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A frontal supine view of the chest was obtained portably. The endotracheal tube ends 4.7 cm above the carina. The nasogastric tube ends in the stomach with the side port at the gastroesophageal junction. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged. Med... | |
In comparison with the study of ___, the right chest tube has been removed and there is no evidence of pneumothorax. The patient has taken a much better inspiration. Continued enlargement of the cardiac silhouette with substantial clearing of the atelectatic changes at the bases. | |
Mild pulmonary edema. No pleural effusions. Moderate cardiomegaly. Prior median sternotomy with intact sternal wires and CABG. Right-sided port terminates at the cavoatrial junction. | |
Previous small pneumomediastinum and deep cervical subcutaneous emphysema has improved. There is no pneumothorax or pleural effusion and no mediastinal widening. Heart is normal size, hila are unremarkable, and lungs are clear. | |
Comparison is made with prior studies from ___ and ___. Large left pleural effusion has increased. Cardiomegaly cannot be assessed, is obscured by parenchymal abnormalities. Retrocardiac atelectases have increased. Moderate vascular congestion is new. Tracheostomy tube is in standard position. Pacer leads are in standa... | |
As compared to the previous radiograph, no relevant change is seen. The lung volumes on the right have minimally increased, likely reflecting improved ventilation. The appearance of the mediastinal vessels is unchanged, including the known dilated pulmonary artery. Stabilization devices are constant in appearance. Unch... | |
Comparison to ___. Increase in extent and severity of the pre-existing right diffuse parenchymal opacities. The same opacities on the left are relatively stable. Unchanged moderate cardiomegaly with retrocardiac atelectasis. Stable monitoring and support devices, with the exception of the right internal jugular vein de... | |
Portable semi-upright radiograph of the chest demonstrates small to moderate right-sided pleural effusion with adjacent compressive atelectasis, which has increased over the interval. The left lung is essentially clear. There is a probable tiny right apical pneumothorax. The cardiomediastinal and hilar contours are unc... | |
New right subclavian central venous catheter with the tip in the mid-to-low SVC. No pneumothorax. | |
Partial collapse of the right upper lobe is new since the prior radiograph. Previously present bibasilar opacities have nearly resolved and were likely due to atelectasis. Indwelling support and monitoring devices are unchanged in position allowing for positional differences, including a right PICC that continues to te... | |
As compared to the previous radiograph, the right internal jugular vein catheter was removed and has been replaced by a right subclavian catheter. The course of the catheter is unremarkable, the tip projects over the low SVC. No complications, notably no pneumothorax. | |
AP chest compared to ___ through ___: Mild-to-moderate pulmonary edema, worse on the right, has been present without appreciable change since ___. Elevation of the right lung base is more pronounced now than it was previously, which could be due to increase component of subpulmonic pleural effusion, but I think the dia... | |
No relevant change as compared to the previous image. Unchanged alignment of the sternal wires, unchanged moderate cardiomegaly with enlarged pulmonary segments. No pulmonary edema, no pneumonia, no pleural effusions. . | |
The patient remains intubated, with a tip of the endotracheal tube in an unchanged location, approximately 2.2 cm above the carina. A weighted feeding tube remains in place, and the tip is within the stomach. A left-sided subclavian central venous catheter is present, with the tip in the region of the mid SVC, unchange... | |
Cardiac silhouette is prominent but unchanged. There remains mild prominence of the pulmonary interstitial markings, unchanged. There are lower lung volumes than on the prior study. There are no pneumothoraces. No definite areas of consolidation are noted. | |
3 severe right lower posterolateral rib fractures are more displaced today than on ___ and there is a moderate increase in bibasilar atelectasis but there is no appreciable pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable and the upper lungs are clear. It is conceivable that a small pneumo... | |
As compared to the previous radiograph, the patient has received a Dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter is not displayed on the image. The other monitoring and support devices as well as the bilateral parenchymal opacities, combined to a small to moderate pleural effusi... | |
