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findings stringlengths 50 980	impression stringlengths 0 515	report stringlengths 100 1.34k
Otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. Pulmonary vascular congestion persists. The cardiac and mediastinal silhouettes are grossly stable.	ET tube in appropriate position.	FINDINGS: Otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. Pulmonary vascular congestion persists. The cardiac and mediastinal silhouettes are grossly stable. IMPRESSION: ET tube in appropriate position.
Heart size is normal with mild unfolding of the thoracic aorta. The mediastinal and hilar contours are unremarkable. Indistinct, primarily peribronchovascular opacity at the right lung base is re- demonstrated, but with slightly changed morphology. Lungs are otherwise clear. Pleural surfaces are clear without effusion ...	Indistinct, primarily peribronchovascular opacity of the right lung base raises concern for aspiration or pneumonia.	FINDINGS: Heart size is normal with mild unfolding of the thoracic aorta. The mediastinal and hilar contours are unremarkable. Indistinct, primarily peribronchovascular opacity at the right lung base is re- demonstrated, but with slightly changed morphology. Lungs are otherwise clear. Pleural surfaces are clear without...
There is a right PICC line, which terminates in the distal SVC. Low lung volumes with bilateral vascular crowding. There is mild elevation of the right hemidiaphragm with bibasilar atelectasis. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. No pleural effusion or pne...	Tracheostomy and right PICC line in appropriate positioning. Low lung volumes with bibasilar atelectasis.	FINDINGS: There is a right PICC line, which terminates in the distal SVC. Low lung volumes with bilateral vascular crowding. There is mild elevation of the right hemidiaphragm with bibasilar atelectasis. The lungs are otherwise clear. Heart size is stable. The mediastinal and hilar contours are stable. No pleural effus...
Low lung volumes and patient's rotated position accentuates the cardiac silhouette and mediastinal contours. An area of patchy opacity is seen in the left lung base and likely represents atelectasis. There is no pneumothorax or pleural effusion.	Low lung volumes and patient's positional rotation accentuates the cardiac silhouette and mediastinal structures. Patchy opacity at the left lung base likely represents atelectasis.	FINDINGS: Low lung volumes and patient's rotated position accentuates the cardiac silhouette and mediastinal contours. An area of patchy opacity is seen in the left lung base and likely represents atelectasis. There is no pneumothorax or pleural effusion. IMPRESSION: Low lung volumes and patient's positional rotation ...
The heart is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vasculature and patchy areas of alveolar infiltrate bilaterally. There is a small left pleural effusion. There is no definite right effusion. There is volume loss at both bases.	CHF. Underlying infectious infiltrate can't be excluded.	FINDINGS: The heart is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vasculature and patchy areas of alveolar infiltrate bilaterally. There is a small left pleural effusion. There is no definite right effusion. There is volume loss at both bases. IMPRESSION: CHF. Underlying infectiou...
The mediastinal and hilar contours are within normal limits. Again seen is a moderate-to-large left pleural effusion, stable to slightly increased in size since the last study. , with associated opacification of the left lung base. This may represent atelectasis or infection. A small right pleural effusion is likely pr...	Stable to slightly enlarged left pleural effusion, now moderate-to-large. Small right pleural effusion.	FINDINGS: The mediastinal and hilar contours are within normal limits. Again seen is a moderate-to-large left pleural effusion, stable to slightly increased in size since the last study. , with associated opacification of the left lung base. This may represent atelectasis or infection. A small right pleural effusion is...
The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Moderate to severe cardiomegaly is not substantially changed in the interval. Mild pulmonary edema appears slightly worse from the previous exam. No la...	Slight interval worsening of mild pulmonary edema. Similar moderate to severe cardiomegaly.	FINDINGS: The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Moderate to severe cardiomegaly is not substantially changed in the interval. Mild pulmonary edema appears slightly worse from the previous e...
Again seen moderate cardiomegaly. There is a small right pleural effusion. Note is again made of bilateral pulmonary vascular engorgement with mild interstitial edema. Stable small right pleural effusion. Again seen is bibasilar atelectasis. The left costophrenic sulcus is unremarkable.	Overall stable mild bilateral pulmonary edema.	FINDINGS: Again seen moderate cardiomegaly. There is a small right pleural effusion. Note is again made of bilateral pulmonary vascular engorgement with mild interstitial edema. Stable small right pleural effusion. Again seen is bibasilar atelectasis. The left costophrenic sulcus is unremarkable. IMPRESSION: Overall s...
