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series of two chest radiographs show unchanged lines and tubes. no significant change of subcutaneous air collection, likely loculated pleural fluid, and persistent pulmonary edema.
persistent left retrocardiac opacity which may represent atelectasis versus consolidation and small left pleural effusion. lungs elsewhere remain clear, and the cardiomediastinal silhouette is stable.
findings suggestive of right upper lobe atelectasis. other differential considerations would include possible right upper lobe pneumonia. would recommend clinical correlation.
interval placement of a right internal jugular approach swan-ganz catheter and weighted feeding tube. moderate pulmonary edema. bibasilar opacities may reflect atelectasis or consolidation. i have personally reviewed the images for this examination and agreed with the report transcribed above.
persistent right pneumothorax. left pneumothorax not visualized. i have personally reviewed the images for this examination and agreed with the report transcribed above.
sternal suture wires and surgical clips remain in place. there are minimal areas of linear atelectasis at both lung bases, the lungs are otherwise clear with no focal opacity, effusion, or pneumothorax.
interval placement of a right internal jugular central venous catheter with tip terminating at the expected location of the internal jugular brachiocephalic veins. no pneumothorax. redemonstration of left mid and lower lung zone opacities. i have personally reviewed the images for this examination and agreed with the report transcribed above.
single upright ap view of the chest demonstrates stable left anterior chest wall aicd device and right chest tube. low lung volumes and elevation of the right hemidiaphragm. cardiomegaly with persistent patchy opacities in the right perihilar and retrocardiac regions. stable small right pleural effusion. no pneumothorax.
a three-lead pacemaker is again seen. a mitral valve prosthesis remains in place. stable bilateral basilar air-space opacities, consistent with atelectasis versus consolidation. probable bilateral pleural effusions. no evidence of pulmonary edema. no significant interval change.
single semi-erect ap view of the chest demonstrates persistent elevation of the right hemidiaphragm with right basilar opacity and small right pleural effusion. 2
retrocardiac atelectasis versus consolidation, and left pleural effusion. tortuous or ectatic aorta. possible cardiomegaly. prominent right hilum, possibly due to patient rotation. multiple bilateral posterior rib fractures. the left sixth rib fracture might be acute if there is pain in this location.
et tube and central line, unchanged. markedly improved aeration of the left upper lobe. however, left lower lobe remains consolidated, which may represent atelectasis or airspace disease. interval increase in consolidation of the right lower lobe. moderate pulmonary edema. bilateral pleural effusions, grossly unchanged.
lines and tubes unchanged. vague opacity at the left lung base, which likely represents either left lower lobe atelectasis or a left pleural effusion. minimal right basilar atelectasis. old left humeral neck fracture.
stable cardiomegaly and aortic atherosclerosis. no pulmonary edema or pleural effusion. multilevel degenerative change of the thoracic spine. right upper quadrant surgical clips compatible with cholecystectomy.
endotracheal tube appears low in position. recommend retraction by 2 cm. perihilar/central airspace opacities, likely reflecting infection or pulmonary edema. i have personally reviewed the images for this examination and agreed with the report transcribed above.
interval placement of right chest tube. patchy bilateral pulmonary opacities, edema with or without infection. retrocardiac opacity may represent atelectasis or consolidation.
7-14-2015 at 09:41: interval placement of a left chest tube. a tiny left apical pneumothorax is seen. lungs are otherwise clear. cardiomediastinal silhouette is unremarkable. 7/14/2015 at 05:26: redemonstration of a left chest tube and a tiny left apical pneumothorax. no significant interval change.
lungs otherwise grossly clear. stable overall aeration and lung volume
right internal jugular line unchanged. interval increase in right pleural effusion. decreased lung volumes.
compared with 2-3-2003. two right-sided central catheters remain. lung volumes are lower with less vascular definition, but no obvious consolidation. no pneumothorax.
significant improvement of lung volumes with improved aeration. there may be some residual edema. small amount of fluid remains in the right minor fissure.
two views reveal stable appearing right picc line mild cardiomegaly again noted tiny pleural effusions have appeared, as well as fluid within the interlobar fissures and progressive prominence of upper lobe pulmonary vessels, consistent with mild chf. reticular opacities at the lung bases appear unchanged; no consolidation. dorsal kyphosis with midthoracic vertebral compression deformity and hypertrophic spurring appears unchanged.
