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chest x-ray; 'Lung Opacity' | In comparison with the study of ___, the tip of the IABP again is at the superior aspect of the transverse arch of the aorta. It would be necessary to pull it back approximately 3 cm to be at 8 point midway between the transverse arch of the aorta and the left mainstem bronchus. The left hemidiaphragm is not well seen medially and there is increased opacification in the retrocardiac region, consistent with substantial volume loss in the left lower lobe. Otherwise, little change. |
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chest x-ray; 'Edema'; 'Pneumonia' | Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and mild perihilar edema. More confluent opacities are present in both lower lobes, accompanied by small pleural effusions. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Pneumothorax' | Following removal of right-sided chest tube, a tiny right apical pneumothorax is not appreciably changed. Small to moderate right pleural effusion has slightly increased in size with associated worsening right basilar atelectasis. No other relevant change. |
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chest x-ray; 'Edema'; 'Fracture'; 'Lung Opacity'; 'Pleural Other'; 'Support Devices' | 1. The right internal jugular venous catheter continues to have its tip in the proximal right atrium. A chest tube remains in place. There continues to be extensive subcutaneous emphysema within the soft tissues of the neck as well as some air outlining the aortic knob, likely reflecting pneumomediastinum. There has been interval improvement in the superimposed pulmonary edema with only residual mild interstitial edema present. No pneumothorax is seen. Right-sided rib fractures with associated pleural thickening are again seen. Left basilar, and to a lesser extent, right basilar opacities may reflect atelectasis, although pneumonia cannot be entirely excluded. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion' | Mild cardiomegaly is unchanged. Moderate central pulmonary vascular congestion and pulmonary edema have slightly improved since ___. Small bilateral pleural effusions appear stable. There is no pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. The bilateral areas of parenchymal opacities have not substantially changed in extent and distribution. The lung volumes remain relatively low. No new opacities. No larger pleural effusions. Unchanged size of the cardiac silhouette. Unchanged right PICC line. |
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chest x-ray; 'No Finding' | Better lung expansion. No areas of consolidation. |
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chest x-ray; 'Cardiomegaly' | As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly. Mild fibrotic changes at the right lung base and at both lung apices. No new parenchymal opacity. No larger pleural effusions. No pulmonary edema. |
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chest x-ray; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | AP radiograph of the chest was compared to ___. The NG tube is most likely still present within the esophagus. Contrast material is still loculated in the distal esophagus. No appreciable pneumothorax is seen on the left. Right apical pneumothorax is noted, unchanged as compared to prior examination. Small-to-moderate amount of left pleural effusion is present and most likely increased since prior study. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Pneumonia' | Comparison to ___, 08:25. The pre described parenchymal opacity at the right lung basis is stable. Stability increases the likelihood of pneumonia. The feeding tube has been removed. A pre-existing retrocardiac atelectasis is unchanged. Stable borderline size of the cardiac silhouette. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Pneumothorax' | As compared to the previous radiograph, the known right-sided pneumothorax has massively increased in extent. At the lung bases, the pneumothorax is approximately 3-4 cm wide, the pneumothorax is now also obvious at the lateral and apical parts of the left hemithorax. Nevertheless, there is no evidence of tension. The opacities at the partially-collapsed right lung have increased in extent. Unchanged appearance of the left hemithorax and of the cardiac silhouette. The abnormalities were observed at 8:32 a.m. At 8:32 a.m., ___, the referring physician, ___. ___, covered by Dr. ___ was paged for notification and the findings were subsequently discussed over the telephone. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | Small bilateral pleural effusions have decreased. Bibasilar atelectasis is probably still mild. Upper lungs clear. Heart size normal. Cardiopulmonary support devices in standard placements. |
