itsanmolgupta/mimic-cxr-dataset-cleaned · Datasets at Hugging Face

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Dobhoff tube now ends in the proximal stomach. Stable, mild cardiomegaly. Unchanged moderate right pleural effusion and moderate to large left pleural effusion. Substantial bibasilar atelectasis. Normal mediastinal and hilar contours.	Dobhoff tube now ends in the proximal stomach. Unchanged moderate right pleural effusion and moderate to large left pleural effusion.	2,440
Heart size is top normal. The mediastinal and hilar contours are unchanged. There is bibasilar atelectasis, left worse than right. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.	No acute cardiopulmonary abnormalities. Enteric tube in the mid stomach. D. by , M. D.	7,382
The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is unchanged.	No acute cardiopulmonary process.	13,064
Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are noted in the right upper quadrant of the abdomen.	No acute cardiopulmonary abnormality.	18,810
The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen.	No acute cardiopulmonary process.	359
Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present, although the pulmonary vasculature is not engorged. Patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. Trace left pleural effusion seen on recent CT is not well assessed on this current exam. There is no pneumothorax. No subdiaphragmatic free air is present. No acute osseous abnormality is visualized.	Low lung volumes with bibasilar atelectasis. Small left pleural effusion seen on preceding CT is not well assessed on the current exam. No subdiaphragmatic free air.	16,396
Enteric tube terminates in the left upper quadrant. Lung volumes are low, accentuating the pulmonary vasculature and cardiac contour. Accounting for this there is mild vascular congestion. No pleural effusions or pneumothorax.	Standard position of endotracheal and enteric tubes.	13,668
Enteric tube traverses the diaphragm into the left upper quadrant expected region of the stomach which appears distended. Lung volumes are low. Retrocardiac opacity could be atelectasis. No pleural effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. No evidence of acute osseous abnormality.	Retrocardiac opacity could be atelectasis. Low lung volumes.	13,832
The endotracheal tube terminates in the distal trachea. An enteric tube is also unchanged in position. The heart and mediastinum are magnified by the projection. There is no pneumothorax.	New left lung base subsegmental atelectasis. Otherwise no significant interval change.	13,865
Single frontal view of the chest demonstrates marked levoconvex thoracic scoliosis, distorting cardiomediastinal contours. Allowing for such the heart is normal in size. An air-fluid level projecting over the heart is consistent with a large hiatal hernia. The lungs are clear, without evidence of pneumothorax, consolidation, or pleural effusion.	No definite evidence of acute cardiopulmonary process, including pneumonia or pulmonary edema as queried. Marked thoracic scoliosis and moderate to large hiatal hernia.	15,330
Low lung volumes. There is mild interstitial pulmonary edema. Bibasilar atelectasis. No focal consolidations. Mild enlargement of the cardiomediastinal silhouette, which may be projectional. No pleural effusion. No pneumothorax.	Low lung volumes with mild interstitial pulmonary edema. No focal consolidations to suggest pneumonia.	1,989
A semi upright view of the abdomen shows a relative paucity of bowel gas. There are no dilated loops of small or large bowel to suggest obstruction. There has been interval placement of a Dobhoff tube which ends in the stomach with its tip pointing superiorly. Sternotomy wires are in place. The right IJ sheath remains unchanged in position. Cardiac silhoutte is enlarged and there is linear atelectasis at the left lung base.	Interval placement of a Dobhoff tube which ends in the stomach.	3,899
A left-sided pacemaker is unchanged in configuration. There is been interval extubation and removal an orogastric tube, mediastinal drains, left thoracostomy tube, and Swan-Ganz catheter. There is no pneumothorax. There is increased atelectasis at the right and left lung bases secondary to lower lung volumes. Extensive pleural base calcifications across the left hemithorax are again seen.	Interval removal of multiple support lines and devices. No pneumothorax.	12,295
Left chest wall dual lead pacing device is again noted. The lungs are grossly clear. There is no pneumothorax. The cardiomediastinal silhouette is stable. .	No acute cardiopulmonary process.	12,506
The lungs demonstrate low lung volumes. There is no evidence of pneumonia or pleural effusion. Heart size and mediastinal contours are unchanged. Thoracic scoliosis to the right is unchanged. Remote right humeral head fracture is similar in appearance to .	Low lung volumes. No evidence of pneumonia.	269
One AP portable view of the chest. There is evidence of mild-to-moderate pulmonary edema. There is moderate cardiomegaly. No focal consolidation concerning for pneumonia. No pneumothorax. No large pleural effusions. The cardiac, mediastinal and hilar contours are normal. There is diffuse osteopenia in the bones.	Mild-to-moderate pulmonary edema. Moderate cardiomegaly.	14,601
Patient is status post median sternotomy and cardiac valve replacement. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Minimal vascular congestion may be present.	Possible minimal vascular congestion. No focal consolidation.	14,069
Temporary pacemaker wire appears in appropriate position. Sternotomy wires and mediastinal clips are stable. The mild-to-moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.	No acute cardiopulmonary process. Temporary pacemaker appears in appropriate position. Mild cardiomegaly.	4,819
Lung volumes are low. There is a mild interstitial pulmonary edema and mild cardiomegaly. Mediastinal wires appear intact numerous surgical clips project over the mediastinum. The aortic arch is calcified. There is no large pleural effusion or pneumothorax.	Mild cardiomegaly and interstitial pulmonary edema.	3,653
AP portable upright chest radiograph obtained. There is a large right pneumothorax with significant collapse in the right middle and right lower lobes. Extensive right chest wall emphysema is noted. There are displaced rib fractures involving the right eighth, ninth, and tenth ribs posterolaterally. A right effusion is noted which likely represents blood. Left lung is clear and well expanded.	Large right pneumothorax with near complete collapse of the right middle and right lower lobes. Small right hemothorax also present. Right rib fractures with extensive chest wall emphysema.	11,717
Right-sided Swan-Ganz catheter, mediastinal drains and left-sided chest tube and NG tubes are all unchanged and in standard position. Lung volumes are still low for bibasilar atelectasis. Heart size is unchanged and normal The vascular congestion is stable and mild. There is no pleural effusion or pneumothorax.	Lung volume is still low due to bibasilar atelectasis.	6,390
AP portable upright view of the chest. Lung volumes are low. There is mild pulmonary edema without large effusion or pneumothorax. Given the perihilar opacities, the possibility of a superimposed pneumonia is difficult to exclude. The heart is top-normal in size. Mediastinal contour is normal. Imaged osseous structures are intact.	Mild edema.	18,107
Enteric tube courses below the level the diaphragm, terminating in the very proximal stomach, side port in the distal esophagus. Suggest advancement so that it is well from the stomach. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.	Endotracheal tube in appropriate position. Enteric tube with distal tip in the very proximal stomach, side port in the distal esophagus, recommend advancement so that it is well within the stomach. Clear lungs.	10,091
Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Patchy ill-defined nodular opacities are seen in the lung bases concerning for aspiration. No pleural effusion or focal consolidation is present however the costophrenic angles are excluded from the field of view. No pneumothorax is present. No acute osseous abnormality is seen.	Patchy ill-defined nodular opacities in the lung bases concerning for aspiration.	14,019
Nasogastric tube terminates stomach with side port beyond expected location the gastroesophageal junction. Lung volumes are low. Mediastinal contour, hila, cardiac silhouette are normal. No pneumothorax or effusion. No fracture identified within limits of plain radiography.	No evidence traumatic injury within the limits of plain radiography. NG tube in appropriate position.	10,850
The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no definite pleural effusion or pneumothorax. There are widespread nodules of medium size throughout each lung, but more extensive and lower than upper lungs, most suggestive of metastatic disease. Although this appearance may obscure subtle evidence for pneumonia, there is no definite secondary process.	Widespread metastatic disease. No definite evidence of acute superimposed process.	12,890
The large bore right IJ dialysis catheter the tip is at the cavoatrial junction. There is increased infiltrate in the right lower lobe. The remainder the appearance of the chest is unchanged with ET tube, NG tube, left IJ line with tip just at midline, low lung volumes dense retrocardiac opacity which is likely a combination of volume loss/ infiltrate/effusion and, pulmonary vascular redistribution	Increase right lower lobe infiltrate	895
