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Compared to the prior exam there is increased alveolar infiltrate left greater than right. There is moderate pulmonary edema. There bilateral pleural effusions left greater than right. It is unclear if this is asymmetric pulmonary edema which would be unusual given that this is left greater than right in appearance or ... | |
Comparison to ___. The tip of the changed endotracheal tube projects 4 cm above the carina. No complications, notably no pneumothorax. The other monitoring and support devices are stable. Stable appearance of the lung parenchyma and the cardiac silhouette. | |
Following removal of right chest tube, a small right apical pneumothorax appears unchanged. Heterogeneous opacities in the right lung appear slightly improved and may reflect improving asymmetric edema. Small right effusion is unchanged from CXR one hour earlier. | |
AP radiograph of the chest was compared to ___. Heart size is enlarged, unchanged. Mediastinal contour is stable. Lungs' assessment demonstrates mild volume overload but no overt pulmonary edema. Right upper quadrant surgery is redemonstrated. | |
Focal region of consolidation is noted in the left mid lung was seen on multiple priors dating back to ___. These appear slightly more conspicuous on the current exam likely secondary to overlying scapula. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted a... | |
Compared to chest radiographs ___ through ___. Left PIC line ends in the upper SVC. Restrictive right pleural thickening persists but there has been a decrease in the volume of dependent pleural effusion. I cannot tell whether this has been replaced by pleural air or re-expanded lung. Basal pleural drainage tube is sti... | |
1. Endotracheal tube continues to have its tip approximately 5 cm above the carina. A nasogastric tube is seen coursing below the diaphragm with the tip just below the esophageal gastric junction. Advancement of the tube by approximately 5 cm would be recommended to ensure that the side port is subdiaphragmatic. The ca... | |
Portable AP upright chest radiograph was obtained. The lungs are relatively well expanded and clear without pleural effusion or pneumothorax. The heart is mildly but stably enlarged, particularly the left atrial contour, with normal mediastinal and hilar contours. | |
Compared to prior chest radiographs since ___, most recently ___ through ___. Heterogeneous opacification in the lungs, much worse on the right, has worsened substantially since ___. This could be asymmetric edema but raises serious concern for widespread pneumonia. Heart size top-normal. Pleural effusions are presumed... | |
A left IJ central venous catheter terminates at the upper SVC. Remainder of exam is unchanged since study performed 1 hour prior. | |
Lung volumes are low. No focal consolidation. Focal opacity at the left costophrenic sulcus with obscuration of the left hemidiaphragm. Heart size is at the upper limits of normal. There are no significant pleural effusions or pneumothorax. | |
Portable AP radiograph of the chest was reviewed in comparison to ___. Dobbhoff tube passes below the diaphragm terminating in the stomach. Heart size and mediastinum are stable. Widespread parenchymal opacities and right pleural effusion appear to be slightly progressed since the prior study consistent with most likel... | |
The heart is mildly enlarged. The pulmonary vasculature is prominent, with possible trace edema. A right lower lobe opacity is present, compatible with pneumonia. | |
1. Opacity at the right base, highly suggestive of a pneumonic infiltrate with associated small-to-moderate right effusion. 2. Very s,mall left effusion with left base atelectasis. 3. Mild cardiomegaly. Possible background hyperinflation/COPD. 4. Upper zone redistribution; doubt overt CHF. | |
External pacer lead terminates in the right ventricle. The pacer was inserted through the right internal jugular vein. Right PICC line tip is at the cavoatrial junction. Heart size and mediastinum are unchanged in appearance. Lung volumes are low. There is no evidence of pneumothorax. There is potential left upper lobe... | |
As compared to the previous radiograph, the tip of the endotracheal tube still projects more than 6 cm above the carinal. The tube should be advanced by approximately 2-3 cm. The other monitoring and support devices are constant in position. Unchanged extent and severity of the bilateral parenchymal opacities. Unchange... | |
Mild bibasilar atelectasis is noted without definite focal consolidation. No large pleural effusion or evidence of pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. Slight prominence of the hila suggest pulmonary vascular engorgement without overt pulm... | |
