StanfordAIMI/CheXficient
Zero-Shot Image Classification • 0.2B • Updated • 113
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Portable single view chest x-ray shows stable moderate to severe right pleural effusion, small to moderate left pleural effusion is also unchanged. Heart size is mildly enlarged. vascular congestion is mild. Patient is after cardiac surgery. Sternal metal wires are intact. Right pectoral pacemaker has leads following t... | Mild vascular congestion, exam otherwise unchanged. | FINDINGS: Portable single view chest x-ray shows stable moderate to severe right pleural effusion, small to moderate left pleural effusion is also unchanged. Heart size is mildly enlarged. vascular congestion is mild. Patient is after cardiac surgery. Sternal metal wires are intact. Right pectoral pacemaker has leads f... | |
AP portable upright view of the chest. A right PICC terminates at the cavoatrial junction. A transesophageal catheter extends to at least the level of the stomach, with the tip excluded from this examination. External pacer wires are present. The heart size is top normal. The hilar and mediastinal contours are unchange... | No new focal consolidation. Persistent moderate left lower lobe atelectasis; underlying consolidations in this region cannot be excluded. | FINDINGS: AP portable upright view of the chest. A right PICC terminates at the cavoatrial junction. A transesophageal catheter extends to at least the level of the stomach, with the tip excluded from this examination. External pacer wires are present. The heart size is top normal. The hilar and mediastinal contours ar... | |
As compared to previous radiograph from , there has been substantial change. There has been unilateral progression of the disease, predominantly on the right, with marked increase of the right-sided pleural effusion. Increased right sided pleural fluid accentuates existing opacities, particularly the dense consolidatio... | Substantial interval worsening of right-sided pleural effusion with no substantial change in left lung. | FINDINGS: As compared to previous radiograph from , there has been substantial change. There has been unilateral progression of the disease, predominantly on the right, with marked increase of the right-sided pleural effusion. Increased right sided pleural fluid accentuates existing opacities, particularly the dense co... | |
Moderate enlargement of the cardiac silhouette is again demonstrated. There is mild pulmonary edema, slightly worse in the interval. Small bilateral pleural effusions are likely present, along with bibasilar atelectasis. The mediastinal contour is unchanged. There is no pneumothorax. Mild degenerative changes are prese... | Mild pulmonary edema, slightly worse in the interval, and probable small bilateral pleural effusions with bibasilar atelectasis. | FINDINGS: Moderate enlargement of the cardiac silhouette is again demonstrated. There is mild pulmonary edema, slightly worse in the interval. Small bilateral pleural effusions are likely present, along with bibasilar atelectasis. The mediastinal contour is unchanged. There is no pneumothorax. Mild degenerative changes... | |
Lung volumes are low, resulting in bronchovascular crowding. Cardiac silhouette appears enlarged. The aorta is tortuous. Fluid is seen within the bilateral fissures. The hila appear indistinct. There is right upper lobe atelectasis. Previously seen opacity in the left mid lung appears improved. No acute displaced rib f... | Mild edema. No acute displaced rib fracture. If there is concern for rib fracture, recommend dedicated rib series with the BB marker placed in the region of pain. If there is concern for rib fracture, recommend dedicated rib series with the BB marker placed in the region of pain. | FINDINGS: Lung volumes are low, resulting in bronchovascular crowding. Cardiac silhouette appears enlarged. The aorta is tortuous. Fluid is seen within the bilateral fissures. The hila appear indistinct. There is right upper lobe atelectasis. Previously seen opacity in the left mid lung appears improved. No acute displ... | |
There is substantial, but stable enlargement of the cardiac silhouette. A tracheostomy is again demonstrated. There is prominence of the central pulmonary artery as well as evidence of pulmonary vascular congestion and mild edema. Streaky atelectasis is seen at the bases bilaterally. No pneumothorax. No pleural effusio... | Persistent cardiomegaly, pulmonary vascular congestion and mild edema. No pleural effusion or pneumothorax. | FINDINGS: There is substantial, but stable enlargement of the cardiac silhouette. A tracheostomy is again demonstrated. There is prominence of the central pulmonary artery as well as evidence of pulmonary vascular congestion and mild edema. Streaky atelectasis is seen at the bases bilaterally. No pneumothorax. No pleur... | |
Severe diffuse infiltrative pulmonary disease is similar compared to , consistent with widespread pneumonia. There is a cavitary lesion at the right lung apex, which was better evaluated in recent chest CTA from . There are small bilateral pleural effusions. Cardiomediastinal silhouette is normal size. ET tube is in un... | Widespread pneumonia is similar to . | FINDINGS: Severe diffuse infiltrative pulmonary disease is similar compared to , consistent with widespread pneumonia. There is a cavitary lesion at the right lung apex, which was better evaluated in recent chest CTA from . There are small bilateral pleural effusions. Cardiomediastinal silhouette is normal size. ET tub... | |
There has been interval removal of an endotracheal tube, a left chest tube, and a nasogastric tube. Redemonstrated is a right internal jugular central line which terminates in the mid SVC. A new, possible small left apical pneumothorax is identified. Left lower lobe atelectasis is improving, as compared to the prior ex... | Probable small left apical pneumothorax, now status post left chest tube removal. | FINDINGS: There has been interval removal of an endotracheal tube, a left chest tube, and a nasogastric tube. Redemonstrated is a right internal jugular central line which terminates in the mid SVC. A new, possible small left apical pneumothorax is identified. Left lower lobe atelectasis is improving, as compared to th... | |
There has been interval placement of a right basilar chest tube. The PA catheter has been slightly retracted, but appears in appropriate positioning. All other lines, tubes, and devices are appropriate and unchanged in positioning. There are no focal consolidations. The pulmonary vasculature is normal. The right pleura... | Interval placement of a right basilar chest tube with appropriate positioning of all other lines, tubes, and devices. Interval decrease in the size of the right pleural effusion. Stable moderate left pleural effusion. | FINDINGS: There has been interval placement of a right basilar chest tube. The PA catheter has been slightly retracted, but appears in appropriate positioning. All other lines, tubes, and devices are appropriate and unchanged in positioning. There are no focal consolidations. The pulmonary vasculature is normal. The ri... | |
Multiple metastatic lesions as seen on prior exams are unchanged. There has been interval reaccumulation of the left pleural effusion which is now moderate in size. There is volume loss/ infiltrate in both lower lobes that is unchanged | Increase in left effusion | FINDINGS: Multiple metastatic lesions as seen on prior exams are unchanged. There has been interval reaccumulation of the left pleural effusion which is now moderate in size. There is volume loss/ infiltrate in both lower lobes that is unchanged
IMPRESSION: Increase in left effusion | |
A tiny right apical pneumothorax persists, unchanged since the prior study. A right pleural tube is unchanged in position. A right chest wall Port-A-Cath terminates at the cavoatrial junction, as before. A left pleural effusion and retrocardiac atelectasis is similar, allowing for patient rotation and differences in te... | Tiny right apical pneumothorax persists, as well as retrocardiac atelectasis and left pleural effusion. | FINDINGS: A tiny right apical pneumothorax persists, unchanged since the prior study. A right pleural tube is unchanged in position. A right chest wall Port-A-Cath terminates at the cavoatrial junction, as before. A left pleural effusion and retrocardiac atelectasis is similar, allowing for patient rotation and differe... | |
Enteric tube traverses beyond the diaphragm, distal tip not visualized. The lungs are well inflated with bibasilar linear atelectasis. There is no pleural effusion or pneumothorax. Stable cardiomegaly noted. No interval change in bony thorax. | Enteric tube terminates in the stomach. Bibasilar linear atelectasis without consolidation or pleural effusions. | FINDINGS: Enteric tube traverses beyond the diaphragm, distal tip not visualized. The lungs are well inflated with bibasilar linear atelectasis. There is no pleural effusion or pneumothorax. Stable cardiomegaly noted. No interval change in bony thorax.