series of six portable chest radiographs between 7/24/2011 and 7/24/2011. the endotracheal tube has been repositioned to 3 cm above the carina. feeding and nasogastric tubes remain looped within a hiatal hernia. the overall appearance of the chest is unchanged with re- demonstration of bibasilar opacities, bilateral pleural effusions, and superimposed pulmonary edema.
the picc line appears to be traversing the subclavian and brachiocephalic veins and ends up in the right internal jugular subclavian junction. there is bibasilar atelectasis
large lung volumes. no focal lung parenchymal consolidation, pleural effusion, or pneumothorax. normal heart size and pulmonary vascularity
portable ap semi-upright view of the chest at 1444 hours shows interval placement of a left upper extremity picc with the tip in the right atrium. right hilar prominence has been stable for the past two years, as compared to an 11-9-2007 exam, and is likely due to an enlarged right pulmonary artery. left lower lobe atelectasis or early consolidation. followup portable ap upright view of the chest at 1551 hours again shows the tip of the picc in the right atrium. interval increased left lower lobe atelectasis or early consolidation, though this could be rotational causing the change. nonetheless, the opacity is still present.
stable pulmonary edema. persistent right pleural effusion. increasing aeration of the right lung. no significant interval changes.
postsurgical changes of the left hemithorax including left pleural effusion, elevation of left hemidiaphragm and left basilar atelectasis.
interval placement of right chest tube with no evidence of pneumothorax. large right pleural effusion again seen tracking up to the right apex. left retrocardiac density and left effusion unchanged. tracheostomy site, two perimediastinal drains, and inferior neck staples again seen. left subclavian catheter tip within the superior superior vena cava.
mild pulmonary edema.
nasogastric tube pulled back with the sidehole now a few centimeters from the gastroesophageal junction. endotracheal tube and right internal jugular catheter stable. interval development of mild pulmonary edema.
single semierect ap view of the chest demonstrates a left anterior chest wall pacemaker with right atrial and right ventricular leads. interval placement of a right internal jugular central venous catheter, with distal tip in the distal superior vena cava. no evidence of pneumothorax. interval development of retrocardiac opacification, probable small left pleural effusion, as well as increased prominence of interstitial markings diffusely, likely representing a mild degree of pulmonary edema.
possible small left subpulmonic pleural effusion. otherwise, no acute cardiopulmonary findings.
support devices are in unchanged position. heart size is stable. no consolidation, effusion or pneumothorax. pulmonary vascularity is within normal limits.
upright pa and lateral chest radiographs demonstrate stable postoperative changes including two fractured superior sternotomy wires. redemonstration of right pleural effusion and right base opacity. left lung remains clear. no new focal consolidation.
single ap portable upright view of the chest demonstrates the patient is status post right upper lobectomy with right-sided chest tube in place. there is no evidence of pneumothorax. there is persistent subcutaneous emphysema within the soft tissues overlying the right chest within the right neck. otherwise there is redemonstration of a mass within the left lung apex. the remainder of the left lung is clear. there is left to right mediastinal shift secondary to the patient's lobectomy.
redemonstration of sternotomy wires. interval decrease in bilateral now small pleural effusions with minimal bilateral basilar opacity which may represent compressive atelectasis versus consolidation. moderate cardiomegaly with interval resolution of pulmonary edema. osteopenic bones without obvious fracture.
lung volumes and pulmonary edema are unchanged. tubes are unchanged.
persisting low lung volumes. slight interval improvement in pulmonary edema since 15/6/14. persisting small left pleural effusion with slightly improved aeration of the left lung base, but peristing atelectasis or consolidation. patchy air-space opacity in the right mid and upper lung zones, which is unchanged.
persistent small right pleural effusion. mild interval worsening of bibasilar subsegmental pulmonary atelectasis/consolidation.
minimal blunting of the right costophrenic angle may represent trace pleural effusion or pleural scarring. no other evidence of acute cardiopulmonary process.
single portable view of the chest from 2/22/2005 at 0815 demonstrates a right pneumothorax, with possible air fluid level. no interval change in supportive equipment. single right lateral decubitus film of the chest, with the area of interest much obscured by overlying lines and drains. however, there is some component of pleural fluid present, although it is difficult to evaluate for a pneumothorax component. recommend further evaluation with ultrasound or ct scan, these may be useful to evaluate for loculation or possible thoracentesis.
