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a single upright frontal chest radiograph demonstrates interval placement of a right ij swan-ganz catheter with its tip in the right intralobar artery. the cardiac size is at the upper limits of normal. the lungs are clear without evidence of new focal consolidation or significant pleural effusion. no evidence of pulmonary edema.
position of support devices are stable. no significant interval change in persistent low lung volumes and bibasilar atelectasis. redemonstration of mild pulmonary edema.
single ap portable upright frontal view of the chest demonstrates interval placement of a right upper extremity picc line with its tip in the right atrium. otherwise, there are persistent bilateral pleural effusions with bibasilar infiltrates and consolidation.
ap semi-erect chest radiograph demonstrates marked elevation of the right hemidiaphragm, with associated basal atelectasis. there also appears to be a small pleural effusion. further improved aeration is seen at the left base, with minimal residual atelectasis. 3
18:56 hours compared with 4-18-2016. stable cardiomediastinal silhouette. lungs remain clear. no focal opacity, edema, or pneumothorax.
portable radiograph of the chest demonstrates stable postsurgical changes with intact median sternotomy wires status post double lung transplantation. the lung volumes are low bilaterally with patchy areas of opacity in the right lung base, which may be related to the recent bronchoscopy. persistent biapical pleural thickening. no pneumothorax. these results were communicated to mila, dr. at 10:30 am on 5/1/2014.
tubes and lines are unchanged. slight interval increase in pulmonary edema. increasing retrocardiac opacity with some opacity in the right lower lung zone which may be consistent with atelectasis or consolidation. slight blunting of the costophrenic angles bilaterally consistent with small effusions.
stable and standard position and appearance of medical support tubes and lines. no significant change in the appearance of the chest. persistent moderate-sized pleural effusions, and and basilar air space opacities. no new focal consolidation. cardiomediastinal signs is enlarged, and unchanged. follow-up chest radiograph on 3-8-2007 at 0828 hours demonstrates interval placement of a swan-ganz catheter. no pneumothorax. otherwise no change..
interval placement of a right internal jugular central line with tip in the proximal svc. no evidence of pneumothorax. low lung volumes which limits our interpretation of the pulmonary parenchyma although no focal disease is identified. lungs are grossly clear.
upright pa and lateral chest radiographs again demonstrate a vaguely defined irregularly shaped nodule in the left upper lobe. this may correspond to a nodule seen in this region in a recent chest ct from 12-16-2014. otherwise, the remainder of the chest demonstrates no new focal consolidation to suggest pneumonia.
mass is again seen in the right lung base. no significant interval change. lines and tubes are stable.
interval development of moderate pulmonary edema. interval increase in consolidation involving the right mid lung zone, superimposed infection is not excluded. persistent atelectasis versus consolidation at the lower lung zones bilaterally with associated small pleural effusions. mild cardiomegaly is stable. osseous structures are unchanged.
status post- aicd placement with no evidence of pneumothorax. probable left basilar atelectasis but clinically rule-out pneumonia.
supporting devices are unchanged although the side port remains at the thoracic wall on the right. redemonstration of multiple osteotomies and post surgical changes from right lung transplant with a small right pleural effusion and tiny right pneumothorax not significantly changed. left lung remains fibrotic and small.
diffusely increased interstitial opacities, most prominently in the perihilar region and bilateral lung bases, suggesting either interstitial pulmonary edema or atypical infection. no evidence of pleural effusion.
low lung volumes and persistent left basilar opacity. may represent atelectasis and/or pneumonia. small left effusion unchanged. lines and tubes unchanged.
interval extubation, unchanged right upper extremity picc, and right subclavian catheter. limited evaluation of the lung parenchyma, due to only partially visualized thorax. within these limitations, no significant change with bilateral pleural effusions, signs of pulmonary edema. cardiomediastinal silhouette cannot be assessed.
single frontal radiograph of the chest demonstrates interval placement of right internal jugular venous catheter with tip terminating in the superior vena cava. sequela of cabg and recent aortic valve replacement. lungs demonstrate clear fields bilaterally. no pleural effusions. no pneumothorax.
unchanged chronic bilateral coarse reticular opacities with more focal opacification of the left lung base, likely representing atelectasis or consolidation. stable cardiomediastinal silhouette.
stable heterogeneous airspace opacities in both lung bases. stable small bilateral pleural effusions. unchanged mild pulmonary edema. cardiomediastinal silhouette is within normal limits for size. stable left upper extremity picc. enteric tube courses over the midline thorax, with tip obscured by under penetration and overlying hardware.
