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Stanford AIMI 61

Decreased lung volumes with persistent mild pulmonary edema, bilateral pleural effusions, and bibasilar atelectasis/consolidation.

Left shoulder radiographs show no dislocation or fracture and mild acromioclavicular (AC) separation.

Subtle opacity in the right upper lobe corresponding to the site of recent biopsy

Mild right lung base atelectasis and presence of suture material in the right lung, unchanged from prior.

Possible trace pleural effusions, if present, may be decreased in size compared to previous studies.

Single lead pacemaker present on the left chest wall with lead extending to the right ventricle.

Poorly delineated cardiomediastinal silhouette due to positioning and low inspiratory volumes.

Small left pleural effusion has slightly increased.

Tiny left apical pneumothorax with left chest tube in situ.

Enteric tube remains appropriately positioned within the stomach.

Mediastinal and hilar contours appear probably unchanged, considering differences in technique.

Mild right pleural effusion, no pneumothorax present.

New right upper lobe consolidation, which may represent aspiration or developing pneumonia.

The presence of a small alveolar infiltrate in the lower left lobe is suggestive of COVID-19 pneumonia.

Properly positioned endotracheal tube, 4.3 cm from the carina.

Presence of a right central venous infusion port terminating in the upper superior vena cava without complications.

New mild to moderate compression deformity in the upper thoracic vertebral body.

The left lung apex is not demonstrated in the views obtained.

Small left pleural effusion with minimal increase from prior examination.

Stable 5 cm rounded mass in the left upper lung zone, consistent with known malignancy.

Findings are suggestive of carcinomatous lymphangitis.

Two right internal jugular central venous catheters, bilateral chest tubes, mediastinal drain, and epicardial wires unchanged in appearance.

Stable small right pneumothorax with a small basilar and a small right apical component.

Mediastinum is stable.

Presence of a bicameral pacemaker over the left pectoral region without complications noted.

Left pectoral infusion port terminates in mid superior vena cava (SVC).

Transesophageal drainage tube is positioned within the nondistended stomach, with the distal end not visualized.

Signs of congestive heart failure with vascular plethora and interstitial edema.

Expected post-operative appearance

No significant interval change in retrocardiac atelectasis and left greater than right-sided pleural effusions.

Presence of transvenous right atrial and right ventricular pacemaker leads in standard placements.

Unchanged subcutaneous air within the right chest wall.

The cardiac contour is not well assessed due to patient rotation.

Mild to moderate right-sided pleural effusion, unchanged.

Mild reticular opacities throughout the lungs, likely representing mild pulmonary edema.

Appear clear without evidence of consolidation or effusion.

Imaged osseous structures appear normal

Unchanged chest X-ray findings including calcified granulomata in the right mid zone, mitral annulus calcifications, and an old right clavicular fracture.

Decrease in left pleural fluid and presence of a 2.6-cm left apical pneumothorax.

Mediastinal drain in place with overlying sternotomy wire sutures and skin staples.

Chronic obstructive pulmonary disease without acute exacerbation or complications such as consolidation or pleural effusion.

Discontinuity of the superior most sternotomy wire.

Persistent substantial effusion and volume loss in the left lung.

Tiny amount of pneumomediastinum in the left neck and adjacent to the aortic arch

Moderately enlarged heart with a globular configuration.

Presence of lines and tubes in standard placements without complications.

The right chest tube has been successfully removed.

Possible opacity in the right middle field, which may represent additional involvement by the infectious process.

No new pulmonary consolidations identified, indicating no new acute findings.

Patchy ill-defined opacity at the lung bases, possibly representing atelectasis, with infection or aspiration not excluded.

Both costophrenic sulci are blunted, suggesting possible small pleural effusions.

Resolution of previously noted increased opacification at the left base medially.

Right lung lower lobe volume loss with sequelae.

Faint patchy opacity in the retrocardiac region, likely representing atelectasis.

Diffuse prominence of interstitial lung markings noted.

There is decreased opacification at the left base with stable opacification of the right lung base.

Presence of a dense streak of atelectasis in the left mid zone, with smaller streaks at the bases.

Minor degenerative changes are present within the spine.

Clear lungs bilaterally without evidence of focal consolidation or pulmonary edema.

Resolution of the thoracic wall emphysema.

Increased opacity in the right lower lobe, possibly related to recent procedure

Temporary pacemaker wire appears in appropriate position.

Pulmonary edema or infection, likely contributing to the patient's clinical picture of sepsis and pneumonia.

Multiple new opacities, including in the left lower lobe and potentially right lower lobe, suggestive of an infectious process.

Left arm PICC line terminating in the lower superior vena cava, unchanged.

The right internal jugular line is positioned at the level of the superior SVC.

Chronic non-united fracture of the distal right clavicle.

Persistent bibasilar opacities, bilateral pleural effusions, and mild pulmonary edema without significant interval change.

No significant abnormalities in the skeletal, cardiopulmonary systems.

Left upper lobe linear opacities and hilar fullness concerning for underlying pneumonia and adenopathy. Further evaluation with CT of the chest with contrast is recommended if clinical concern persists.

Right lung aeration is essentially unchanged.

Small right pleural effusion, increased in size

Linear radiopaque density along the course of the feeding tube, possibly an esophageal temperature probe, requires clinical correlation.

The feeding tube position remains unchanged.

Persistent but improving opacities at both apices and in the left upper and mid lung, suggestive of resolving aspiration or pulmonary hemorrhage, or resolving pulmonary edema with atypical distribution.

Linear opacities within the left lung base, likely representing subsegmental atelectasis.

Successful left pleural tube exchange with improvement in the left basilar pneumothorax and persistent small left apical pneumothorax.

The endotracheal tube is correctly positioned with the distal tip approximately 2.7 cm above the carina.

Mild, asymmetric pulmonary edema, more pronounced in the left lung.

Vascular crowding noted.

Postmedian sternotomy changes noted.

Bibasilar opacities without pleural effusion

Hazy bilateral opacities, right greater than left, new since the prior exam.

Right lung shows decreased volume with increasing reticular opacities, particularly at the right medial lung base.

Degenerative changes of the left glenohumeral joint are noted.

Slightly prominent bronchovascular markings, consistent with age-related changes.

Right internal jugular (IJ) central venous catheter unchanged, positioned 4.2 cm below the carina, at the cavoatrial junction.

Dorsal kyphosis with associated osteopenia and anterior wedging of a mid-dorsal vertebral body, suggesting underlying spinal degenerative changes.

Diffuse parenchymal opacities within the lungs, likely reflecting interstitial lung disease.

Right internal jugular (IJ) central line with its tip at the caval atrial junction, grossly unchanged.

The mediastinal and cardiac contours are within normal limits.

Bilateral pleural effusions, more pronounced on the right, with bibasilar opacities consistent with atelectasis.

No definitive radiographic evidence of acute cardiopulmonary process.

Increased size of the left pneumothorax.

Mildly enlarged cardiomediastinal silhouette suggestive of cardiomegaly

Stable position of the endotracheal tube and any supporting devices.

Right subclavian line well placed

Small right and greater left pleural effusions.

Small left pleural effusion or pleural thickening, as evidenced by blunting of the left costophrenic angle.

Minimal blunting of the bilateral posterior costophrenic angles, which may represent tiny pleural effusions or pleural thickening.