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chest x-ray; 'Lung Opacity' | Endotracheal tube remains in the mid trachea. Enteric tube traverses the stomach. There is new increased right lower lobe atelectasis. Otherwise, there is little change in comparison to prior study with stable cardiomediastinal silhouette and no evidence of pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Support Devices' | In comparison with the study of earlier in this date, the monitoring and support devices are unchanged, except for placement of a nasogastric tube that extends to the stomach with the side hole at the level of the esophagogastric junction and a right IJ catheter with its tip in the mid SVC with no evidence of pneumothorax. Little change in the appearance of the heart and lungs. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pleural Effusion' | In comparison with the earlier study of this date, there is probably little overall change in the asymmetric pulmonary edema with bilateral pleural effusions and compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would be difficult to exclude. |
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chest x-ray; 'Support Devices' | The feeding tube tip is in the stomach. The stomach is mildly distended. There is volume loss at both bases, right greater than left. An infiltrate particularly in the right lower lobe cannot be excluded |
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chest x-ray; 'Pleural Effusion' | There is slightly increased small right pleural effusion compared to ___. Left chest tube is in unchanged position. The small amount of pleural fluid at the left apex is similar to ___. Cardiomediastinal silhouette is unchanged and within normal size. |
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chest x-ray; 'No Finding'; 'Support Devices' | Portable supine radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is stable appearing bibasalar atelectasis and mild pulmonary edema. The cardiomediastinal and hilar contours are unchanged. A left-sided subclavian central venous line ends at the distal SVC. The tracheostomy tube is in good position. Nasogastric tube ends in the stomach. There is no pneumothorax. |
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chest x-ray; 'Cardiomegaly' | Comparison is made with prior study ___. Mild cardiomegaly is stable. The minimal right lower lobe atelectasis of the right lung is clear. There is no pneumothorax pleural effusion. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia' | Stable cardiomegaly accompanied by slightly worsening diffuse pulmonary opacities, most likely representing pulmonary edema, although atypical pneumonia could produce a similar appearance in the appropriate clinical setting. All radiographs after diuresis may be helpful in this regard. Persistent small left pleural effusion. No visible pneumothorax. |
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chest x-ray; | Monitoring and support devices are unchanged. No new consolidation. No pleural effusion or pneumothorax. The hila are normal. The cardiomediastinal silhouette is unchanged. |
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chest x-ray; 'Consolidation'; 'Lung Opacity'; 'Support Devices' | In comparison with the study of ___, there is persistent elevation of the left hemidiaphragm without acute vascular congestion or pleural effusion. There is an area of increased opacification in the left perihilar region. In view of the clinical symptoms, this could conceivably represent a developing consolidation. There is also a small area of opacification in the right mid lung laterally that could be a consolidative focus. Little change in the position of the tip of the central catheter, which extends to lower portion of the SVC. Slight bending of the PICC catheter that could be merely positional. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion' | AP radiograph of the chest was reviewed in comparison to ___. Heart size and mediastinum appears to be unchanged including substantial cardiomegaly, but there is interval increase in bilateral pleural effusions as well as vascular engorgement and perihilar opacities consistent with interval development of pulmonary edema. There is no pneumothorax. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | Tracheostomy tube, feeding tube, and left subclavian central venous catheter are unchanged in position. Left upper lobe parenchymal cavitary opacities are similar, perhaps slightly decreased from the prior study. The bases are better aerated bilaterally with decrease in retrocardiac opacification. Trace left pleural effusion may be present. Cardiac size and cardiomediastinal silhouette are unchanged. |
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chest x-ray; 'Lung Opacity' | There is extensive opacity in the left lung concerning for aspiration. Left effusion present. The right lung is clear although a small opacity at the bases noted. . |
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chest x-ray; 'Pneumonia' | Mild failure, evidence of active infection not seen. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity' | AP portable upright view of the chest. Overlying EKG leads are present somewhat limiting the evaluation. There is left basal opacity which is concerning for effusion and adjacent consolidation. No signs of edema or congestion. The right lung is clear. The heart is mildly enlarged. The aorta is densely calcified. Bony structures are intact. |