the feeding tube remains unchanged. there has been interval placement of a surgical drain in the upper thorax. there is a new right sided chest tube. there are postsurgical changes in the mediastinum with multiple surgical clips and staples. no definite pneumothorax. demonstration of patchy right air space opacities likely representing postsurgical change.
interval increased aeration in the left lung base. severe degenerative change effect the right shoulder.
remaining lines and tubes appear unchanged. there are low lung volumes with persistent bibasilar atelectasis and bilateral pleural effusions. there has been interval improvement in the patient's pulmonary edema.
left picc line stable at cavoatrial junction. negative chest. no pneumothorax identified. no aspiration identified.
single frontal view of the chest demonstrates a left-sided picc line with tip in the cavoatrial junction, unchanged. lung volumes remain low with stable small left-sided effusion and retrocardiac opacity. prominent interstitial markings are again noted suggestive of mild pulmonary edema. these findings could also be consistent with an atypical infection.
interval resolution of the right apical pneumothorax. new subtle opacity the right apex possibly representing postop change or scarring.
single frontal view of the chest demonstrates interval placement of an epidural catheter which projects over the right hemithorax. interval development of a small left pleural effusion. no evidence of focal consolidations or pulmonary edema.
right ij central venous catheter unchanged. better aeration of both lung bases, and decreased left pleural effusion.
no evidence of focal consolidation, pleural effusions, pulmonary edema or pneumothorax. no evidence of acute cardiopulmonary disease. mildly elevated right hemidiaphragm, stable. prominence of the thoracic aorta which may be mildly ectatic. cardiac silhouette size is upper limits of normal. substantial degenerative disk disease at the thoracolumbar junction.
frontal and lateral views of the chest demonstrate a normal cardiomediastinal silhouette. no pulmonary edema. clear lungs. no pneumothorax. left apical lateral smooth pleural thickening. the left costophrenic angle appear sharp. no acute osseous abnormality. there is minimal anterior wedge deformity of a midthoracic vertebral body. minimal endplate vertebral body degenerative changes are present within the lower thorax.
ap view of the semi-erect chest on 5-28-2003 at 0102 hours shows the study is somewhat limited by respiratory motion. redemonstration of left subclavian venous catheter. interval increase in bilateral opacities projecting over the right lower lung field and the left mid and lower lung field zones. these opacities are suggestive of consolidation versus atelectasis. there are bilateral pleural effusions. mild pulmonary edema slightly increased.
single upright ap view of the chest demonstrates stable positioning of a left upper extremity picc line. interval improvement in diffuse reticulonodular pattern of the lungs. no new parenchymal opacities. probable small right pleural effusion. the bones are diffusely sclerotic, which again may reflect marrow infiltration.
interval surgery of the right hemithorax with replacement of right-sided pleural drains, now numbering 3, and with interval decrease of right-sided pneumothorax with small residual. coarse reticular pattern of the lungs, suggestive of evolving diffuse alveolar damage. "physician to physician radiology consult line: (862) 813-6035"
normal heart size and pulmonary vascularity. patchy air space opacities in both lung bases which may be due to atelectasis, aspiration, or infection. no pleural effusion or pneumothorax. bilateral glenohumeral joint degenerative changes.
no evidence of new pneumonia.
increasing left lower lobe opacity, presumably representing atelectasis. cannot exclude infection or aspiration. mild pulmonary edema is unchanged. left subclavian central venous line and tracheal cannula are unchanged.
interval placement of right intrajugular central venous catheter as above without evidence of pneumothorax. 2
retrocardiac atelectasis versus consolidation and left-sided pleural effusion again demonstrated.
persistent retrocardiac opacity and left pleural effusion, unchanged. overall, no significant interval change. low lung volumes
ap semierect chest radiograph demonstrates a right-sided dialysis catheter, with the tip in the right atrium. stable cardiomegaly, with prominent calcification in the thoracic aorta. review on interval follow-up is recommended. the lungs otherwise appear clear, with no evidence of pulmonary edema, pleural effusion or consolidation. the osseous structures appear diffusely sclerotic, with increased end plate sclerosis in the thoracic spine, compatible with underlying renal disease. surgical clips are seen in the medial aspect of the left upper arm.
