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s55512076
Comparison is made to prior study performed a day earlier. Lines and tubes are in unchanged standard position. Multifocal consolidations in the right upper and lower lobes bilaterally left greater than right are unchanged. Severe cardiomegaly is stable. There are no new lung abnormalities. Probably small right pleural ...
s55786650
As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Low lung volumes, borderline size of the cardiac silhouette. Mild pulmonary edema. Moderate retrocardiac atelectasis. No evidence of pneumonia.
s56188631
The right upper lung and the entire left lung are clear and the left lung is hyperinflated suggesting airway obstruction or emphysema. Heart is normal size. There is no pneumonia or pulmonary edema. No pleural effusion or pneumothorax.
s53690114
Compared to prior study there is no significant interval change.
s52070116
In comparison to prior radiograph of 1 day earlier, there has been improved aeration at both lung bases. No other relevant change since recent study.
s53403421
Left-sided dual lumen central venous catheter tip terminates in the low SVC in courses through a stent within the left brachiocephalic and superior vena cava. A vascular stent is also noted within the left upper extremity. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged unchanged with si...
s55218216
s56732549
Right internal jugular line ends at cavoatrial junction. Mediastinal and mild pulmonary vascular congestion, and left lower lobe atelectasis are unchanged. No evidence of pulmonary edema. Thoracic aorta is generally large.
s55949339
ET tube ends 4.1 cm above carina. The patient had a recent left lower lobe lobectomy with the chest tube that projects in upper hemithorax without any visible pneumothorax. Left pleural effusion is small if any. The lung volumes are low with mild mediastinal and cardiac enlargement.
s57033562
There are low lung volumes. Cardiomegaly and widened mediastinum are stable. Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or eff...
s57850217
A right PICC is present with distal tip in the mid SVC. The heart size is top normal. Calcification in aortic knob is again seen. There are small bilateral pleural effusions with bibasilar atelectasis. There is moderate pulmonary edema. There is no new focal consolidation concerning for pneumonia. Scarring projecting o...
s52510525
As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Moderate cardiomegaly with minimal fluid overload. Retrocardiac atelectasis, combined to a small left pleural effusion. Volume loss in the middle lobe. No newly appeared focal parenchymal opacities. No ...
s51129150
A left Port-A-Cath terminates in the right atrium, unchanged from prior. Lung volumes are extremely low resulting in bronchovascular crowding and limited evaluation of the lung bases. Diffuse interstitial opacities have increased, and despite the low lung volumes, findings are consistent with superimposed pulmonary ede...
s50650921
Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not. Pleural effusions are presumed but not large. No pneumothorax.
s56170958
Cardiomediastinal contours are unchanged. There is no evident pneumothorax. A chest tube remains in place. Right perihilar opacity is unchanged, likely fluid in the fissure, unchanged from prior. Right lower lobe atelectasis has improved. Small right pleural effusion has improved. Left lower lobe atelectasis is unchang...
s59839373
Known heterogeneous consolidation in the left mid lung is not well seen on this single frontal view. Additional known nodules are also not well characterized on this radiographic examination. Linear opacities in the lung bases are similar compared to prior and likely reflect subsegmental atelectasis. No overt pulmonary...
s56289226
As compared to the previous radiograph, there is no change in position of the monitoring and support devices. The tip of the endotracheal tube is quite high and would benefit from advancement by 1 to 2 cm. Moderate cardiomegaly persists. There is unchanged evidence of mild pulmonary edema. There also is retrocardiac at...
s50492868
The feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph, likely within the distal stomach. A left chest wall dual lead pacemaker is present. The tip of the right PICC line extends to the level of the mid SVC. No focal consolidation, pleural effusion or pneumothorax ide...
s55238104
As compared to the previous radiograph, there is a further improvement in extent and severity of the pre-existing pulmonary edema. Edema is now mild. Moderate cardiomegaly persists. No pleural effusions. No pneumonia, no pneumothorax.
s53957798
As compared to the previous radiograph, there is no relevant change. No evidence of pathologic parenchymal opacities on the basis of the technically limited examination. Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.
s52969052
A pacer/defibrillator unit projects over the left chest with a lead terminating in the right ventricle. The heart size is mildly enlarged, although this may be exaggerated by AP technique. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. The hilar contours demonstrate mild vasc...
