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Stanford AIMI 60

Lumbar spine radiographs show no evidence of fracture and stable degenerative changes. There is minimal gas in the non-distended small bowel. Consider MRI if pain persists.

Size difficult to assess but appears grossly stable

Massive enlargement of the cardiac silhouette, raising the possibility of cardiac failure or pericardial effusion.

Persistent pulmonary vascular congestion with probable borderline edema, more prominent in the left lung.

Unchanged appearance of the lungs with persistent dense left upper lung zone opacity, likely representing hematoma.

The tip of the left upper extremity Peripherally Inserted Central Catheter (PICC) projects over the mid Superior Vena Cava (SVC).

Right PICC line with tip at the right atrium.

Old fracture of the right posterior 6th rib.

Prominent right thyroid lobe.

Left upper quadrant abdominal drain stable in position.

Obscured cardiac silhouette due to overlying infiltrates

Bilateral interstitial opacities, greater at the lung bases, consistent with moderate pulmonary edema.

Extensive coarse reticular opacities throughout the lungs, predominantly in the mid to upper zones.

Improved lung volumes compared to the previous study with decreased pulmonary edema. There remains prominent interstitial markings and patchy air-space opacities. Retrocardiac opacity persists.

Small effusion with interval improvement noted.

Left chest wall port with catheter in stable position.

Interval removal of enteric tubes. Interval removal of ET tube and placement of tracheostomy tube. Stable positioning of left IJ central venous catheter.

Partial resolution of right basal pleural effusion with persistent associated infiltrate, suggesting continued monitoring until complete resolution.

Removal of PA catheter, nasogastric tube, endotracheal tube, and mediastinal drain. Presence of a right internal jugular venous sheath and epicardial pacing wires, as well as the prostatic valve.

Endotracheal tube appropriately placed 2.5 cm above the carina.

Slight increase in size of the left apical hydropneumothorax.

Lung volumes are low, which may be indicative of underinflation.

Broken sternal wires noted, clinical significance to be determined.

Terminates overlying the mid thoracic trachea, 3 cm above the carina.

Chronic right-sided rib deformities without evidence of acute fracture.

There is a moderate hiatal hernia present.

Curvilinear lucency along the left upper lung zone, likely representing a skin fold.

Repositioned left PICC line now terminates in the mid SVC.

Stable appearance of left lower lobe collapse consolidation.

Osteopenia present without evidence of fracture.

Old fracture of the right lateral fifth rib.

No evidence of edema, effusion, pneumothorax, or pneumonia.

Bibasilar atelectasis, right side greater than left, improved from previous.

Mild compression deformities of two consecutive lower thoracic vertebral bodies, unchanged.

Right lower lobe opacity suggestive of aspiration or pneumonia.

Hazy opacity on the lateral view likely represents a prominent fat pad.

Extensive atherosclerosis of the aorta with curvilinear calcification projecting over the right heart, suggestive of a potential aortic aneurysm.

Normal inspiratory and expiratory chest radiograph with no acute cardiopulmonary disease.

Findings suggestive of chronic obstructive pulmonary disease (COPD), as indicated by lung hyperexpansion and flattened hemidiaphragms.

Heart size at the upper limit of normal, with no pleural effusions.

Presence of surgical emphysema along the left lateral chest wall.

No significant abnormalities of the visualized osseous structures.

Accentuated density of the major interlobar fissures, suggesting mild chronic pulmonary congestion.

Symmetric thickening of the apical pleural margins without concern.

Fullness of the AP window, suggesting possible enlargement of the main pulmonary artery or lymphadenopathy.

Right-sided PICC line with the tip located at the upper SVC, position unchanged.

Mildly enlarged cardiac silhouette, assessment limited due to AP projection.

Bilateral hazy opacities suggesting mild pulmonary edema.

Decreased lung volumes with mild indistinctness of the pulmonary vasculature, suggesting mild interstitial edema.

Unchanged position of the right internal jugular sheath and catheter, with aortic valve replacement noted.

