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The right-sided catheter is seen terminating in the cavoatrial junction. A tracheostomy is in unchanged position from prior exam. Aortic endograft are again noted. The lungs are moderately well expanded. Mild pulmonary edema is similar to prior exam. There is no pleural effusion or pneumothorax. The cardiomediastinal s... | |
Patient is status post median sternotomy with unchanged fractures of the 2 superior most wires. Heart size is normal. Mediastinal and hilar contours are unchanged. Mild probe vascular congestion is present. Patchy opacities are seen within the right mid lung field as well as within both lung bases, not substantially ch... | |
In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4 cm above the carina. There also is been placement of a nasogastric tube that extends at least to the lower body of the stomach. Otherwise, little change | |
Right PICC tip is in thelower SVC. Mild cardiomegaly is a stable. Vascular congestion has markedly improved. Bibasilar atelectasis larger on the left side have improved. If any there is a small left effusion. Left chest tubes remain in place. | |
As compared to the previous radiograph, there is no relevant change. Low lung volumes, sternal wires in situ. Right internal jugular vein catheter in unchanged position. Unchanged moderate cardiomegaly with bilateral areas of atelectasis, left more than right. The left costophrenic sinus, suggesting a small left pleura... | |
Smaller chronic device projected over expected location of RV apex. Increased heart size. Mildly increased pulmonary vascularity, more apparent. Small right pleural effusion, stable. Central lines have been removed. Prominent main pulmonary artery, suggest pulmonary artery hypertension. No pneumothorax. Minimal right b... | |
As compared to the previous radiograph, volumes have slightly decreased, likely reflecting a lesser inspiratory effort. There is unchanged evidence of moderate cardiomegaly as well as bilateral pleural effusions and subsequent areas of atelectasis. The changes are more severe on the left than on the right. In the inter... | |
Compared to the prior study there is no significant interval change. | |
Previous mild pulmonary edema has cleared, but severe enlargement of the cardiac silhouette is unchanged. Left heart obscures much of the left lower lobe, but there is probably some pleural effusion and atelectasis. The upper lungs are clear. Right PIC line can be traced as far as the low SVC. Transvenous right and lef... | |
The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no focal consolidations, pleural effusions, pneumothorax or pulmonary edema. | |
As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Mild cardiomegaly with mild fluid overload but no overt pulmonary edema. No pleural effusions. Unchanged right PICC line. | |
Low lung volumes. Cardiac size cannot be evaluated. There is postoperative mediastinal widening. ET tube is in standard position. Right central catheter tip is in unchanged position. Apical and base right chest tubes are in place. There is no pneumothorax. There is moderate amount of right chest wall subcutaneous gas c... | |
In comparison with the earlier study of this date, there is little overall change. Again there is extensive right pleural effusion with compressive atelectasis at the base. Smaller effusion is seen on the left. Enlargement of the cardiac silhouette persists with pulmonary vascular congestion. Tracheostomy tube remains ... | |
Endotracheal tube is seen, terminating approximately 6.5 cm above the level of the carina. Nasogastric tube is seen coursing below the diaphragm, inferior aspect not included on the image. Patchy opacity at the left costophrenic angle may be due to a combination of pleural effusion and atelectasis with possible consoli... | |
As compared to the previous radiograph, there is no relevant change. The size of the cardiac silhouette is constant. Relatively extensive left pleural effusion with subsequent atelectasis. Overall signs of moderate pulmonary edema. The presence of a small right pleural effusion cannot be excluded. No new parenchymal op... | |
In comparison to prior radiograph of 1 day earlier, a nasogastric tube is been placed, terminating in the proximal stomach. Exam is otherwise remarkable for endotracheal tube terminating 2.5 cm above the carina, and a worsening left retrocardiac opacity, most likely representing atelectasis. | |
Pericardial drain remains in place with unchanged enlarged cardiac silhouette consistent with history of pericardial effusion. Moderate left pleural effusion and adjacent left retrocardiac atelectasis are also unchanged. | |