An enteric tube tip courses below the left hemidiaphragm with tip off the inferior borders of the film. Near total opacification of the left hemithorax is new and concerning for left lung atelectasis/collapse. The heart size is difficult to assess given the near complete opacification of the left hemi thorax, though minimal visualization of the right heart border suggests that there may be minimal leftward shift of mediastinal structures. Patchy opacities in the right lung base reflect areas of atelectasis. No large pneumothorax is demonstrated. The extreme right lateral chest is excluded from the field of view. Previously seen right anterior rib fractures are not evident on the current exam. Cervical spinal fusion hardware is incompletely assessed.	Endotracheal and enteric tubes in standard positions. Near complete opacification of the left hemithorax most likely due to left lung atelectasis/collapse. Right basilar atelectasis. Known right-sided rib fractures are better assessed on the previous CT.	19,177
Prosthetic aortic valve in situ. Left axillary stent in situ. The heart size is unchanged. Small bilateral pleural effusions. Suspected associated partial right lower lobe atelectasis. No airspace consolidation. No pneumothorax. No pneumomediastinum. No florid pulmonary edema.	Post TAVR changes as described above.	10,547
There is bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are normal. There are small bilateral pleural effusions. There is no pneumothorax. A right chest Port-A-Cath terminates within the right atrium. Osseous structures are grossly intact.	Mild bibasilar atelectasis and small bilateral pleural effusions. No focal consolidation.	3,153
The right costophrenic sulcus is excluded on this single image. A left PICC terminates at the upper SVC. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. The cardiomediastinal silhouette is stable.	Indwelling left PICC terminates at the upper SVC. The right costophrenic sulcus is not imaged.	13,699
Portable AP upright image of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.	No acute cardiopulmonary process	8,246
Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is mildly enlarged. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.	Lateral view is recommended to better delineate the location of this finding. No acute cardiopulmonary abnormality otherwise demonstrated.	7,327
The patient is rotated. Lungs are hypoinflated, which results in crowding of the bronchovascular structures and bibasilar atelectasis. There is mild vascular congestion without frank pulmonary edema. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged, unchanged. Left pectoral pacemaker is constant. Cholecystectomy clips are again noted.	Unchanged, mild vascular congestion without overt pulmonary edema.	1,925
New left internal jugular central venous catheter has been placed and a guidewire remains in situ, initially coiling in the right ventricle before coursing into the right atrium and the IVC, wtih tip beyond the limits of the film. Remnant right IJ catheter and ventriculoperitoneal shunt are stable. Heart size and cardiomediastinal contours are normal. Retrocardiac opacity is consistent with atelectasis. No lobar consolidation, pleural effusion, or pneumothorax.	New left IJ central catheter with retained guidewire extending into IVC as described. No pneumothorax.	13,157
A portable upright frontal chest radiograph demonstrates a left PICC with the tip at the confluence of the left brachiocephalic vein and SVC, unchanged in position compared to most recent chest radiograph. Lung volumes are slightly low, resulting in prominence of the cardiac silhouette and bronchovascular crowding. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.	Left PICC with the tip at the confluence of the left brachiocephalic vein and SVC, unchanged in position compared to the most recent chest radiograph.	19,926
Heart size is normal. Again noted are bilateral central perihilar opacities which are slightly improved on the right, but slightly worse on the left. There is no pleural effusion or pneumothorax. A right PICC remains in place in the low SVC. An NG tube is in appropriate position with tip in the distal stomach.	Bilateral central opacities improved on the right, but worse on the left. This pattern is suggestive of aspiration.	8,154
The cardiomediastinal silhouette is unremarkable. There is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion.	No evidence of pneumonia.	6,244
The lungs are clear. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by AP portable technique. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact	No active pulmonary disease. Prominent cardiac silhouette.	3,620
An enteric tube tip and side-port terminates within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. Ill-defined small nodular opacities are demonstrated within both lung bases. Hazy opacity within the left hemi thorax suggest a layering pleural effusion. No large pneumothorax is identified. There are no acute osseous abnormalities.	Standard positioning of endotracheal and enteric tubes. Bibasilar ill-defined small nodular opacities, worrisome for infection or aspiration. Metastatic disease is not excluded. Hazy opacity in the left hemi thorax, likely a layering left pleural effusion.	18,383
Portable upright image of the chest. Lung volumes are low with associated bronchovascular crowding. In addition there are increased interstitial markings and perihilar fullness consistent with mild pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No free air is seen under the diaphragm.	Low lung volumes. There is mild pulmonary edema.	16,945
Median sternotomy wires appear intact. Surgical clips project over the mediastinum and left upper quadrant. Lung volumes are normal. Faint opacities at the left base partially obscuring the left hemidiaphragm may reflect atelectasis or pneumonia. No pleural effusion or pneumothorax. Heart size is normal. The aorta is calcified and unfolded. S-shaped curvature of the thoracolumbar spine is re-demonstrated.	Possible atelectasis, aspiration or pneumonia at the left base. Recommend followup radiographs to ensure resolution of this finding.	14,168
The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, focal airspace opacity, or pneumothorax.	Normal chest.	3,812
The lungs are well-expanded. The known right upper lobe lung mass is unchanged. The mediastinal contour is stable. Stable mild cardiomegaly. No pneumothorax or pneumomediastinum. No pleural effusion. No acute osseous abnormality.	No pneumothorax or pneumomediastinum status-post bronchial biopsies. No acute cardiopulmonary process.	6,004
The lung volumes are low, resulting in crowding of bronchovascular structures and apparent prominence of the mediastinum. There is pulmonary vascular congestion without overt pulmonary edema. Heart size is normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia.	Low lung volumes with pulmonary vascular congestion.	3,455
The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. There is mild atelectasis at the right lung base. There is no focal consolidation, pleural effusion or pneumothorax.	No acute cardiopulmonary process.	5,934
The lung volumes are low. Opacities in the right medial base and retrocardiac region are present. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are slightly widened, likely exacerbated by low lung volumes. The cardiac size is unremarkable.	Appropriate positioning of the endotracheal tube. Bibasilar opacities could be due to atelectasis; alternatively, in the proper clinical setting, could be due to aspiration.	8,499
Right PICC is again noted with tip in the right atrium. Lung volumes are low and the left costophrenic angle is excluded from the field of view. There is likely bibasilar atelectasis although the upper lungs are grossly clear. Lung apices are obscured by patient's chin. Tracheostomy tube is in appropriate position. Atherosclerotic calcifications seen at the aortic arch.	Right PICC tip in the right atrium. Low lung volumes without definite acute cardiopulmonary process.	5,954
Single AP portable view of the chest was obtained. No evidence of free air is seen beneath the diaphragms. The cardiomediastinal silhouette remains enlarged. Lung volumes are relatively low and there are increased interstitial markings bilaterally suggesting mild-to-moderate vascular congestion/edema. Blunting of the costophrenic angles is seen, which may relate to overlying soft tissue, although small pleural effusions may be present.	Moderate-to-marked enlargement of the cardiac silhouette. Blunting of the costophrenic angles may be seen in small bilateral pleural effusions. Prominence of the vasculature suggests at least moderate vascular congestion. No evidence of free air beneath the diaphragms.	5,357
The cardiomediastinal and hilar contours are stable. There are new small bilateral pleural effusions with basilar consolidations, which may represent pulmonary edema or pneumonia. There are no other signs of pulmonary edema, such as engorgement of the mediastinal vessels or change in the size of the cardiac silhouette.	Small bilateral pleural effusions with bibasilar consolidations concerning for pulmonary edema or pneumonia.	1,478
New right-sided PICC line with the tip in the low SVC. Right upper lobe and parahilar opacity has decreased in extent with residual masslike area of opacification surrounding the right hilum. Asymmetric interstitial edema has also decreased. Moderate right and small left pleural effusion with bibasal atelectasis slightly increased. No pneumothorax.	Right-sided PICC with the tip in the low SVC. Right upper lobe and juxta hilar opacity have slightly improved. Persistent pleural effusions.	592
Single frontal view of the chest demonstrates low lung volumes. There is increased haziness in the right lung with opacities in the right greater than left base, appearance suggestive of asymmetric edema, versus aspiration or infection. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Post-operative changes of CABG and median sternotomy appear unremarkable. Moderate right greater than left shoulder degenerative disease is present. No definite displaced osseous injury is evident.	Increased hazy opacity in the right lung, predominantly in the right greater than left base, which could represent asymmetric edema versus aspiration or infection. No pneumothorax. No laboratory data is available at the time of interpretation, which should be correlated as well as with clinical presentation.	15,288