Portable, semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is increased opacification of the bilateral bases to the mid lung fields, which most likely represents pulmonary edema, however underlying infection cannot be excluded. There is severe cardiomegal...	Increased opacification of the bilateral bases to the mid lung fields, which most likely represents pulmonary edema, however underlying infection cannot be excluded. Stable cardiomegaly. Small-to-moderate bilateral pleural effusions.	FINDINGS: Portable, semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is increased opacification of the bilateral bases to the mid lung fields, which most likely represents pulmonary edema, however underlying infection cannot be excluded. There is severe c...
Portable semi-upright radiograph of the chest demonstrates increased opacification at the bilateral bases, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. The heart remains enlarged. Probable small left pleural effusion. No pneumothorax.	Bibasilar opacities may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. Unremarkable position of the endotracheal tube. However, the endotracheal tube appears narrow in caliber. Probable small left pleural effusion. by Dr.	FINDINGS: Portable semi-upright radiograph of the chest demonstrates increased opacification at the bilateral bases, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. The heart remains enlarged. Probable small left pleural effusion. No pneumothorax. IMPRESSION: Bibasilar op...
Enteric feeding tube is seen coursing below the diaphragm with side port at the level of the gastroesophageal junction, distal tip in the region of the gastric fundus. There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouet...	Nasogastric tube with distal side port at the gastroesophageal junction. Recommend advancement so that it is well within the stomach. Findings discussed with Dr. No acute cardiopulmonary process.	FINDINGS: Enteric feeding tube is seen coursing below the diaphragm with side port at the level of the gastroesophageal junction, distal tip in the region of the gastric fundus. There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastina...
The projection precludes meaningful comment on the heart size. The cardiomediastinal contour is unchanged however. A right-sided internal jugular catheter is in-situ, the tip is at the cavoatrial junction. The tip of a nasogastric tube is outside of the field of view abuts right below the diaphragm. Lung volumes are sl...	No significant interval change when compared to the prior study.	FINDINGS: The projection precludes meaningful comment on the heart size. The cardiomediastinal contour is unchanged however. A right-sided internal jugular catheter is in-situ, the tip is at the cavoatrial junction. The tip of a nasogastric tube is outside of the field of view abuts right below the diaphragm. Lung volu...
Median sternotomy wires intact and aligned. NG tube extends into the stomach. Left Swan-Ganz catheter ends in the pulmonary artery. Right large-bore catheter ends in the right atrium. New pulmonary vascular congestion without pulmonary edema. New, small right pleural effusion and atelectasis. Unchanged, large scale ate...	New, small right pleural effusion and increased, moderate left pleural effusion. Increased pulmonary vascular congestion. Worsening left lower lobe collapse. Interval improvement in minimal pneumopericardium.	FINDINGS: Median sternotomy wires intact and aligned. NG tube extends into the stomach. Left Swan-Ganz catheter ends in the pulmonary artery. Right large-bore catheter ends in the right atrium. New pulmonary vascular congestion without pulmonary edema. New, small right pleural effusion and atelectasis. Unchanged, large...
Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Evidence of free is is seen under the right hemidiaphragm, which may ...	Evidence of free air under the right hemidiaphragm, may relate to patient's reported cholecystectomy earlier today.	FINDINGS: Upright portable view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Evidence of free is is seen under the right hemidiaphragm, ...
Single portable view of the chest is compared to previous exam from . Endotracheal and nasogastric tubes are no longer visualized. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.	No acute cardiopulmonary process.	FINDINGS: Single portable view of the chest is compared to previous exam from . Endotracheal and nasogastric tubes are no longer visualized. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. IMPRESSION: No acute cardiopulmonary process.
There is moderate hyperexpansion suggesting underlying COPD. Bibasilar airspace opacities most likely represent atelectasis given the rapid progression compared with the recent prior study. There is no pulmonary vascular congestion or pneumothorax. Widening of the upper mediastinum is unchanged from recent prior chest ...	Bibasilar airspace opacities most likely represent atelectasis. Hyperexpansion consistent with COPD. Upper mediastinal widening for which contrast-enhanced chest CT is again recommended.	FINDINGS: There is moderate hyperexpansion suggesting underlying COPD. Bibasilar airspace opacities most likely represent atelectasis given the rapid progression compared with the recent prior study. There is no pulmonary vascular congestion or pneumothorax. Widening of the upper mediastinum is unchanged from recent pr...