IMPRESSION: Enteric tube terminates in the stomach. Bibasilar line... | |
Again seen are cavitary changes in the right upper lung. Mildly improved surrounding consolidation. Changes of pulmonary fibrosis bilateral lungs, similar. Shallow inspiration accentuates heart size. | Mild interval improvement. | FINDINGS: Again seen are cavitary changes in the right upper lung. Mildly improved surrounding consolidation. Changes of pulmonary fibrosis bilateral lungs, similar. Shallow inspiration accentuates heart size.
IMPRESSION: Mild interval improvement. | |
An enteric catheter courses below the level of the diaphragm, being obscured by the soft tissues of the abdomen more inferiorly. Lung volumes remain low. There is unchanged dense retrocardiac opacification, either atelectasis or infection. Minimal right lower lung atelectasis is not significantly changed. There are no ... | Low lung volumes. Unchanged dense retrocardiac opacification, consistent with either atelectasis or infection. Unchanged minimal right lower lung atelectasis. | FINDINGS: An enteric catheter courses below the level of the diaphragm, being obscured by the soft tissues of the abdomen more inferiorly. Lung volumes remain low. There is unchanged dense retrocardiac opacification, either atelectasis or infection. Minimal right lower lung atelectasis is not significantly changed. The... | |
Prominent perihilar opacities suggest severe pulmonary edema although superimposed infection is not excluded. There is blunting of the costophrenic angles of suggesting small bilateral pleural effusions. The cardiac silhouette is enlarged. The mediastinum is also prominent but is slightly eccentric by the AP technique ... | Interval development of prominent perihilar opacities suggest pulmonary edema. The opacities are right-greater-than-left which may be due to asymmetric pulmonary edema although infectious process is not excluded. Small bilateral pleural effusions. Bilateral calcified pleural and diaphragmatic plaques suggest prior asbe... | FINDINGS: Prominent perihilar opacities suggest severe pulmonary edema although superimposed infection is not excluded. There is blunting of the costophrenic angles of suggesting small bilateral pleural effusions. The cardiac silhouette is enlarged. The mediastinum is also prominent but is slightly eccentric by the AP ... | |
Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is noted without overt pulmonary edema. There is minimal atelectasis in the lung bases, but no focal consolidation, pleural effusion or pneumothorax is present. No ... | Mild bibasilar atelectasis and mild pulmonary vascular congestion. No focal consolidation to indicate pneumonia. | FINDINGS: Moderate enlargement of the cardiac silhouette is re- demonstrated. The mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion is noted without overt pulmonary edema. There is minimal atelectasis in the lung bases, but no focal consolidation, pleural effusion or pneumothorax is pr... | |
AP portable view of the chest. The tiny left apical pneumothorax is not significantly changed. Lungs are clear otherwise. Left-sided chest tube is unchanged in position, ending in the lower hemithorax. Heart size is top normal. The cardiomediastinal and hilar contours are normal. | Stable tiny left apical pneumothorax. | FINDINGS: AP portable view of the chest. The tiny left apical pneumothorax is not significantly changed. Lungs are clear otherwise. Left-sided chest tube is unchanged in position, ending in the lower hemithorax. Heart size is top normal. The cardiomediastinal and hilar contours are normal.
IMPRESSION: Stable tiny left... | |
The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to . There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pul... | Moderate pulmonary edema, unchanged. Interval improvement in right-sided pleural effusion. | FINDINGS: The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to . There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely ... | |
Tracheostomy tube in situ with its tip above the level of the medial clavicles unchanged compared to prior. NG tube in situ with its distal tip out of sight inferiorly. Double-lumen central line in situ with its tip at the cavoatrial junction. Interval improvement in lung volumes and bibasal atelectasis. No new areas o... | Lines and tubes positions unchanged. Interval improvement of lung volumes and bibasilar atelectasis. No new airspace consolidation. | FINDINGS: Tracheostomy tube in situ with its tip above the level of the medial clavicles unchanged compared to prior. NG tube in situ with its distal tip out of sight inferiorly. Double-lumen central line in situ with its tip at the cavoatrial junction. Interval improvement in lung volumes and bibasal atelectasis. No n... | |
There has been interval placement of a right internal jugular central venous catheter with the tip terminating at the level of the mid to lower SVC. The course of the line is unremarkable. There is unchanged elevation of the right hemidiaphragm. Right basilar atelectasis is again seen. Blunting of the left costophrenic... | Right internal jugular central venous catheter with tip in the mid-to-low SVC. No pneumothorax. | FINDINGS: There has been interval placement of a right internal jugular central venous catheter with the tip terminating at the level of the mid to lower SVC. The course of the line is unremarkable. There is unchanged elevation of the right hemidiaphragm. Right basilar atelectasis is again seen. Blunting of the left co... | |
Single portable view of the chest. There is prominence of the upper mediastinum compatible with mediastinal hematoma identified by CT. The lungs are clear. The cardiac silhouette is within normal limits. There is an acute-appearing left lateral ninth rib fracture. | Widening of the upper mediastinum, better characterized by CT scan as hematoma within the mediastinum. Acute-appearing left lateral ninth rib fracture. | FINDINGS: Single portable view of the chest. There is prominence of the upper mediastinum compatible with mediastinal hematoma identified by CT. The lungs are clear. The cardiac silhouette is within normal limits. There is an acute-appearing left lateral ninth rib fracture.
IMPRESSION: Widening of the upper mediastinu... | |
A Port-A-Cath terminates at the cavoatrial junction. A nasogastric tube passes into the stomach. Part of a biliary drain projects over the epigastric region. The cardiac, mediastinal, and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. Streaky retrocardiac opacit... | Patchy opacity on the left which may be due to atelectasis, probably unchanged. | FINDINGS: A Port-A-Cath terminates at the cavoatrial junction. A nasogastric tube passes into the stomach. Part of a biliary drain projects over the epigastric region. The cardiac, mediastinal, and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. Streaky retrocard... | |
A right IJ central venous catheter tip terminates in the low SVC. There is no pneumothorax. Low lung volumes cause bronchovascular crowding and bibasilar subsegmental atelectasis. There is no focal consolidation, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | Low lung volumes and bibasilar atelectasis. Right IJ central venous catheter tip terminates in the low SVC. | FINDINGS: A right IJ central venous catheter tip terminates in the low SVC. There is no pneumothorax. Low lung volumes cause bronchovascular crowding and bibasilar subsegmental atelectasis. There is no focal consolidation, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
... | |
Tracheostomy tube is in place. Lung volumes remain low. The left lower lung is essentially airless and probably collapsed. Retrocardiac opacity persists and appears worse from prior exam, suggesting atelectasis or aspiration appropriate clinical setting. Blunting of the left costophrenic angle suggest atelectasis and/o... | Increase in cardiomegaly without overt pulmonary edema. Slightly worse right lower lung atelectasis. Stable severe left lung atelectasis. | FINDINGS: Tracheostomy tube is in place. Lung volumes remain low. The left lower lung is essentially airless and probably collapsed. Retrocardiac opacity persists and appears worse from prior exam, suggesting atelectasis or aspiration appropriate clinical setting. Blunting of the left costophrenic angle suggest atelect... | |
There is right paratracheal fullness, which is nonspecific. This could be due to mediastinal lipomatosis or lymphadenopathy. No focal consolidation, pleural effusion, or pneumothorax. | No focal consolidation concerning for pneumonia. Prominence of the right paratracheal region is nonspecific, but could represent mediastinal lipomatosis or lymphadenopathy or possibly mild dilatation of the ascending aorta. . Consider comparison with outside hospital films, if they can be obtained, or nonemergent chest... | FINDINGS: There is right paratracheal fullness, which is nonspecific. This could be due to mediastinal lipomatosis or lymphadenopathy. No focal consolidation, pleural effusion, or pneumothorax.