Lung volumes are appreciably lower. Heterogeneous opacification now increasing in the right perihilar distribution is, given the preceding mediastinal vascular distention, probably pulmonary edema but needs to be followed carefully to exclude pneumonia, particularly with worsening bilateral infrahilar consolidation mor... | |
Inspiratory volumes are at the lower limits of normal or minimally diminished. Cardiomediastinal silhouette is unchanged, with sternotomy wires and multiple mediastinal clips noted. Again seen is curvilinear density adjacent to the right heart border question related to prior surgery. No CHF. Minimal atelectasis at bot... | |
Endotracheal tube has been withdrawn with tip now in standard position, terminating approximately 4.6 cm from the carina. Enteric tube tip remains within the stomach. Lung volumes remain persistently low. Patchy and linear opacities are noted in the lung bases compatible with atelectasis. No focal consolidation, pleura... | |
There is a new feeding tube whose tip is below the GE junction. The side port is not well seen. Endotracheal tube and right-sided central venous line are unchanged in position. There is improved aeration of the left base. Heart size is within normal limits. There remains basilar subsegmental atelectasis. There are no p... | |
The nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach Patchy bibasilar opacities, left greater than right, are concerning for pneumonia or aspiration, less likely atelectasis. There is also patchy opacity at the right lung apex, which was previously ... | |
Left chest tube remains in place with no significant interval change in appearance of the left hemithorax where there is persistent patchy and linear opacity at the left base likely reflecting atelectasis and/or scarring. Blunting of the left costophrenic angle may represent chronic pleural thickening or a small effusi... | |
Supine portable view of the chest demonstrates low lung volumes. No pleural effusion or focal consolidation. Hilar and mediastinal silhouettes are unchanged. Calcifications of the aortic arch are again noted. The descending aorta appears tortuous. Heart size is normal. Mild interstitial pulmonary edema is noted. There ... | |
Heart size is normal. Thoracic aortic arch is tortuous with mild atherosclerotic calcifications. Hilar contours are unremarkable. Mildly increased interstitial markings are chronic. Lungs are otherwise clear. The pleural surfaces are clear without effusion or pneumothorax. No overt traumatic findings. | |
Comparison is made with prior study performed 10 hours earlier. Opacities in the periphery of the right upper lobe have increased. Left lower lobe opacities have decreased. There are low lung volumes. Cardiomediastinal contours are unchanged. Central lines are in a standard position. There is no pneumothorax. Small eff... | |
Lung volumes are low with crowding of the vasculature and bibasilar patchy opacities likely reflecting atelectasis rather than aspiration or pneumonia. Clinical correlation is advised. Probable small layering left effusion. Overall cardiac and mediastinal contours are stable. A feeding tube is seen coursing below the d... | |
Left-sided Port-A-Cath tip terminates at the SVC/right atrial junction. Heart size is normal. Atherosclerotic calcifications are noted at the aortic knob. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Minimal patchy atelectasis seen in the lung bases. Innumerable pulmonary me... | |
Apparent loop at the tip of the left PIC line indicates cannulation of the azygos vein. A lateral view would be helpful to assess how far the line can be withdrawn to reposition it in the SVC. Lungs clear. Heart size normal. No pleural abnormality. | |
As compared to the previous radiograph, the known pleural plaques are not substantially changed. The lung volumes continue to be low and the cardiac silhouette continues to be enlarged. Areas of atelectasis at both lung bases are not substantially changed but there is no evidence of pneumonia or other pathologic proces... | |
As compared to the previous radiograph, bilateral platelike atelectasis have developed at the lung bases. No other change. The right internal jugular vein catheter is in situ. No pleural effusions. Borderline size of the cardiac silhouette without pulmonary edema. | |
As compared to the previous radiograph, no relevant change is seen. Sternal wires are in unchanged position. Right central venous access line is constant. Moderate cardiomegaly. Minimal left pleural effusion and subsequent left retrocardiac atelectasis. No pulmonary edema. No pneumonia. | |