Slight increased density in the middle field of the right lung suggestive of an abnormality.

Enlarged cardiac silhouette suggestive of moderate pericardial effusion.

Minimal peribronchial cuffing consistent with interstitial pulmonary edema.

Aortic knob calcifications, unchanged.

No evidence of focal consolidation or acute pulmonary infection on the portable chest radiograph.

Multiple bullet fragments seen projecting over the region of the left fifth and sixth inner rib space.

Interstitial markings at the left lung base suggestive of pulmonary edema.

Marked obscuration of the cardiomediastinal silhouette on the left

A subtle triangular opacity at the right lung base.

Stable very small left apical pneumothorax measuring 9mm without significant change from prior study.

Heterogeneous opacification at the right lung base, suggestive of developing right lower lobe pneumonia.

Cardiac size is difficult to discern due to adjacent opacities.

Presence of a midshaft clavicle fracture.

Increased retrocardiac opacity, which may represent atelectasis, with the possibility of infection not excluded.

Retrocardiac airspace opacity with blunting of the left costophrenic angle.

Mild biapical pleural thickening, stable.

Unchanged lucencies at the left costophrenic sulcus extending inferiorly, which may be consistent with a pneumothorax in the supine position; clinical correlation with an upright film is recommended if possible.

Aortic calcifications and degenerative changes of bilateral shoulders.

Moderate haziness in the mid-lower lung zones bilaterally, which may represent effusion, atelectasis, or pneumonia.

Widened mediastinum, which may be positional; recommend an upright posteroanterior (PA) view for further evaluation.

The left-sided peripherally inserted central catheter (PICC) line has been adjusted with its tip now located at the junction of the left brachiocephalic vein and the superior vena cava (SVC).

Mild basilar edema, stable.

Osseous findings suggestive of diffuse idiopathic skeletal hyperostosis (DISH) and/or ankylosing spondylitis, stable.

Stool noted in the right colon, incompletely evaluated.

Minimal decrease in the extent of the apical and lateral portions of the right postoperative pneumothorax.

Mild to moderate enlargement of the cardiac silhouette with left ventricular predominance.

Chest radiograph is otherwise unremarkable.

Sternal wires post-surgery

Minimal improved aeration of the left lung.

Subtle low-attenuation opacity in the lower right lung field, which may represent an infectious process, not typical for SARS-CoV-2 infection.

Stable appearance of two right internal jugular (IJ) central venous catheters.

Bibasilar and right middle lobe opacities with low lung volumes, raising the possibility of pneumonia; clinical correlation recommended.

Inferior most left lower costal margin not fully imaged

Trace bilateral pleural effusions with no evidence of pneumothorax; bilateral pleural drains are in place.

There is a slight improvement in the radiological appearance of the right hemithorax with increased aeration.

Stable bibasilar opacities with left lower lobe consolidation, likely representing atelectasis.

Increased bilateral pulmonary opacities with a perihilar distribution.

Hazy increased opacity in the right mid lung, suggestive of volume loss or early infiltrate.

Endotracheal tube is appropriately positioned with no acute cardiopulmonary abnormalities.

Osteotomy of the right ribs noted.

Enlargement of the large conglomerate mass at the right lung base compared to the prior exam, accompanied by a small right-sided pleural effusion.

Mild linear opacities at the right lung base, likely representing subsegmental atelectasis. No evidence of focal consolidation or pleural effusions.

Persistent peripherally distributed bilateral opacities.

Multiple other smaller nodules seen bilaterally

Multiple vertebral body compression fractures in the lower thoracic and lumbar spine are noted, status unchanged.

Persistent bilateral atelectasis.

Bilateral basal pulmonary hypoventilation suggestive of reduced air entry or atelectasis.

Unchanged opacification of the left hemithorax with persistent surgical clips.

Right parahilar opacity likely represents consolidation, which may indicate an infectious or inflammatory process.

Laminar atelectasis in the right lower lobe, suggestive of partial lung collapse.