Lines and tubes are unchanged in position. The cardiomediastinal silhouette is stable. There is a new patchy opacity at the right lung base which may reflect aspiration or a developing infiltrate. There is no congestive heart failure or pneumothorax.	Right basilar opacity reflecting aspiration or pneumonia.	FINDINGS: Lines and tubes are unchanged in position. The cardiomediastinal silhouette is stable. There is a new patchy opacity at the right lung base which may reflect aspiration or a developing infiltrate. There is no congestive heart failure or pneumothorax. IMPRESSION: Right basilar opacity reflecting aspiration or...
Left lower lobe collapse and a small pleural effusion persist. Right lower lobe pneumonia is clearing. The cardiac and mediastinal contours are stable. The tracheostomy tube is in unchanged position. Multiple fractures are again identified.	Markedly improved aeration of the left lung. Small left pleural effusion and left lower lobe collapse persists. Resolving right lower lobe pneumonia.	FINDINGS: Left lower lobe collapse and a small pleural effusion persist. Right lower lobe pneumonia is clearing. The cardiac and mediastinal contours are stable. The tracheostomy tube is in unchanged position. Multiple fractures are again identified. IMPRESSION: Markedly improved aeration of the left lung. Small left ...
Portable AP upright chest radiograph obtained. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.	No acute findings in the chest.	FINDINGS: Portable AP upright chest radiograph obtained. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. IMPRESSION: No acute findings in the chest.
Left pectoral infusion port terminates at cavoatrial junction. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.	No radiographic evidence of pneumonia.	FINDINGS: Left pectoral infusion port terminates at cavoatrial junction. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. IMPRESSION: No radiographic evidence of pneumonia.
There has been interval placement of an endotracheal tube, terminating at the carina. A nasogastric tube has also been placed in the interval with distal tip at the GE junction, side port within the distal esophagus. Subtle patchy left mid lung opacity is seen which may represent overlap of vascular structures however ...	Endotracheal tube terminates at the level of the carina. The above findings were discussed with Dr. Small patchy opacity projecting over the left mid lung, may represent small focus of infection.	FINDINGS: There has been interval placement of an endotracheal tube, terminating at the carina. A nasogastric tube has also been placed in the interval with distal tip at the GE junction, side port within the distal esophagus. Subtle patchy left mid lung opacity is seen which may represent overlap of vascular structure...
The patient is placement of a tunneled left subclavian indwelling catheter which may be a coiled at the junction of the right subclavian vein and SVC. Alternatively, the tube may curve posteriorly to enter the azygos vein. Mediastinal widening is likely due to a combination of prominent vasculature and lymphadenopathy....	Status post placement of tunneled left subclavian catheter which may coil at the junction of the right subclavian vein and SVC, or curve posteriorly to and to the azygos vein. A repeat PA and lateral radiograph may be obtained for more specific local is the. No pneumothorax.	FINDINGS: The patient is placement of a tunneled left subclavian indwelling catheter which may be a coiled at the junction of the right subclavian vein and SVC. Alternatively, the tube may curve posteriorly to enter the azygos vein. Mediastinal widening is likely due to a combination of prominent vasculature and lympha...
The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is mild left lower lobe atelectasis. The heart is normal in size.	Left basilar atelectasis.	FINDINGS: The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is mild left lower lobe atelectasis. The heart is normal in size. IMPRESSION: Left basilar atelectasis.
A right internal jugular central venous catheter is seen with the tip terminating in the upper SVC. No pneumothorax is detected. In comparison to the most recent prior study, there is slightly increased opacification at the left lung base with blunting at the left costophrenic angle likely reflecting a combination of p...	Slightly increased opacification at the left lung base from likely reflects a combination pleural fluid and underlying atelectasis or consolidation. Mild pulmonary vascular congestion. Right internal jugular central venous catheter with tip in upper SVC.	FINDINGS: A right internal jugular central venous catheter is seen with the tip terminating in the upper SVC. No pneumothorax is detected. In comparison to the most recent prior study, there is slightly increased opacification at the left lung base with blunting at the left costophrenic angle likely reflecting a combin...
No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. No pulmonary edema is seen. Anchor screws are noted over the left humeral head and there is chronic deformity of the left glenohumeral joint.	Low lung volumes but no definite acute cardiopulmonary process.	FINDINGS: No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are grossly stable. No pulmonary edema is seen. Anchor screws are noted over the left humeral head and there is chronic deformity of the left glenohumeral joint. IMPRESSION: Low lung volumes ...