AP portable supine view of the chest. Lung volumes are low. Hilar congestion with mild interstitial edema noted. The heart is top-normal in size. Mediastinal contour appears widened likely due to portable supine AP technique. No acute bony abnormality seen. | |
There is a vague left retrocardiac opacity which may represent atelectasis or early infiltrate. Heart size is prominent. There is no overt pulmonary edema. No pneumothoraces are seen. Portion of the right reverse total shoulder arthroplasty is visualized. | |
The endotracheal tube tip projects 4.5 cm above the carina. No change in the NG tube positioning. Compared with the prior study, moderate left-sided pleural effusion has increased in size, with adjacent compressive atelectasis. Small right pleural effusion is still present. There has been interval improvement in the bi... | |
In comparison with the study of ___, the monitoring and support devices are essentially unchanged. There is again enlargement of the cardiac silhouette with bilateral pulmonary opacifications most likely reflecting elevation of pulmonary venous pressure. The right hemidiaphragm is no longer sharply seen, consistent wit... | |
Portable AP radiograph of the chest was compared to ___. Tubes and lines are in appropriate position, unremarkable. Interstitial opacities are widespread, unchanged. Left pleural effusion and basal atelectasis is re-demonstrated. The ET tube tip is currently 6.2 cm above the carina, in appropriate position. | |
In comparison with the earlier study of this date, with the chest tube on water seal there is no evidence of significant pneumothorax. Otherwise little change. | |
CHEST, SINGLE AP PORTABLE VIEW. An ET tube is present, the tip is at the level of the mid clavicle, approximately 5.6 cm above the carina. An OG-type tube is present, tip extending beneath diaphragm off film. No pneumothorax is detected. Possible mild cardiomegaly. Aorta unfolded and slightly tortuous. The pulmonary hi... | |
Compared to chest radiographs since ___, most recently ___. Lung volumes are lower, exaggerating borderline interstitial edema, reflected in increasing bibasilar atelectasis. Small left pleural effusion is likely, in addition to left pleural scarring. Right pleural abnormality minimal if any. No pneumothorax. Mild to m... | |
Right subclavian catheter tip is in theright atrium. Moderate cardiomegaly is stable. Mild pulmonary edema has improved. Moderate to large bilateral effusions with adjacent atelectasis have minimally improved. There is no pneumothorax. | |
The patient is intubated. The tip of the endotracheal tube projects 4 cm above the carina. The lung volumes are normal. There is no central venous access line. Moderate bilateral areas of atelectasis, left more than right, with a likely left pleural effusion. No overt pulmonary edema. No pneumonia. | |
There no prior chest radiographs available for review. Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. . | |
In comparison with study of ___, there are lower lung volumes with continued prominence of the cardiac silhouette without appreciable pulmonary vascular congestion. Triple -lead pacer device is unchanged. Right subclavian PICC line extends to the mid to lower portion of the SVC. | |
The right costophrenic angle is not fully included on the image. Given this, no large pleural effusion is seen. There is no focal consolidation or evidence of pneumothorax. Eventration of the right hemidiaphragm is again seen. Right paratracheal opacity without indentation of the adjacent trachea is stable since scout ... | |
Compared to ___, pulmonary edema has improved. The major problems with respect to the lungs are severe atelectasis, particularly left lower lobe, and displacement by concurrent moderate to large bilateral pleural effusions. Heart is top-normal size, also improved since ___. Tip of the intra-aortic balloon pump is above... | |
Cardiac size is normal. Lines and tubes are in standard position. Large bilateral effusions with adjacent atelectasis and diffuse bilateral peribronchial opacities / consolidations larger in the left upper lung are unchanged . There is no pneumothorax | |
Comparison is made to prior study from ___. There are extremely low lung volumes and the patient's chin overlaps the left upper lung field. This limits the study. There is crowding of the pulmonary vascular markings at the bases with subsegmental atelectasis. There is also a basilar left-sided pleural effusion. Overall... | |
Previous mild pulmonary edema is unchanged. Heart is top-normal or mildly enlarged, unchanged, but small pleural effusions are new. No pneumothorax. No pulmonary consolidation. | |