s57746739
Marked thoracolumbar scoliosis which markedly distorts the appearance of the thoracic cavity. However, given differences in positioning between studies, the lungs remain clear. No pulmonary edema or pleural effusions are appreciated. Overall, cardiac size is stable. Scattered air is seen in nondistended loops of bowel.
s50776901
There has been interval removal of a right internal jugular central venous catheter. Cardiac and mediastinal silhouettes are grossly stable given differences in patient position. Mild prominence of the hila suggest central pulmonary vascular engorgement with mild peribronchial cuffing. No definite focal consolidation i...
s50164479
CHEST, SINGLE AP PORTABLE VIEW. ET tube is present. The tip is obscured but appears to lie in satisfactory position above the carina. An orogastric-type tube is present, tip extending beneath diaphragm off film. Left IJ central line tip overlies proximal SVC. A dual-lumen right IJ catheter appears to overlie the distal...
s57474951
Except for minimal bibasilar atelectasis, the lungs are clear. Mild cardiac congestionis stable. Cardiac contour is normal. The upper mediastinum appears widened due to the lordotic view.
s50323020
The lungs are clear of focal consolidation. There is, however, persistent blunting of the right costophrenic angle, potentially due to pleural thickening especially in the setting of multiple prior healed right rib fractures. Cardiomediastinal silhouette is stable. No visualized free air below the diaphragm.
s56862577
The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.
s57977208
Continued low lung volumes with substantial mass in the right paratracheal region.
s56506968
No relevant change. Lung volumes are low. The monitoring and support devices are in stable correct position. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. Minimal pleural fluid along the minor fissure on the right. No evidence of pneumonia.
s52385480
Single portable view of the chest is compared to previous film from earlier the same day at 12:59. New right IJ line is seen with tip projecting over the mid SVC. There is no visualized pneumothorax. Endotracheal tube is approximately 1.5 cm from the carina and should be withdrawn several centimeters for optimal positi...
s58367071
The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There are no pleural effusions noted. There are no pneumothoraces noted. The bones appear intact.
s51568216
Lung volumes are low, limiting evaluation of the lung bases, with perihilar atelectasis. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous. Heart size is difficult to evaluate in the setting of markedly low lung volumes. A right-sided Port-...
s54910031
There is a large amount of air in the right pleural space, despite the presence of two chest tubes. ET tube tip is in standard position, 6 cm above the carina. Cardiac size is normal. Widened mediastinum can be post-operative. Patient has severe emphysema. Left lower lobe opacities could represent mild interstitial ede...
s50380203
Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right. There is also worsening pulmonary vascular congestion. There is no pneumothorax. Right internal jugular catheter probably terminates in the right atrium.
s55430447
Single portable view of the chest demonstrates normal lung volumes. Costophrenic angles are minimally blunted, suggestive of trace pleural effusions. Bibasilar opacities obscure hemidiaphragms. Right lung base opacity is more conspicuous on today's exam. Moderate pulmonary edema. Hilar and mediastinal silhouettes are u...
s55557117
As compared to the previous radiograph, there is no relevant change. Widespread bilateral parenchymal opacities, combined to an enlarged cardiac silhouette. The monitoring and support devices are in constant position.
s56986640
AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison of the frontal views demonstrates increase of pulmonary parenchymal densities in the area of the biopsies, most likely caused by post-biopsy hemorrhages. No other new pulmonary abnormalities are seen, and most import...
s54432661
NG tube tip is in the stomach. ET tube is in the standard position. Right PICC tip is at the cavoatrial junction. Transvenous pacer leads are in standard position. Cardiomegaly is stable. There are persistent low lung volumes. Pulmonary edema has improved, now mild to moderate. Bibasilar opacities, right greater than l...
s58907220
Heart size top- normal, improved. Lungs clear. No pleural abnormality. Mediastinal contours explained by benign fat deposition.
s56779415
As compared to the previous radiograph, the monitoring and support devices are unchanged. There is improved ventilation of the lung bases, with almost complete resolution of a pre-existing small right basal atelectasis. No newly occurred focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhoue...