The right-sided Swan-Ganz catheter has now been removed and the patient is now extubated. The enteric tube is also now been removed. Chest tube projects over the left lower hemithorax and the right lower mediastinum. There is a small left apical pneumothorax. Lung volumes remain low. The heart and mediastinum remain mi... | |
Little interval change from prior study. | |
As compared to the previous radiograph, the lung volumes have slightly decreased. The tracheostomy tube and the left internal jugular vein catheter are constant in appearance. Unchanged left pleural effusion with retrocardiac atelectasis, moderately increased cardiac silhouette and the presence of moderate pulmonary ed... | |
As compared to the previous radiograph. , no relevant change is seen. The current radiograph is rotated, which causes increased radiodensity at the right lung bases. To reliably exclude a pathologic process in this area, however, a standing frontal a lateral radiograph would be helpful. No cardiomegaly. No pleural effu... | |
The lungs are moderately well inflated. Retrocardiac density is more prominent than on the previous study representing either atelectasis or early consolidation. Small left effusion is present and there may be a tiny right effusion. Aortic arch calcification is present. The heart is not enlarged. The osseous structures... | |
Cardiomediastinal silhouette appears to be similar to previous but there is progression of the left upper lobe and perihilar opacities concerning for progression of pulmonary edema. Bilateral pleural effusions and bibasal consolidations are unchanged. | |
Overall, there has been no significant interval change. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Multiple left-sided rib fractures seen on chest CT performed today at 20:50 were better appreciated on chest CT, which is more ... | |
Lung volumes are normal. No focal consolidation, large effusion or pneumothorax. There is no central vascular congestion or overt pulmonary edema. Mediastinal and hilar contours are normal. Mild cardiomegaly. Mild calcification of the aortic knob is noted. | |
As compared to the previous radiograph, left chest tube has been removed, the mediastinal drains have also been removed. Currently, there is no evidence of pneumothorax. Lung volumes have decreased after extubation. Removal of the nasogastric tube was without complications. The presence of small pleural effusions canno... | |
Dobbhoff tube courses into the stomach and out of view. Moderate pulmonary edema and right greater than left basal pleural effusions and atelectasis persist. These could easily hide a developing pneumonia. Cardiomediastinum is not well assessed. | |
Single portable view of the chest. Tracheostomy tube is identified. G tube not included on this film. Streaky left midlung opacity is consistent with probable scarring. The left hemidiaphragm is not particularly well seen which may be in part projectional and is unchanged from priors. Persistent minimal retrocardiac op... | |
Endotracheal tube terminates 5.7 cm above the carina. There are bibasilar opacities, left greater than right, which is suspicious for infection or aspiration in the appropriate clinical setting. Mild pulmonary vascular congestion is also noted. No sizable pleural effusion or pneumothorax. Right hilar prominence may be ... | |
Allowing for low lung volumes and portable technique, heart is upper limits of normal in size. Thoracic aorta is tortuous. No focal areas of consolidation are identified within the lungs. Left pleural effusion is small. | |
No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Nasogastric tube extends to above the level of the esophagogastric junction. However, a subsequent image dictated previously shows the tube in good position. | |
Since the prior examination, the pigtail catheter in the left lung base has been removed. There is some patchy density in that region suggesting atelectasis. There is also patchy density in the right base. There is no pneumothorax or CHF. Nasogastric tube tip is beyond the edge of the film and is beyond the GE junction... | |
No focal consolidation is identified. Lungs appear hyperlucent which may reflect emphysema. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. | |
There are diffuse bilateral parenchymal opacities. Known small bilateral pleural effusions are as seen on CT scan. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | |
An endotracheal tube is noted terminating approximately 5.6 cm above the level of the Carina. A nasogastric tube terminates at the gastroesophageal junction and should be advanced. Bibasilar streaky airspace opacities may represent atelectasis versus aspiration. There is no lobar consolidation, pleural effusion, pneumo... | |