In comparison with the earlier study of this date, the endotracheal tube remains well positioned, approximately 5 cm above the carina. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette and without definite vascular congestion. Atelectatic changes are seen at the left ba... | |
Portable AP radiograph was provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis, right greater than left. Right shoulder replacement hardware is present. Multiple monitoring devices overly the lungs. The cardiomediastinal silhouette i... | |
As compared to the previous radiograph, the pre-existing parenchymal opacity in the right mid and lower lung has minimally increased in severity and extent. However, the opacity is still extensive and clearly visible. There is a minimal right pleural effusion. The left complete opacification of the hemithorax is unchan... | |
The endotracheal tube ends 2.7 cm above the level of the carina. A metallic stent is seen within the expected region of the bronchus intermedius, new compared to the prior study. There has been interval collapse of the right upper lobe. Minimal bibasilar atelectasis is not significantly changed. The heart size is norma... | |
Lung volumes are markedly low. There is opacity at the right apex with elevation of the minor fissure suggesting partial collapse of the right upper lobe. Patchy opacity in the retrocardiac area is also seen and may represent atelectasis, although pneumonia cannot be entirely excluded. As the left hemidiaphragm is part... | |
In comparison with the study of ___, there has been placement of a new Dobhoff tube that extends to the antrum. Continued opacification at the left base consistent with a combination of pleural fluid and volume loss in the left lower lobe. No evidence of vascular congestion or acute focal pneumonia. The left subclavian... | |
A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette. There is little overall change compared to prior exam approximately 7 hours prior, as well as the day prior. There is no new focal consolidation. Pleural effusions are minimal, if any. There is no appreciable pneumothorax. | |
Single frontal view of the chest was obtained. Nasogastric tube terminates underneath the diaphragm, but appears looped within the oropharynx. Lung volumes are low, but the lungs are clear. No focal consolidation, substantial pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal. | |
In comparison with the earlier study of this date, the patient has taken a somewhat better inspiration. Opacification at the left base is again consistent with volume loss in the lower lobe and pleural effusion. Monitoring and support devices are essentially unchanged and the right lung is clear. | |
Patient is somewhat rotated to the right. Patient is status post median sternotomy and CABG. Triple lead left-sided pacer device is stable in position. Bilateral perihilar and basilar opacities persist, possibly slightly increased, most worrisome for pulmonary edema, superimposed infection is not excluded. Obscuration ... | |
Comparison to ___. Lung volumes have decreased. Bilateral basal areas of atelectasis are visualized. Mild pulmonary edema continues to be present. Pre-existing lung metastasis are unchanged. | |
Left mediastinal shift and left lung extensive consolidation are unchanged. Opacities within the right lung appear to be as extensive as previously but potentially with minimal interval improvement in variation. As previously mentioned on the CT examination the are concerning for extensive lymphangitic spread. | |
ONE PORTABLE UPRIGHT AP VIEW OF THE CHEST. The NG tube ends in the region of the pylorus and the left side port is below the GE junction. There is improvement in lung volumes compared to prior study. Mild bibasilar atelectasis. No consolidation, pleural effusion or pneumothorax. | |
Comparison is made to previous study from ___. The tracheostomy, feeding tube, bilateral central venous lines are unchanged in position. Calcifications of the mitral annulus are again seen. Unchanged cardiomegaly. There is again seen pulmonary edema which is slightly worse when compared to the previous study. There is ... | |
A right internal jugular central venous catheter projects with the tip at the confluence of the brachiocephalic veins. The cardiomediastinal silhouette is stable. There is a retrocardiac opacity which may reflect atelectasis, aspiration or infection. No pleural effusion or pneumothorax. | |
Portable AP chest radiograph. Left PICC tip and post-pyloric feeding tube are in stable position. Mild interstitial edema has redistributed due to change in patient position. Right hilar enlargement is unchanged from multiple priors, but concerning for lymphadenopathy. There is no pneumothorax. The heart remains mildly... | |