central line tip in right ej. other lines and tubes as described. improvement in pulmonary edema on second of serial films.
tip of endotracheal tube 2 cm above the carina. tip of the nasogastric tube is in the body of the stomach. feeding tube courses below the diaphragm with the tip outside the field-of-view. right internal jugular central venous catheters and left subclavian catheters are unchanged in positions. decreased lung volumes. stable left perihilar airspace opacification, bibasilar atelectasis and small bilateral pleural effusions. no pneumothorax. cardiomediastinal silhouette is unchanged.
no significant interval change. re-demonstrated cardiomegaly with no evidence of pulmonary edema.
lines and tubes are unchanged. no significant change in mild pulmonary edema and large right pleural effusion with associated compressive atelectasis.
stable position of right picc line, 2-lead icd, and right-sided pigtail. persistent bibasilar atelectasis or consolidation. stable bilateral pleural effusions, partially loculated in the right major fissure.
a 1. no definite right-sided pneumothorax is identified. interval decrease in amount of subcutaneous emphysema. right-sided chest tube and skin staples are unchanged. mild pulmonary edema otherwise, no evidence of of acute cardiopulmonary disease. progressive decrease in size of a right paratracheal lesion. surgical sutures and right hilar clips again noted in the right lung. skin staples in the right hemithorax also again noted. elevated right hemidiaphragm.
no pneumothorax identified. redemonstration of bilateral upper lung zone sutures, elevated left hemidiaphragm, left chest wall subcutaneous emphysema, and deformity of the right sixth posterior rib.
left lower lobe opacity compatible with progressive atelectasis, consolidation, and/or effusion. increased right lower lung and streaky atelectasis.
series of two frontal chest radiographs demonstrate interval extubation and increase in lung volumes. mild linear opacities are seen in the right middle and bilateral lower lung zones is present atelectasis or aspiration. small right pleural effusion. no pneumothorax.
upright pa and lateral chest radiographs demonstrate stable postoperative changes. improved lung volumes on the left as well as improved aeration at the left base with persistent left pleural effusion. no new focal pulmonary findings.
a single frontal semi-upright view of the chest demonstrates mild pulmonary edema
single ap view of the chest demonstrates a right internal jugular venous catheter with the distal tip in the distal superior vena cava. there is a nasogastric tube with distal tip within the stomach. left chest tube is in place. no evidence of pneumothorax. a small amount of subcutaneous emphysema is seen along the left lateral chest wall. mild interstitial pulmonary edema.
brachiocephalic metallic stent in place. no evidence of focal pulmonary parenchymal consolidation. minimal blunting of the left costophrenic angle, small pleural effusion versus pleural thickening. ectasia of the ascending thoracic aorta and tortuosity of the descending thoracic aorta.
interval new right internal jugular central line with no pneumothorax. interval new double lumen endotracheal tube with left-sided lumen with tip in the left main stem bronchus and right- sided lumen 1 cm from the carina. slightly worse patchy air space opacity of the right base and right upper lobes as well as retrocardiac may represent hemorrhage vs consolidation. recommend clinical correlation.
clear lungs without focal consolidation, pleural effusion or pneumothorax. normal cardiomediastinal silhouette. no acute bony abnormalities.
no change in left pleural effusion. feeding tube unchanged in position with distal tip not included.
redemonstration of diffuse bronchiectasis, consistent with patient's known cystic fibrosis. subtly increased density at the left apex, which may represent atelectasis or consolidation. no visualized pneumothorax. i have personally reviewed the images for this examination and agreed with the report transcribed above.
interval placement of a feeding tube with the tip not included on the chest radiograph. possibilities include worsening pulmonary edema, however, a superimposed infectious process cannot be entirely excluded. recommend clinical correlation.
lines and support devices appear stable 2.persistent left lower lobe airspace opacity compatible atelectasis and/or consolidation with small left-sided pleural effusion. overlying the left hemithorax are two external defibrillator devices. post surgery changes with median sternotomy wires, midline subcutaneous staples, and prosthetic valve in the region of the mitral valve.