s54218896
The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are increased compared to the most recent prior study. Diffuse interstitial abnormality with small nodules not significantly changed. Pulmonary vasculature is within normal limits.
s54912258
The possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, and is difficult to evaluate due to the substrate of extensive pulmonary changes. Dual-channel catheter, presumably due for hemodialysis ends in the right atrium.
s55227594
Single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. The patient is slightly rotated to the left. Cardiomediastinal silhouette is within normal limits. Multiple clips are seen overlying the right ap...
s50111035
Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sid...
s52798218
Frontal images of the chest demonstrate well-expanded lungs which are clear. There is a left-sided pleural effusion. There is no effusion on the right. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Sternotomy wires and mitral valve ring again noted. Visualized osseous structures are unremarkab...
s52363927
Indwelling support and monitoring devices are in standard position. Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left. Small pleural effusions are not substantially changed.
s51235553
As compared to the previous radiograph, the pre-existing left pleural effusion has massively increased in extent. The effusion occupies approximately half of the left hemithorax and causes substantial basal atelectasis. On the right, a small-to-moderate pleural effusion has newly occurred. In the ventilated parts of th...
s55414814
The nasogastric tube shows a normal course. The tip of the tube projects over the proximal parts of the stomach, the sidehole is located at the gastroesophageal junction. The tube should be advanced by approximately 5 cm to ensure position in the more central parts of the stomach. No complications, notably no pneumotho...
s53515169
Cardiomediastinal contours are unchanged. Esophageal stent is in unchanged position. Right lower lobe pneumonic consolidation is unchanged. Aeration of the left lower lobe has improved. There is no pneumothorax. Right pleural effusion is small and stable. Pneumoperitoneum is less conspicuous than before.
s57293911
1. A feeding tube is seen coursing below the diaphragm with the tip not definitively identified on this examination. 2. There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed. There is volume loss with shift of the mediastinum to th...
s52138943
AP single view of the chest has been obtained in this patient with semi-upright position. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present...
s55575670
The patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. Bilateral pleural effusion is essentially the same. Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. There is no pneumothorax. Enteric tube is seen once again, entering the stom...
s50744964
A portable frontal chest radiograph demonstrate an unchanged cardiomediastinal silhouette, which is top-normal in size. Bilateral opacities are consistent with moderate pulmonary edema. No definite focal consolidation or pneumothorax is identified. There are likely trace bilateral pleural effusions.
s55124994
As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects 3.7 cm above the carina. The patient also has received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube does not display on the image. The ventriculoperitoneal shunt and the ...
s59339513
An ET tube is present, approximately 6 cm above the carina. An NG tube is present, tip extending beneath diaphragm off film. A right IJ central line tip overlies the mid SVC. No pneumothorax detected. The cardiomediastinal silhouette is prominen,t but unchanged. There is upper zone re-distribution, diffuse vascular blu...
s59014702
A left-sided internal jugular catheter is seen terminating at the mid SVC. There is no pneumothorax. Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. Cardiac silhouette is constant with sternotomy wires intact. No new focal consolidations.
s57282583
Portable AP upright view of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There are lower lung opacities which is potential concern for pneumonia. There is no large effusion or pneumothorax. Mild central hilar congestion is somewhat improved from prior exam. The heart size is top n...
s53570653
The endotracheal tube sits 4 cm above the carina. The endogastric tube tip sits within the stomach, although a portion of the weighted tip sits above the GE junction. The heart size is within normal limits. The mediastinal and hilar contours appear unremarkable. The lungs continue to demonstrate heterogeneous opacity i...
s59044985
Lungs are grossly clear. There are no new lung opacities which are of concern. There is no evidence to suggest pleural effusion or pneumothorax. Severe scoliosis is noted. Cardiomediastinal silhouette is unchanged. The nasogastric tube tip is in the stomach and right PICC line is approximately at the mid SVC.
s56840019
There is borderline cardiomegaly. There is no pneumothorax or focal consolidation. No large pleural effusion is seen.
s53353190
Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy op...
s51912167
The NG tube tip is in the stomach, which still has a large amount of air within it. There is volume loss at both bases and a probable small left effusion. There is pulmonary vascular re-distribution and mild cardiomegaly. Left subclavian line tip is in the SVC.