Patient's chin obscures the lung apices. There is perihilar opacity with indistinct pulmonary vascular markings. Blunting of the costophrenic angles could represent small effusions. Lucency projecting over the cardiac silhouette is compatible with large hiatal hernia. No acute osseous abnormalities.	Mild to moderate pulmonary edema. Possible small pleural effusions. Large hiatal hernia.	11,570
The heart is normal in size. There is mild unfolding of the thoracic aorta as seen previously. The mediastinal and hilar contours appear unchanged. There is mild reticular abnormality including Kerley B lines suggesting mild interstitial edema or fluid overload. The extreme left costophrenic angle is excluded but there is no definite evidence for pleural effusions. There is no pneumothorax.	Findings suggesting mild vascular congestion.	7,029
A new right IJ line courses into the right subclavian vein. The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.	New right IJ line courses into the right subclavian vein.	12,964
The very tip of the ET tube is visualized at the thoracic inlet. The nasogastric tube courses below the diaphragm into the stomach. Lung volumes are low. Bibasilar consolidations are better visualized on the current CT torso. The cardiomediastinal silhouette is difficult to evaluate due to the AP lordotic projection, but the left heart border is straightened and the possibility of some leftward shoft cannot be excluded. The imaged upper abdomen is unremarkable. No displaced fractures identified. (Please see other contemporaneous studies showing left humeral fracture, not directly imaged on this exam).	Endotracheal tube tip at the thoracic inlet and should be advanced. Nasogastric tube below the diaphragm in the stomach. Bibasilar consolidations are better visualized on the concurrent CT torso. Cadriomediastinal silhouette, as described. ? slight volume loss on left.	5,028
Cardiac silhouette size remains mildly enlarged. The mediastinal contour is unchanged with unfolding of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Hilar contours are normal. Subsegmental atelectasis is demonstrated in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.	Mild bibasilar atelectasis.	17,970
A dual-lead pacemaker/ICD device is in place with leads again terminating in the right atrium and ventricle, respectively. The patient is status post sternotomy. The heart appears mildly enlarged. The aortic arch is calcified. The mediastinal and hilar contours appear stable. There are small bilateral pleural effusions, greater on the right than left, in addition to indistinct pulmonary vasculature and a moderate interstitial abnormality, findings suggesting congestive heart failure.	Findings suggesting mild-to-moderate pulmonary edema with pleural effusions.	11,571
The lungs are clear without focal consolidation. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	No acute cardiopulmonary process.	14,964
The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Stable dextroscoliosis of the thoracic spine is present. No fracture is identified.	No acute cardiopulmonary process.	7,219
Single portable view of the chest demonstrates a new right pigtail catheter at the right base. A residual apical pneumothorax, small in size, remains. The majority of the lung has re-expanded. Mediastinum has shifted back towards the right. No pleural effusion, pulmonary edema or focal consolidations concerning for pneumonia.	Status post right pigtail catheter placement with small residual apical pneumothorax.	2,788
Patient is rotated to the left. Patient is status post median sternotomy and CABG. Prominence and indistinctness of the hila suggests pulmonary vascular engorgement. There is blunting of the left costophrenic angle which may in part relate to overlying soft tissue, although small pleural effusion with overlying atelectasis may be present. Patchy left basilar opacity may represent combination of vascular congestion and basilar atelectasis with possible small pleural effusion, although underlying consolidation is not excluded. The cardiac silhouette remains mildly enlarged.	Patient is rotated to the left. Prominence and indistinctness of the hila suggest component of vascular congestion/engorgement. Blunted left costophrenic angle may be due to overlying soft tissue, although pleural effusion with atelectasis or even consolidation is not excluded in the appropriate clinical setting. Persistent cardiomegaly.	15,694
Frontal view of the chest was obtained. The radiograph is underpenetrated. The patient is in lordotic position with respect to the film. The full course of the OG tube is unable to be followed. Left PICC is unable to be followed further than the left brachiocephalic. Left IJ also appears to terminate in the left brachiocephalic vein. Cardiac silhouette remains enlarged. Prominent pulmonary vasculature is compatible with mild congestion. No substantial pleural effusion or pneumothorax.	Mild pulmonary congestion with moderate cardiomegaly. Underpenetrated radiograph. Left PICC is not visualized further than the left brachiocephalic. OG tube is not visualized further than the mid esophagus.	10,724
The right costophrenic angle is excluded from the field of view. Exam is limited by lordotic positioning. Patient is status post median sternotomy. A left-sided pacer device is noted with leads terminating in the regions of the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is present. There is mild pulmonary vascular congestion. Patchy opacities the lung bases likely reflect areas of atelectasis, without focal consolidation. No large left pleural effusion is present. There is no pneumothorax. No acute osseous abnormality is seen.	Slightly limited exam with bibasilar atelectasis and mild pulmonary vascular congestion.	11,246
Right internal jugular central venous catheter tip terminates at the junction of the SVC and right atrium. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.	Right internal jugular central venous catheter tip at the junction of the SVC and right atrium. No pneumothorax.	601
Left dual-chamber pacemaker is in left pectoral region with lead tip projecting over the right atrial appendage and right ventricular apex. Bilateral reticular interstitial opacities. Vascular engorgement, mediastinal vein dilataion, and cephalization with a moderately enlarged heart. Mild bibasilar plate-like atelectasis. No pneumothorax or pleural effusion. No bony abnormality.	Diffuse pulmonary fibrosis. Mild pulmonary edema and bibasilar atelectasis.	17,119
The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Prominence of the pulmonary vasculature is noted, especially at the lung bases. No frank pulmonary edema seen. No acute osseous abnormalities seen.	No radiographic evidence of pneumonia.	4,110
Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Dobhoff the tube terminates in the mid gastric body. A right-sided IJ central venous catheter terminates in the lower SVC.	No radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.	6,838
A left IJ is seen in appropriate position with the tip in the SVC. A right sided dual lumen catheter is noted with the tip at the junction of the SVC and right atrium. There is no pneumothorax. There are low lung volumes. Bibasilar atelectasis is seen. There is some cephalization of pulmonary vessels consistent with mild pulmonary vascular congestion. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion.	Left internal jugular central venous catheter within the SVC. No pneumothorax. Mild pulmonary vascular congestion.	7,553
Portable AP chest radiograph demonstrates diffusely increased interstitial markings in a reticulonodular pattern, unchanged from . However there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.	No pneumothorax. Reticulonodular interstitial opacities, unchanged from and most likely due to atypical infection.	17,153
There is NG tube which terminates in the antrum of the stomach. There is unchanged diffuse bilateral airspace consolidation in the lower lobes, left greater than right. There is a small left pleural effusion. Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.	NG tube in appropriate position with tip in stomach. Unchanged diffuse bilateral consolidation representing multifocal pneumonia. Small left pleural effusion.	10,094
Worsened left basilar opacity. Mildly improved right basilar opacity. Shallow inspiration accentuates heart size, pulmonary vascularity. Decreased pulmonary vascularity since prior exam. Aortic calcification. Suggestion of small left pleural effusion.	Worsened left basilar opacity in the setting of shallow inspiration. Improved pulmonary vascularity.	19,897
Right PICC line tip at low SVC. Borderline heart size, pulmonary vascularity, similar. No consolidations. Chest otherwise normal.	Stable exam	17,901
Patient has had median sternotomy and coronary bypass grafting. Sternal wires are intact and aligned. A new right internal jugular approach cardiac pacing wire projects over the right ventricle. No pneumothorax, mediastinal widening, or pleural effusion. Mild pulmonary vascular engorgement and mild interstitial edema are new. The heart is larger, but not enlarged. No pneumothorax	No pneumothorax. Top-normal heart size, mild vascular engorgement and early interstitial edema are new. New right transjugular temporary pacer lead in standard placement. No complications.	13,717
There is a left-sided central line with tip in the right atrium. Lung volumes are low and there is volume loss at the bases. There is no definite infiltrate. There is no pneumothorax. The cardiac and mediastinal silhouettes are normal	No focal infiltrate or effusion.	6,934
Portable frontal radiograph of the chest demonstrates moderate enlargement of the cardiac silhouette. A right internal jugular dual lumen catheter ends in the upper right atrium. A right chest wall pacemaker is present with leads in the expected position. There is moderate pulmonary edema with likely small bilateral pleural effusions. No pneumothorax. Median sternotomy wires appear intact.	Moderate cardiomegaly with pulmonary edema and likely small bilateral pleural effusions.	767