Evaluation is somewhat limited by overlying trauma board. An endotracheal tube terminates 2.3 cm above the level of the carina. And oral gastric tube is seen terminating within the stomach. A left-sided central venous line terminates near the cavoatrial junction. There is a dual lead left pectoral pacemaker noted. Surg... | |
The re- is no interval development of right pneumothorax. Right subcutaneous air is unchanged. Right pleural effusion is moderate, unchanged. Mediastinal contours are unchanged but when compared to ___ and ___ there is an impression of slight increase in the right perihilar thickening, potentially reflecting hematoma, ... | |
There is prominence of interstitial markings and perihilar engorgement consistent with mild pulmonary edema. The heart size is normal and there is no pleural effusion, pneumothorax or focal consolidation. Osseous structures are unremarkable. | |
ET tube low, increasing densities. | |
There has been interval removal left -sided chest tube. There is a minimal left apical pneumothorax, which is decreased in size in comparison to that seen on chest x-ray from ___. There is superficial subcutaneous emphysema lateral to the left chest wall. There is unchanged elevation of the left hemidiaphragm. Allowing... | |
AP chest compared to ___: Mild pulmonary edema and progressive vascular congestion developed on ___. Edema has improved in the right lung, worsened in the left where there is new atelectasis. Mediastinal vascular engorgement suggests persistent volume overload. Pleural effusions are small if any. No pneumothorax. | |
Again seen is a right middle lobe infiltrate, which is similar in appearance to that from ___. There are also patchy areas of infiltrate in the left lower lung, some of which were seen on the CT scan from 3 weeks ago. There small bilateral effusions. . | |
The cardiomediastinal silhouettes are stable, with a mildly tortuous thoracic aorta. The hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. | |
The previously described oval right upper lobe mass appears unchanged. There are linear opacifications of the left upper lobe, which represent fibrosis. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acu... | |
In comparison with the study of ___, the tip of the PICC line is at or just below the cavoatrial junction. There has been some decrease in the right pleural effusion, though this could merely be a manifestation of a more erect position of the patient. Continued bibasilar atelectatic change without vascular congestion o... | |
Comparison is made to the prior study from ___ at 5:34 p.m. Low lung volumes. The right-sided central venous line is unchanged in position. Cervical spinal hardware is seen. There is atelectasis of the lung bases. There is some prominence of the pulmonary interstitial markings. There are no pneumothoraces. Atelectasis ... | |
Compared to prior chest radiographs since ___, most recently ___, read in conjunction with concurrent chest CT, reported separately. Chest CT shows that the substantial increase in the now very large left pleural effusion, probably hemorrhagic, combines with complete occlusion of the left main bronchus by retained secr... | |
New cardiac pacemaker in place tips right atrium, right ventricle. Status post TAVR. Left pleural effusion, similar. Left basilar consolidation, likely atelectasis, similar. No pneumothorax. Surgical clips right upper quadrant. Degenerative changes spine. | |
The heart is normal in size. Prominent right hilum is suspected to result from the orientation of the cardiomediastinal contours, which are somewhat rotated toward the left side. There is also, however, a patchy right lower lung opacity worrisome for pneumonia in the appropriate setting. There is no pleural effusion or... | |
Right internal jugular venous line terminates at mid SVC. Transesophageal tube courses below the diaphragm and out of view. Tracheostomy tube position is not well visualized, but appears tilted. Moderate Pulmonary edema is similar to ___. Severe bibasilar opacities, left greater than right, likely reflect atelectasis o... | |
In comparison with the study of ___, the cardio mediastinal silhouette is stable. There is increasing prominence of opacification bilaterally, consistent with elevated pulmonary venous pressure and layering effusions with compressive basilar atelectasis. However, in the appropriate clinical setting superimposed pneumon... | |
Lung volumes are low. Cardiomediastinal contours are stable in appearance. Right upper lobe scarring and calcified granulomas are unchanged. New linear atelectasis has developed at the left base. No new areas of consolidation to suggest a site of pulmonary infection, but standard PA and lateral views of the chest may b... | |