As compared to the previous radiograph, there has been interval removal of a right basilar chest tube. The right apical chest tube is in similar position to the previous exam. The air inclusions in the right chest wall have decreased. Unchanged small bilateral pneumothoraces. The tracheostomy tip is difficult to see, t... | |
Comparison to ___. The pre-existing parenchymal opacities in both lungs, but predominating on the left, have slightly increased in extent and severity. There is partial left lower lobe atelectasis with air bronchograms. In the appropriate clinical setting, the findings are consistent with multifocal pneumonia. In addit... | |
Compared with 1 day earlier, the right chest tube is been removed. Compared to the prior film, the right apical pneumothorax appears smaller and there has been slight re-expansion of the right lung, with some residual opacity noted. Surgical sutures noted. Again seen is subcutaneous emphysema along the right chest. Pat... | |
As compared to the previous radiograph, there is no relevant change. There is no evidence of pneumonia. Borderline size of the cardiac silhouette with slight enlargement of the left ventricle. Mild tortuosity of the thoracic aorta. Normal size of the cardiac silhouette. No pleural effusions. No evidence of pneumonia. | |
Upright portable view of the chest demonstrates interval placement of a chest tube, its tip projecting over right apex with associated reexpansion of the right lung. Small apical pneumothorax persists. Linear lucency projecting over axilla likely represents a small subcutaneous gas. Left lung is well expanded and clear... | |
Since the prior study there is minimal interval increase in the left pneumothorax and also increase in the subcutaneous air. Involvement of the contralateral neck and chest is currently present. The left upper lobe appears to be collapsed. | |
AP chest compared to ___ and ___: Severe cardiomegaly is stable, but pulmonary vascular congestion mild if any has improved. No edema or appreciable pleural effusion. No mediastinal widening to suggest elevated right heart pressure. | |
Comparison is made to previous study from ___. Tracheostomy and feeding tube are again seen and in unchanged position. Heart size is upper limits of normal. There are low lung volumes with crowding of the pulmonary vascular markings at the bases with atelectasis. There are likely small bilateral pleural effusions. Ther... | |
The lung volumes are normal. Borderline size of the cardiac silhouette with no evidence of overt pulmonary edema. No pleural effusions, no pneumonia. Normal appearance of the hilar and mediastinal structures. | |
A portable frontal chest radiograph demonstrates an unchanged cardiomediastinal silhouette, with the heart top-normal in size. Lung volumes are improved from the day prior. Bilateral opacities are improved compared to ___, consistent with resolution of pulmonary edema. Persistent lingular opacity could represent overly... | |
Patient has tracheostomy tube in standard position. Mild cardiomegaly is stable. Increasing opacities in the right lung could represent aspiration. Vascular congestion has minimally worsened. There is probably a small right effusion. Lines and tubes are in standard unchanged position. | |
As compared to the previous radiograph, there is unchanged presence of a right PICC line. Moderate cardiomegaly is unchanged, but minimal pleural effusions might have occurred in the interval. There are ongoing signs of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No new parenchymal opacity. No ... | |
Patient is no longer intubated, Lung volumes are still extremely low and there has been a substantial increase in atelectasis in both lungs. Heart size is normal. There is no pulmonary edema or appreciable pleural abnormality. | |
Portable semi-upright radiograph of the chest demonstrates tiny left apical pneumothorax. There is no shift of the mediastinum. The cardiomediastinal and hilar contours are unremarkable. The right lung is clear. | |
Comparison to ___. Stable normal lung volumes. Stable mild cardiomegaly without evidence of pulmonary edema or pleural effusions. No pneumonia. No pneumothorax. | |
As compared to the previous radiograph, there is no relevant change. Clip projecting over the upper parts of the left hilus. Volume loss at the left lower and left upper lung level. Minimal middle lobe atelectasis. No new focal parenchymal opacities. Minimal left apical pneumothorax continues to be present. No evidence... | |
Comparison to ___. Stable position of the right chest tube, stable position of the axillary right PICC line. No evidence of pneumothorax. The extent of the right pleural effusion is overall unchanged. | |