A single portable supine radiograph of the chest and upper abdomen were obtained. The exam is limited by the presence of the trauma board. Right medial basilar pulmonary opacities are better seen on the subsequently obtained chest CT. There is no additional consolidation, effusion or pneumothorax present. There is horizontal linear atelectasis at the left base. No displaced fracture is apparent.	Right lower lobe consolidation better seen on subsequent chest CT.	14,787
A bedside AP radiograph of the chest redemonstrates the multifocal opacities of which the right upper lobe lesion was biopsied. The scapula now overlies this site, which may obscure local hemorrhage at the biopsy site. There is no pneumothorax or pleural effusion. The aorta is stably tortuous but the hilar and cardiomediastinal contours are otherwise normal. Pulmonary vascularity is normal.	No evidence of immediate post-procedure complication, however a repeat study may be obtained to rule out occult hemorrhage overlying the right scapula. Multiple lung nodules redemonstrated.	15,137
Left PICC tip terminates in the mid SVC. The cardiac silhouette size is unchanged, with left ventricular predominance and mild cardiomegaly. The mediastinal and hilar contours are stable with calcification of the thoracic aorta again noted. The pulmonary vascularity is not engorged. Streaky opacities in the lung bases likely reflect atelectasis. Mild elevation of the right hemidiaphragm is unchanged. No large pleural effusion or pneumothorax is present. Partially imaged is a percutaneous transhepatic biliary catheter in the right upper quadrant of the abdomen.	Streaky opacities in the lung bases likely reflect atelectasis.	10,674
The patient has had recent esophagectomy with gastric pull-through. An endotracheal tube terminates at the level of the clavicles. A right chest tube and mediastinal drain are in place. There is no pneumothorax. Small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. Previous mild pulmonary vascular congestion has improved.	Small bilateral pleural effusions, bibasilar subsegmental atelectasis. Improved mild pulmonary edema.	18,694
Nasogastric tube is noted which terminates below the left hemidiaphragm, off the inferior borders of the film,. Lung volumes are low. Heart size appears moderately enlarged. Widening of the superior mediastinum is likely due to supine technique and low lung volumes. There is crowding of the bronchovascular structures. No overt pulmonary edema is noted. Retrocardiac hazy opacity may reflect atelectasis. A small left pleural effusion may be present. No pneumothorax is identified.	Standard positioning of the endotracheal tube and nasogastric tube. Low lung volumes. Hazy retrocardiac opacity may reflect atelectasis. Possible small left pleural effusion.	11,642
Single frontal view of the chest. A metallic stent projects over the left heart border. Heart size is stable. Slight widening of the vascular pedicle, engorgement of the pulmonary vasculature, and mild perihilar haziness are consistent with new mild pulmonary edema. Lung volumes are low but there is no focal consolidation, substantial pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged.	New mild pulmonary edema. No focal consolidation.	17,566
A frontal supine view of the chest was obtained portably. Diffuse bilateral pulmonary opacities may represent infection or hemorrhage in the setting of blood from the endotracheal tube. Heart size is normal. Evaluation of the mediastinum is limited by overlying trauma board.	Diffuse bilateral parenchymal opacities may represent infection or hemorrhage.	7,780
The patient is status post endotracheal intubation. An orogastric tube passes into the stomach and terminates to the right of midline within the right upper quadrant, near the expected pylorus, possibly in the distal antrum or pyloric channel. There is mild-to-moderate relative elevation of the right hemidiaphragm. Mildly prominent perihilar opacification suggests slight congestion or fluid overload, but not striking. There is no pleural effusion or pneumothorax. The left costophrenic sulcus is excluded.	Status post endotracheal intubation. Findings suggesting slight fluid overload.	15,530
Cardiac pacemaker. Left lower lobe consolidation is stable. There are small bilateral pleural effusions. Bilateral perihilar, right basilar opacities stable, consider edema, or pneumonitis in the appropriate clinical setting. Chronic rib fractures. Heart size at the upper limits are normal.	Stable left lower lobe consolidation. Small bilateral pleural effusions. Stable bilateral perihilar and right basilar opacities.	2,289
An enteric tube courses into the stomach. A new right internal jugular catheter has been placed and courses into the low SVC. There is no pneumothorax or pleural effusion. Heart size remains mildly enlarged. Hilar and mediastinal structures are unchanged.	Well-positioned right internal jugular central line. Unchanged bilateral parenchymal opacities.	8,219
Heart size and cardiomediastinal contours are normal. Lung volumes are low. Diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. An infectious process cannot be excluded. Presumed pleural effusions are not large. No pneumothorax.	No pneumothorax. An infectious process cannot be excluded.	6,554
There small bilateral pleural effusions that are smaller compared to prior. There continues to be pulmonary vascular redistribution and moderate to severe cardiomegaly	Improvement in fluid status both pulmonary edema persist.	19,468
Patient is status post median sternotomy and CABG. There is persistent enlargement of the cardiac silhouette. Mediastinal contours are stable. Right-sided PICC terminates in the low SVC without evidence of pneumothorax. A right pleural effusion persists. Right base opacity may be due to combination of pleural effusion and atelectasis with some mild pulmonary vascular congestion. Overall, pulmonary vascular congestion appears slightly improved as compared to the prior study.	Persisting cardiomegaly and right pleural effusion. Mild pulmonary vascular congestion, which appears improved since the prior study.	19,616
The right IJ central venous catheter terminates in the cavoatrial junction. The enteric tube extends into the stomach and out of view. Complete opacification of the left lung with pleural effusion and atelectasis is unchanged. Right lung is clear. No pleural effusion on the right. No pneumothorax. The visualized cardiomediastinal silhouette is unchanged.	Complete opacification of the left lung with pleural effusion and atelectasis is unchanged. Stable chest radiograph.	8,273
There is near complete opacification of the left lung, likely due to new atelectasis from known obstructing left mainstem bronchial mass. The right lung appears to have mild pulmonary vascular congestion but no pulmonary edema. Heart size is difficult to assess. No pneumothorax. Right rib lesion is unchanged since prior exam and better assessed on reference CT chest.	Near complete opacification of the left lung, likely due to new atelectasis of the left lung from known obstructing left mainstem bronchial mass.	19,640
Single portable view of the chest. There are bilateral upper lung regions of consolidation, right worse than left. There is also opacity the right lung base obscuring the costophrenic angle potentially due to layering effusion. The cardiac silhouette appears slightly enlarged but likely accentuated by low inspiratory effort and portable technique. Atherosclerotic calcifications noted at the aortic arch and descending thoracic aorta. Left chest wall dual lead pacing device seen. The bones appear diffusely osteopenic.	Bilateral upper lung regions of consolidation, right-greater-than-left compatible with infection in the proper clinical setting. Probable right pleural effusion. Recommend repeat after treatment to document resolution.	11,109
The newly placed enteric tube traverses the diaphragm into the left upper quadrant pars tip not seen. Lung volumes have improved. Otherwise, and no significant interval change. Persistent loculated right pleural effusion, edema, and left lower lobe atelectasis and probably small pleural effusion. No pneumothorax. Heart size is normal.	Persistent loculated right pleural effusion, edema, and left lower lobe atelectasis and probably small pleural effusion	13,383
One AP view of the chest. The lungs appear hyperinflated. No focal consolidation. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable. Old left rib fractures are again seen and unchanged. Mild linear scarring is again seen in the right lower lobe, unchanged.	No acute cardiopulmonary process. Changes consistent with emphysema.	12,289
Lungs are hyperexpanded. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.	No acute intrathoracic process.	11,716
Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.	No acute cardiopulmonary process. No focal consolidation to suggest pneumonia.	17,844
The patient has been extubated, and a tracheostomy tube has been placed. The right IJ central line and nasogastric tube remain in satisfactory position. There is no pneumothorax. The lungs remain. The heart and mediastinum are within normal limits despite the projection.	Status post extubation with placement of the tracheostomy tube. Clear lungs. Lines and tubes in satisfactory position.	16,974
Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.	No acute cardiopulmonary abnormality.	1,651
The lungs are well-expanded and grossly clear. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. The cardiomediastinal silhouette is unremarkable. A right chest wall Port-A-Cath terminates at the cavoatrial junction. An air-filled colon is noted under the right hemidiaphragm.	No acute cardiopulmonary process.	10,131
The heart size is top normal. Mediastinal silhouettes are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Incidental note of a presumed spinal stimulator lead in the midline.	No pleural effusion or pulmonary edema.	4,003