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chest x-ray; 'Lung Opacity'; 'Pneumonia' | ET tube lies 5.5 cm above the carina. A left subclavian central line tip overlies the mid SVC. No pneumothorax is detected. The heart is not enlarged. Again seen is hazy opacity at the right lung base, slightly improved compared with ___ and similar to the ___. Minimal blunting of the right costophrenic angle, without gross effusion. No new focal opacity identified. Minimal atelectasis at the left lung base. No left effusion. No CHF. Small balloon again noted over the left upper quadrant, suggesting a G-tube. |
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chest x-ray; | In comparison with the study of ___, the area of consolidation at the left base has substantially cleared with mild residual atelectatic or fibrotic changes. Minimal atelectasis is seen at the right base without evidence of acute pneumonia. No vascular congestion. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | Again seen is a lucency projecting over the right apicolateral region concerning for a pneumothorax. This is small and is of similar size compared to the study from earlier the same day. The left lower lobe infiltrate is again seen. There is a small left pleural effusion that is similar size compared to prior. |
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chest x-ray; 'No Finding'; 'Support Devices' | AP portable upright view of the chest. There has been interval repositioning of the left chest tube which now terminates in the medial left mid chest. Near complete opacification of the left hemi thorax is unchanged. Right lung remains clear. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | Comparison to ___. The nasogastric tube has been slightly pulled back. Otherwise the radiograph is unchanged. Stable correct monitoring and support devices. Moderate bilateral pleural effusions with subsequent areas of atelectasis. Mild pulmonary edema. No pneumothorax. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity' | Worsening left retrocardiac and basal opacity could be atelectasis/consolidation. Large hiatal hernia with air-fluid level is seen. The cardial mediastinal silhouette is compared well. No displaced rib fractures. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | In comparison with study of ___, there is now an oblique drain in place with no evidence of pneumothorax. Cardiac silhouette is quite prominent, though much of this may reflect the AP supine technique. Some atelectatic changes are seen at the bases, without definite pulmonary edema. |
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chest x-ray; 'Edema'; 'Enlarged Cardiomediastinum'; 'Support Devices' | A portable frontal chest radiograph demonstrates the endotracheal tube in standard position with the tip 4 cm above the carina, as well as a Swan-Ganz catheter with the tip in the right pulmonary artery and a nasogastric tube which extends at least into the stomach. Lung volumes are extremely low, resulting in vascular crowding. There has been interval development of mild pulmonary edema and engorgement of pulmonary vessels, including the pulmonary arteries. The cardiomediastinum otherwise has the expected postoperative appearance. There is no focal consolidation, large pleural effusion, or pneumothorax. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Support Devices' | As compared to the previous radiograph, there is minimal improvement of the pre-existing moderate pulmonary edema. No new parenchymal opacities. Signs of edema, however, still persists. Unchanged moderate cardiomegaly, no larger pleural effusions. No pneumothorax. Unchanged position of the right internal jugular vein catheter. |
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chest x-ray; 'No Finding'; 'Support Devices' | A right PICC ends in the mid SVC. The patient is status post CABG. Low lung volumes results in bronchovascular crowding. There is a small left pleural effusion with bibasilar atelectasis. No pneumothorax. Gaseous distention of bowel is incompletely evaluated. |
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chest x-ray; 'Atelectasis'; 'Consolidation'; 'Lung Opacity'; 'Pleural Effusion' | In comparison with the study of ___, the cardiac silhouette is within normal limits. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. There is again prominence of interstitial markings, some of which represents elevation of pulmonary venous pressure, while there may be some component of chronic interstitial lung disease. Poor definition of the hemidiaphragms is consistent with small pleural effusions an basilar atelectasis bilaterally. There is an area of increased opacification in the left upper zone, also seen previously, that could represent a focus of consolidation. The area of possible increased opacification the upper zone on the right is not definitely seen on the current study, though it could be hidden be hind the first rib. |