IMPRESSION: No focal consolidation concerning for pneumonia. Prominence of the right paratracheal region is nonspecific, but ... | |
Portable AP single view of the chest shows reduced lung volume with mild pulmonary edema. Heart size is mildly enlarged. There is no pleural effusion or pneumothorax. | Mild pulmonary edema. Findings were paged to Dr . pm by Dr | FINDINGS: Portable AP single view of the chest shows reduced lung volume with mild pulmonary edema. Heart size is mildly enlarged. There is no pleural effusion or pneumothorax.
IMPRESSION: Mild pulmonary edema. Findings were paged to Dr . pm by Dr | |
Right-sided Port-A-Cath is unchanged in position. There has been interval placement of a left PleurX catheter. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is a moderate pneumothorax seen at the left base with adjacent collapse of the base of the left lung. Additionally, there ... | Interval placement of a left sided PleurX catheter with moderate left pneumothorax and atelectasis at the left base. Small right pleural effusion. | FINDINGS: Right-sided Port-A-Cath is unchanged in position. There has been interval placement of a left PleurX catheter. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is a moderate pneumothorax seen at the left base with adjacent collapse of the base of the left lung. Additional... | |
AP portable supine view of the chest. Tracheostomy tube projects over the superior mediastinum. There is a layering small left pleural effusion. Right lung is clear. No overt signs of edema or pneumonia. Cardiomediastinal silhouette is normal. No supine evidence for pneumothorax. Bony structures appear intact. | Small layering left pleural effusion. | FINDINGS: AP portable supine view of the chest. Tracheostomy tube projects over the superior mediastinum. There is a layering small left pleural effusion. Right lung is clear. No overt signs of edema or pneumonia. Cardiomediastinal silhouette is normal. No supine evidence for pneumothorax. Bony structures appear intact... | |
The cardiac silhouette is stably enlarged. Mild vascular congestion seen on most recent comparison has largely resolved. There is improvement of right basilar opacity. A nodular opacity in the left mid lung is more pronounced on the current examination than on the priors. No definite pleural effusion or pneumothorax id... | Improved vascular congestion and right basilar opacity. More prominent left mid lung nodular opacity. Repeat films with all overlying external material removed is recommended. If this abnormality persists, CT chest is recommended for further evaluation. | FINDINGS: The cardiac silhouette is stably enlarged. Mild vascular congestion seen on most recent comparison has largely resolved. There is improvement of right basilar opacity. A nodular opacity in the left mid lung is more pronounced on the current examination than on the priors. No definite pleural effusion or pneum... | |
Lung volumes are normal. The small consolidative opacity projecting just superior to the minor fissure is unchanged, however a larger region of heterogeneous opacification in the right lung base has enlarged since , consistent with progression of one site of multi focal pneumonia. . There is no pleural effusion or pneu... | Progression since of the lower lobe component of multifocal pneumonia in the right lung. | FINDINGS: Lung volumes are normal. The small consolidative opacity projecting just superior to the minor fissure is unchanged, however a larger region of heterogeneous opacification in the right lung base has enlarged since , consistent with progression of one site of multi focal pneumonia. . There is no pleural effusi... | |
Since the prior study, the endotracheal tube has been removed. The nasogastric tube is unchanged in position. Lung volumes are unchanged compared to the prior study. There is persistent consolidation at the right lung base, unchanged in extent compared to the prior study. No pneumothorax seen. No definite pleural effus... | Status post endotracheal tube removal, otherwise no significant interval change. | FINDINGS: Since the prior study, the endotracheal tube has been removed. The nasogastric tube is unchanged in position. Lung volumes are unchanged compared to the prior study. There is persistent consolidation at the right lung base, unchanged in extent compared to the prior study. No pneumothorax seen. No definite ple... | |
The cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. There is an ill-defined opacity occupying the left upper lobe and mid left lung, which is concerning for an acute infectious process. This area likely corresponds to incompletely imaged tree-in- opacities seen on prior dedicated ne... | Ill-defined focal opacity in the left upper lobe and left mid lung field, concerning for an acute infectious process, likely corresponding to incompletely imaged tree-in- opacities on prior dedicated neck CT. Redemonstration of subcutaneous emphysema in the right neck, better assessed on prior neck CT. | FINDINGS: The cardiac silhouette is normal in size. The mediastinal and hilar contours are normal. There is an ill-defined opacity occupying the left upper lobe and mid left lung, which is concerning for an acute infectious process. This area likely corresponds to incompletely imaged tree-in- opacities seen on prior de... | |
The lungs are well inflated. There is mild prominence of the interstitium, compatible with mild pulmonary edema. Is there small bilateral pleural effusions. There is no pneumothorax or focal airspace consolidation. Heart is top normal in size. The aorta is calcified, otherwise, the mediastinal hilar structures are unre... | Mild pulmonary edema with small bilateral pleural effusions. | FINDINGS: The lungs are well inflated. There is mild prominence of the interstitium, compatible with mild pulmonary edema. Is there small bilateral pleural effusions. There is no pneumothorax or focal airspace consolidation. Heart is top normal in size. The aorta is calcified, otherwise, the mediastinal hilar structure... | |
AP portable upright chest radiograph was provided. There is a dextroscoliosis of the thoracic spine. There is a large retrocardiac opacity which could in part reflect the tortuous thoracic aorta, though a hiatal hernia cannot be excluded. The heart is mild to moderately enlarged. No effusion or pneumothorax. No signs o... | Cardiomegaly, tortuous thoracic aorta, possible hiatal hernia. No pneumonia or CHF. Calcification inferior to the right glenohumeral joint, correlate for focal pain. | FINDINGS: AP portable upright chest radiograph was provided. There is a dextroscoliosis of the thoracic spine. There is a large retrocardiac opacity which could in part reflect the tortuous thoracic aorta, though a hiatal hernia cannot be excluded. The heart is mild to moderately enlarged. No effusion or pneumothorax. ... | |
There is moderate cardiomegaly. Widened right sided mediastinum, prominence of the aortic arch and irregularity along the wall of the descending aorta is secondary to known aortic dissection. Lungs are essentially clear. There is mild atelectasis at the lung bases bilaterally. There is no focal consolidation, large ple... | Widened mediastinum on the right, secondary to known aortic dissection. Lungs are essentially clear. | FINDINGS: There is moderate cardiomegaly. Widened right sided mediastinum, prominence of the aortic arch and irregularity along the wall of the descending aorta is secondary to known aortic dissection. Lungs are essentially clear. There is mild atelectasis at the lung bases bilaterally. There is no focal consolidation,... | |