Dobhoff tube now ends in the proximal stomach. Stable, mild cardiomegaly. Unchanged moderate right pleural effusion and moderate to large left pleural effusion. Substantial bibasilar atelectasis. Normal mediastinal and hilar contours.

Dobhoff tube now ends in the proximal stomach. Unchanged moderate right pleural effusion and moderate to large left pleural effusion.

2,440

Heart size is top normal. The mediastinal and hilar contours are unchanged. There is bibasilar atelectasis, left worse than right. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.

No acute cardiopulmonary abnormalities. Enteric tube in the mid stomach. D. by , M. D.

7,382

The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is unchanged.

No acute cardiopulmonary process.

13,064

Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are noted in the right upper quadrant of the abdomen.

No acute cardiopulmonary abnormality.

18,810

The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the upper abdomen.

No acute cardiopulmonary process.

359

Lung volumes are low. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present, although the pulmonary vasculature is not engorged. Patchy and streaky opacities in the lung bases likely reflect areas of atelectasis. Trace left pleural effusion seen on recent CT is not well assessed on this current exam. There is no pneumothorax. No subdiaphragmatic free air is present. No acute osseous abnormality is visualized.

Low lung volumes with bibasilar atelectasis. Small left pleural effusion seen on preceding CT is not well assessed on the current exam. No subdiaphragmatic free air.

16,396

Enteric tube terminates in the left upper quadrant. Lung volumes are low, accentuating the pulmonary vasculature and cardiac contour. Accounting for this there is mild vascular congestion. No pleural effusions or pneumothorax.

Standard position of endotracheal and enteric tubes.

13,668

Enteric tube traverses the diaphragm into the left upper quadrant expected region of the stomach which appears distended. Lung volumes are low. Retrocardiac opacity could be atelectasis. No pleural effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. No evidence of acute osseous abnormality.

Retrocardiac opacity could be atelectasis. Low lung volumes.

13,832

The endotracheal tube terminates in the distal trachea. An enteric tube is also unchanged in position. The heart and mediastinum are magnified by the projection. There is no pneumothorax.

New left lung base subsegmental atelectasis. Otherwise no significant interval change.

13,865

Single frontal view of the chest demonstrates marked levoconvex thoracic scoliosis, distorting cardiomediastinal contours. Allowing for such the heart is normal in size. An air-fluid level projecting over the heart is consistent with a large hiatal hernia. The lungs are clear, without evidence of pneumothorax, consolidation, or pleural effusion.

No definite evidence of acute cardiopulmonary process, including pneumonia or pulmonary edema as queried. Marked thoracic scoliosis and moderate to large hiatal hernia.

15,330

Low lung volumes. There is mild interstitial pulmonary edema. Bibasilar atelectasis. No focal consolidations. Mild enlargement of the cardiomediastinal silhouette, which may be projectional. No pleural effusion. No pneumothorax.

Low lung volumes with mild interstitial pulmonary edema. No focal consolidations to suggest pneumonia.

1,989

A semi upright view of the abdomen shows a relative paucity of bowel gas. There are no dilated loops of small or large bowel to suggest obstruction. There has been interval placement of a Dobhoff tube which ends in the stomach with its tip pointing superiorly. Sternotomy wires are in place. The right IJ sheath remains unchanged in position. Cardiac silhoutte is enlarged and there is linear atelectasis at the left lung base.

Interval placement of a Dobhoff tube which ends in the stomach.

3,899

A left-sided pacemaker is unchanged in configuration. There is been interval extubation and removal an orogastric tube, mediastinal drains, left thoracostomy tube, and Swan-Ganz catheter. There is no pneumothorax. There is increased atelectasis at the right and left lung bases secondary to lower lung volumes. Extensive pleural base calcifications across the left hemithorax are again seen.

Interval removal of multiple support lines and devices. No pneumothorax.

12,295

Left chest wall dual lead pacing device is again noted. The lungs are grossly clear. There is no pneumothorax. The cardiomediastinal silhouette is stable. .

No acute cardiopulmonary process.

12,506

The lungs demonstrate low lung volumes. There is no evidence of pneumonia or pleural effusion. Heart size and mediastinal contours are unchanged. Thoracic scoliosis to the right is unchanged. Remote right humeral head fracture is similar in appearance to .

Low lung volumes. No evidence of pneumonia.

269

One AP portable view of the chest. There is evidence of mild-to-moderate pulmonary edema. There is moderate cardiomegaly. No focal consolidation concerning for pneumonia. No pneumothorax. No large pleural effusions. The cardiac, mediastinal and hilar contours are normal. There is diffuse osteopenia in the bones.

Mild-to-moderate pulmonary edema. Moderate cardiomegaly.

14,601

Patient is status post median sternotomy and cardiac valve replacement. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Minimal vascular congestion may be present.

Possible minimal vascular congestion. No focal consolidation.

14,069

Temporary pacemaker wire appears in appropriate position. Sternotomy wires and mediastinal clips are stable. The mild-to-moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.

No acute cardiopulmonary process. Temporary pacemaker appears in appropriate position. Mild cardiomegaly.

4,819

Lung volumes are low. There is a mild interstitial pulmonary edema and mild cardiomegaly. Mediastinal wires appear intact numerous surgical clips project over the mediastinum. The aortic arch is calcified. There is no large pleural effusion or pneumothorax.

Mild cardiomegaly and interstitial pulmonary edema.

3,653

AP portable upright chest radiograph obtained. There is a large right pneumothorax with significant collapse in the right middle and right lower lobes. Extensive right chest wall emphysema is noted. There are displaced rib fractures involving the right eighth, ninth, and tenth ribs posterolaterally. A right effusion is noted which likely represents blood. Left lung is clear and well expanded.

Large right pneumothorax with near complete collapse of the right middle and right lower lobes. Small right hemothorax also present. Right rib fractures with extensive chest wall emphysema.

11,717

Right-sided Swan-Ganz catheter, mediastinal drains and left-sided chest tube and NG tubes are all unchanged and in standard position. Lung volumes are still low for bibasilar atelectasis. Heart size is unchanged and normal The vascular congestion is stable and mild. There is no pleural effusion or pneumothorax.

Lung volume is still low due to bibasilar atelectasis.

6,390

AP portable upright view of the chest. Lung volumes are low. There is mild pulmonary edema without large effusion or pneumothorax. Given the perihilar opacities, the possibility of a superimposed pneumonia is difficult to exclude. The heart is top-normal in size. Mediastinal contour is normal. Imaged osseous structures are intact.

Mild edema.

18,107

Enteric tube courses below the level the diaphragm, terminating in the very proximal stomach, side port in the distal esophagus. Suggest advancement so that it is well from the stomach. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.

Endotracheal tube in appropriate position. Enteric tube with distal tip in the very proximal stomach, side port in the distal esophagus, recommend advancement so that it is well within the stomach. Clear lungs.

10,091

Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Patchy ill-defined nodular opacities are seen in the lung bases concerning for aspiration. No pleural effusion or focal consolidation is present however the costophrenic angles are excluded from the field of view. No pneumothorax is present. No acute osseous abnormality is seen.

Patchy ill-defined nodular opacities in the lung bases concerning for aspiration.

14,019

Nasogastric tube terminates stomach with side port beyond expected location the gastroesophageal junction. Lung volumes are low. Mediastinal contour, hila, cardiac silhouette are normal. No pneumothorax or effusion. No fracture identified within limits of plain radiography.

No evidence traumatic injury within the limits of plain radiography. NG tube in appropriate position.

10,850

The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no definite pleural effusion or pneumothorax. There are widespread nodules of medium size throughout each lung, but more extensive and lower than upper lungs, most suggestive of metastatic disease. Although this appearance may obscure subtle evidence for pneumonia, there is no definite secondary process.

Widespread metastatic disease. No definite evidence of acute superimposed process.

12,890

The large bore right IJ dialysis catheter the tip is at the cavoatrial junction. There is increased infiltrate in the right lower lobe. The remainder the appearance of the chest is unchanged with ET tube, NG tube, left IJ line with tip just at midline, low lung volumes dense retrocardiac opacity which is likely a combination of volume loss/ infiltrate/effusion and, pulmonary vascular redistribution

Increase right lower lobe infiltrate

895

An enteric tube tip courses below the left hemidiaphragm with tip off the inferior borders of the film. Near total opacification of the left hemithorax is new and concerning for left lung atelectasis/collapse. The heart size is difficult to assess given the near complete opacification of the left hemi thorax, though minimal visualization of the right heart border suggests that there may be minimal leftward shift of mediastinal structures. Patchy opacities in the right lung base reflect areas of atelectasis. No large pneumothorax is demonstrated. The extreme right lateral chest is excluded from the field of view. Previously seen right anterior rib fractures are not evident on the current exam. Cervical spinal fusion hardware is incompletely assessed.