Assessment is slightly limited due to patient rotation. Endotracheal tube tip terminates approximately 3 cm from the carina. Heart size is mildly enlarged. The aorta is tortuous. Bilateral hilar enlargement may suggest underlying lymphadenopathy of pulmonary arterial enlargement. Right pleural thickening or fluid is se... | |
AP chest compared to ___: I see an external portion of a feeding tube passing up toward the mouth or nose, but I see no internal component nor do I see an enteric drainage tube. Heart is moderately enlarged, and mediastinal veins are more dilated today than on ___, lung volumes are still quite low. There is no pulmonar... | |
As compared to the previous radiograph, the pre-existing left lower lobe atelectasis has improved. However, the zone of increased radiodensity at the left lateral aspects of the lung bases has newly occurred. In the appropriate clinical setting, the findings are suggestive of pneumonia. At the time of dictation and obs... | |
Compared to the prior radiograph, no significant change is noted. Bilateral pleural effusions with adjacent atelectasis are unchanged. There is minimal fluid overload without overt pulmonary edema. No new focal consolidation concerning for pneumonia. The support and monitor devices are constant in position. Intact medi... | |
In comparison with the earlier study of this date, there appears to be mild improvement in the diffuse bilateral pulmonary opacifications, consistent with the clinical diagnosis of multifocal pneumonia. Little change in the monitoring and support devices. | |
A single AP radiograph of the chest was acquired. There has been interval placement of a right internal jugular central venous catheter with its tip overlying the right axilla, likely within the right axillary vein or one of its tributaries. There is no pneumothorax. The lungs are clear. The heart size is normal. The m... | |
As compared to the previous radiograph, there is a rapid worsening of the bilateral parenchymal opacities. Mainly suggesting centralized pulmonary edema. At the current time point, there are no major pleural effusions. The multiple bilateral lung nodules, likely metastatic in origin, are unchanged. Unchanged appearance... | |
Cardiac size is top-normal. There are persistent low lung volumes. Bibasilar opacities have markedly worsened on the right. These opacities could be large areas of atelectasis but superimposed infection cannot be excluded. The upper lungs are grossly clear. There is no pneumothorax. If any there is a small right effusi... | |
There is a left chest Port-A-Cath with distal tip overlying the cavoatrial junction. The cardiomediastinal silhouettes are within normal limits. The hila are unremarkable. There is no evidence of pulmonary vascular congestion. There is diffuse reticulonodular interstitial opacity worst at the lung bases, and better eva... | |
ET tube tip is 7 cm above the carinal. Right internal jugular line introducer tip is at the level of the right internal jugular vein. Cardiomediastinal silhouette and left basal consolidation is unchanged | |
In comparison to the most recent prior study, there is a new left basilar opacity obscuring the left heart border and left hemidiaphragm. Lucency in the bilateral lung apices is consistent with emphysematous change. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is top normal in siz... | |
AP portable upright view of the chest. Evaluation limited due to portable technique and leftward patient rotation. Dual lead pacemaker is again noted though the distal extent of the ventricular lead is not visualized. An azygous fissure is again seen. There are low lung volumes with basilar atelectasis noted. There is ... | |
As compared to the previous radiograph, the bilateral pleural effusions but distributed in a slightly different way but are overall unchanged in extent and severity. Moderate cardiomegaly and bilateral areas of basilar atelectasis persist. No new parenchymal opacities. The monitoring and support devices are in constant... | |
Mild pulmonary vascular congestion. Moderate cardiomegaly with mild enlargement of the aorta, not fully characterized on chest radiograph. Likely small left pleural effusion and adjacent atelectasis. Minimal right lower lobe assess. No pneumothorax. | |
Compared to chest radiographs since ___, most recently ___ through ___. Right lower lobe consolidation persists, either pneumonia or atelectasis but associated pleural effusion is much smaller. Left lower lobe collapse is unchanged accompanied by at least a small or moderate left pleural effusion. No definite pneumotho... | |
As compared to the previous radiograph, the right internal jugular vein catheter was removed. The patient is slightly rotated, which leads to improved visibility of existing and unchanged right lung opacities with air bronchograms. Small bilateral pleural effusions and retrocardiac atelectasis persists. No evidence of ... | |