Heart size remains normal. Widening of the upper mediastinum is stable and is accounted for by mediastinal fat as seen on chest CT from . Increasing indentation on the left upper trachea at the level of the clavicles may reflect new pathology in the left thyroid lobe, which appears hypertrophied on the prior chest CT. ... | No focal consolidation or large effusions. Increased focal indentation on the left upper trachea in the upper mediastinum, which may reflect thyroid pathology. This should be evaluated in light of clinical findings, and thyroid ultrasound may be obtained for further evaluation. | FINDINGS: Heart size remains normal. Widening of the upper mediastinum is stable and is accounted for by mediastinal fat as seen on chest CT from . Increasing indentation on the left upper trachea at the level of the clavicles may reflect new pathology in the left thyroid lobe, which appears hypertrophied on the prior ... | |
The image was obtained in lordotic position somewhat limiting evaluation. The lungs appear well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is S-shaped curvature of the thoracic spine. The included osseous stru... | No evidence of acute cardiopulmonary abnormality. | FINDINGS: The image was obtained in lordotic position somewhat limiting evaluation. The lungs appear well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is S-shaped curvature of the thoracic spine. The included os... | |
Portable upright chest radiograph was provided. There are three right chest tubes in place. However, despite the presence of these chest tubes, there is a moderate right pneumothorax with significant collapse of the right upper lobe. Extensive right chest wall and right neck subcutaneous emphysema is noted, increased f... | Moderate right pneumothorax despite the presence of three right chest tubes. Increasing right chest wall emphysema. Finding was discussed with the patient's nurse at the time of this dictation. | FINDINGS: Portable upright chest radiograph was provided. There are three right chest tubes in place. However, despite the presence of these chest tubes, there is a moderate right pneumothorax with significant collapse of the right upper lobe. Extensive right chest wall and right neck subcutaneous emphysema is noted, i... | |
Semi-upright portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. There is a small left pleural effusion. Left basilar opacities are noted. Mild perihilar vascular congestion is noted. Otherwise, hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Ri... | Small left pleural effusion. Perihilar vascular congestion. Bibasilar opacities, likely atelectasis, however, superimposed infection cannot be excluded. | FINDINGS: Semi-upright portable view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. There is a small left pleural effusion. Left basilar opacities are noted. Mild perihilar vascular congestion is noted. Otherwise, hilar and mediastinal silhouettes are unremarkable. Heart size is ... | |
Patient is status post median sternotomy. Enteric tube is in the appropriate position, terminating in the left upper quadrant. Lung volumes are relatively low. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable peer | Enteric tube in appropriate position. | FINDINGS: Patient is status post median sternotomy. Enteric tube is in the appropriate position, terminating in the left upper quadrant. Lung volumes are relatively low. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable peer
IMPR... | |
The patient is status post median sternotomy and CABG. Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and anterior right ventricle, towards the origin of the pulmonary outflow tract, unchanged. Right-sided volume loss is re- demonstrated with rightward shift of mediastinal st... | No substantial interval change from the prior study. Chronic right-sided volume loss with small to moderate right pleural effusion and pleural thickening and mild asymmetric right pulmonary edema. | FINDINGS: The patient is status post median sternotomy and CABG. Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and anterior right ventricle, towards the origin of the pulmonary outflow tract, unchanged. Right-sided volume loss is re- demonstrated with rightward shift of medi... | |
AP portable view of the chest demonstrates left PIC catheter tip projecting over distal SVC. Linear opacities in the right lung base likely represent atelectasis. Small right pleural effusion cannot be excluded. The left lung appears well aerated without pleural effusion or pneumothorax. Hilar and mediastinal silhouett... | Low lung volumes with right lung base atelectasis. | FINDINGS: AP portable view of the chest demonstrates left PIC catheter tip projecting over distal SVC. Linear opacities in the right lung base likely represent atelectasis. Small right pleural effusion cannot be excluded. The left lung appears well aerated without pleural effusion or pneumothorax. Hilar and mediastinal... | |
Since the most recent chest radiograph performed on , there has been slight interval progression of multifocal airspace consolidations, which affects all lungs lobes. However, note that this is also exaggerated by low lung volumes. Pleural effusions are present bilaterally, new on the right. No pneumothorax. Tip of the... | Slight interval worsening of multifocal airspace consolidations, although exaggerated by low lung volumes. Small bilateral pleural effusions, new on the right, and layering on the left. | FINDINGS: Since the most recent chest radiograph performed on , there has been slight interval progression of multifocal airspace consolidations, which affects all lungs lobes. However, note that this is also exaggerated by low lung volumes. Pleural effusions are present bilaterally, new on the right. No pneumothorax. ... | |
There is mild unfolding and calcification of the thoracic aorta. The heart is normal in size. In addition to coarse lung markings of uncertain chronicity, there is a patchy retrocardiac opacity. There is no definite pleural effusion or pneumothorax. | Retrocardiac opacity, possibly atelectasis but not specific. Short-term follow-up radiographs are suggested if pneumonia or aspiration is a clinical concern. | FINDINGS: There is mild unfolding and calcification of the thoracic aorta. The heart is normal in size. In addition to coarse lung markings of uncertain chronicity, there is a patchy retrocardiac opacity. There is no definite pleural effusion or pneumothorax.
IMPRESSION: Retrocardiac opacity, possibly atelectasis but ... | |
Mild pulmonary edema has almost resolved, with a small residual on the left. Heart size is normal. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax or hemothorax. | No pneumothorax or hemothorax. | FINDINGS: Mild pulmonary edema has almost resolved, with a small residual on the left. Heart size is normal. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax or hemothorax.
