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Stanford AIMI 70

Grossly stable appearance of the visualized osseous structures compared to the prior exam.

Patient rotation to the right, affecting the visualization of mediastinal structures.

No displaced rib fracture identified. If subtle or nondisplaced rib fractures are clinically suspected, dedicated rib radiographs with markers at the site of the patient's pain are recommended.

Minimal blunting of the right costophrenic angle, likely representing pleural adhesion.

Interval placement of a left anterior chest wall biventricular ICD.

No change in the prominence of the cardiomedial silhouette, retrocardiac opacity, and pulmonary edema, suggesting stability in these findings.

Opacity at the left base laterally, likely representing atelectasis.

Small to moderate left-sided apical pneumothorax with apical and basal drains in situ.

Left upper extremity PICC line has migrated with the tip now projecting over the midline, suggesting the need for repositioning.

Tunneled right internal jugular catheter with the distal tip in the mid superior vena cava.

Reinforced bronchovascular markings, likely of vascular origin, more pronounced on the right base, which could suggest underlying pulmonary vascular congestion or other vascular changes.

Interval removal of a left-sided PICC noted.

Prominent biapical pleural thickening.

Successful interval placement of left subclavian line with the tip positioned in the mid superior vena cava. No evidence of pneumothorax.

Examination limited by patient's body habitus and positioning.

Kinked new left subclavian central venous catheter.

Increased opacity in the left lower lobe, which may indicate atelectasis, though an infectious etiology cannot be excluded.

Persistent right middle lobe pneumonia.

Stable right-sided pneumothorax with chest drain in place.

Pacemaker lead is in the expected position.

Presence of a left internal jugular (IJ) peripherally inserted central catheter (PICC) line with the tip positioned over the mid superior vena cava (SVC).

Central pulmonary vascular engorgement and indistinct pulmonary vasculature, suggestive of pulmonary edema.

Diffuse dilation of intestinal loops suggestive of a distended abdomen, etiology to be determined.

Unchanged from prior study, including the presence of a large hiatal hernia.

Stable cardiac and mediastinal silhouettes post-surgery.

The remaining right lung is unchanged.

Mild indistinctness of the pulmonary markings, suggesting mild pulmonary edema.

Low lung volumes with increased reticular markings, the chronicity of which is unclear. Further evaluation with upright posteroanterior (PA) and lateral chest views is recommended to assess for possible atelectasis or early consolidation.

Post-surgical changes of coronary bypass surgery are present.

Early bibasal infiltrates, which may indicate an infectious or inflammatory process.

Left retrocardiac opacity on chest radiograph, suggestive of pneumonia. Further evaluation with PA and lateral views recommended if clinically indicated.

Successful placement of a temporary pacing lead, terminating in the expected location of the right ventricle.

Persistent distension of mediastinal veins.

Elongation of the aorta, which may be incidental or age-related.

Minimal streaky left basilar atelectasis.

Subtle left base opacity, possibly due to pleural effusion and atelectasis; cannot exclude additional consolidation.

Reaccumulation of small loculated left-sided pleural effusion.

Right paracardiac mass likely representing a pleuropericardial cyst.

Improved bilateral and diffuse interstitial-alveolar pattern, likely indicative of a response to treatment for congestive heart failure.

If clinical suspicion for underlying pathology persists, a CT scan is recommended for its higher sensitivity in detecting subtle parenchymal and mediastinal lesions.

Opacity in the right middle and lower lobes, which may represent pneumonia; however, an underlying mass cannot be excluded. Follow-up with CT scan or repeat radiography post-treatment is recommended to ensure resolution.

Mildly prominent left and right pulmonary arteries, suggesting possible pulmonary hypertension.

Atherosclerosis and slight unfolding of the thoracic aorta.

Left pleural effusion likely unchanged.

Stable increased interstitial prominence, which may suggest pulmonary edema or age-related changes.

Large right pneumothorax with interval chest tube removal.