ET tube is unchanged. Left-sided chest tube is unchanged. Right IJ Swan-Ganz catheter tip is in the pulmonary outflow tract. There is been interval decrease in the right pleural effusion. there is still some residual volume loss in both lower lung. There continues to be mild pulmonary vascular redistribution. | |
Compared to the prior study there is no significant interval change. | |
Compared to chest radiographs ___ through ___. Lung volumes remain quite low, with bibasilar atelectasis, moderate on the right, more severe on the left, accompanied by small pleural effusions, left greater than right. No pneumothorax. No pulmonary edema. | |
Since the prior chest radiograph performed earlier on the same date, there has been interval placement of a right-sided pigtail catheter. Right-sided pleural effusion has essentially resolved. Small left pleural effusion persists. There is a small right apical pneumothorax measuring approximately 15 mm from the chest c... | |
As compared to the previous radiograph, the Dobbhoff catheter is now in correct position. Unchanged correct position of the left internal jugular vein catheter. The lung volumes remain low. There are areas of atelectasis at both the left and the right lung base as well as mild fluid overload. No evidence of pneumonia. | |
There is new near complete opacification of the left hemithorax without appreciable deviation of the trachea and mediastinum. Increased lucency over the left upper lung field may be due to the aerated superior segment left lower lobe, but a loculated pneumothorax cannot be excluded. There is increased left lower lobe s... | |
As compared to the previous radiograph, the lung volumes have decreased. There is an increase in severity of pulmonary edema. In addition, the appearance of bilateral perihilar vessels of increased diameter emphasize the increase in pulmonary blood volume. Moderate cardiomegaly. The pre-existing areas of atelectasis, n... | |
In comparison with the earlier study of this date, there has been placement of a left subclavian PICC line that coils upon itself and extends so that the tip points to the axilla. Otherwise, little change in the diffuse bilateral pulmonary opacifications. | |
Single supine AP portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately 6 cm above the level of the carina. The patient is in better position as compared to prior study and the mediastinum no longer appears shifted. There are low lung volumes. Left base opacity may relate to effus... | |
Since prior, there has been interval removal of all monitoring and support devices. There is no pneumothorax. The lungs are clear. Pleural effusion is small, if any. Core valve is in place. | |
A Port-A-Cath terminates in the superior vena cava. There is again a gastrostomy tube projecting over the left upper quadrant and cholecystectomy clips projecting over the right upper quadrant of the abdomen. There is a device projecting over the upper mediastinum that presumably lies outside of the patient. The heart ... | |
There are no prior chest radiographs available for review. Lungs are low in volume but grossly clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | |
The patient is extubated and all monitoring and support devices, with the exception of the right PICC line, have been removed. The tip of the PICC line projects over the mid to lower SVC. No evidence of complications. Unchanged low lung volumes. Borderline size of the cardiac silhouette and moderate retrocardiac atelec... | |
AP chest compared to 10:20 p.m. on ___: There has been no appreciable interval change. Bilateral perihilar consolidation, more pronounced in the right lung and multinodular opacities in the right lower lung suggests that virtually all of the widespread pulmonary abnormality could be due to pneumonia. Contribution of AR... | |
ET tube is 4.3 cm from the carina. Left internal jugular central venous catheter remains in the low SVC at about the superior cavoatrial junction. Right internal jugular central venous catheter remains in the mid SVC. Enteric tube terminates in the stomach. There is persistent irregular high density material projecting... | |
No relevant change as compared to the previous image. The monitoring and support devices are constant. Constant appearance of the cardiac silhouette and of the postoperative changes at the left lung basis. There is no convincing evidence for the presence of a pneumothorax. | |
In comparison with the study of ___, there is little change in the appearance of the heart and lungs. No evidence of free intraperitoneal gas. However, this is not an upright image, so that pneumoperitoneum can not be excluded. If this is a serious clinical concern, lateral decubitus or even CT would be necessary to ex... | |
