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Stanford AIMI 70

Multiple areas of opacity in the bilateral upper lobes, right greater than left

Prominent aorta, suggesting aortic aneurysm.

Prominent chondrocostal joint, likely an incidental finding with no clinical significance noted.

No other significant changes and stable position of tubes and lines.

Possible subacute or old fracture of the left rib.

Malpositioned endotracheal tube with tip in the right main stem bronchus.

Moderate left pleural effusion with increased interval and persistent opacity at the left lung base.

Left basilar infiltrate likely indicative of an infectious process, such as pneumonia.

Stable positioning of the median sternotomy wires.

Chronic reticulonodular interstitial opacities, which may suggest sarcoidosis.

Stable sublobar consolidation in the lower right lobe.

Central right lower lobe mass with postobstructive atelectasis, previously noted on chest CT.

Interval improvement in congestive heart failure manifestations with persistent but improved retrocardiac opacity, which may represent atelectasis or consolidation.

Resolution of previously seen left hilar and right base consolidations.

Peripheral, right upper lobe consolidation appears slightly worse

No focal opacities or pneumothorax.

Stable postsurgical changes post heart transplant and stable cardiac devices.

Left apical pleural parenchymal scarring noted.

Dense vascular calcifications and tortuosity of the thoracic aorta, which are chronic findings.

Presence of lines, tubes, and medical support devices, unchanged from prior.

Interval decrease in the size of the left-sided pneumothorax, now small.

Cardiomediastinal silhouette appears grossly stable with a tortuous, calcified thoracic aorta.

New opacity in the right lower lobe, raising the possibility of atelectasis or early consolidation.

Presence of a right internal jugular sheath and pulmonary arterial catheter with the tip positioned in the left lower lobe segmental artery. Stable positioning of the left chest Automated Implantable Cardioverter Defibrillator (AICD) leads and sternotomy wires.

No abnormal findings in the mediastinum.

Minimal blunting of the left costophrenic sinus, suggesting a minimal left pleural effusion.

Persistent patchy atelectasis or consolidation, predominantly in the left lower lobe.

Absence of a right atrial lead.

Three chest tubes in situ without change

Presence of subcutaneous emphysema along the right lateral chest wall.

Presence of left pleural effusion with associated patchy airspace disease, likely indicative of compressive atelectasis.

Focal basilar opacity on the right with a differential that includes prominent vascular structures or underlying consolidation, in the appropriate clinical context.

Improvement in right middle lobe collapse and consolidation post-biopsy with mild residual linear opacities.

Large left-sided pleural effusion with associated pulmonary consolidations in the left lung.

Increased extent and severity of pre-existing parenchymal opacity at the right lung base, most consistent with pneumonia.

Enlarged cardiomediastinal silhouette unchanged.

Nasogastric (NG) tube with tip at the gastroesophageal junction.

Endotracheal tube terminating approximately 4.3 cm above the carina, in appropriate location.

Dialysis catheter remains in situ.

A lead coursing in a pattern typical of the coronary sinus.

No evidence of pulmonary opacities indicative of COVID-19.

Presence of a new left paraspinal air and fluid collection, likely within the pleural space, with a smaller loculated air and fluid collection anteriorly.

Normal pulmonary parenchyma and cardiothoracic index with no significant findings.

Linear right basilar opacity suggestive of mild atelectasis.

Bilateral widespread airspace disease or fluid overload is present.

Patient is rotated to the right, which somewhat limits the evaluation.

Bilateral old rib deformities.

A metallic fragment is noted over the soft tissues of the left axilla.

Chest tubes have been removed with no evidence of pneumothorax.

Interval development of a right lower lobe parenchymal consolidation, which may represent atelectasis, recent aspiration, or pneumonia.

Removal of tracheostomy cannula noted.

New opacity in the right upper lung zone.

Endotracheal tube, partially visualized nasogastric and feeding tubes below the diaphragm, and right internal jugular central venous catheter appear unchanged.