Endotracheal and enteric tubes in standard positions. Near complete opacification of the left hemithorax most likely due to left lung atelectasis/collapse. Right basilar atelectasis. Known right-sided rib fractures are better assessed on the previous CT.

19,177

Prosthetic aortic valve in situ. Left axillary stent in situ. The heart size is unchanged. Small bilateral pleural effusions. Suspected associated partial right lower lobe atelectasis. No airspace consolidation. No pneumothorax. No pneumomediastinum. No florid pulmonary edema.

Post TAVR changes as described above.

10,547

There is bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are normal. There are small bilateral pleural effusions. There is no pneumothorax. A right chest Port-A-Cath terminates within the right atrium. Osseous structures are grossly intact.

Mild bibasilar atelectasis and small bilateral pleural effusions. No focal consolidation.

3,153

The right costophrenic sulcus is excluded on this single image. A left PICC terminates at the upper SVC. There is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace consolidation. The cardiomediastinal silhouette is stable.

Indwelling left PICC terminates at the upper SVC. The right costophrenic sulcus is not imaged.

13,699

Portable AP upright image of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.

No acute cardiopulmonary process

8,246

Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is mildly enlarged. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.

Lateral view is recommended to better delineate the location of this finding. No acute cardiopulmonary abnormality otherwise demonstrated.

7,327

The patient is rotated. Lungs are hypoinflated, which results in crowding of the bronchovascular structures and bibasilar atelectasis. There is mild vascular congestion without frank pulmonary edema. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is mildly enlarged, unchanged. Left pectoral pacemaker is constant. Cholecystectomy clips are again noted.

Unchanged, mild vascular congestion without overt pulmonary edema.

1,925

New left internal jugular central venous catheter has been placed and a guidewire remains in situ, initially coiling in the right ventricle before coursing into the right atrium and the IVC, wtih tip beyond the limits of the film. Remnant right IJ catheter and ventriculoperitoneal shunt are stable. Heart size and cardiomediastinal contours are normal. Retrocardiac opacity is consistent with atelectasis. No lobar consolidation, pleural effusion, or pneumothorax.

New left IJ central catheter with retained guidewire extending into IVC as described. No pneumothorax.

13,157

A portable upright frontal chest radiograph demonstrates a left PICC with the tip at the confluence of the left brachiocephalic vein and SVC, unchanged in position compared to most recent chest radiograph. Lung volumes are slightly low, resulting in prominence of the cardiac silhouette and bronchovascular crowding. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable.

Left PICC with the tip at the confluence of the left brachiocephalic vein and SVC, unchanged in position compared to the most recent chest radiograph.

19,926

Heart size is normal. Again noted are bilateral central perihilar opacities which are slightly improved on the right, but slightly worse on the left. There is no pleural effusion or pneumothorax. A right PICC remains in place in the low SVC. An NG tube is in appropriate position with tip in the distal stomach.

Bilateral central opacities improved on the right, but worse on the left. This pattern is suggestive of aspiration.

8,154

The cardiomediastinal silhouette is unremarkable. There is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion.

No evidence of pneumonia.

6,244

The lungs are clear. There is no pneumothorax. The heart appears large but cardiac size may be exaggerated by AP portable technique. The aorta is calcified. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact

No active pulmonary disease. Prominent cardiac silhouette.

3,620

An enteric tube tip and side-port terminates within the stomach. Heart size is normal. Mediastinal and hilar contours are unremarkable. Ill-defined small nodular opacities are demonstrated within both lung bases. Hazy opacity within the left hemi thorax suggest a layering pleural effusion. No large pneumothorax is identified. There are no acute osseous abnormalities.

Standard positioning of endotracheal and enteric tubes. Bibasilar ill-defined small nodular opacities, worrisome for infection or aspiration. Metastatic disease is not excluded. Hazy opacity in the left hemi thorax, likely a layering left pleural effusion.

18,383

Portable upright image of the chest. Lung volumes are low with associated bronchovascular crowding. In addition there are increased interstitial markings and perihilar fullness consistent with mild pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. No free air is seen under the diaphragm.

Low lung volumes. There is mild pulmonary edema.

16,945

Median sternotomy wires appear intact. Surgical clips project over the mediastinum and left upper quadrant. Lung volumes are normal. Faint opacities at the left base partially obscuring the left hemidiaphragm may reflect atelectasis or pneumonia. No pleural effusion or pneumothorax. Heart size is normal. The aorta is calcified and unfolded. S-shaped curvature of the thoracolumbar spine is re-demonstrated.

Possible atelectasis, aspiration or pneumonia at the left base. Recommend followup radiographs to ensure resolution of this finding.

14,168

The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, focal airspace opacity, or pneumothorax.

Normal chest.

3,812

The lungs are well-expanded. The known right upper lobe lung mass is unchanged. The mediastinal contour is stable. Stable mild cardiomegaly. No pneumothorax or pneumomediastinum. No pleural effusion. No acute osseous abnormality.

No pneumothorax or pneumomediastinum status-post bronchial biopsies. No acute cardiopulmonary process.

6,004

The lung volumes are low, resulting in crowding of bronchovascular structures and apparent prominence of the mediastinum. There is pulmonary vascular congestion without overt pulmonary edema. Heart size is normal. No pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia.

Low lung volumes with pulmonary vascular congestion.

3,455

The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. There is mild atelectasis at the right lung base. There is no focal consolidation, pleural effusion or pneumothorax.

No acute cardiopulmonary process.

5,934

The lung volumes are low. Opacities in the right medial base and retrocardiac region are present. There is no pulmonary edema, pleural effusion, or pneumothorax. The mediastinal contours are slightly widened, likely exacerbated by low lung volumes. The cardiac size is unremarkable.

Appropriate positioning of the endotracheal tube. Bibasilar opacities could be due to atelectasis; alternatively, in the proper clinical setting, could be due to aspiration.

8,499

Right PICC is again noted with tip in the right atrium. Lung volumes are low and the left costophrenic angle is excluded from the field of view. There is likely bibasilar atelectasis although the upper lungs are grossly clear. Lung apices are obscured by patient's chin. Tracheostomy tube is in appropriate position. Atherosclerotic calcifications seen at the aortic arch.

Right PICC tip in the right atrium. Low lung volumes without definite acute cardiopulmonary process.

5,954

Single AP portable view of the chest was obtained. No evidence of free air is seen beneath the diaphragms. The cardiomediastinal silhouette remains enlarged. Lung volumes are relatively low and there are increased interstitial markings bilaterally suggesting mild-to-moderate vascular congestion/edema. Blunting of the costophrenic angles is seen, which may relate to overlying soft tissue, although small pleural effusions may be present.

Moderate-to-marked enlargement of the cardiac silhouette. Blunting of the costophrenic angles may be seen in small bilateral pleural effusions. Prominence of the vasculature suggests at least moderate vascular congestion. No evidence of free air beneath the diaphragms.

5,357

The cardiomediastinal and hilar contours are stable. There are new small bilateral pleural effusions with basilar consolidations, which may represent pulmonary edema or pneumonia. There are no other signs of pulmonary edema, such as engorgement of the mediastinal vessels or change in the size of the cardiac silhouette.

Small bilateral pleural effusions with bibasilar consolidations concerning for pulmonary edema or pneumonia.

1,478

New right-sided PICC line with the tip in the low SVC. Right upper lobe and parahilar opacity has decreased in extent with residual masslike area of opacification surrounding the right hilum. Asymmetric interstitial edema has also decreased. Moderate right and small left pleural effusion with bibasal atelectasis slightly increased. No pneumothorax.

Right-sided PICC with the tip in the low SVC. Right upper lobe and juxta hilar opacity have slightly improved. Persistent pleural effusions.

592

Single frontal view of the chest demonstrates low lung volumes. There is increased haziness in the right lung with opacities in the right greater than left base, appearance suggestive of asymmetric edema, versus aspiration or infection. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Post-operative changes of CABG and median sternotomy appear unremarkable. Moderate right greater than left shoulder degenerative disease is present. No definite displaced osseous injury is evident.

Increased hazy opacity in the right lung, predominantly in the right greater than left base, which could represent asymmetric edema versus aspiration or infection. No pneumothorax. No laboratory data is available at the time of interpretation, which should be correlated as well as with clinical presentation.