As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. No other relevant changes. Known COPD with subsequent overinflation. No evidence of acute pulmonary changes. Borderline size of ... | |
Low lung volumes. Worsening of bibasilar opacifications and right lower lobe opacity. Unchanged bilateral small pleural effusions. The right PICC line terminates in the cavoatrial junction. Tracheostomy tube projects over thoracic inlet appears intact. | |
No comparison. The lung volumes are normal. Moderate cardiomegaly. No pleural effusions. No pneumonia, no pulmonary edema. | |
Following removal of left pigtail pleural catheter, there is no evidence of apical pneumothorax. Moderate left pleural effusion has slightly increased in size with adjacent left basilar lung opacities. Following removal of right pleural catheter, a small right pleural effusion is unchanged, and there is no evidence of ... | |
As compared to the previous radiograph, the left line has been pulled back. It is now with its tip projecting over the brachiocephalic vein. Newly appeared left and right pleural effusions. The extent of the effusions is limited to the costophrenic sinus. No pneumothorax. Normal size of the cardiac silhouette. | |
Bibasilar atelectasis, moderate to severe on the left, moderate on the right, it has worsened over the past several days. Pleural effusions, smaller tiny unchanged. No pneumothorax. Heart size is exaggerated by low lung volumes, probably not appreciably enlarged. Mild pulmonary edema seen yesterday has improved No pneu... | |
Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormalities. | |
As compared to the previous radiograph, the patient is now intubated. The tip of the endotracheal tube projects 4 cm above the carinal. The patient carries a nasogastric tube, the tip is not visualized on the image. No pneumothorax. Normal lung volumes. Minimal left basilar atelectasis. | |
As compared to the previous radiograph, there is unchanged total collapse of the left lung. , with displacement of the mediastinum towards the left. Old rib fractures on the right are visible in almost unchanged manner. Unchanged moderate right pleural effusion and evidence of basal atelectasis. No evidence of pneumoni... | |
Right-sided PICC line tip is at mid SVC.Bilateral lower lung opacities due to mild-to-moderate right pleural effusions and asscociated atelectasis is unchanged since yestarday. Position of two pleural pigtail catheters in left lower chest is unchanged. Upper lungs are clear. Moderately enlarged heart size is stable. | |
No change in extent of the known bilateral reticular parenchymal opacities. No new parenchymal opacities. Moderate cardiomegaly but no evidence of pulmonary edema. No larger pleural effusions. | |
Right PICC terminates in the right atrium and should be withdrawn by 5.5 cm to reach the cavoatrial junction. NG tube appears unchanged terminating in the stomach. Lung volumes are low and the lungs are clear. No pneumothorax. | |
There is no pneumothorax. Right pleural effusion was better visualized in prior CT, now if any is small. Amount of left effusion is unchanged. Patient has known multiple lung Mets. Cardiomediastinal contours are unchanged. Port a cath tip is in unchanged position | |
Large left pleural effusion is present with adjacent left basilar atelectasis. Small right pleural effusion is also evident. Cardiomediastinal contours are normal. Mild pulmonary vascular congestion is demonstrated. In the imaged upper abdomen, diffuse haziness suggests the possibility of ascites. | |
The endotracheal tube is 4.1 cm above the carina. An enteric tube extends to stomach. Left subclavian line is unchanged and terminates in the low SVC. Lung volumes are low. A moderate-sized pleural effusion is noted on the left. There is no evidence of pneumonia, pulmonary edema or a pneumothorax. Cardiomediastinal sil... | |
Portable frontal view of the chest demonstrates stable appearance of the chest with persistent near complete opacification of the left hemithorax with a small lucent area in the upper left lung. The right lung remains clear with no right pleural effusion or pneumothorax. A catheter projects over the mid left hemithorax... | |
Interval intubation with tip terminating 7 cm above the carina. This could be advanced approximately 2 cm for standard positioning. Exam otherwise appears similar, except for development of patchy bibasilar opacities, which may reflect atelectasis or aspiration. | |