Decreased hazy parenchymal densities in the periphery compared to previous imaging.

Status post CABG. Further evaluation with chest CT is recommended.

Patchy air-space disease in the right middle and lower lobes.

Persistent marked enlargement of the cardiac silhouette with normal pulmonary vasculature, in keeping with the known diagnosis of cardiomyopathy.

Focal opacity in the left lower lung, likely decreased, and patchy right mid lung opacity consistent with scarring or atelectasis.

Blunting of the costophrenic sinuses, which may suggest small pleural effusions.

No new consolidation or effusion.

Calcified aortic arch

New left pectoral ICD device in place with leads appropriately positioned in the right atrium and right ventricle.

Slight widening of the mediastinum in the region of the aortic knob and aorticopulmonary window.

Stable amount of subcutaneous emphysema in the left upper chest.

In situ pigtail pleural drainage catheter.

Stable positioning of lines and tubes, with the nasogastric tube terminating in the distal esophagus.

Multifocal bronchiectasis.

The abdominal radiographs reveal an unremarkable bowel gas pattern with no evidence of pneumatosis or pneumoperitoneum. Soft tissues and osseous structures appear grossly unremarkable.

Unchanged appearance of left base consolidation without definite pleural effusion.

Endotracheal tube tip appropriately positioned 3.0 cm above the carina.

Extensive central adenopathy is present in the upper mediastinum, more pronounced on the right, causing mild leftward deviation of the trachea.

Unchanged position, terminating in the mid trachea.

Swan-Ganz catheter terminates in the distal right pulmonary artery.

Presence of a small left pleural effusion with associated opacity at the left base and retrocardiac region, suggestive of atelectasis or early infection.

Significant pleural parenchymal scarring extending from the aortic knob to the pleural surface. Left pleural thickening also noted.

Sternal wires and prosthetic mitral valve are noted.

Known hiatal hernia with air-fluid level.

Absence of lung consolidations.

No evidence of focal consolidation, significant pleural effusions, or pneumothorax. Clear lungs are demonstrated.

Bibasilar opacities, slightly improved compared to prior study.

Consolidation in the right lower and left upper and midlung zones.

Left proximal humerus fracture.

Mildly enlarged heart with patchy aortic calcification.

The heart appears enlarged, assessment slightly limited due to patient rotation. No signs of cephalization or overt pulmonary edema.

Improved aeration of the right lower lung field

Placement of a right upper extremity PICC line, likely terminating in the proximal right atrium.

Mild blunting of the left costophrenic sulcus, which may represent a small pleural effusion.

Appear unchanged, allowing for low lung volumes.

Right jugular sheath in place, terminating at the thoracic inlet.

Thin lucency under the right hemidiaphragm, which may represent free intraperitoneal air. Clinical correlation recommended, and further evaluation with a left lateral decubitus view of the abdomen is suggested for characterization.

The left PICC tip is located at 5.2 cm below the carina and is seen in the azygos vein. There is an interval development of near-complete opacification of the left hemithorax with consolidation of the left lung, in addition to the previously noted mild pulmonary edema.

Limited assessment of heart size on AP projection; PA and lateral chest x-rays are recommended for better evaluation.

Right lung not significantly changed

Right cardiophrenic angle surgical clips are unchanged in orientation.

Platelike atelectasis in the right mid lung zone

Increased density in the left retrocardiac region, likely related to the known left lower lobe mass.

Normal mediastinal contour without widening. Lung volumes are low, but lungs are clear with no evidence of pneumothorax or rib fractures.

Previous curvilinear metallic radiodensities over the right upper quadrant/right hemidiaphragm not visualized in the current field of view.

Left subclavian PICC catheter with the tip at the right atrium.

A nodular opacity is noted just inferior to the right third anterior rib, which may represent an artifact. Differential consideration includes a parenchymal opacity that could be concerning for infection. The lungs otherwise appear clear with no evidence of pulmonary edema or pleural effusions.