Small bilateral pleural effusions have increased from prior with a greater degree of atelectasis seen in the retrocardiac space. The dense consolidation within the lingula and left upper lobe is unchanged. Mildly enlarged heart is unchanged. The mediastinal contours and right hilus are unremarkable. The pulmonary vascu... | |
No previous images. Endotracheal tube tip lies approximately 2.7 cm above the carina. Hazy opacification in the right hemithorax is consistent with layering pleural effusion. Opacification in the retrocardiac region with poor definition of the hemidiaphragm is consistent with volume loss in the lower lobe and possible ... | |
AP chest compared to ___: Lung volumes are lower, and pulmonary and mediastinal vasculature are more engorged, with slight increase in interstitial edema, all pointing toward cardiac decompensation. There may have been an increase in the small left pleural effusion, best evaluated on the lateral projection. There is no... | |
Interval extubation and removal of nasogastric tube. Stable mild cardiomegaly accompanied by pulmonary vascular congestion and worsening pulmonary edema. | |
WORSENING OPACITY IN RIGHT LOWER LOBE ACCOMPANIED BY VOLUME LOSS CONSISTENT WITH PARTIAL RIGHT LOWER LOBE ATELECTASIS. INTERVAL IMPROVEMENT IN EXTENT OF ATELECTASIS IN LEFT RETROCARDIAC REGION. A VAGUE OPACITY THE RIGHT UPPER LOBE COULD POTENTIALLY REPRESENT A DEVELOPING PNEUMONIA GIVEN CLINICAL SUSPICION FOR THIS ENTI... | |
Portable AP radiograph of the chest was reviewed in comparison to ___. Post-sternotomy wires are unremarkable. Heart size is enlarged with the pacemaker leads terminating in the expected location of right atrium, right ventricle and left periventricular leads. There is new opacity running parallel to the aorta in the l... | |
ETT tip projects approximately 2.5 cm from the carina, slightly low. Enteric tube traverses the diaphragm into the left upper quadrant. Right IJ catheter tip projects over the expected region of the SVC-RA junction, unchanged. Lung volumes remain low with bronchovascular congestion. Interval decrease in lower lung opac... | |
Left-sided pacemaker with 2 leads is unchanged in position. There is cardiomegaly which is stable. There has been worsening of the bilateral pleural effusions and new consolidation at the right base since the prior study. There is mild pulmonary edema. There are no pneumothoraces. | |
In comparison with the study of ___, the endotracheal tube tip now lies approximately 2.5 cm above the carina. Nasogastric tube extends to the distal antrum. There are lower lung volumes, but no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. | |
Allowing for technical differences, the overall appearance is quite similar. Equivocal slight improvement. | |
As compared to ___ radiograph, pulmonary vascular congestion has worsened and is accompanied by mild to moderate edema. More confluent opacity at both lung bases is probably due to atelectasis but coexisting pneumonia is possible. Right pleural effusion has increased in size in the interval. No other relevant changes.2 | |
AP chest compared to ___: Volume of air in the pleural space at the base of the right lung has increased, while a small residual right pleural effusion is stable, basal pleural tube unchanged in position. There is no apical pneumothorax. Subcutaneous emphysema in the right chest wall has increased slightly, while subcu... | |
AP upright portable view. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. The trachea again courses to the right. The lungs remain hyperinflated. Right greater than left bibasilar opacities are again seen, similar to prior, however, it is unclear whether resolved and increased in the ... | |
The lung volumes are normal. Borderline size of the cardiac silhouette. Mild fluid overload but no overt pulmonary edema. Mild elongation of the descending aorta. No pleural effusions. No pneumonia. | |
1. Near complete resolution of a right pleural effusion. 2. Probable right basilar loculated hydropneumothorax. 3. Moderate left pleural effusion. Findings were discussed with Dr. ___ by Dr. ___ ___ the telephone on ___ at 15:30, ___ min after findings were made. | |
COMPARED TO CHEST RADIOGRAPHS ___ THROUGH ___. Small opacities increased at the base of the left lung are probably atelectasis, but a small nodule is not excluded. There is no appreciable consolidation. Pleural effusion is small on the left if any. Right lung is clear. Normal cardiomediastinal and hilar silhouettes. | |