IMPRESSION: No pneumothorax or hemothorax. | |
The patient has had interval esophagectomy. The postoperative appearance of the mediastinum, including a right-sided drain, mediastinal drain, and nasogastric tube, is unremarkable. A right pectoral power port terminates at the superior cavoatrial junction. New perihilar haziness and mild peribronchial cuffing are prob... | New mild pulmonary edema. New left basilar atelectasis or aspiration. . | FINDINGS: The patient has had interval esophagectomy. The postoperative appearance of the mediastinum, including a right-sided drain, mediastinal drain, and nasogastric tube, is unremarkable. A right pectoral power port terminates at the superior cavoatrial junction. New perihilar haziness and mild peribronchial cuffin... | |
Bilateral mild pulmonary edema is worse from . There are small to moderate pleural effusions bilaterally which are improved from . Left basal opacity suspicious for left lower lobe pneumonia is unchanged from . Moderate cardiomegaly is persistent. Cardiomediastinal borders are normal. Hilar structures are normal. There... | Increased mild pulmonary edema with small to moderate pleural effusions and persistent left lower lobe pneumonia as compared to . | FINDINGS: Bilateral mild pulmonary edema is worse from . There are small to moderate pleural effusions bilaterally which are improved from . Left basal opacity suspicious for left lower lobe pneumonia is unchanged from . Moderate cardiomegaly is persistent. Cardiomediastinal borders are normal. Hilar structures are nor... | |
Patient is rotated to the left. The patient's hand overlies the lateral left mid to lower hemithorax, partially obscuring the view and limiting evaluation. Given this, no large focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable gross... | Suboptimal study due the patient's hand overlying the lateral left mid to lower hemi thorax. Given this, no acute cardiopulmonary process seen. | FINDINGS: Patient is rotated to the left. The patient's hand overlies the lateral left mid to lower hemithorax, partially obscuring the view and limiting evaluation. Given this, no large focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremark... | |
AP view of the chest is reviewed. Tracheostomy tube is seen in standard position. There is a right PICC line with tip terminating in the distal SVC. The cardiomediastinal and hilar contours are unremarkable. The previously seen left retrocardiac opacity has improved; however, there is still mild blunting of the left co... | Increased opacification at the right lung base concerning for pneumonia. Small left pleural effusion. Scattered lingular opacities again seen. | FINDINGS: AP view of the chest is reviewed. Tracheostomy tube is seen in standard position. There is a right PICC line with tip terminating in the distal SVC. The cardiomediastinal and hilar contours are unremarkable. The previously seen left retrocardiac opacity has improved; however, there is still mild blunting of t... | |
Single portable view of the chest. Exam is slightly limited secondary to positioning with patient's chin and face overlying the lung apices. That said, lungs are grossly clear. There is no large effusion, consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute ... | No acute cardiopulmonary process. | FINDINGS: Single portable view of the chest. Exam is slightly limited secondary to positioning with patient's chin and face overlying the lung apices. That said, lungs are grossly clear. There is no large effusion, consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits.... | |
As compared to chest radiograph from earlier today, right-sided PICC has now been repositioned and is in the low SVC. Improved aeration of the lung bases likely related to better inspiratory effort. Pulmonary vascular markings also appear less engorged. No effusion or pneumothorax. | Right-sided in low SVC. | FINDINGS: As compared to chest radiograph from earlier today, right-sided PICC has now been repositioned and is in the low SVC. Improved aeration of the lung bases likely related to better inspiratory effort. Pulmonary vascular markings also appear less engorged. No effusion or pneumothorax.
IMPRESSION: Right-sided in... | |
Rotated chest radiograph. The right hilar mass is barely apparent on the chest radiograph. The heart size is normal. No airspace consolidation. No pulmonary edema. No pleural effusions. No pneumothorax. | No radiographic findings explaining the patient's hypotension. | FINDINGS: Rotated chest radiograph. The right hilar mass is barely apparent on the chest radiograph. The heart size is normal. No airspace consolidation. No pulmonary edema. No pleural effusions. No pneumothorax.
IMPRESSION: No radiographic findings explaining the patient's hypotension. | |
This is a highly limited study due to technique and patient body habitus. Cardiac silhouette is massively enlarged. Lung volumes are persistently low with diffuse bilateral opacities with probable improvement of retrocardiac densities with increased aeration but with persistent right-sided and left apical indistinct op... | Persistent scattered indistinct opacities with slightly improved aeration of the left lung base. | FINDINGS: This is a highly limited study due to technique and patient body habitus. Cardiac silhouette is massively enlarged. Lung volumes are persistently low with diffuse bilateral opacities with probable improvement of retrocardiac densities with increased aeration but with persistent right-sided and left apical ind... | |
Heart size is normal. Cardiomediastinal silhouette and hilar contours are within normal limits. No CHF, focal infiltrate, or focal consolidation detected. Pleural surfaces are clear without effusion or pneumothorax. | No acute cardiopulmonary abnormality. | FINDINGS: Heart size is normal. Cardiomediastinal silhouette and hilar contours are within normal limits. No CHF, focal infiltrate, or focal consolidation detected. Pleural surfaces are clear without effusion or pneumothorax.
IMPRESSION: No acute cardiopulmonary abnormality. | |
In comparison to , there is increased opacity of the left mid lung, which may represent fluid trapped in an accessory minor fissure. This could be confirmed with a additional lateral view of the chest or CT. Bilateral pleural effusions are seen, with the left effusion worse compared to previous. There are also associat... | In comparison to , there is increased opacity of the left mid lung, which may represent fluid trapped in an accessory minor fissure. This could be confirmed with a additional lateral view of the chest or CT. Increased left pleural effusion | FINDINGS: In comparison to , there is increased opacity of the left mid lung, which may represent fluid trapped in an accessory minor fissure. This could be confirmed with a additional lateral view of the chest or CT. Bilateral pleural effusions are seen, with the left effusion worse compared to previous. There are als... | |
The patient is intubated. An orogastric tube terminates near the inlet of the diaphragm. A right internal jugular venous catheter terminates in the superior vena cava. There is again moderate unfolding of the thoracic aorta. Surgical clips also project over the lower-to-mid mediastinum. Mediastinal widening is consiste... | Lines, tubes and drains as described above with post-operative changes, including post-operative mediastinal widening and left lower lobe opacification with a pleural effusion. | FINDINGS: The patient is intubated. An orogastric tube terminates near the inlet of the diaphragm. A right internal jugular venous catheter terminates in the superior vena cava. There is again moderate unfolding of the thoracic aorta. Surgical clips also project over the lower-to-mid mediastinum. Mediastinal widening i... | |
The cardiomediastinal silhouette and hilar contour is stable. Again appreciated is a right central venous catheter unchanged in position with the tip terminating at the cavoatrial junction. Again noted are bibasilar and retrocardiac opacities greater on the right versus the left. There is no effusion or pneumothorax. N... | Right greater than left bibasilar opacities worrisome for infection. | FINDINGS: The cardiomediastinal silhouette and hilar contour is stable. Again appreciated is a right central venous catheter unchanged in position with the tip terminating at the cavoatrial junction. Again noted are bibasilar and retrocardiac opacities greater on the right versus the left. There is no effusion or pneum... | |
An enteric tube terminates below the field of view. The cardiomediastinal and hilar contours are unchanged. The aorta is mildly tortuous. Bibasilar opacities are improved from the prior study. No evidence of pleural effusion or pneumothorax. | Improving bibasilar opacities consistent with resolving aspiration pneumonia. | FINDINGS: An enteric tube terminates below the field of view. The cardiomediastinal and hilar contours are unchanged. The aorta is mildly tortuous. Bibasilar opacities are improved from the prior study. No evidence of pleural effusion or pneumothorax.
IMPRESSION: Improving bibasilar opacities consistent with resolving... | |
AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, unchanged position of previously described left-sided pigtail ending pleural drainage catheter. Dur... | Appropriate position of Dobbhoff line, no interval change in chest findings. | FINDINGS: AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, unchanged position of previously described left-sided pigtail ending pleural drainage cat... | |
Right pigtail catheter projects just medial to the right chest wall. There may be a tiny residual right apical pneumothorax. Right basilar opacity is likely atelectasis. Left lung remains clear and the cardiomediastinal silhouette is stable. No acute osseous abnormalities. | Right-sided pigtail catheter projects just medial to the right chest wall. Tiny residual right apical pneumothorax. | FINDINGS: Right pigtail catheter projects just medial to the right chest wall. There may be a tiny residual right apical pneumothorax. Right basilar opacity is likely atelectasis. Left lung remains clear and the cardiomediastinal silhouette is stable. No acute osseous abnormalities.