s50214117
The ET tube tip is 3.5 cm above the carina. NG tube tip is in the stomach. There is left retrocardiac opacity, unchanged since the prior study. Minimal interstitial pulmonary edema is unchanged. No interval development of pleural effusion or pneumothorax is seen.
s56670181
AP single view of the chest has been obtained with patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal de...
s55049183
A pacemaker/ICD device with two leads appears unchanged. The cardiac, mediastinal and hilar contours appear unchanged. The pacer device overlaps persistent opacification of the left costophrenic angle that is probably unchanged, however, likely reflecting a combination of atelectasis and a small loculated pleural effus...
s52805540
In comparison with the study of earlier in this date, there is increasing indistinctness of engorged pulmonary vessels, consistent with worsening vascular congestion. Continued elevation of the right hemidiaphragmatic contour. It is unclear whether this represents a subpulmonic effusion or an intrinsic diaphragmatic ab...
s56653253
The patient continues to be in pulmonary edema, moderate. Port-A-Cath catheter is unchanged in position. Heart size and mediastinum are unchanged as well. No substantial interval increase in pleural effusion is demonstrated.
s56570382
Overall cardiac and mediastinal contours are likely stable given patient rotation. Calcified hilar nodes are consistent with known sarcoidosis. There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base. However, t...
s55331519
An endotracheal tube is now in place with its tip approximately 6 cm above the carina. Nasogastric tube extends at least to the antrum of the stomach where it crosses the lower margin of the image.
s57848354
More focal area of opacification at the base medially with poor definition of the right heart border raises the possibility of a middle lobe pneumonia. Right pleural thickening or loculated effusion is again seen.
s56404316
As compared to the previous radiograph, there is a newly appeared right pleural effusion, as suspected. The left costophrenic sinus is also mildly blunted, so that the presence of a small pleural effusion is likely. The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opa...
s57199757
Atelectasis in the left mid and lower lung zones is severe and unchanged. Pleural effusions are small if any. The heart is top normal size. Mediastinal veins are mildly dilated. Feeding tube and nasogastric tube passes into the stomach and out of view. Left internal jugular line ends at the junction of brachiocephalic ...
s57204814
As compared to the previous radiograph, there is no relevant change. The course of the left internal jugular vein catheter is constant. Constant extensive left parenchymal opacity and extensive right apicolateral consolidation. Moderate elevation of the right hemidiaphragm with small pleural effusion. Unchanged aspect ...
s59612133
Dual-lead pacing device again seen. Faint bibasilar opacities are seen, particularly in the retrocardiac region which are nonspecific and given low lung volumes could represent atelectasis. There is no definite large pleural effusion. Cardiac silhouette is stable as are the osseous and soft tissue structures.
s55214075
As compared to the previous image, no relevant change is seen. Status post sternotomy and valvular replacement. Borderline size of the cardiac silhouette. Mild elongation of the descending aorta. Left pectoral Port-A-Cath. No pneumonia, no pulmonary edema, no pleural effusions. The ICD wires are in unchanged position, ...
s50014127
Frontal view of the chest was obtained. A right subclavian central catheter terminates in the lower SVC. Metallic clips overlie the right upper quadrant. The heart is of normal size with normal cardiomediastinal contours. Vague bibasilar opacities are nonspecific but may represent infection. No pleural effusion or pneu...
s56983444
As compared to the previous radiograph, the lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. T...
s50030496
The Dobbhoff tube appears to be in the oropharynx with the tip seen projecting over the mouth floor. Pulmonary edema is present. Bilateral pleural effusions are noted.
s56936171
New consolidation at the base the left lung could be either atelectasis or pneumonia, accompanied by stable small left pleural effusion. Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema.
s54541565
Single supine AP portable view of the chest was obtained. Again seen, there are increased diffuse interstitial opacities bilaterally, may be due to pulmonary edema, although appears less severe than on the prior study. Slight blunting of the bilateral costophrenic angles may be due to small bilateral pleural effusions....
s55116033
Cardiomediastinal silhouette is unchanged. Interstitial opacities are similar. There is no interval increase in pleural effusion or pneumothorax.
s52640725
Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, n...