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chest x-ray; 'No Finding' | No focal consolidation is seen. There is no large pleural effusion. There is no evidence of pneumothorax. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Normal size of the cardiac silhouette. Unchanged small bilateral pleural effusions with subsequent atelectasis. No newly appeared parenchymal opacities. |
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chest x-ray; 'Atelectasis'; 'Edema'; 'Support Devices' | Mild postoperative pulmonary edema has improved. Postoperative mediastinal widening, also decreased, following extubation. Bibasilar opacification is generally due to combination of residual edema and atelectasis but needs to be followed to exclude developing pneumonia. Right jugular line ends in the upper SVC. Left jugular line and above the thoracic inlet. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, there is a substantial increase in extent and severity of the pre-existing parenchymal opacities. The morphology of these opacities suggests either pneumonia or pulmonary edema, potentially a combination. This is supported by a newly appeared mild left pleural effusion. Mild cardiomegaly persists. At the time of observation and dictation, 12:11 p.m., on ___, the referring physician, ___. ___ was paged for notification. |
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chest x-ray; 'Lung Opacity' | The patient is status post left-sided dual-chamber pacemaker with leads terminating in the right atrium and right ventricle. The cardiac silhouette size appears moderately enlarged with a left ventricular predominance. The aortic knob is calcified. There are low lung volumes which accentuate the bronchovascular markings, and result in mild apparent widening of the superior mediastinum. Fibrotic changes appear to be present and are most pronounced along the periphery and lung bases bilaterally, with coarse interstitial markings. There appears to be blunting of the costophrenic angles bilaterally, which could represent chronic pleural thickening, though small effusions can not be excluded. There is no overt pulmonary edema or pneumothorax. More focal opacity in the left lung base is present, and an underlying infectious process cannot be completely excluded. Leftward deviation of the superior trachea above the thoracic inlet is noted and may be due to tortuous vessels. |
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chest x-ray; 'Cardiomegaly'; 'Pneumothorax'; 'Support Devices' | AP chest compared to most recent prior chest radiograph on ___: Right PIC line ends in the low SVC. Moderate cardiomegaly stable. Lungs clear. Right skinfold should not be mistaken for pneumothorax. Transvenous right ventricular pacer defibrillator lead unchanged in position, projecting over the mid-to-distal upper right atrium. No pneumothorax or pleural effusion. |
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chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Support Devices' | Comparison is made with prior study ___. Patient has been extubated. Right IJ catheter tip is seen in the upper right atrium. Mild cardiomegaly is accentuated by the projection. Bibasilar opacities larger on the left side have improved. There are no new lung abnormalities, pneumothorax or pleural effusion. Widened mediastinum due to engorgement of the vessels is stable. |
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chest x-ray; 'Edema'; 'Pneumothorax' | Compared to ___, post extubation decrease in lung volume and increased in intrathoracic pressure likely accounts for mildly increased heart size. Perihilar opacity, left worse than right likely reflects mild pulmonary edema. Linear opacities in bilateral bases and left mid lung likely represent atelectasis. There is small left pleural effusions, if any. No pneumothorax is appreciated. Right central line terminates in right atrium. Sternal wires are aligned and intact. |
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chest x-ray; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, the patient has undergone the right thoracocentesis. The right pleural effusion has substantially decreased in extent. It is now limited to a small aspect of the right costophrenic sinus. On the left, the effusion is unchanged. There is no evidence of complications, notably no pneumothorax. Sternal wires, valvular replacement and right PICC line are constant. |
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chest x-ray; 'Consolidation'; 'Pleural Effusion'; 'Support Devices' | The previously noted right left chest tubes have been removed. There is no definite pneumothorax. There is a large-bore catheter on the right with the tip in the SVC. There are bilateral pleural effusions. There is patchy consolidation in the left perihilar region. This is more pronounced than on the earlier study, but this may be accentuated by poor inspiratory effort. There is no CHF. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | Portable AP radiograph of the chest was reviewed in comparison to ___. Right PICC line tip terminates at the level of mid SVC. Heart size and mediastinum are stable. Calcified hilar and mediastinal lymph nodes are consistent with prior granulomatous exposure most likely. Right lower lobe opacity is unchanged since the most recent prior study and most likely represents a combination of pleural effusion and potential atelectasis but infectious process in this area cannot be excluded. There is mild vascular engorgement but no overt pulmonary edema. There is no pneumothorax. |