Tip of endotracheal tube terminates approximately 2 cm above the carina and could be withdrawn a few centimeters for standard positioning. Nasogastric tube terminates within the stomach. Heart size is normal. Aorta is tortuous. Multifocal linear areas of atelectasis are present in the right suprahilar region and both l... | |
The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present, although the extreme left costophrenic angle is excluded from the field of view. No acute osseous abnormality is seen. | |
There is an NG tube seen with distal tip projecting over the mid mediastinum, side port at the level of the clavicles. This was discussed over the phone with the surgical team at the time of radiograph review. The cardiomediastinal silhouette is unchanged. There is improvement in previously visualized right base/cardio... | |
The diffuse interstitial and airspace process involving nearly all of the right lung and the left mid to lower lung is not significantly changed. Overall cardiac and mediastinal contours are stable. A feeding tube is seen with its tip now projecting over the stomach. A right internal jugular central line is unchanged i... | |
The ETT has been removed. Right-sided IJV CVP in situ with the tip at the cavoatrial junction. NG tube in situ with the tip in the distal stomach. Interval improvement in lung volumes. New opacity in the right upper lobe may be rotational in nature or may represent lung pathology. Large right-sided pleural effusion wit... | |
An endotracheal tube has been placed, which terminates approximately 5 cm above the carina. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. There is no pleural effusion or pneumothorax. The lungs appear clear. | |
Substantial worsening predominantly right-sided consolidation most readily explained by pneumonia. Mild edema has also developed, best appreciated in the left lung. . A second focus of pneumonia could be in the left lower lobe partially obscured by cardiac silhouette. Small bilateral pleural effusions are presumed. No ... | |
Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Diffuse bilateral infiltrates are stable over the interval, and likely represent a combination of atelectasis and pulmonary edema. There has been interval removal of the right-sided chest tube. Dense ret... | |
As compared to the previous radiograph, the patient has undergone left lung surgery. The left chest tube is in situ. The fibrotic changes in both the left and right lung are constant. Minimal fluid overload. Borderline size of the cardiac silhouette. No pleural effusions, no pneumothorax. | |
There is no change in the size or appearance of the large right upper lobe mass. There are no focal consolidations. The pulmonary vasculature is normal. The heart is not enlarged. There is no pleural effusion. There is no pneumothorax. | |
The heart size is moderately enlarged. There is low lung volumes with volume loss at the bases. The left hemidiaphragm is ill-defined and is unclear if this is due to volume loss/ infiltrate/effusion. There is mild pulmonary vascular redistribution. The superior mediastinum is prominent but this may be secondary to pro... | |
Heart size is upper limits of normal. There are no focal consolidations, large pleural effusions, or pulmonary edema. There are no pneumothoraces. | |
The heart size is top normal. Aorta appears unfolded. The lungs are clear without evidence of focal consolidations, pleural effusions, or pneumothoraces. The visualized osseous structures are unremarkable. | |
As compared to the previous image, the right pneumothorax has substantially increased in extent and severity. There is depression of the right hemidiaphragm, indicating tension. No other change is visualized. | |
Support lines and devices are in standard position. The cardiac silhouette is mildly enlarged with left ventricular configuration. Bilateral confluent areas of airspace opacification are again demonstrated, likely due to multifocal pneumonia. They are located centrally in the left perihilar region, and more diffusely i... | |
Right PICC tip is in themid SVC. Cardiac size is minimally enlarged. There is no pneumothorax. ET tube is in standard position. NG tube tip is out of view below the diaphragm. Moderate pulmonary edema and bilateral effusions larger on the left associated with adjacent atelectasis are unchanged | |
Median sternotomy sutures and a mitral valve prosthesis, unchanged in appearance compared to the prior study. Moderate cardiomegaly and pulmonary edema are similar in degree when compared to the prior study. Probable right pleural effusion. No pneumothorax seen. | |
As compared to the previous radiograph, the lung volumes have increased. There is unchanged evidence of moderate to severe pulmonary edema. Moderate cardiomegaly and retrocardiac atelectasis. No larger pleural effusions. Right internal jugular vein catheter in unchanged correct position. | |