s54558182
There are no old films available for comparison. The heart is moderately enlarged. There is a right IJ Cordis with tip in the upper SVC. There is mild pulmonary vascular re-distribution, but no definite infiltrates or effusion.
s57080795
Right-sided Port-A-Cath tip terminates in the SVC. Large right pleural effusion which is loculated appears slightly increased compared to the prior study. Right basilar opacification could reflect compressive atelectasis though infection is not excluded. Chest tube is again noted with tip projecting over the right lung...
s54479348
New ET tube ends 2.9 cm above the carina. Right jugular line is in lower SVC. Left upper lobe rounded atelectasis was better assessed in recent CT, and there is minimal chronic thickening of the pleura at the costodiaphragmatic angles.
s53366281
No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable given differences in technique and inspiration. Pulmonary vascular congestion is seen. Slight prominence of the left hilum has been seen over several prior studies in likely rela...
s55200248
AP single view of the chest has been obtained with patient in sitting semi-upright position. A right-sided PICC line is again identified. It is now seen to terminate overlying the right-sided mediastinal structures at the level of the carina. Thus, it has been withdrawn by approximately 4 cm in comparison with the prec...
s57885384
A portable supine frontal chest radiograph demonstrates a right internal jugular catheter, which now terminates in the low SVC. Lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax.
s59691021
There is better inspiration with continued enlargement of the cardiac silhouette. Right basilar opacification persists, consistent with a combination of known nodular process, consolidation, and post-procedure atelectasis. There is mild fullness of the pulmonary vessels, consistent with mild elevation of pulmonary veno...
s57012952
The multifocal opacities on the current study appear to be progressed as compared to prior examination concerning for multifocal infection. There is small amount of right pleural effusion, slightly increased since the prior study. No definitive evidence of pulmonary edema is present, but it cannot be entirely excluded ...
s54770541
Right internal jugular central venous catheter tip terminates in the SVC. No pneumothorax is present. Patient is status post median sternotomy, CABG, and mitral valve repair. There is continued opacification of the left lung base. Small bilateral pleural effusions, left greater than right are again noted. There is mild...
s55300369
Right central venous catheter terminates in the right atrium. Left pectoral pacemaker and its leads are in unchanged position. Sternotomy wires are intact. Mild bibasilar opacities are likely atelectasis in setting of low lung volumes. Mildly enlarged cardiac silhouette is similar to before.
s54842270
AP single view of the chest has been obtained with patient in semi-upright position. The patient is intubated, the ETT terminating in the trachea 4 cm above the level of the carina. No pneumothorax has developed. An NG tube has been placed, seen to reach well below the diaphragm including its side port. There is mild e...
s52547146
increase in moderate right pleural effusion.
s56984180
The left major fissure is delineated by a roughly 8 cm long radiopacity superolateral to it. This could be either pneumonia in the left upper lobe or fissural pleural effusion. It may require CT scanning to distinguish between these two possibilities. Left internal jugular line ends at the origin of the SVC and a dual-...
s52031993
Comparison is made with prior study performed 2 hours earlier. New ET tube tip is 1 cm from the carina and could be withdrawn a couple of centimeters for more standard position. Aeration of the lungs has improved. Small right and small-to-moderate left pleural effusions are unchanged. There is less atelectasis in the l...
s50551136
Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion. Persistent moderate right and small left pleural effusions with adjacent basilar lung opacities, which probably reflect atelectasis, although coexisting pneumonia is possible in the appropriate clinical setting.
s53948906
No evidence of post procedure pneumothorax. The cardiac silhouette remains enlarged. The degree of pulmonary vascular congestion has decreased.
s53746608
Comparison is made with prior study performed six hours earlier. ET tube has been repositioned, now the tip is in standard position, 4.6 cm above the carina. Diffuse lung opacities have worsened in the left lower lobe, this new focal opacity in the left lower lobe could be due to atelectasis and or aspiration.
s54389393
Single portable view of the chest. Bibasilar opacities with blunting of the costophrenic angles which could be due to effusions. There are indistinct pulmonary vascular markings. Relatively lentiform-shaped opacity over the right mid lung is suggestive of fluid within the fissure. The cardiac silhouette is enlarged, si...
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