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chest x-ray; 'Lung Opacity'; 'Pneumothorax' | As compared to the previous radiograph, no relevant change is seen in extent of the known right apical pneumothorax. The opacity at the right lung base is constant. Constant position and appearance of the pleural drain. |
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chest x-ray; 'Fracture'; 'Lung Opacity'; 'Pleural Other'; 'Support Devices' | Small region of opacity at the apex of the right lung is presumably resection artifact. Right upper thoracic pleural drain in place. There may be a very small right pleural air collection medial to the lower part of the pleural drain. There is no appreciable pleural effusion. Subcutaneous emphysema in the right chest wall is commonly seen after Chest surgery. Extensive left-sided pleural thickening and scarring are presumably post traumatic given the presence of multiple healed left rib fractures. Heart size normal. |
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chest x-ray; 'Consolidation'; 'Lung Lesion'; 'Pneumonia' | Right lower lobe consolidation is new and compatible with pneumonia. Left lower lobe atelectasis is minimal. There is no pleural effusion or pneumothorax. The patient is known with left apical metastasis to the rib, soft tissue, and spine. Mediastinal and cardiac contours are normal. |
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chest x-ray; 'No Finding' | There is no new lung consolidation. Lung volumes are low with minimal bibasilar atelectasis. Mediastinal and cardiac contours are top normal. There is no pneumothorax or pleural effusion. Right-sided Port-A-Cath is at the cavoatrial junction, and upper thoracic spine surgery was done for known lymphoma. |
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chest x-ray; 'Consolidation'; 'Edema'; 'Support Devices' | There is redemonstration of a pigtail drainage catheter at the right lung base with adjacent right infrahilar opacity, similar in appearance to prior study. Persistent widespread parenchymal consolidations are slightly increased in density, compatible with worsening edema. Small right effusion is unchanged. There is no pneumothorax. Esophageal stent is unchanged and appears patent. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices' | The right IJ tunneled catheter extends well into the right atrium. No evidence of pneumothorax. Little change in the appearance of the heart and lungs. Relatively low lung volumes with atelectatic streaks at the left base. |
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chest x-ray; 'Pneumothorax' | A frontal upright view of the chest was obtained reportedly. Low lung volumes result in bronchovascular crowding. A right Port-A-Cath is again seen, although the tip is not well visualized. A chest tube overlies the right hemithorax. A right pleural density is a loculated effusion. No new opacity. A tiny right pneumothorax is newly apparent. Cardiac and mediastinal silhouettes are stable. Barium from recent esophagram is noted. |
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chest x-ray; 'Consolidation' | No significant change in bilateral lower lobe consolidations compared with prior given the limitations of a portable radiograph. PA and lateral upright views, if able to be obtained, would provide better evaluation. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia' | As compared to the recent study of earlier the same date, bilateral alveolar opacities have worsened and are concerning for pulmonary edema likely superimposed upon pre-existing findings of pneumonia. Is small to moderate right and moderate partially loculated left pleural effusions have increased in size in the interval. No other relevant changes. |
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chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'; 'Pleural Other'; 'Support Devices' | Right internal jugular line ends in the upper SVC. Large right pleural effusion and pleural thickening are chronic. Severe cardiomegaly is chronic. Left lung is grossly clear and pulmonary vasculature is not especially distended. No left pleural effusion. No pneumothorax. |
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chest x-ray; 'Cardiomegaly' | AP chest compared to ___ and ___: Severe cardiomegaly is chronic, not as pronounced today as in the past. Pulmonary vascular congestion is similarly chronic but no more severe today than before. Mediastinal veins are not dilated, there is no edema or pleural effusion. Lungs are grossly clear. |