stable cardiomediastinal silhouette. low lung volumes. normal pulmonary vascularity. no focal lung parenchymal consolidation, pleural effusion, or pneumothorax. atherosclerotic calcification of the aorta
limited examination interval increase in size of the aortic knob and widening of the mediastinum, suggestive of increase in size of the patient's known thoracic aortic aneurysm. correlation with chest ct is recommended as clinically indicated. although its incompletely visualized, the ct angiography of the head performed on 11/30/2015 at 1455 hours does demonstrate increase in size of the aortic arch aneurysm. bilateral perihilar and left basilar opacities are concerning for pneumonia.
moderate cardiomegaly. moderate pulmonary edema.
left subclavian central venous catheter tip is located at the confluence of the innominate vein and superior vena cava. patchy left retrocardiac atelectasis versus consolidation. no pleural effusion. no pneumothorax. cardiomediastinal within normal limits.
there is a left central line in the superior vena cava on a portable upright chest radiograph. there is no pneumothorax. remainder of the chest is negative given the ap portable technique.
chest at 1709 hours demonstrates a median sternotomy, left anterior chest wall pacemaker with dual leads in place, and no definite focal consolidation or effusion. repeat pa and lateral view of the chest at 1916 hours demonstrates no focal airspace disease and no definite acute cardiopulmonary process and also no change.
stable appearance of the endotracheal tube, the right ij catheter, and the feeding tube. there is some increased density to the left hemithorax suggestive of a layering effusion. there is no new area of focal parenchymal opacification and no pneumothorax. incidentally noted calcification of the aortic knob.
normal heart size and pulmonary vascularity. no focal consolidation, pleural effusion, or pneumothorax. bones are unremarkable.
finding may represent an area of atelectasis with a developing infiltrate and/or pleural effusion not excluded.
ill-defined airspace opacity in the mid lung seen only on the lateral view without correlate on the frontal view may reflect consolidation or motion artifact. consider repeat chest radiograph for further evaluation as clinically indicated. "physician to physician radiology consult line: (280) 768-6856" i have personally reviewed the images for this examination and agreed with the report transcribed above.
frontal radiograph of the chest demonstrates focal opacity in the right mid lung consistent with patient's history of biopsy and associated hemorrhage. no evidence of pneumothorax. visualized osseous structures and soft tissues unremarkable. subsequent chest x-ray dated 5/7/10 at 14:02 significant for decreased density in the right mid lung hemorrhage. no pneumothorax. mild atelectasis of the left lung base.
right-sided pigtail chest tube remains in place. 2
stable lines, tubes and hardware, with persistent cardiomegaly, bilateral effusions and bibasilar atelectasis or consolidation. overall unchanged.
there is a right ij central line in stable position. there are pericardial and mediastinal drains seen, also stable. there is no pneumothorax. there are low lung volumes bilaterally. there are bilateral pleural effusions with associated bibasilar atelectasis.
no focal consolidation or pleural effusion. cardiac silhouette and vascularity are within normal limits.
lines and tubes are unchanged. unchanged bilateral pleural effusions and unchanged bibasilar atelectasis versus consolidation. unchanged diffuse reticular pattern consistent with pulmonary edema.
no acute pulmonary abnormalities are demonstrated. there is no pulmonary edema or focal area of consolidation. cardiac silhouette appears enlarged. this could represent cardiomegaly or pericardial effusion
endotracheal tube with the tip above the carina and nasogastric tube with the tip below the diaphragm and a left picc line with the tip in the superior vena cava. low lung volumes. bibasilar opacity, that appears to be atelectasis in the right base, more confluent opacity in the left base could represent aspiration versus infection. there is also a small left pleural effusion.
left subclavian catheter tip in the superior superior vena cava. endotracheal tube tip in the body of the stomach. surgical clips seen in the mid abdomen. there is a large left tension pneumothorax with associated left lung collapse and mediastinal shift to the right. right lung compressed by left tension pneumothorax, otherwise clear. cardiomediastinal silhouette within normal limits for size. no bony or soft tissue abnormalities appreciated.
stable, small left apical pleural fluid collection. the lungs appear clear. no pulmonary edema. unchanged appearance of left clavicle fracture, with mild anterolateral angulation and small degree of overriding of the distal clavicle fragment.
right internal jugular catheter with tip in right atrium. cardiomegaly. retrocardiac atelectasis or consolidation.