As compared ___ chest radiograph, bilateral asymmetrically distributed alveolar opacities have slightly worsened in the right lung inner minimally improved at the left base. Small bilateral pleural effusions are unchanged. | |
AP single view of the chest has been obtained with patient in supine position. The patient is now intubated. An ETT is seen to terminate in the trachea 5 cm above the level of the carina. No pneumothorax has developed. No new pulmonary infiltrates or evidence of pleural effusion when comparison is made with the next pr... | |
In comparison with the earlier study of this date, the tip of the endotracheal tube now measures approximately 2.7 cm above the carina. NG tube extends at least to the upper stomach, where it crosses the inferior margin of the image. There is opacification at the left base with elevation of the hemidiaphragmatic contou... | |
Right upper lobe atelectasis, partial is unchanged. Mediastinal silhouette is unchanged. ET tube tip is 4.7 cm above the carinal. NG tube tip is in the stomach. Multiple right rib fractures are demonstrated. Small pneumothorax cannot be excluded in appears to be unchanged since previous examinations, better depicted on... | |
A new left basilar chest tube is demonstrated with interval decrease in size of the left pleural effusion, now moderate in extent. There is a persistent layering pleural effusion on the right which is moderate in size. Patchy bibasilar airspace opacities likely reflect atelectasis though infection cannot be excluded. C... | |
AP chest compared to the only prior chest radiograph, ___. Right pleural tube is new arcing over the right upper lung, terminating in the lower hemithorax. There is no appreciable right pleural effusion or pneumothorax. Cardiac silhouette is hugely enlarged, bigger today than it was in ___. Mediastinal and pulmonary ve... | |
Comparison to ___. Minimal increase in extent of the pre-existing right pleural effusion. Decrease of the left basilar atelectasis. Moderate cardiomegaly persists. The monitoring and support devices are stable. | |
The heart size is mildly enlarged. The aorta is tortuous. Streaky bibasilar opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. The patient's chin obscures the extreme lung apices. There are no acute osseous abnormalities. | |
Cardiomegaly is obscured by a adjacent pleuro parenchymal abnormalities. Moderate bilateral effusions with adjacent atelectasis have increased on the left. Mild to moderate pulmonary edema has increased. Left PICC tip is not clearly visualized due to technique. | |
In comparison with the study of ___, there again are low lung volumes that accentuate the transverse diameter of the heart. Little if any elevation of pulmonary venous pressure. Left basilar opacification suggests volume loss in the lower lobe with pleural fluid, which could be related to splinting following rib fractu... | |
Comparison is made with prior study ___. Large left pleural effusion has markedly increased. Small right effusion is probably unchanged allowing the difference in positioning of the patient. Right lower lobe atelectasis has increased. Cardiomediastinal contours are unchanged. Left PICC tip is in the mid SVC. There is m... | |
AP chest reviewed in the absence of prior chest imaging: Right subclavian line heads up into the neck and out of view, anatomic localization impossible on this single frontal projection. There is no evidence of mediastinal or intrathoracic bleeding associated with this line placement, nor pneumothorax. Lungs are extrem... | |
In comparison to ___ chest radiograph, pulmonary edema has worsened in severity. No other relevant change. | |
AP chest compared to ___: Pulmonary vascular engorgement is a little more pronounced and there is a small region of edema in the left mid lung, but pleural effusions are small, if any, and left lower lobe atelectasis has not worsened. Cardiomediastinal silhouette has a normal postoperative appearance. No pneumothorax. | |
Left chest tube is in place. Interval decrease in pneumothorax is present. Subcutaneous air is noted. Interval progression of the left upper lobe atelectasis demonstrated | |
Portable AP radiograph of the chest was reviewed in comparison to ___. Cardiomegaly is substantial, unchanged. Mediastinal contours are stable. Bilateral perihilar opacities have slightly decreased consistent with mild improvement of pulmonary edema, but still substantial involvement of the lungs by the process is pres... | |
Comparison is made to prior studies ___. NG tube tip is in the stomach. Right lower lobe opacity is new consistent with pneumonia. Left lower lobe atelectasis is unchanged. There is no pleural effusion. Cardiomediastinal contours are unchanged. |
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