As compared to the previous radiograph, no relevant change is seen. Known retrocardiac atelectasis. No other parenchymal opacities. The monitoring and support devices are constant. | |
Lung volumes remain low. There is persistent elevation of the right hemidiaphragm. Right basilar atelectasis has improved slightly when compared to the prior study. There is a moderate thoracic scoliosis. A right internal jugular catheter is unchanged in appearance compared to the prior study. No pneumothorax. Or conso... | |
A single AP radiograph of the chest was acquired. The endotracheal tube is appropriately positioned, ending 2.9 cm above the level of the carina. A left pleural tube is seen terminating at the left lung base. There is a left subclavian catheter ending in the upper SVC. There is no evidence of pneumothorax. Lung volumes... | |
The tip of the endotracheal tube projects 2.3 cm from the carina. The gastric tube extends below the level the diaphragms but beyond the field of view of this radiograph. Large layering pleural effusions are unchanged in addition to bibasilar consolidations. No pneumothorax is identified. The size and appearance of the... | |
Endotracheal tube tip terminates in standard position approximately 5.6 cm from the carina. The nasogastric tube tip courses below the diaphragm, off the inferior borders of the film, likely within the stomach. The cardiac and mediastinal contours are unchanged. There is continued mild pulmonary vascular congestion and... | |
Single portable frontal view of the chest demonstrates interval removal of a feeding tube. A left subclavian catheter tip terminates in the mid SVC. Again noted is a moderate right and small left pleural effusion which are unchanged in severity. There is moderate bibasilar atelectasis. There is no pneumothorax or new c... | |
Frontal radiograph of the chest demonstrates a Dobbhoff tube with the weighted portion within the stomach. A left internal jugular central venous catheter is in unchanged position. Otherwise, there is no significant change compared to the prior study. | |
A right internal jugular catheter is unchanged in position. Previous median sternotomy sutures again noted. Bilateral pleural effusions appear similar. Persistent left lower lobe atelectasis. Bilateral hazy airspace opacities may reflect mild pulmonary edema. No pneumothorax seen. | |
Left PICC has been repositioned, now terminating in the mid to lower superior vena cava. Otherwise, no relevant change since recent radiograph of several hrs earlier. | |
As compared to the previous radiograph, there is a minimal improvement of the right basal parenchymal opacity, as reflected by reduction in extent and density. The capsulated right pleural effusion is unchanged and constant. The left lung has unchanged appearance. The monitoring and support devices and the moderate car... | |
AP portable upright view of the chest. Right IJ access dialysis catheter again seen with its tip in the region of the low SVC. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. No signs of congestion or edema. No signs of pneumomediastinum. The cardiomediastinal silhouette is normal. Imaged o... | |
CHEST, SINGLE AP PORTABLE VIEW. An ET tube is present, approximately 5.4 cm above the carina. A left-sided PICC line is present, tip over proximal/mid SVC. An OG-type tube with radiopaque tip is present, tip overlying the distal stomach. If an additional NG-type tube is present, the tip is hard to see but may overlie t... | |
A frontal view of the chest was obtained portably. Low lung volumes results in bronchovascular crowding. An elliptical left perihilar mass-like opacity is not clearly seen on prior studies, although the patient was previously rotated on multiple priors. A chronic left pleural effusion with adjacent atelectasis is simil... | |
Right internal jugular central venous catheter is in the upper SVC. Swan-Ganz catheter has been removed. Mediastinal and pleural drains remain in stable position. Lung volumes remain quite low. Left hilar and left retrocardiac opacity likely reflects atelectasis. There is no large pleural effusion or pneumothorax. Ther... | |
An endotracheal tube is in place with the tip terminating just below the level of the thoracic inlet. A nasogastric tube is seen coursing below the diaphragm and folding on itself within the stomach with the tip terminating in the distal stomach. A left subclavian approach central venous catheter is unchanged in positi... |
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