persistent chf and bilateral pleural fluid collections. persistent bilateral lower lobe air-space disease stable from 9-22-2006 at 4:05 p.m. no change in aortic stent-graft, mid left lung band-like atelectasis, and right central line with the tip in the superior vena cava.
frontal radiograph of the chest demonstrates a possible retrocardiac opacity that may represent atelectasis versus consolidation 2.there is a small left pleural effusion which is new. stable cardiomediastinal silhouette. the hila appear prominent.
serial chest radiographs demonstrates air space opacity in the left lower lung, which may be related to atelectasis, pneumonia, less likely aspiration or infarct. consider lateral view or ct for more specific localization, if clinically appropriate. there is progressive opacification of the right hemithorax, compatible with increasing pleural effusion and or pulmonary edema. additionally, rapidly progressive infection or aspiration can appear similarly. no pneumothorax is demonstrated. marked cardiomegaly. no acute bone abnormality.
cardiac pacemaker in place. no pneumothorax. physician to physician radiology consult line: (616) 985-3791
interval increase in mild bibasilar atelectasis versus consolidation. stable perihilar consolidation, right greater than left. small left pleural effusion. stable mild pulmonary edema. no other significant changes.
stable mild bilateral basilar atelectasis but no evidence of consolidation or significant pleural effusions.
interval insertion of left upper extremity picc line, tip at the cavoatrial junction. 2
interval worsening of bibasilar airspace disease with small, bilateral, pleural effusions. findings are consistent with pneumonia.
borderline cardiomegaly. no evidence of acute cardiopulmonary disease. no pneumothorax. osseous structures unremarkable.
interval increase in perihilar opacities and diffuse reticular pattern with slightly worsened left pleural effusion; appearance is compatible with pulmonary edema. volumes are persistently low. stable prominent cardiomediastinal silhouette. stable positioning of a right upper extremity picc line.
stable lines and tubes. persistent low lung volumes with stable cardiomediastinal silhouette. within the lungs, again demonstrated is retrocardiac opacity and improved interstitial pulmonary edema. there has been interval improvement in aeration to the right lung base.
left-sided central line with tip at the region of the distal superior vena cava/right atrial junction, unchanged. no new focal consolidation. residual left basilar atelectasis/scarring, with small pleural reaction/effusion. pleural thickening/scarring of the left major fissure. diffuse osteopenia of the thoracic spine.
stable positioning of the right internal jugular central venous catheter. unchanged mild enlargement of the cardiac silhouette with ongoing mild interstitial pulmonary edema. interval improved aeration of the left lung base. no new focal consolidation or pleural effusion. poststernotomy changes; median sternotomy wires appear intact and in midline.
cardiomegaly again noted. slight improvement in lung volumes. no edema.
single portable semiupright frontal view of the chest demonstrates an endotracheal tube, with the tip 3.3 cm above the level of the carina. feeding tube, ng tube, and left internal jugular line are unchanged in position. overall, the exam is not significantly changed, with persistently low lung volumes. left basilar lung opacity persists and may represent atelectasis, infection or aspiration. the cardiomediastinal silhouette is unchanged, and there is no evidence of pulmonary edema.
portable semi-upright chest radiograph demonstrates stable position of lines and support devices. lungs demonstrate bilateral pneumothoraces, with the right pneumothorax being lobulated and with no significant change with the adjacent right pigtail catheter. the left apical pneumothorax is stable in appearance. the patient is rotated towards the right. visualized bones and soft tissues are unremarkable. cardiomediastinal silhouette within normal limits.
re-demonstration of two left-sided chest tubes in stable and unchanged position. there is no evidence of pneumothorax. there is a small amount of subcutaneous emphysema in the soft tissues overlying the left lower neck. 3
persistent cardiomegaly and linear atelectasis at both lung bases. right chest wall soft tissue emphysema.
endotracheal tube and ng tube are again seen and unchanged. the distal tip of the feeding tube is in the stomach with the proximal portion again coiled in the esophagus. the distal tip of the right internal jugular venous line remains in the right atrium. decreased lung volumes with worsening right basilar atelectasis. persistent opacification in the left retrocardiac region consistent with left lower lung atelectasis. interval increase in diffuse pulmonary edema.
left upper lobe and left lower lobe consolidation most in keeping with pneumonia. this information was discussed with hope, barrera (r.n.) for zion costa, m.d., on the telephone by romeo j, roman at 1230 hours, 2-21-03.
interval increase in size of the left sided pneumothorax.
