  f** I 'I* U*U*4*A' t.-4 * * , ^ ^ V * v * -23-975705 5.5 W i, ^ li .!W *<WV ^ ^ * 4406 S.rcev/sceoa ucv. Ak.ti<u, Lii. AGiS; 37 v iiUoi^^s i;iDia\^ z&/:io 1. COUGH .... 2.CIRCS? 2.V12I OV V C.SEUIIT CP 2S3ASH ^.si^ctogatioii ELOODr Anou:rr/2'r ins. 1 tup. ?. fcLup . I c ap - cup 5.DO *OU j;ic:02? % % t kl /sionth a/ ^0/yru. Dr- ^uj i;o.; JiAVJS u; -ou "7.1a .. Jmj ;IC tf ' 5 .1:*-*uSs*AxU;3*Ut T.ccxs ?.';:iuo::ic DncircniTi.j fr* 4* *' lO.ILlluV dij^uj; 1 - ^T ,i * ^ . 9 '! A * 144 1^41* V * v- ? * ai * * bocuiariciAii jiicxo;:i'4 Jiivi* jo iou jo I'CXi .u;d no.i a^k; *aVw aOU ij^L/h<Ti CArin'i\nK'i< . / */>?.(. VSI-mia'.VJIOIT STUD? FvC: F^Vis r'l'/2: F.i/jjs STWttf^ K, pis? 2#-7#i r//2^' II.V.V. A/M4r\ m 1 0? cuc.:s? 71L:-. 9V9/ vkhqi Moderate fibrosis of.both roots. Slight fibrosis of all lobes. No specific evidence of parenchymal disease. Trachea is ; in the midline. Diaphragms are smooth and sulci are clear. Lateral pro jection generally not remarkable. Essentially no change from chest x-ray films of previous study and likewise, minimal or negligible change from the standpoint of ^ventilation study. Please advise gvnnHnBB hA1 t.h < c .wt.<f/t.nry_ ---------- >L;if'i j ' 5vxW///Vb) MLA/kl' / ' uMii jii Ytni^fi n T.. Atiiflnv >1 n