There has otherwise been no relevant interval change. Lungs are clear of consolidation, sizeable pleural effusion or pneumothorax. Cardiomediastinal contours are normal.	Interval repositioning of the left PICC, with its tip terminating in the low SVC.	FINDINGS: There has otherwise been no relevant interval change. Lungs are clear of consolidation, sizeable pleural effusion or pneumothorax. Cardiomediastinal contours are normal. IMPRESSION: Interval repositioning of the left PICC, with its tip terminating in the low SVC.
Cardiomegaly is noted. There is persistent the diaphragm silhouetting on the left side. Increased lung markings are noted particular on the left side. The amount of pulmonary edema is decreased slightly from the prior study. PICC line is unchanged position. Persisting cardiomegaly.	Probable mild improvement in the degree of vascular congestion. Left-sided effusion and atelectasis prominent,	FINDINGS: Cardiomegaly is noted. There is persistent the diaphragm silhouetting on the left side. Increased lung markings are noted particular on the left side. The amount of pulmonary edema is decreased slightly from the prior study. PICC line is unchanged position. Persisting cardiomegaly. IMPRESSION: Probable mild ...
Right internal jugular central venous line terminates in the superior aspect of the right atrium. No evidence of pneumothorax. Significant bibasilar atelectasis is noted. Small bilateral pleural effusions are noted.	Right internal jugular central venous line terminates in the superior aspect of the right atrium. Significant bibasilar atelectasis.	FINDINGS: Right internal jugular central venous line terminates in the superior aspect of the right atrium. No evidence of pneumothorax. Significant bibasilar atelectasis is noted. Small bilateral pleural effusions are noted. IMPRESSION: Right internal jugular central venous line terminates in the superior aspect of t...
Portable AP chest radiograph. There are new consolidations throughout the right long with some sparing of the apex and air bronchograms. There is no pleural effusion or pneumothorax. The left lung is clear. The heart size is normal.	New right lung consolidations, likely infectious. Findings are concerning for aspiration given the history of achalasia. Hemorrhage is possible, but less likely. to Dr. m.	FINDINGS: Portable AP chest radiograph. There are new consolidations throughout the right long with some sparing of the apex and air bronchograms. There is no pleural effusion or pneumothorax. The left lung is clear. The heart size is normal. IMPRESSION: New right lung consolidations, likely infectious. Findings are c...
Single portable view of the chest is compared to previous exam from . Left PICC is in stable position with tip in the mid SVC. Low lung volumes are again noted. There is silhouetting of the left hemidiaphragm consistent with pleural effusion which may be smaller when compared to prior. There is probably underlying atel...	Probable interval decrease in size of left-sided pleural effusion with underlying atelectasis or consolidation. Otherwise, no significant interval change.	FINDINGS: Single portable view of the chest is compared to previous exam from . Left PICC is in stable position with tip in the mid SVC. Low lung volumes are again noted. There is silhouetting of the left hemidiaphragm consistent with pleural effusion which may be smaller when compared to prior. There is probably under...
AP portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The heart size is moderately enlarged, not significantly changed. Mediastinal contour stable and within normal limits. Imaged osseous structures are intact.	Stable cardiomegaly. No definite signs of edema or pneumonia.	FINDINGS: AP portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The heart size is moderately enlarged, not significantly changed. Mediastinal contour stable and within normal limits. Imaged osseous structures are intact. IMPRESSION: Stable cardiomegaly. No definite signs of...
The patient is status post median sternotomy, CABG, and Corevalve placement. The heart size is mildly enlarged. Mediastinal contours are unchanged. Left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are in unchanged positions. There is mild pulmonary congestion vascular congesti...	Mild pulmonary vascular congestion and small to moderate size bilateral pleural effusions. Bibasilar airspace opacities likely reflecting atelectasis, though infection cannot be excluded.	FINDINGS: The patient is status post median sternotomy, CABG, and Corevalve placement. The heart size is mildly enlarged. Mediastinal contours are unchanged. Left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are in unchanged positions. There is mild pulmonary congestion vascula...
Single frontal view of the chest was obtained. Free air is present underneath both hemidiaphragms. Lung volumes are low. The vascular pedicle is widened and there is slightly increased rightward shift of the trachea, which may be projectional. Multi focal ill-defined lung opacities are similar to prior and consistent w...	Pneumoperitoneum. Widening of the vascular pedicle may be related to low lung volumes and intravascular volume status.	FINDINGS: Single frontal view of the chest was obtained. Free air is present underneath both hemidiaphragms. Lung volumes are low. The vascular pedicle is widened and there is slightly increased rightward shift of the trachea, which may be projectional. Multi focal ill-defined lung opacities are similar to prior and co...
