The phrase "visualized osseous structures are GROSSLY unremarkable" in a chest X-ray report means that the bones visible in the image, such as the ribs, spine, and sternum, appear normal without any significant abnormalities or concerning findings. "Grossly" indicates that, on a general inspection, there are no apparent issues, although it does not rule out subtle problems that might require further investigation. Overall, it suggests that the skeletal elements in the chest area are healthy.
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