As compared to the previous radiograph, there is no change in appearance of the monitoring and support devices. The lung volumes remain low but the lungs have increased in transparency, likely reflecting improved ventilation. No new focal parenchymal opacities. Unchanged minimal left pleural effusion with left retrocar... | |
ET tube tip lies approximately 2.6 cm above the carina. An NG tube is present, tip extending beneath diaphragm, off film. Right-sided chest tube is present. Right subclavian central line tip lies in the region of the cavoatrial junction. No pneumothorax is detected. There is rotated positioning as well suspected right ... | |
Compared with prior exam, there has been mild interval improvement of aeration of both lungs, but there are still bilateral diffuse alveolar opacities compatible with pulmonary edema. The left apical opacity is also stable. There is no evidence of pneumothorax. An esophageal tube has been placed, with the side port see... | |
The heart appears mild to moderately enlarged. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear. | |
Post-replacement of the orogastric tube. The course of the newly inserted tube is unremarkable. The tip projects over the middle parts of the stomach. There is no evidence of complication, notably no pneumothorax. The other monitoring and support devices are unchanged. On both the right and the left side, a pre-existin... | |
Tip of right PICC is located in region of the right brachiocephalic vein near the junction with the superior vena cava. A slight redundancy of the catheter is observed in the imaged portion of the right axilla. Heart size is normal, and lungs are clear except for calcified granulomas in the right lower lung. | |
AP chest compared to ___ through ___: Small left pleural effusion which diminished only slightly after ___ with insertion of a small bore left pleural drain, has not changed. There is no pneumothorax. Small right pleural effusion is stable. Mild peribronchial opacification in the lower lungs could be atelectasis or inf... | |
Interval placement of a right-sided internal jugular central venous line with the tip terminating near the cavoatrial junction. A nasogastric tube courses beneath the diaphragm now two-view the radiograph. Endotracheal tube is unchanged in position. Cholecystostomy clips are noted. Lung volumes remain low but without e... | |
A frontal upright view of the chest was obtained portably with a lateral performed 1 hour later. New bibasilar opacities with indistinctness of the pulmonary vasculature is likely due to pulmonary edema with increased pleural effusions. Underlying infection cannot be excluded. The heart cannot be assessed. The aortic k... | |
As compared to the previous radiograph, the right apicolateral consolidation of postoperative origin is unchanged. Also unchanged is the position of the right basal clips. The aorta continues to be tortuous and slightly dilated at the level of the aortic arch. This change, however, has not increased in severity as comp... | |
The patient is intubated, with tip of endotracheal tube terminating 2.5 cm above the carina with the neck in a flexed position. Nasogastric tube coils in the esophagus with distal tip directed cephalad in the region of the cervicothoracic junction. Cardiomediastinal contours are stable. Focal atelectasis in the right u... | |
As compared to ___ chest radiograph, a large right pleural effusion has apparently increased in size as well as a moderate left pleural effusion. Marked enlargement of cardiac silhouette is stable, with new pulmonary vascular congestion and mild to moderate edema. | |
The lungs are clear. The heart is a within upper limits of normal in size. There is no pleural effusion or pneumothorax. Right internal jugular vein in mid SVC. NG tube in the esophagus, not reaching the stomach. Enteric tube is past the pylorus. The tube projects over the right upper quadrant having the appearance of ... | |
AP chest compared to ___ through ___: Lung volumes are still quite low, but pulmonary vascular engorgement and mediastinal widening are more pronounced today than on ___, and mild-to-moderate cardiomegaly persists, with a suggestion of mild interstitial edema, as well as increasing moderate right and small left pleural... | |
As compared to the previous radiograph, there is no relevant change. The lung volumes remain normal. Normal size of the cardiac silhouette. No pleural effusions, no pneumothorax, no pulmonary edema, no pneumonia. Normal appearance of the hilar and mediastinal structures. | |