IMPRESSION: Right-sided pigtail cat... | |
The tracheostomy tube is unchanged in standard position, hemodialysis right jugular catheter is unchanged, with tip ending in right atrium. The diffuse non-volume-dependent pulmonary edema is unchanged. Also, minimal improvement of the right base is visible, likely for reduced pleural effusion. Heart size and mediastin... | Stable moderate-to-severe non-dependent pulmonary edema, with minimal improvement of the right base ventilation for reduced pleural effusion. Increased heart size and central vein distention should be clinically correlated. | FINDINGS: The tracheostomy tube is unchanged in standard position, hemodialysis right jugular catheter is unchanged, with tip ending in right atrium. The diffuse non-volume-dependent pulmonary edema is unchanged. Also, minimal improvement of the right base is visible, likely for reduced pleural effusion. Heart size and... | |
OG tube terminates below the diaphragm. Heart size and cardiomediastinal contours are unremarkable. Increased left base opacity is compatible with atelectasis. Bilateral upper lobe atelectasis is unchanged. No pleural effusion or pneumothorax. | Increased bilateral atelectasis, left greater than right. No focal consolidation. | FINDINGS: OG tube terminates below the diaphragm. Heart size and cardiomediastinal contours are unremarkable. Increased left base opacity is compatible with atelectasis. Bilateral upper lobe atelectasis is unchanged. No pleural effusion or pneumothorax.
IMPRESSION: Increased bilateral atelectasis, left greater than ri... | |
Since prior, there has been development of a now moderate sized right apical pneumothorax. A right basilar pigtail catheter is unchanged in position. A left PICC ends in the mid SVC. Dobhoff ends in the proximal stomach just below the gastroesophageal junction. A moderate left pleural effusion is not significantly chan... | Large right apical pneumothorax. Increase moderate cardiomegaly and mild to moderate pulmonary edema. with Dr. | FINDINGS: Since prior, there has been development of a now moderate sized right apical pneumothorax. A right basilar pigtail catheter is unchanged in position. A left PICC ends in the mid SVC. Dobhoff ends in the proximal stomach just below the gastroesophageal junction. A moderate left pleural effusion is not signific... | |
A tracheostomy tube is in place. The right IJ central line is again noted, with tip overlying the proximal SVC. Previously seen left IJ line has been removed. Better seen on today's exam is tubing or catheter overlying the right lung base extending along the right side of the mediastinum. No pneumothorax detected. Card... | Overall, doubt significant interval change. CHF findings may be slightly worse. Bibasilar opacities are unchanged. | FINDINGS: A tracheostomy tube is in place. The right IJ central line is again noted, with tip overlying the proximal SVC. Previously seen left IJ line has been removed. Better seen on today's exam is tubing or catheter overlying the right lung base extending along the right side of the mediastinum. No pneumothorax dete... | |
A right-sided PICC is seen, terminating in the proximal SVC, slightly withdrawn as compared to the prior study. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | Right PICC terminates in the proximal SVC, slightly withdrawn as compared to the prior study. | FINDINGS: A right-sided PICC is seen, terminating in the proximal SVC, slightly withdrawn as compared to the prior study. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
IMPRESSION: Right PICC terminates in the proximal SVC... | |
Upright portable radiograph of the chest demonstrates persistent elevation of the left hemidiaphragm, with low lung volumes bilaterally. There is unchanged displacement of the trachea towards the right secondary to a very tortuous intrathoracic aorta. The heart is borderline enlarged in size, unchanged since the prior ... | No acute cardiopulmonary process. No evidence of subdiaphragmatic free air. | FINDINGS: Upright portable radiograph of the chest demonstrates persistent elevation of the left hemidiaphragm, with low lung volumes bilaterally. There is unchanged displacement of the trachea towards the right secondary to a very tortuous intrathoracic aorta. The heart is borderline enlarged in size, unchanged since ... | |
Right chest central venous catheter is again seen with distal tip projecting over the RA. Allowing for changes due to patient rotation and inspiratory effort, the cardiomediastinal silhouette is unchanged. The bilateral hila are normal. The lungs are clear. There is no evidence of pulmonary vascular congestion. There i... | No evidence of acute cardiopulmonary process. | FINDINGS: Right chest central venous catheter is again seen with distal tip projecting over the RA. Allowing for changes due to patient rotation and inspiratory effort, the cardiomediastinal silhouette is unchanged. The bilateral hila are normal. The lungs are clear. There is no evidence of pulmonary vascular congestio... | |
The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen. | No acute cardiopulmonary process. | FINDINGS: The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.
IMPRESSION: No acute cardiopulmonary process. | |
There has been placement of a NJ tube which most likely terminates at the pylorus. There is a NG tube, positioned within the stomach. Compared to the prior radiographs, bilateral pleural effusions appear slightly improved; however, this could be due to patient being positioning differences. There is no pneumothorax or ... | NJ tube with the tip terminating most likely near the pylorus. | FINDINGS: There has been placement of a NJ tube which most likely terminates at the pylorus. There is a NG tube, positioned within the stomach. Compared to the prior radiographs, bilateral pleural effusions appear slightly improved; however, this could be due to patient being positioning differences. There is no pneumo... | |
The patient is status post median sternotomy, and multiple mediastinal surgical clips reflect prior thymoma resection. Streaky bilateral paramediastinal, predominately upper lobe, fibrotic changes are compatible with prior radiation treatment as seen on the prior CT, and there may be mild central vascular congestion. N... | No acute cardiopulmonary process. No intra-abdominal free air seen. | FINDINGS: The patient is status post median sternotomy, and multiple mediastinal surgical clips reflect prior thymoma resection. Streaky bilateral paramediastinal, predominately upper lobe, fibrotic changes are compatible with prior radiation treatment as seen on the prior CT, and there may be mild central vascular con... | |
Compared to earlier the same day, I doubt significant interval change. Again seen are low inspiratory volumes and increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Also again seen is some increased density in the right cardiophrenic region, unchanged. There is mild vascular ... | Possible mild persistent CHF. Bibasilar collapse and/or consolidation, which is also similar to the prior film. The possibility of associated pneumonic infiltrate cannot be entirely excluded, but the appearance is essentially unchanged or slightly improved. No new infiltrate detected. | FINDINGS: Compared to earlier the same day, I doubt significant interval change. Again seen are low inspiratory volumes and increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Also again seen is some increased density in the right cardiophrenic region, unchanged. There is mild... | |
The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is unchanged. | No acute cardiopulmonary process. | FINDINGS: The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is unchanged.
