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Stanford AIMI 60

Endotracheal tube tip is positioned 2.6 cm above the carina.

Stable positioning of the right internal jugular (IJ) catheter and left-sided chest tube.

Mild anterior wedge deformities of the mid thoracic vertebral bodies, likely chronic

A 1.5-cm density with ill-defined borders seen on the lateral view above the left hemidiaphragm, not corroborated on the frontal view.

Worsening heart failure suggested by pulmonary findings.

Clearing of previously noted opacification at the left base.

Normal chest x-ray with no evidence of acute cardiopulmonary disease.

Stable left infrahilar retrocardiac opacity with air bronchograms.

Possible small left pleural effusion, decreased in size from the previous examination.

Tortuous and possibly enlarged aorta.

Bilateral hip prosthesis without evidence of complication.

Widespread bilateral opacities, which could represent edema, ARDS, or pneumonia.

Stable plate and screw fixation overlying the mid to distal left clavicle.

Interval removal of the left upper lung zone chest tube with postsurgical changes. Intact median sternotomy wires and mediastinal clips are noted.

Left arm PICC line with the tip located 3.7 cm below the carina.

No obvious rib fractures identified on a non-dedicated study; consider dedicated rib views with markers if clinical concern persists.

The imaged osseous structures are unremarkable.

Eventration of the right hemidiaphragm

Bullous change is seen peripherally at the left base. The left lung otherwise appears clear.

Pacemaker leads are in the correct position.

New, minimally displaced pathologic right posterior seventh rib fracture.

Unchanged cardiomediastinal silhouette with sternotomy wires.

Blunting of the costophrenic angles, suggestive of superimposed effusion, particularly on the left.

Interval increase in fluid within the left pneumonectomy space, consistent with expected postoperative changes.

Stable tracheostomy and positioning of right IJ dialysis catheter and PICC line.

Diffuse osteopenia present.

Stable position of left pigtail thoracic drain.

Decreased right pleural effusion with adjacent right retrocardiac opacity likely representing atelectasis; however, coexisting pneumonia cannot be excluded.

18 mm nodule within the right lower lobe.

Normal appearance with intact sternotomy wires.

Presence of Kerley lines.

Moderate tortuosity of the thoracic aorta remains unchanged.

Stability of the remainder of the lung fields.

Postsurgical changes from coronary artery bypass grafting are again noted, with stable positioning of AICD leads.

No evidence of orotracheal intubation or nasogastric tube placement.

Small pleural effusions may be present, if any.

New focal opacity at the left lung base, possibly representing atelectasis or aspiration, without pneumothorax.

Bilateral streaky opacities consistent with subsegmental atelectasis, unchanged.

Interval repositioning of the left pigtail drain.

Improvement in the right hemithorax with decreased density of previously noted opacities.

Slight increase in consolidation at the right base, which may indicate worsening air-space disease or atelectasis.

Hazy opacity over the left hemithorax suggesting a layering left pleural effusion with associated left lower lobe atelectasis or consolidation, which appears stable.

Heart size at the upper limits of normal with associated pulmonary vascular congestion.

Appropriate inspiratory lung volumes.

Right hilar vascular congestion.

Increased reticular pattern, suggestive of edema.

The distal ends of the orogastric and feeding tubes are not visualized; a repeat radiograph including the upper abdomen is recommended for complete assessment.

Ill-defined mediastinal silhouette, which may indicate hilar or mediastinal lymphadenopathy.

Rounded opacity at the right cardiophrenic angle suggestive of a prominent epicardial fat pad; further evaluation with non-urgent chest CT is recommended if clinically indicated.

Embolization coils overlying the mediastinum.

Moderate cardiomegaly with resolved pulmonary edema.

Subtle left basilar opacity, possibly representing atelectasis.

Unchanged appearance of right internal jugular venous catheter, right-sided mediport, left PICC, endotracheal tube, nasogastric tube, and two left-sided chest tubes.

Left apically directed pleural drain in place.

Tracheostomy tip is 4 cm below the carina and appropriately positioned

Evaluation of the heart is difficult due to bilateral opacities.

Dense consolidation involving the right mid and lower lung zones with a rounded lucency at the right lateral costophrenic angle sulcus, which may represent a focal area of aerated lung versus a small pneumatocele. There is also thickening of the right pleura with probable layering pleural effusion and right paramediastinal opacities likely related to prior surgery and/or possible prior radiation in this region.

Visualized mediastinal contours are stable.

Scattered opacities in the left lower lobe

Right-sided peripherally inserted central catheter (PICC) line with the tip projecting over the right atrium; repositioning is recommended for optimal placement at the cavoatrial junction.

Mild diffuse interstitial pattern throughout both lungs.

Improvement in pulmonary infiltrates as evidenced by decreased density on chest x-ray.

Bilateral pleural effusions with a loculated component on the right are demonstrated.

Signs indicative of pulmonary edema.

Increased hazy opacity in the right lower lobe suggestive of either a layering pleural effusion/hemothorax or increased atelectasis.

Bilateral diffuse pulmonary infiltrates suggestive of COVID-19 pneumonia.

Residual diffuse right lung opacity likely represents persistent pneumonia.

Otherwise, there is little change when compared to the previous study.

Decreased lung volumes with persistent, moderate bilateral pleural effusions.

Cardiac silhouette at the upper limits of normal, no definitive evidence of heart failure on chest radiograph.

No pneumothorax, area of consolidation, or effusion identified.

No osseous abnormalities identified in the visualized structures.

Reaccumulation of pleural fluid at the right lateral lung bases since the removal of the right pleural drain, contributing to increased radiodensity in this region.

No pulmonary parenchymal consolidations are identified, suggesting the absence of acute infiltrative lung disease.

Perihilar opacities suggesting vascular congestion, with potential underlying infectious process or aspiration in the left lung base or right perihilar region.

Interval removal of a previously placed left upper extremity PICC line is noted.

Focal opacification in the left lower lobe may represent early infection.

No new focal opacity or significant interval change since the prior exam.

Persistent marked elevation of the left hemidiaphragm.

Persistent left pleural effusion and smaller right pleural effusion, unchanged.

Atelectasis in the right mid lung and left lower lung; cannot exclude concurrent pneumonia in the left lower lobe.

New patchy areas of opacity within the left mid and lower lung zones, as well as an increasing left-sided pleural effusion. These findings could represent focal atelectasis, though aspiration and pneumonia cannot be excluded.

Left pleural effusion with a small hydroaerial level.

Lungs and airways appear unremarkable.

TIPS stent and embolization coils present over the right upper quadrant and mid upper abdomen.

Middle lobe consolidation, suggestive of pneumonia or other localized lung pathology.

Development of bilateral pleural effusions.

Presence of contrast within the collecting systems bilaterally from recent CT angiogram exam.

Left chest wall cardiac pacemaker/AICD device is noted.

The position of the peripherally inserted central catheter (PICC line) is unchanged.

Associated left lung base atelectasis.

Persistent dense consolidation in the left lower lobe with probable layering left effusion.

Bibasilar opacities with bilateral pleural effusions, more pronounced on the left.

Recommendation for repeat radiograph or clinical correlation to confirm placement of pleural drain side ports within the pleural space.

Intact lower cervical fixation plate with no changes.

There is evidence of increasing air-space disease in the left lung, particularly at the base, which may indicate worsening pneumonia.

Mild vertebral body height loss at L1 is stable.

Prominence of the costochondral junction at the bilateral first rib

Improvement in the heterogeneous opacity of the right lung base.

Increased obscuration of the left hemidiaphragm suggesting consolidation or atelectasis.