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Stanford AIMI 60

Stable position of the right upper extremity peripherally inserted central catheter (PICC) and left anterior chest wall defibrillator.

No left pneumothorax and no appreciable pleural effusion with an existing pigtail pleural drain.

Stable appearance with no significant change compared to the prior exam.

Interval increase in left basilar, likely lingular, infiltrate.

Significant improvement in moderate pulmonary edema.

Limited evaluation of the cardiac silhouette due to surrounding opacity on the right; no significant change identified.

Left subclavian peripherally inserted central catheter (PICC) line with its tip appropriately located in the proximal superior vena cava.

Presence of tracheostomy, left subclavian line, and ventriculoperitoneal (VP) shunt, with no change in position.

An IVC filter is partially visualized on the lateral view.

No change in the position of the right hilar and right apical metallic clip.

Chest CT is suggested for further evaluation of persistent volume loss.

Bilateral basal airspace opacities

Endotracheal tube and additional catheter in satisfactory positions.

Interval increase in left greater than right lung base opacity, which may suggest developing infection.

Enlarged cardiac silhouette without change from prior studies.

Lungs are hyperinflated but clear without focal consolidation or pneumothorax.

Presence of small anterior osteophytes along the thoracic spine.

No radiographic interval change with stable position of tubes and lines.

Nasogastric tube tip positioned in the distal stomach.

Status post recent median sternotomy and aortic valve replacement with stable cardiomediastinal contours in the post-operative period.

Endotracheal and left IJ central lines in satisfactory position.

Stable post-surgical changes in the right lung with linear scarring.

Endotracheal tube removed; other support devices unchanged.

Severe cardiac silhouette enlargement, which appears stable postoperatively.

Tunneled central venous catheter in situ without complication.

No acute pulmonary or cardiac abnormalities observed.

Unchanged position of the endotracheal tube; feeding tube tip not visualized on the radiograph.

Low lung volumes without acute intrathoracic abnormalities.

No other abnormalities detected in the lungs or cardiomediastinal silhouette.

Persistent low lung volumes with stable focal airspace opacities in the left mid and bilateral lower lungs. No new focal consolidation or pulmonary edema.

Unchanged bibasilar airspace opacities, suggestive of atelectasis, with less likelihood of consolidation.

Study limited by patient positioning (rotation and kyphosis).

Mild pulmonary edema with bibasilar atelectasis.

Persistent dense retrocardiac opacity, likely representing consolidation or atelectasis.

Fracture calluses noted on the left rib cage, indicative of healing rib fractures.

Pleural thickening on the right axillary border.

Unchanged lung mass obscuring the para-aortic line.

Focal consolidation in the left lower lobe concerning for pneumonia.

Interval removal of the left-sided chest tube with no definite pneumothorax noted; however, the left apex is not well visualized. No interval change in cardiopulmonary status is observed.

No free air identified in the abdomen.

Post AICD (Automatic Implantable Cardioverter Defibrillator) placement with appropriate positioning of one lead in the right atrium (RA) and one in the right ventricle (RV). No evidence of pneumothorax.

Midline sternotomy wires and an aortic valve replacement appear intact.

Increased alveolar opacifications in the left lower lobe, suggesting persistent pulmonary pathology.

Hyperlucency at the line in the left heart border, suggestive of potential loculated air in the pleural space, mediastinum, or lung areas.

Old healed left lateral eighth rib fracture.

Right apical pneumothorax not well seen on current study.

Presence of biapical chest drains with side ports lying outside the thoracic wall.

Interval increase in now mild pulmonary edema.

Markedly enlarged heart with a left ventricular configuration.

New small right-sided pneumothorax with apical and basilar components.

Moderate bilateral bronchial wall thickening noted.

Low bilateral lung volumes without focal consolidation, pleural effusion, or pulmonary edema.

Right internal jugular (IJ) line with the tip appropriately located in the superior vena cava.

Moderate to large left pneumothorax without tension features

Basilar atelectasis, likely related to the extent of the pleural effusions.

Incidental observation of a stent in the right upper quadrant, which may be of biliary origin.

Right base opacity which may represent a raised hemidiaphragm, right hemidiaphragmatic hernia, or right basilar consolidation.

Anterior second rib fracture, not to be mistaken for a lung lesion

Interval intubation with ET tube tip appropriately positioned 2.5 cm above the carina. Stable position of the left IJ line.

Small punctate calcifications in the mid left lung.

Slightly increased prominence of the perihilar regions, possibly indicating pulmonary vascular congestion

Persistent scattered linear atelectasis in the lower lung zones.

Potential superimposed pneumonia at the right lung base cannot be excluded.

Tiny nodule over the right medial lung base, likely representing a vessel en face.

Moderately enlarged, unchanged from prior exam.

Prominence of the central vascular structures consistent with mild pulmonary edema.

Minimal blunting of the right costophrenic angle, which may be due to a small effusion or scarring.

Double aortic arch, a vascular anomaly that may cause tracheoesophageal compression.

Healed fifth through seventh rib fractures.

Unchanged appearance of left PICC and bilateral pleural drains.

An electronic device is noted over the left anterior hemithorax within subcutaneous soft tissues.

Vascular congestion approaching pulmonary edema in the right lung.

Probable layering effusions, left greater than right.

Hyperinflated with flattening of the diaphragm consistent with emphysema.

Surrounding subcutaneous emphysema consistent with recent VATS procedure.

A new 3 cm lobulated image in the right lung field, which warrants further evaluation with a thoracic CT scan for characterization.

Bilateral lower lobe opacities are noted, which may represent consolidation or atelectasis.

Hiatal hernia without significant change.

Blunting of the left costophrenic sulcus, which may represent either pleural thickening or a tiny pleural effusion.

Skeletal abnormalities noted; clinical correlation for skeletal dysplasia is suggested.

Low lung volumes with increasing bibasilar atelectasis, more pronounced on the right.

Side port proximal to the gastroesophageal (GE) junction within the distal esophagus

No significant interval change since the prior study. The previously noted opacity in the right lung base is no longer apparent and was likely an artifact from the patient's hand.

Redemonstration of degenerative changes in the spine with dextroscoliosis.

Retrocardiac opacity on the left, suggestive of consolidation.

Interval advancement of a left-sided PIC line to the cavoatrial junction.

Chronic interstitial lung disease suggested by diffuse interstitial abnormalities.

The previously noted opacity at the left lung base has cleared.

Unchanged minimal postoperative scars in the retrocardiac lung regions.

Postsurgical changes consistent with recent wedge resection of the left mid-lung, including opacity adjacent to surgical sutures likely representing postoperative fluid or hemorrhage.

Convexity at the right cardiac border, possibly related to postsurgical changes; clinical correlation recommended.

Left infusion port in situ with the tip terminating at the brachiocephalic/SVC confluence, unchanged from prior.

Removal of right subclavian central venous catheter.

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

Pulmonary consolidation in the right upper and middle fields, suggestive of a central tumor with associated atelectasis in the right lower lobe.

Slight unfolding of the thoracic aorta

Triple lead left chest wall pacing device in situ.

Patchy opacities at bilateral lung bases, which may be related to atelectasis; however, a developing consolidative process cannot be entirely excluded.

Assessment is limited due to poor inspiratory effort.

Stable position of right IJ catheter at the cavoatrial junction.