15,288

Patient's chin obscures the lung apices. There is perihilar opacity with indistinct pulmonary vascular markings. Blunting of the costophrenic angles could represent small effusions. Lucency projecting over the cardiac silhouette is compatible with large hiatal hernia. No acute osseous abnormalities.

Mild to moderate pulmonary edema. Possible small pleural effusions. Large hiatal hernia.

11,570

The heart is normal in size. There is mild unfolding of the thoracic aorta as seen previously. The mediastinal and hilar contours appear unchanged. There is mild reticular abnormality including Kerley B lines suggesting mild interstitial edema or fluid overload. The extreme left costophrenic angle is excluded but there is no definite evidence for pleural effusions. There is no pneumothorax.

Findings suggesting mild vascular congestion.

7,029

A new right IJ line courses into the right subclavian vein. The lungs are clear without focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.

New right IJ line courses into the right subclavian vein.

12,964

The very tip of the ET tube is visualized at the thoracic inlet. The nasogastric tube courses below the diaphragm into the stomach. Lung volumes are low. Bibasilar consolidations are better visualized on the current CT torso. The cardiomediastinal silhouette is difficult to evaluate due to the AP lordotic projection, but the left heart border is straightened and the possibility of some leftward shoft cannot be excluded. The imaged upper abdomen is unremarkable. No displaced fractures identified. (Please see other contemporaneous studies showing left humeral fracture, not directly imaged on this exam).

Endotracheal tube tip at the thoracic inlet and should be advanced. Nasogastric tube below the diaphragm in the stomach. Bibasilar consolidations are better visualized on the concurrent CT torso. Cadriomediastinal silhouette, as described. ? slight volume loss on left.

5,028

Cardiac silhouette size remains mildly enlarged. The mediastinal contour is unchanged with unfolding of the thoracic aorta again noted. Pulmonary vasculature is not engorged. Hilar contours are normal. Subsegmental atelectasis is demonstrated in the lung bases. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.

Mild bibasilar atelectasis.

17,970

A dual-lead pacemaker/ICD device is in place with leads again terminating in the right atrium and ventricle, respectively. The patient is status post sternotomy. The heart appears mildly enlarged. The aortic arch is calcified. The mediastinal and hilar contours appear stable. There are small bilateral pleural effusions, greater on the right than left, in addition to indistinct pulmonary vasculature and a moderate interstitial abnormality, findings suggesting congestive heart failure.

Findings suggesting mild-to-moderate pulmonary edema with pleural effusions.

11,571

The lungs are clear without focal consolidation. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

No acute cardiopulmonary process.

14,964

The lungs are clear without evidence of consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Stable dextroscoliosis of the thoracic spine is present. No fracture is identified.

No acute cardiopulmonary process.

7,219

Single portable view of the chest demonstrates a new right pigtail catheter at the right base. A residual apical pneumothorax, small in size, remains. The majority of the lung has re-expanded. Mediastinum has shifted back towards the right. No pleural effusion, pulmonary edema or focal consolidations concerning for pneumonia.

Status post right pigtail catheter placement with small residual apical pneumothorax.

2,788

Patient is rotated to the left. Patient is status post median sternotomy and CABG. Prominence and indistinctness of the hila suggests pulmonary vascular engorgement. There is blunting of the left costophrenic angle which may in part relate to overlying soft tissue, although small pleural effusion with overlying atelectasis may be present. Patchy left basilar opacity may represent combination of vascular congestion and basilar atelectasis with possible small pleural effusion, although underlying consolidation is not excluded. The cardiac silhouette remains mildly enlarged.

Patient is rotated to the left. Prominence and indistinctness of the hila suggest component of vascular congestion/engorgement. Blunted left costophrenic angle may be due to overlying soft tissue, although pleural effusion with atelectasis or even consolidation is not excluded in the appropriate clinical setting. Persistent cardiomegaly.

15,694

Frontal view of the chest was obtained. The radiograph is underpenetrated. The patient is in lordotic position with respect to the film. The full course of the OG tube is unable to be followed. Left PICC is unable to be followed further than the left brachiocephalic. Left IJ also appears to terminate in the left brachiocephalic vein. Cardiac silhouette remains enlarged. Prominent pulmonary vasculature is compatible with mild congestion. No substantial pleural effusion or pneumothorax.

Mild pulmonary congestion with moderate cardiomegaly. Underpenetrated radiograph. Left PICC is not visualized further than the left brachiocephalic. OG tube is not visualized further than the mid esophagus.

10,724

The right costophrenic angle is excluded from the field of view. Exam is limited by lordotic positioning. Patient is status post median sternotomy. A left-sided pacer device is noted with leads terminating in the regions of the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is present. There is mild pulmonary vascular congestion. Patchy opacities the lung bases likely reflect areas of atelectasis, without focal consolidation. No large left pleural effusion is present. There is no pneumothorax. No acute osseous abnormality is seen.

Slightly limited exam with bibasilar atelectasis and mild pulmonary vascular congestion.

11,246

Right internal jugular central venous catheter tip terminates at the junction of the SVC and right atrium. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.

Right internal jugular central venous catheter tip at the junction of the SVC and right atrium. No pneumothorax.

601

Left dual-chamber pacemaker is in left pectoral region with lead tip projecting over the right atrial appendage and right ventricular apex. Bilateral reticular interstitial opacities. Vascular engorgement, mediastinal vein dilataion, and cephalization with a moderately enlarged heart. Mild bibasilar plate-like atelectasis. No pneumothorax or pleural effusion. No bony abnormality.

Diffuse pulmonary fibrosis. Mild pulmonary edema and bibasilar atelectasis.

17,119

The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal consolidation is seen. Prominence of the pulmonary vasculature is noted, especially at the lung bases. No frank pulmonary edema seen. No acute osseous abnormalities seen.

No radiographic evidence of pneumonia.

4,110

Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Dobhoff the tube terminates in the mid gastric body. A right-sided IJ central venous catheter terminates in the lower SVC.

No radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities.

6,838

A left IJ is seen in appropriate position with the tip in the SVC. A right sided dual lumen catheter is noted with the tip at the junction of the SVC and right atrium. There is no pneumothorax. There are low lung volumes. Bibasilar atelectasis is seen. There is some cephalization of pulmonary vessels consistent with mild pulmonary vascular congestion. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion.

Left internal jugular central venous catheter within the SVC. No pneumothorax. Mild pulmonary vascular congestion.

7,553

Portable AP chest radiograph demonstrates diffusely increased interstitial markings in a reticulonodular pattern, unchanged from . However there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.

No pneumothorax. Reticulonodular interstitial opacities, unchanged from and most likely due to atypical infection.

17,153

There is NG tube which terminates in the antrum of the stomach. There is unchanged diffuse bilateral airspace consolidation in the lower lobes, left greater than right. There is a small left pleural effusion. Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.

NG tube in appropriate position with tip in stomach. Unchanged diffuse bilateral consolidation representing multifocal pneumonia. Small left pleural effusion.

10,094

Worsened left basilar opacity. Mildly improved right basilar opacity. Shallow inspiration accentuates heart size, pulmonary vascularity. Decreased pulmonary vascularity since prior exam. Aortic calcification. Suggestion of small left pleural effusion.

Worsened left basilar opacity in the setting of shallow inspiration. Improved pulmonary vascularity.

19,897

Right PICC line tip at low SVC. Borderline heart size, pulmonary vascularity, similar. No consolidations. Chest otherwise normal.

Stable exam

17,901

Patient has had median sternotomy and coronary bypass grafting. Sternal wires are intact and aligned. A new right internal jugular approach cardiac pacing wire projects over the right ventricle. No pneumothorax, mediastinal widening, or pleural effusion. Mild pulmonary vascular engorgement and mild interstitial edema are new. The heart is larger, but not enlarged. No pneumothorax

No pneumothorax. Top-normal heart size, mild vascular engorgement and early interstitial edema are new. New right transjugular temporary pacer lead in standard placement. No complications.

13,717

There is a left-sided central line with tip in the right atrium. Lung volumes are low and there is volume loss at the bases. There is no definite infiltrate. There is no pneumothorax. The cardiac and mediastinal silhouettes are normal

No focal infiltrate or effusion.

6,934

Portable frontal radiograph of the chest demonstrates moderate enlargement of the cardiac silhouette. A right internal jugular dual lumen catheter ends in the upper right atrium. A right chest wall pacemaker is present with leads in the expected position. There is moderate pulmonary edema with likely small bilateral pleural effusions. No pneumothorax. Median sternotomy wires appear intact.

Moderate cardiomegaly with pulmonary edema and likely small bilateral pleural effusions.