As compared to the previous radiograph, there is unchanged subtotal opacification of the left hemi thorax. Monitoring and support devices are overall constant, but the left PICC line is now located in the azygos vein. A new endotracheal tube projects approximately 3.5 cm above the carina. A minimal increase in radioden... | |
The ETT terminates 7.1 cm above the carina with the neck extended. Enteric tube extends to the stomach, but the tip is not visualized. There are no significant changes since the prior CXR. No evidence of pneumonia. No pulmonary edema, large pleural effusions or pneumothorax. The mediastinum, hila and heart are within n... | |
In comparison with the study of ___, the endotracheal and nasogastric tubes have been removed. The right PICC line again extends to the cavoatrial junction. The cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. There is mild asymmetry of opacification a... | |
In comparison with the study of ___, allowing for the AP portable technique, there is probably little change in the normal-sized cardiac silhouette. No evidence of acute pneumonia or appreciable vascular congestion. Right Port-A-Cath extends to the lower SVC. | |
A right chest tube is again seen in place. Increasing, now moderate right sided pleural effusion with worsening right airspace opacities concerning for right middle and lower lobe pneumonia. Left pleural effusion is similar in appearance. Also seen is some diffuse interstital edema, similar in appearance to the prior s... | |
Cardiomegaly is accompanied by improving pulmonary vascular congestion and resolving interstitial edema. Patchy bibasilar lung opacities are also slightly improved and likely represent atelectasis and less likely infectious consolidation or aspiration. Small pleural effusions are present, left greater than right appear | |
Re-identified are bilateral glenohumeral prosthetic devices. There is significant rightward rotation of the patient on the current radiograph. Allowing for changes due to this, the cardiomediastinal silhouettes are stable, reflective of moderate cardiomegaly. There is pulmonary vascular congestion and possibly early or... | |
Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. HD catheter is in standard position. NG tube tip is out of view below the diaphragm | |
As compared to ___ chest radiograph, focal atelectasis at the right lung base is new. No definite new areas of consolidation are identified to suggest the presence of pneumonia. | |
As compared to ___, there is a minimal increase of the bilateral pre-existing pleural effusions. The monitoring and support devices, including the endotracheal tube, the nasogastric tube and the ventriculoperitoneal shunt are in unchanged position. Unchanged moderate cardiomegaly. Unchanged known lymph node calcificati... | |
AP single view of the chest has been obtained with patient in supine position. Comparison with the next previous portable chest examination obtained one hour earlier, no evidence of pneumothorax can be established on this patient remaining in supine position. Comparison of the lung fields suggests that the pulmonary co... | |
Lung volumes are lower compared to the previous study. This accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal c... | |
Low lung volumes or even lower today, exaggerating pulmonary vascular congestion which is mild if any. Similarly there could be new early edema in the left lower lobe or simply micro atelectasis. Followup advised. Cardiomediastinal and hilar silhouettes are unremarkable. There is no pneumothorax or appreciable pleural ... | |
A portable frontal semi-erect chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | |
Compared to chest radiographs ___. Tip of the ET tube at the thoracic inlet is no less than 6 cm from the carina. It should not be withdrawn any further. Right PIC line ends in the low SVC. Esophageal drainage tube ends in the mid stomach. Severe left lower lobe consolidation developed on ___, probably lobar collapse, ... | |
In comparison with the earlier study of this date, there has been placement of a nasogastric tube, which appears to coil on itself within a substantial hiatal hernia. Otherwise little change. | |
AP chest compared to ___: Lung volumes are lower following tracheal extubation. Interval widening of the cardiomediastinal silhouette could also be due to lower lung volumes, but I suspect an increase in intravascular volume or pressure as well and possible accumulation of mediastinal fluid. Small bilateral pleural eff... | |
There is no pneumothorax or appreciable pleural effusion. Borderline cardiomegaly and pulmonary vascular congestion and borderline pulmonary edema are increased. A new band of atelectasis at base of the right lung could be collapsed right middle lobe. Small nodular opacity projecting over the right upper lung at the le... |
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