IMPRESSION: No acute cardiopulmonary process. | |
Since the prior chest radiograph, there is a new large right pleural effusion. There is a small left pleural effusion. There is no evidence of pulmonary edema or consolidation. There is no pneumothorax. The cardiac size is likely enlarged, although not well evaluated due to the adjacent pleural effusion. The azygos vei... | New large right and small left pleural effusions. Enlarged azygos vein. Given known pericardial effusion, this raises a concern for tamponade physiology. Recommend clinical correlation. In addition, on review of the prior exams, calcification of a possible bicuspid aortic valve is identified and of unclear hemodynamic ... | FINDINGS: Since the prior chest radiograph, there is a new large right pleural effusion. There is a small left pleural effusion. There is no evidence of pulmonary edema or consolidation. There is no pneumothorax. The cardiac size is likely enlarged, although not well evaluated due to the adjacent pleural effusion. The ... | |
There is a persistent opacity at the right lung base likely a combination a pleural effusion atelectasis however, in the absence of a lateral view, pneumonia cannot be excluded in the appropriate clinical setting. There is a small left pleural effusion. Stable moderate pulmonary vascular congestion. Mild cardiomegaly i... | Persistent opacity at the right lung base likely combination pleural effusion and atelectasis however, in the absence of a lateral view, pneumonia cannot be excluded in the appropriate clinical setting. | FINDINGS: There is a persistent opacity at the right lung base likely a combination a pleural effusion atelectasis however, in the absence of a lateral view, pneumonia cannot be excluded in the appropriate clinical setting. There is a small left pleural effusion. Stable moderate pulmonary vascular congestion. Mild card... | |
As compared to the most recent prior examination dated , there is a very small suspected right pleural effusion. There is no evidence of lobar consolidation or parenchymal edema. Cardiomegaly is noted, similar as compared to the prior exam. No acute osseous abnormalities are detected. | Small right pleural effusion. Stable cardiomegaly. No evidence of parenchymal edema. | FINDINGS: As compared to the most recent prior examination dated , there is a very small suspected right pleural effusion. There is no evidence of lobar consolidation or parenchymal edema. Cardiomegaly is noted, similar as compared to the prior exam. No acute osseous abnormalities are detected.
IMPRESSION: Small right... | |
The heart continues to be moderately enlarged with mild interstitial edema. A endotracheal tube has been advanced and now terminates in appropriate position. A nasogastric tube with terminates below the view of this radiograph. Left basilar opacity could reflect consolidation or atelectasis. | Interval advancement of endotracheal tube terminating in appropriate position. Left basilar opacity may reflect infection or atelectasis. | FINDINGS: The heart continues to be moderately enlarged with mild interstitial edema. A endotracheal tube has been advanced and now terminates in appropriate position. A nasogastric tube with terminates below the view of this radiograph. Left basilar opacity could reflect consolidation or atelectasis.
IMPRESSION: Inte... | |
There are opacities throughout the right lung. Left retrocardiac opacity obscures the left hemidiaphragm although this is only minimally increased since . The left upper lung is relatively clear. Heart size is normal. The mediastinal contours are unremarkable with the limits of portable technique. Aortic arch is calcif... | Opacities throughout the right lung are worrisome for multifocal pneumonia. | FINDINGS: There are opacities throughout the right lung. Left retrocardiac opacity obscures the left hemidiaphragm although this is only minimally increased since . The left upper lung is relatively clear. Heart size is normal. The mediastinal contours are unremarkable with the limits of portable technique. Aortic arch... | |
Patient is rotated to the right. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. Mediastinal contours are grossly unremarkable, given patient rotation. No pulmonary edema is seen. | Patient rotated somewhat to the right, otherwise, no acute cardiopulmonary process. | FINDINGS: Patient is rotated to the right. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. Mediastinal contours are grossly unremarkable, given patient rotation. No pulmonary edema is seen.
IMPRESSION: Patient rotated somewhat to the rig... | |
There is mild basilar atelectasis. Subtle left mid-to-lower lung opacity may be due to atelectasis. The posteromedial aspect of the left third rib is not seen. No evidence of pneumothorax. No large pleural effusion is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous. | Left mid-to-lower lung atelectasis without definite focal consolidation. No pneumothorax is seen. The posterior medial left third rib is not seen. | FINDINGS: There is mild basilar atelectasis. Subtle left mid-to-lower lung opacity may be due to atelectasis. The posteromedial aspect of the left third rib is not seen. No evidence of pneumothorax. No large pleural effusion is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous.
IMPRESSION... | |
A poorly defined opacity at the left lung base may represent a developing infectious process. The lungs are otherwise clear and the cardiomediastinal contour is normal apart from being slightly rotated. No pleural effusion or pneumothorax. | Poorly defined opacity at the left lung base may represent a developing infectious process. Short-term followup radiographs after appropriate treatment are recommended to ensure resolution | FINDINGS: A poorly defined opacity at the left lung base may represent a developing infectious process. The lungs are otherwise clear and the cardiomediastinal contour is normal apart from being slightly rotated. No pleural effusion or pneumothorax.
IMPRESSION: Poorly defined opacity at the left lung base may represen... | |
Single AP view of the chest provided. ET tube and orogastric tube position are stable. The retrocardiac and left basilar opacities are significantly improved from and likely represent atelectasis. No pleural effusion or pneumothorax. Hilar contours are normal. The heart, again appears mildly shift to the left, however ... | Retrocardiac and left basilar opacities, likely representing atelectasis, are resolved from . Otherwise, no significant changes from the previous examination. | FINDINGS: Single AP view of the chest provided. ET tube and orogastric tube position are stable. The retrocardiac and left basilar opacities are significantly improved from and likely represent atelectasis. No pleural effusion or pneumothorax. Hilar contours are normal. The heart, again appears mildly shift to the left... | |
Besides mild bibasilar atelectasis, the lungs are clear. There is no large effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no free intraperitoneal air. | No acute cardiopulmonary process. | FINDINGS: Besides mild bibasilar atelectasis, the lungs are clear. There is no large effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no free intraperitoneal air.
IMPRESSION: No acute cardiopulmonary process. | |
Right sided PICC line is seen terminating in the mid-low SVC. Otherwise, no relevant changes are seen compared to prior chest radiograph. | Right sided PICC in standard position. | FINDINGS: Right sided PICC line is seen terminating in the mid-low SVC. Otherwise, no relevant changes are seen compared to prior chest radiograph.
IMPRESSION: Right sided PICC in standard position. | |
There is stable moderate cardiomegaly with increased upper zone redistribution, central vascular congestion, and moderate interstitial edema. Atelectasis is noted at the left lung base. No large pleural effusion or pneumothorax. Dual chamber pacer leads and sternal closure hardware is unchanged. No focal consolidation ... | Moderate cardiomegaly and interstitial edema with no large pleural effusion. Findings are compatible with heart failure. | FINDINGS: There is stable moderate cardiomegaly with increased upper zone redistribution, central vascular congestion, and moderate interstitial edema. Atelectasis is noted at the left lung base. No large pleural effusion or pneumothorax. Dual chamber pacer leads and sternal closure hardware is unchanged. No focal cons... | |
The heart continues to be moderately enlarged and there is pulmonary vascular redistribution and few patchy areas of alveolar infiltrate. Compared to the prior study vascular plethora is increased | increased CHF | FINDINGS: The heart continues to be moderately enlarged and there is pulmonary vascular redistribution and few patchy areas of alveolar infiltrate. Compared to the prior study vascular plethora is increased
IMPRESSION: increased CHF | |
The cardiac contour is enlarged, likely at least partly exaggerated by positioning. The mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. There are slightly low lung volumes with mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. Spinal stimulator dev... | No focal consolidation concerning for pneumonia. | FINDINGS: The cardiac contour is enlarged, likely at least partly exaggerated by positioning. The mediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. There are slightly low lung volumes with mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. Spinal stim... | |
The ETT is in standard position and new. Platelike atelectasis of the right lower lung bases improved. Overall, no significant interval change. Pulmonary vascular congestion and edema persist and are moderate in severity. Retrocardiac opacity is overall unchanged. Effusion or pneumothorax. Top normal heart size is unch... | The patient is now intubated and moderate edema and pulmonary vascular congestion are overall unchanged. | FINDINGS: The ETT is in standard position and new. Platelike atelectasis of the right lower lung bases improved. Overall, no significant interval change. Pulmonary vascular congestion and edema persist and are moderate in severity. Retrocardiac opacity is overall unchanged. Effusion or pneumothorax. Top normal heart si... | |
There is mild pulmonary vascular congestion without frank pulmonary edema. No focal consolidation, pleural effusion or pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged. | Mild pulmonary vascular congestion without frank pulmonary edema. | FINDINGS: There is mild pulmonary vascular congestion without frank pulmonary edema. No focal consolidation, pleural effusion or pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged.