interval placement of endotracheal tube in satisfactory position. interval placement of right internal jugular swan-ganz catheter with the tip in the right pulmonary artery. suggestion of possible right pneumothorax with hyperlucency in the right apex and base. recommend repeat short-term chest x-ray in four hours. interval worsening of interstitial edema with increased areas of focal confluence suggesting progressive edema versus infection. persistent bilateral pleural effusion with bibasilar opacification.
low lung volumes. no focal consolidation. normal soft tissues and bones.
portable semi-erect chest radiograph demonstrates right internal jugular catheter with the tip in the superior vena cava. no evidence of pneumothorax. bilateral lungs clear. no cardiomediastinal abnormalities.
right internal jugular catheter and right chest wall staples again noted. persistent left pleural effusion, interstitial pulmonary edema and volume loss of the right lung unchanged. cardiomediastinal silhouette stable and calcific aorta again seen.
tip of left ij line in left brachiocephalic vein; no associated pneumothorax. persistent bilateral patchy parenchymal disease which is in an atypical distribution for pulmonary edema. differential diagnosis includes infection, aspiration, or drug toxicity. there are no substantial differences between the preliminary results and the impressions in this final report. "physician to physician radiology consult line: (320) 751-1088"
stable heterogeneous bibasilar and retrocardiac air space opacities, which could represent atelectasis or consolidation. no lobar consolidation, pleural effusions, pulmonary edema, or pneumothorax. visualized osseous structures are demineralized.
interval placement of a swan-ganz catheter with the tip projected towards the right pulmonary artery. other lines and drains, unchanged. re-demonstration of multiple rib fractures and extensive subcutaneous emphysema. a deep sulcus on the right is again seen, suggestive of a right pneumothorax. persistent, multiple patches of focal air space opacity which may represent edema, and/or contusion or aspiration.
series of two frontal chest radiographs demonstrate new right upper extremity picc, with tip 4.5 cm below the level of the carina, overlying the superior right atrium. no pneumothorax. interval increase in interstitial markings, likely reflecting increased interstitial edema, which is mild. no new focal air space consolidation. stable right pleural effusion. stable volume loss in the right lung, with mediastinal shift to the right.
prominent interstitial markings may reflect edema or low lung volumes. left base atelectasis. mild cardiomegaly with tortuous aorta.
two views of the chest demonstrate interval worsening of markedly low lung volumes. bibasilar atelectasis is appreciated with probable parenchymal consolidation in the right lung base. persistent marked gaseous distention of the colon at the splenic flexure is again demonstrated.
single portable upright view of the chest dated 10-20-19 demonstrates stable positioning of a left picc. low lung volumes with diffusely increased reticular lung markings which may represent pulmonary edema; however, the differential includes infection. bibasilar left greater than right opacities and small effusions.
pa and lateral views of the chest without comparison show somewhat low lung volumes but no focal parenchymal abnormality. no edema, pleural effusions or pneumothorax. the heart size is at upper limits of normal to mildly enlarged, but this may be accentuated by the low lung volumes.
the right sided chest tube remains stable in positioning. persistent asymmetry of the lung volumes with the left being greater than the right. small apical pneumothorax measures approximately 1.5 cm from the chest wall. persistent and stable bilateral pleural effusions.
redemonstration of nasogastric tube, right subclavian catheter, right upper extremity picc line, and bilateral pleural drain pigtail catheters. further interval decrease in left-sided pneumothorax. persistently low lung volumes are seen with interstitial prominence and stable cardiomegaly. together these suggest mild pulmonary edema. retrocardiac opacities consistent with worsening left lower lobe atelectasis. bilateral pleural effusions are demonstrated.
left anterior chest wall 2-lead pacemaker, sternotomy wires, and mediastinal clips are unchanged. mild cardiomegaly. no focal consolidation, effusion, edema or pneumothorax.
remainder of lines and tubes unchanged. pulmonary edema again noted; interval decrease in lung volumes with increased parenchymal opacities in bilateral bases and small, bilateral, pleural effusions. chest x-ray 10/1/2005 at 2247 hours: interval increase in extent of parenchymal opacification involving the left base; no other significant interval change.
sequence of four chest x-rays demonstrating low lung volumes and bibasilar air-space opacities on most recent film, most likely representing atelectasis. no evidence of pneumothorax.
frontal radiograph of the chest demonstrates stable positioning of right pigtail catheter and interval placement of an additional right pigtail catheter. stable appearance of abdominal skin staples. increasing right-sided subcutaneous emphysema. persistent moderate right-sided pneumothorax. persistent diffuse ill-defined coarse reticular opacities and groundglass.