Lung volumes are low. Mediastinal vascular pedicle engorgement, cardiomegaly are increased from . Bibasilar opacities obscure both heart borders. No pneumothorax.	Cardiomegaly with pulmonary vascular congestion. Bibasilar opacities, at least some of which is due to atelectasis. Superimposed infection is difficult to exclude.	FINDINGS: Lung volumes are low. Mediastinal vascular pedicle engorgement, cardiomegaly are increased from . Bibasilar opacities obscure both heart borders. No pneumothorax. IMPRESSION: Cardiomegaly with pulmonary vascular congestion. Bibasilar opacities, at least some of which is due to atelectasis. Superimposed infec...
Left base opacity is seen which could be due to consolidation from infection or aspiration versus atelectasis. Dedicated PA and lateral views would be helpful if/when patient able. No large pleural effusion is seen. There is no evidence of pneumothorax. The aorta is tortuous. The cardiac silhouette is not enlarged.	Left base opacity which could be due to consolidation from infection or aspiration versus atelectasis. Dedicated PA and lateral views would be helpful for further evaluation if/when patient able.	FINDINGS: Left base opacity is seen which could be due to consolidation from infection or aspiration versus atelectasis. Dedicated PA and lateral views would be helpful if/when patient able. No large pleural effusion is seen. There is no evidence of pneumothorax. The aorta is tortuous. The cardiac silhouette is not enl...
Rotated positioning. Tracheostomy tube again noted. There is diffuse interstitial can alveolar edema, with moderate to moderately large left and small right effusions and underlying collapse and/or consolidation. Compared to the film from one day earlier, the appearances are overall similar. The CHF findings may be ver...	CHF with bilateral left-greater-than-right effusions and underlying collapse and/or consolidation. The possibility of an underlying infectious infiltrate cannot be excluded.	FINDINGS: Rotated positioning. Tracheostomy tube again noted. There is diffuse interstitial can alveolar edema, with moderate to moderately large left and small right effusions and underlying collapse and/or consolidation. Compared to the film from one day earlier, the appearances are overall similar. The CHF findings ...
Portable chest radiograph demonstrates low lung volumes and bibasilar opacity. A right subclavian central venous catheter tip terminates in the right atrium. The cardiac silhouette is top normal, the mediastinal contours are notable for ectasia of the aortic arch. The pulmonary vasculature is normal.	Low lung volumes and bibasilar atelectasis could hide pneumonia. Right subclavian central venous catheter tip projecting over the right atrium.	FINDINGS: Portable chest radiograph demonstrates low lung volumes and bibasilar opacity. A right subclavian central venous catheter tip terminates in the right atrium. The cardiac silhouette is top normal, the mediastinal contours are notable for ectasia of the aortic arch. The pulmonary vasculature is normal. IMPRESS...
EKG leads overlie the chest wall. Lungs: The lung volumes are low. Interval improvement in the right visual effusion with a persistent small residual left digital effusion. Dense left retrocardiac opacity likely atelectasis and/ or pneumonia. Pleura: Bilateral small pleural effusions left greater than right. Mediastinu...	Low lung volumes with dense left retrocardiac opacity, likely atelectasis and/or pneumonia in the right clinical setting. Stable cardiomegaly with interval improvement in bilateral fissural effusions with unchanged small pleural effusions left greater than right.	FINDINGS: EKG leads overlie the chest wall. Lungs: The lung volumes are low. Interval improvement in the right visual effusion with a persistent small residual left digital effusion. Dense left retrocardiac opacity likely atelectasis and/ or pneumonia. Pleura: Bilateral small pleural effusions left greater than right. ...
Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.	No change in mild to moderate pulmonary edema and cardiomegaly. No lobar consolidation.	FINDINGS: Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax. IMPRESSION: No change in mild to moderate pulmonary edema and cardiomegaly. No lobar cons...
Single frontal view of the chest. Right PICC terminates in the lower SVC. Single metallic clip along the left heart border is unchanged. Widespread bilateral parenchymal opacities are similar to the prior exam, possibly representing multifocal infection or ARDS. Heart size and cardiomediastinal contours are stable.	Widespread bilateral parenchymal opacities are similar to prior and consistent with either multifocal infection or ARDS.	FINDINGS: Single frontal view of the chest. Right PICC terminates in the lower SVC. Single metallic clip along the left heart border is unchanged. Widespread bilateral parenchymal opacities are similar to the prior exam, possibly representing multifocal infection or ARDS. Heart size and cardiomediastinal contours are s...