IMPRESSION: Mild pulmonary vascular congestion without frank pulmonary edema. | |
Single AP upright portable view of the chest was obtained. There is slight blunting of the left costophrenic angle which may be due to a pleural effusion. Evidence of hiatal hernia is again seen. No definite focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are s... | Slight blunting of the left costophrenic angle may be due to trace pleural effusion. Streaky left base retrocardiac opacity most likely relates to atelectasis/scarring and was also seen on the prior study. | FINDINGS: Single AP upright portable view of the chest was obtained. There is slight blunting of the left costophrenic angle which may be due to a pleural effusion. Evidence of hiatal hernia is again seen. No definite focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhoue... | |
A left chest tube is unchanged. Since the prior exam, the amount of pleural fluid has significantly decreased. A small left apical pneumothorax is unchanged. Moderate subcutaneous emphysema is again noted and unchanged. Aeration at the left base has also improved with the reduction in size of the pleural effusion. The ... | Decrease in size of the left pleural effusion and improved aeration at the left base. A small apical left pneumothorax and the upper lobe mass are not significantly changed since the prior exam. | FINDINGS: A left chest tube is unchanged. Since the prior exam, the amount of pleural fluid has significantly decreased. A small left apical pneumothorax is unchanged. Moderate subcutaneous emphysema is again noted and unchanged. Aeration at the left base has also improved with the reduction in size of the pleural effu... | |
Cardiomegaly and tortuous aorta are stable. Lung nodules are better seen in prior CT. There is no evidence of pneumonia or pulmonary edema. . There is no pneumothorax or pleural effusion. Rib fractures are again noted | No acute cardiopulmonary abnormality | FINDINGS: Cardiomegaly and tortuous aorta are stable. Lung nodules are better seen in prior CT. There is no evidence of pneumonia or pulmonary edema. . There is no pneumothorax or pleural effusion. Rib fractures are again noted
IMPRESSION: No acute cardiopulmonary abnormality | |
Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. | Normal chest. | FINDINGS: Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
IMPRESSION: Normal chest. | |
The study is somewhat limited due to patient rotation. Right PICC has been removed. The heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged. Blunting of the right costophrenic angle with right basilar patchy opacity appears unchanged, likely reflecting chronic pleural thickening wit... | Chronic changes within the right lung base with chronic pleural thickening. Chronic anterior dislocation of the left shoulder. | FINDINGS: The study is somewhat limited due to patient rotation. Right PICC has been removed. The heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged. Blunting of the right costophrenic angle with right basilar patchy opacity appears unchanged, likely reflecting chronic pleural thic... | |
A nasogastric tube courses below the diaphragm, terminating in the left upper quadrant, in the expected position of the stomach, however the side port is at the level of the GE junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes... | Endotracheal tube in satisfactory position. Nasogastric tube terminates in the left upper quadrant, at expected location of the stomach, however the distal side port is at the level of the gastroesophageal junction. Recommend advancement so that it is well within the stomach. Clear lungs. | FINDINGS: A nasogastric tube courses below the diaphragm, terminating in the left upper quadrant, in the expected position of the stomach, however the side port is at the level of the GE junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal s... | |
Right subclavian central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Cardiac silhouette is within normal limits. Widening of the superior mediastinum, particularly the right paratracheal stripe, corresponds to lymphadenopathy and ill-defined soft tissue density within the mediastinum, ... | Right subclavian central venous catheter tip in the mid SVC. No pneumothorax. Mild to moderate pulmonary edema, new compared to the prior radiograph, with moderate layering right pleural effusion and small left pleural effusion. Worsening opacification of the lung bases, more so on the left, compatible with areas of co... | FINDINGS: Right subclavian central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Cardiac silhouette is within normal limits. Widening of the superior mediastinum, particularly the right paratracheal stripe, corresponds to lymphadenopathy and ill-defined soft tissue density within the med... | |
There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pl... | New large area of focal right perihilar opacification, superimposed on pleural effusions as well as findings associated with mild pulmonary edema. The asymmetry suggests superimposed pneumonia as the etiology, or perhaps aspiration in the appropriate clinical setting; alternatively asymmetric pulmonary edema could be c... | FINDINGS: There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated... | |
AP portable upright view of the chest. Postsurgical changes involving the right hemi thorax with chronic pleural thickening and areas of scarring within the right lower lung including a large focus of rounded atelectasis appear grossly unchanged. There is increased left perihilar opacity which could represent mild cong... | As above. | FINDINGS: AP portable upright view of the chest. Postsurgical changes involving the right hemi thorax with chronic pleural thickening and areas of scarring within the right lower lung including a large focus of rounded atelectasis appear grossly unchanged. There is increased left perihilar opacity which could represent... | |
Extensive subcutaneous emphysema throughout the thorax and visualized neck. Two chest tubes project over the left hemithorax and are unchanged in position. A trace left medial pneumothorax is visualized. The endotracheal tube projects over the mid thoracic trachea and a feeding tube extends into the stomach. The size o... | Unchanged position of the left apical and basal chest tubes. Trace left medial pneumothorax. | FINDINGS: Extensive subcutaneous emphysema throughout the thorax and visualized neck. Two chest tubes project over the left hemithorax and are unchanged in position. A trace left medial pneumothorax is visualized. The endotracheal tube projects over the mid thoracic trachea and a feeding tube extends into the stomach. ... | |
Single frontal view of the chest demonstrates the patient to be rotated to the right. Allowing for such, the cardiomediastinal silhouette is within normal limits. The thoracic aorta is unfolded, with extensive atherosclerotic calcifications. There is no pneumothorax, consolidation, or large effusion. There is suggestio... | Probable mild pulmonary edema. No confluent consolidation in the lung. If basilar interstitial prominence persists following treatment for edema, consider chronic interstitial disease. | FINDINGS: Single frontal view of the chest demonstrates the patient to be rotated to the right. Allowing for such, the cardiomediastinal silhouette is within normal limits. The thoracic aorta is unfolded, with extensive atherosclerotic calcifications. There is no pneumothorax, consolidation, or large effusion. There is... | |
Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There is an area of increased opacification at the left base, likely representing a combination of pleural effusion and adjacent atelectasis. The right lung is essentially clear. There is an area of in... | Small left-sided apical pneumothorax. COMMENTS: These findings were discussed with Dr. by Dr. m. on , two minutes after the findings were discovered. | FINDINGS: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There is an area of increased opacification at the left base, likely representing a combination of pleural effusion and adjacent atelectasis. The right lung is essentially clear. There is an ... |
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