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chest x-ray; 'Pneumothorax'; 'Support Devices' | As compared to the previous radiograph, the right internal jugular vein catheter has been pulled back. The tip now projects over the lower SVC. No evidence of complications, notably no pneumothorax. Otherwise, unchanged chest radiograph. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | 1. Endotracheal tube, nasogastric tube, and right internal jugular central line are unchanged in position, although the tip of the nasogastric tube is not visualized on the current study. There are layering bilateral effusions with patchy bibasilar opacities, left greater than right, most likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. Low volumes with crowding of the pulmonary vasculature. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are likely unchanged given differences in positioning and technique. No pneumothorax, although the sensitivity to detect pneumothorax is diminished given supine technique. |
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chest x-ray; 'Lung Opacity' | In comparison with the study of ___, the cardiac silhouette remains within upper limits of normal in size. No definite vascular congestion. There is some asymmetry of opacification at the bases, with more prominence on the right. This could reflect an area of aspiration or developing pneumonia. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pleural Effusion' | Right PIC tip is in theright axillary vein. Cardiac size is moderately enlarged as before. Mild pulmonary edema has improved. Retrocardiac opacity a combination of effusions and atelectasis have markedly improved. There is no evident pneumothorax. Right lower lobe atelectasis has improved |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices' | In comparison to ___ chest radiograph, support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable. Persistent pulmonary vascular congestion accompanied by slightly improved heterogeneous lung opacities most confluent in the left perihilar region. Left lower lobe atelectasis and small bilateral pleural effusions are unchanged. |
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chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Support Devices' | Endotracheal tube continues to have its tip approximately 4.3 cm above the carina. Nasogastric tube is seen coursing below the diaphragm with the tip not identified. Lung volumes remain markedly diminished with patchy bibasilar opacities consistent with partial lower lobe atelectasis and probable associated left pleural effusion. Status post median sternotomy with stable postoperative cardiac and mediastinal contours. No evidence of pulmonary edema. No pneumothorax. |
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chest x-ray; 'Lung Opacity'; 'Pleural Effusion' | The patient is status post recent median sternotomy and aortic valve replacement. Following removal of multiple support and monitoring devices, there is no definite pneumothorax. Stable postoperative appearance of cardiomediastinal contours. Further improvement in left perihilar airspace opacification as well as improved aeration in the left retrocardiac region. On the right, a small to moderate pleural effusion has increased in size with adjacent worsening atelectasis. |
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chest x-ray; 'Lung Opacity'; 'Pleural Other' | Portable upright frontal view of the chest. The tracheostomy tube is in unchanged position. The previously seen left central line has been removed. Linear left lung opacites represent scarring that is better characterized on the prior chest CT. The cardiac contour is normal. Right multifocal consolidation and pleural thickening are unchanged. Right lower paratacheal mediastinal buldge likely represents a combination of lymphadopathy and the azygous/right superior intercostal veins. |
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chest x-ray; 'No Finding' | The heart is moderately enlarged. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours appear unremarkable. The lungs appear clear. |
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chest x-ray; 'No Finding'; 'Support Devices' | As compared to the previous radiograph, the PICC line has been pulled back. The tip is now located in the left subclavian vein, a part of the catheter is coiled in the left axillary vein. The catheter needs to be re-positioned. At the time of observation and dictation, 12:42 p.m., on ___, the referring physician ___. ___ was paged for notification. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity' | Comparison is made to previous study from ___. The heart size is upper limits of normal. There is some increased opacity at the right base adjacent to the heart border which may represent aspiration or developing infiltrate. This appears relatively stable. There are no pneumothoraces or signs for overt pulmonary edema. Degenerative changes of both shoulders, right greater than left are present. |