single semi-erect ap view of the chest is somewhat limited by the presence of respiratory motion artifact. left anterior chest wall dual lead pacemaker in place with grossly intact leads. low lung volumes with large left pleural effusion and consolidation of the mid and lower lung zones, worrisome for infectious or aspiration pneumonia.
predominately peripheral reticulation with areas of basilar pleural thickening, more prominent on the right. findings may reflect underlying chronic lung disease. no focal mass or consolidation. the left humeral head appears subluxed anteroinferiorly, although this is only partially imaged. the acromioclavicular joint is not imaged.
single portable semi-upright frontal view of the chest demonstrates interval placement of a right-sided chest tube. no pneumothorax. there are low lung volumes with crowding of the bronchovascular markings. no new focal parenchymal opacities.
no evidence of acute pneumothorax or other cardiopulmonary disease.
stable cardiomediastinal silhouette. low lung volumes persistent but improved left greater than right basilar air space opacity, which may represent atelectasis versus consolidation. persistent mild vascular prominence, however improving, which suggests improving edema versus infection
portable supine chest radiograph demonstrates interval placement of a right subclavian catheter with the tip in the distal svc. no evidence of pneumothorax. there is slight prominent of the interstitial markings suggestive of pulmonary congestion. no other focal abnormalities are seen.
right ij sheath with pa catheter remains unchanged in position. mediastinal drains remain in place. left retrocardiac opacity and mild pulmonary edema unchanged from comparison.
sequence of portable chest radiographs demonstrating persistently low lung volumes and slightly increasing obscuration of the left diaphragm by atelectasis, consolidation, or pleural effusion. sequence of radiographs demonstrating interval placement of nasogastric and endotracheal tubes, satisfactory.
interval placement of trachea cannula, otherwise lines and tubes are unchanged. stable mild pulmonary edema.
recurrent right pneumothorax. chest tube in place.
in both chest x-rays as described above there is no evidence of a pneumothorax or pleural effusion. i have personally reviewed the images for this examination and agreed with the report transcribed above.
redemonstration of mild pulmonary edema with increased aeration in the right lung base. persistent atelectasis in the left lower lobe and bilateral pleural effusions. stable mild cardiomegaly. redemonstration of atherosclerosis of the aortic arch.
again seen is the pleural thickening over the right mid-hemithorax, with redemonstration of linear opacity in the mid-to-lower lung zones bilaterally. a small left-sided pleural effusion is noted. overall appearance is stable. stable right sixth rib thoracotomy.
markedly low lung volumes with retrocardiac airspace disease and left pleural effusion.
endotracheal tube with tip located 1.5 cm above the carina. nasogastric tube extending below the field of view. there are low lung volumes with blunting of the left costophrenic angle likely representing a small left pleural effusion. slight interval improvement in the bibasilar opacities with persistent left retrocardiac opacification, which may represent atelectasis.
low lung volumes. mild pulmonary edema. scarring in the left mid lung zone.
progressive right upper lobe atelectasis / consolidation, though hematoma around the chest tube is not excluded. slight interval decrease in opacification of the left lung with persistent left mid and lower lung opacities, likely reflective of atelectasis versus consolidation. small layering left pleural effusion. "physician to physician radiology consult line: (124) 129-9228" i have personally reviewed the images for this examination and agreed with the report transcribed above.
pa and lateral views of the chest demonstrates cardiomediastinal silhouette within normal limits. lungs are clear without edema, effusion or focal consolidation. no gross bony abnormality.
no radiographic evidence for acute disease. there are a few dense nodular opacities in the left lung base, presumably representing calcified granulomata. otherwise, the lungs are unremarkable. there are no focal opacities or masses. there is no pleural effusion. heart size is within normal limits. there is atherosclerotic calcification within the thoracic aorta. soft tissues and osseous structures unremarkable.
interval placement of left ij central venous catheter, distal tip in the svc. there has been interval intubation, endotracheal tube is in normal position. stable cardiomegaly. image somewhat degraded by motion limiting interpretation. there are persistent low volumes with abnormal opacifications at the bases. no pneumothorax.
portable upright view of the chest demonstrates low lung volumes with prominent vasculature and cardiomegaly that may be related to pulmonary edema or position/technique. no pleural effusion, pneumothorax, or focal opacity. gaseous distention of the stomach.