single portable semi-upright frontal view of the chest, with the chin in projection over the lung apices and partial exclusion of the left chest wall limits evaluation. right internal jugular line is in place, unchanged in position. cardiac silhouette remains enlarged, and there is evidence of persistent, though improved pulmonary edema. retrocardiac opacity is unchanged. there is improvement in aeration of the lungs.
interval development of pulmonary vascular prominence with the left being worse than the right consistent with asymmetric pulmonary edema. otherwise, unremarkable cardiomediastinal silhouette without pleural effusion or pneumothoraces.
all other tubes and lines are unchanged in position. there has been interval decrease in lung volumes. interval increase in pulmonary edema with bilateral pleural effusions. interval increase in bilateral lower lobe opacifications.
increasing bilateral pleural effusions have developed. bi-basilar areas of consolidation in particular the left lower lobe. intrathoracic right to left shift of the tracheal air column. cardio mediastinal silhouette unchanged. possible impending congestive heart failure.
persistent tiny right apical pneumothorax. "physician to physician radiology consult line: (404) 142-2534"
motion artifact. lung volumes remain low. left pleural effusion and pulmonary edema appear stable. tracheostomy tube, left subclavian central line, and feeding tube, appear grossly stable.
single view of the chest again demonstrates a left chest wall aicd pacer, lvad device, sternotomy wires, chest tubes and mediastinal drain. marked cardiomegaly again seen with persistent left lower lung opacity which may represent atelectasis or consolidation.
supine portable view of the chest 2/12/2005 at 1055 demonstrates a temperature probe terminating over the region of the carina. a right subclavian terminates in the subclavian vein. endotracheal tube, tip not visualized. a left chest tube is seen. elevation of the right hemidiaphragm with bibasilar opacities and bilateral pleural effusions. no pneumothorax.
interval placement and repositioning of right ij trialysis catheter, which terminates 2.5 cm below the carina near the cavoatrial junction on the most recent study. evidence of mild fluid overload without frank pulmonary edema. i have personally reviewed the images for this examination and agreed with the report transcribed above.
low lung volumes with fine parenchymal reticulation. persistent left pleural effusion and basilar atelectasis. abnormally broadened mediastinal contours with left perihilar and juxta-mediastinal masslike consolidation. no pneumothorax identified status post bronchoscopic procedure.
lung volumes are slightly decreased with no evidence of new airspace opacities. no evidence of pleural effusion or pulmonary edema.
diffusely increased interstitial markings which are unchanged dated 11-9-2018. no older films are available for comparison. recommend comparison without old outside films if they exist to evaluate chronicity if this may represent an acute or chronic process such as pulmonary edema, interstitial lung disease or infection.
pulmonary vascular congestion status post cardiac surgery with probable consolidation in lower left lung, similar appearance. interval developing of mild atelectasis at medial right lung base. probable underlying left pleural effusion. dictated by resident: haley, genevieve ivy - 2011 december 31st interpreted by attending radiologist: jacobs, natalia - 12/31/11 i, the attending signed below, have personally reviewed the images and agree with the report transcribed above. interpreted by attending radiologist: jacobs, natalia authored by : jacobs, natalia approval date : 12/31/2011
two left chest tubes are stable in position. linear catheter projecting over the right hemithorax is likely related to an epidural catheter. left retrocardiac opacity and small left pneumothorax are again seen. small to moderate right pleural effusion and right basilar atelectasis is unchanged. cardiomediastinal silhouette is stable in appearance and is within normal limits. moderate left chest wall subcutaneous gas has increased.
a single ap view of the chest demonstrates no interval change in the orthopedic hardware in the upper thoracic spine. the lungs are clear without evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits.
mildly prominent reticular linear opacities, nonspecific. no focal consolidation. tortuosity of the thoracic aorta. cardiac silhouette within normal limits. no signs of pulmonary edema. no pneumothorax.
ap portable view reveals no cardiopulmonary abnormality no pneumothorax or fracture identified degenerative changes are noted at the right shoulder and vertebral spurring is present at the mid and low thoracic region
persistent tiny right hydropneumothorax. right-sided pleural drain remains in place. increasing bibasilar opacity suggestive of increasing atelectasis. small bilateral pleural effusions.