Presence of a bicameral pacemaker without associated complications on the current study.

Left lower lobe: Dense retrocardiac opacity suggesting volume loss/infiltrate with associated effusion.

Volume loss throughout the right hemithorax.

Postoperative changes with interval placement of a prosthetic valve, likely aortic.

Decreased size of left basilar pneumothorax.

Interval withdrawal of right-sided PICC line with tip terminating in the upper superior vena cava.

Patchy areas of consolidation more prominent at the left lung base than the right, with moderate bilateral pleural effusions.

Presence of a fiducial seed within the left upper lobe.

Blunting of both medial and lateral costophrenic angles of the right hemithorax, with a more confluent appearance compared to the prior exam.

Volume loss at the right base with a likely small pleural effusion.

Repositioning of the right internal jugular Swan-Ganz catheter, which is coiled over the right atrium.

Hazy opacity in the right lung base may reflect atelectasis or infection.

Unchanged bilateral dependent pleural effusions.

Patchy left base retrocardiac opacity, likely representing atelectasis, with the possibility of early consolidation not excluded.

Retrocardiac opacity partially obscuring the left hemidiaphragm, suggesting a small effusion.

Calcific tendinosis in the left shoulder.

Improvement of left pleural effusion with only residual minimal bilateral pleural effusions remaining.

Presence of multiple lines, tubes, and support devices, with initial low positioning of the endotracheal tube, which was subsequently repositioned satisfactorily.

Right jugular catheter position is unchanged, terminating in the upper SVC.

Minimally displaced fracture of the right superior pubic ramus.

Opacity in the retrosternal clear space, consistent with known anterior mediastinal mass

Linear atelectasis persists in the left base.

Postsurgical changes of the left clavicle centrally, including the sternoclavicular joint. Focal hyperlucency of the left lower hemithorax, most likely related to surgical changes.

Resolution of the previously noted right mid lung opacity.

Lower approach catheter projecting over the right aspect of the heart, likely external to the patient.

Aortic elongation, which may indicate atherosclerotic changes or chronic hypertension.

Unchanged appearance of the chest since the last exam, with bilateral reticular pattern and consolidative opacifications.

The left hemithorax is nondiagnostic, limiting assessment.

PICC line remains unchanged in position.

Mild scattered peribronchial opacities are present.

Persistent low lung volumes on the left, with a small loculated hydropneumothorax remaining.

Low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding suggestive of volume loss or congestion.

No evidence of pneumothorax on either chest x-ray.

Unchanged basal areas of atelectasis are observed.

Normal mediastinal contour with mild calcification at the aortic knob.

Presence of surgical coils over the midline of the upper abdomen.

Likely enlargement of the cardiac silhouette

Normal cardiomediastinal silhouette with a tortuous aorta

Bibasilar opacities, which may indicate pleural effusions and atelectasis; possibility of underlying consolidation cannot be excluded.

Limited evaluation for underlying infection or aspiration due to edema and effusions

Worsening of bibasilar opacities since the prior study, which may represent atelectasis. Aspiration and infectious pneumonia are differential diagnoses.

Stable cardiac silhouette and previously identified skeletal abnormalities.

Small left pleural effusion with a minimal decrease in extent, possibly related to patient positioning.

The previously questioned focal opacity overlying the right fifth rib is no longer discretely visualized.

Radiological signs indicative of COPD with associated air trapping.

Bilateral pleural effusions have increased in size.

PICC catheter placed via the left arm with the tip overlying the superior vena cava

Central venous catheter with appropriate placement with the distal end in the superior vena cava.

Central line terminating within the mid SVC.

The Swan-Ganz catheter has been repositioned to the mid superior vena cava without evidence of pneumothorax.

Interval placement of a left internal jugular central venous catheter terminating in the left brachiocephalic vein.

Within normal limits, unchanged

Mildly improved cardiomegaly and pulmonary vascularity.

Increased patchy opacity in the right upper lung, concerning for infection.