767

A single portable supine radiograph of the chest and upper abdomen were obtained. The exam is limited by the presence of the trauma board. Right medial basilar pulmonary opacities are better seen on the subsequently obtained chest CT. There is no additional consolidation, effusion or pneumothorax present. There is horizontal linear atelectasis at the left base. No displaced fracture is apparent.

Right lower lobe consolidation better seen on subsequent chest CT.

14,787

A bedside AP radiograph of the chest redemonstrates the multifocal opacities of which the right upper lobe lesion was biopsied. The scapula now overlies this site, which may obscure local hemorrhage at the biopsy site. There is no pneumothorax or pleural effusion. The aorta is stably tortuous but the hilar and cardiomediastinal contours are otherwise normal. Pulmonary vascularity is normal.

No evidence of immediate post-procedure complication, however a repeat study may be obtained to rule out occult hemorrhage overlying the right scapula. Multiple lung nodules redemonstrated.

15,137

Left PICC tip terminates in the mid SVC. The cardiac silhouette size is unchanged, with left ventricular predominance and mild cardiomegaly. The mediastinal and hilar contours are stable with calcification of the thoracic aorta again noted. The pulmonary vascularity is not engorged. Streaky opacities in the lung bases likely reflect atelectasis. Mild elevation of the right hemidiaphragm is unchanged. No large pleural effusion or pneumothorax is present. Partially imaged is a percutaneous transhepatic biliary catheter in the right upper quadrant of the abdomen.

Streaky opacities in the lung bases likely reflect atelectasis.

10,674

The patient has had recent esophagectomy with gastric pull-through. An endotracheal tube terminates at the level of the clavicles. A right chest tube and mediastinal drain are in place. There is no pneumothorax. Small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. Previous mild pulmonary vascular congestion has improved.

Small bilateral pleural effusions, bibasilar subsegmental atelectasis. Improved mild pulmonary edema.

18,694

Nasogastric tube is noted which terminates below the left hemidiaphragm, off the inferior borders of the film,. Lung volumes are low. Heart size appears moderately enlarged. Widening of the superior mediastinum is likely due to supine technique and low lung volumes. There is crowding of the bronchovascular structures. No overt pulmonary edema is noted. Retrocardiac hazy opacity may reflect atelectasis. A small left pleural effusion may be present. No pneumothorax is identified.

Standard positioning of the endotracheal tube and nasogastric tube. Low lung volumes. Hazy retrocardiac opacity may reflect atelectasis. Possible small left pleural effusion.

11,642

Single frontal view of the chest. A metallic stent projects over the left heart border. Heart size is stable. Slight widening of the vascular pedicle, engorgement of the pulmonary vasculature, and mild perihilar haziness are consistent with new mild pulmonary edema. Lung volumes are low but there is no focal consolidation, substantial pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged.

New mild pulmonary edema. No focal consolidation.

17,566

A frontal supine view of the chest was obtained portably. Diffuse bilateral pulmonary opacities may represent infection or hemorrhage in the setting of blood from the endotracheal tube. Heart size is normal. Evaluation of the mediastinum is limited by overlying trauma board.

Diffuse bilateral parenchymal opacities may represent infection or hemorrhage.

7,780

The patient is status post endotracheal intubation. An orogastric tube passes into the stomach and terminates to the right of midline within the right upper quadrant, near the expected pylorus, possibly in the distal antrum or pyloric channel. There is mild-to-moderate relative elevation of the right hemidiaphragm. Mildly prominent perihilar opacification suggests slight congestion or fluid overload, but not striking. There is no pleural effusion or pneumothorax. The left costophrenic sulcus is excluded.

Status post endotracheal intubation. Findings suggesting slight fluid overload.

15,530

Cardiac pacemaker. Left lower lobe consolidation is stable. There are small bilateral pleural effusions. Bilateral perihilar, right basilar opacities stable, consider edema, or pneumonitis in the appropriate clinical setting. Chronic rib fractures. Heart size at the upper limits are normal.

Stable left lower lobe consolidation. Small bilateral pleural effusions. Stable bilateral perihilar and right basilar opacities.

2,289

An enteric tube courses into the stomach. A new right internal jugular catheter has been placed and courses into the low SVC. There is no pneumothorax or pleural effusion. Heart size remains mildly enlarged. Hilar and mediastinal structures are unchanged.

Well-positioned right internal jugular central line. Unchanged bilateral parenchymal opacities.

8,219

Heart size and cardiomediastinal contours are normal. Lung volumes are low. Diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. An infectious process cannot be excluded. Presumed pleural effusions are not large. No pneumothorax.

No pneumothorax. An infectious process cannot be excluded.

6,554

There small bilateral pleural effusions that are smaller compared to prior. There continues to be pulmonary vascular redistribution and moderate to severe cardiomegaly

Improvement in fluid status both pulmonary edema persist.

19,468

Patient is status post median sternotomy and CABG. There is persistent enlargement of the cardiac silhouette. Mediastinal contours are stable. Right-sided PICC terminates in the low SVC without evidence of pneumothorax. A right pleural effusion persists. Right base opacity may be due to combination of pleural effusion and atelectasis with some mild pulmonary vascular congestion. Overall, pulmonary vascular congestion appears slightly improved as compared to the prior study.

Persisting cardiomegaly and right pleural effusion. Mild pulmonary vascular congestion, which appears improved since the prior study.

19,616

The right IJ central venous catheter terminates in the cavoatrial junction. The enteric tube extends into the stomach and out of view. Complete opacification of the left lung with pleural effusion and atelectasis is unchanged. Right lung is clear. No pleural effusion on the right. No pneumothorax. The visualized cardiomediastinal silhouette is unchanged.

Complete opacification of the left lung with pleural effusion and atelectasis is unchanged. Stable chest radiograph.

8,273

There is near complete opacification of the left lung, likely due to new atelectasis from known obstructing left mainstem bronchial mass. The right lung appears to have mild pulmonary vascular congestion but no pulmonary edema. Heart size is difficult to assess. No pneumothorax. Right rib lesion is unchanged since prior exam and better assessed on reference CT chest.

Near complete opacification of the left lung, likely due to new atelectasis of the left lung from known obstructing left mainstem bronchial mass.

19,640

Single portable view of the chest. There are bilateral upper lung regions of consolidation, right worse than left. There is also opacity the right lung base obscuring the costophrenic angle potentially due to layering effusion. The cardiac silhouette appears slightly enlarged but likely accentuated by low inspiratory effort and portable technique. Atherosclerotic calcifications noted at the aortic arch and descending thoracic aorta. Left chest wall dual lead pacing device seen. The bones appear diffusely osteopenic.

Bilateral upper lung regions of consolidation, right-greater-than-left compatible with infection in the proper clinical setting. Probable right pleural effusion. Recommend repeat after treatment to document resolution.

11,109

The newly placed enteric tube traverses the diaphragm into the left upper quadrant pars tip not seen. Lung volumes have improved. Otherwise, and no significant interval change. Persistent loculated right pleural effusion, edema, and left lower lobe atelectasis and probably small pleural effusion. No pneumothorax. Heart size is normal.

Persistent loculated right pleural effusion, edema, and left lower lobe atelectasis and probably small pleural effusion

13,383

One AP view of the chest. The lungs appear hyperinflated. No focal consolidation. No pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable. Old left rib fractures are again seen and unchanged. Mild linear scarring is again seen in the right lower lobe, unchanged.

No acute cardiopulmonary process. Changes consistent with emphysema.

12,289

Lungs are hyperexpanded. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.

No acute intrathoracic process.

11,716

Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.

No acute cardiopulmonary process. No focal consolidation to suggest pneumonia.

17,844

The patient has been extubated, and a tracheostomy tube has been placed. The right IJ central line and nasogastric tube remain in satisfactory position. There is no pneumothorax. The lungs remain. The heart and mediastinum are within normal limits despite the projection.

Status post extubation with placement of the tracheostomy tube. Clear lungs. Lines and tubes in satisfactory position.

16,974

Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.

No acute cardiopulmonary abnormality.

1,651

The lungs are well-expanded and grossly clear. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. The cardiomediastinal silhouette is unremarkable. A right chest wall Port-A-Cath terminates at the cavoatrial junction. An air-filled colon is noted under the right hemidiaphragm.

No acute cardiopulmonary process.

10,131

The heart size is top normal. Mediastinal silhouettes are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Incidental note of a presumed spinal stimulator lead in the midline.

No pleural effusion or pulmonary edema.

4,003