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chest x-ray; 'Pneumothorax'; 'Support Devices' | There is interval improvement in aeration of the right lung with a small apical right pneumothorax noted. Right basilar atelectasis is seen. There is a chest tube terminating along the right lung base. Right chest wall subcutaneous emphysema is noted. The left lung is clear, and the heart is stable in size. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pneumonia' | Cardiomegaly is moderate to severe, grossly unchanged as compared to prior study. Post-sternotomy wires are unremarkable. Small bilateral pleural effusions cannot be excluded. There is re-demonstration of right middle lobe atelectasis. No appreciable pneumothorax is seen. No evidence of pulmonary edema is seen. No definitive pneumonia is demonstrated and the left retrocardiac atelectasis is unlikely to reflect infectious process. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion' | Right IJ Cordis has been removed. There are very low lung volumes. Heart size is prominent but stable. There is atelectasis at the lung bases. There small bilateral pleural effusions, unchanged. There are no pneumothoraces |
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chest x-ray; 'Edema' | Edema is somewhat worse. |
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chest x-ray; 'Lung Opacity'; 'Support Devices' | There has been interval placement of a right internal jugular central venous catheter which terminates at the cavoatrial junction. Enteric tube courses below the level of the diaphragm. Endotracheal tube terminates approximately 6 cm above the carina. Bilateral perihilar opacities persist, and appear increased on the left. There is now obscuration of the diaphragms which may be due to pleural effusions and/or atelectasis. No pneumothorax seen. |
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chest x-ray; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia' | Multifocal opacities have improved since the previous examination, and might be consistent with interval improvement of the edema component and some degree of improvement of multifocal infection. Heart size and mediastinum are stable in appearance. Right pleural effusion and elevated right hemidiaphragm are unchanged. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | A Dobhoff type tube is present, with radiopaque tip overlying the expected site of the gastric body. Note is made that there appears to be a central wire within a catheter, with a radiolucent segment between the central linear density and the radiopaque tip of the catheter. An additional vertically oriented catheter probably represents portion of the Dobhoff outside the patient. A right subclavian PICC line is present -- the tip is partially obscured by the other catheter, but likely lies at the SVC/RA junction similar to the prior study. No obvious pneumothorax is identified, though as noted, the extreme upper edge of the apices is excluded. The lungs are grossly clear, with minimal atelectasis at the left lung base. No free air seen beneath the diaphragm. A partially visualized bowel gas pattern is grossly unremarkable. Mild sigmoid scoliosis of the thoracolumbar spine, with rotary component in the lumbar spine, is suggested. |
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chest x-ray; 'Lung Opacity' | The right PICC line terminates in mid SVC, unchanged. Enteric tube terminates in the stomach. Very slight increase in opacity in right lung base can represent early pneumonia in appropriate clinical setting. The hila are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion' | AP portable upright view of the chest. Patient is known to have moderate layering pleural effusions which partially layer posteriorly accounting for lower lung projected opacities. There is likely compressive lower lung atelectasis. There is possible mild hilar congestion. The upper lungs appear well aerated. The cardiomediastinal silhouette is grossly unchanged. Bony structures are intact. |
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chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices' | 1. Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. A nasogastric tube is seen at least to just below the level of the diaphragm but the tip is not identified. A dual-lead left-sided pacer is again seen with the right atrial lead in appropriate position and the tip of the right ventricular lead not included on the image. Overall, there is slight improvement in aeration at both lung bases. There are persistent, right greater than left, pleural effusions with moderate pulmonary edema with associated bibasilar compressive atelectasis and/or pneumonia. Clinical correlation is advised. No pneumothorax. Heart remains enlarged, likely reflecting cardiomegaly, although pericardial effusion cannot be excluded. Overall stable mediastinal contours. |
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chest x-ray; 'Atelectasis'; 'Pneumothorax'; 'Support Devices' | In comparison with the study of earlier in this date, there again is an apical pneumothorax with collapse of the right upper lobe. Otherwise little change. Subsequent study dictated previously shows a right chest tube in place and the lung re-expanded. |
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chest x-ray; 'Enlarged Cardiomediastinum' | There are low lung volumes. Prominence of the cardiomediastinal silhouette is similar to prior studies, particularly in comparison with ___. Prominence of the hila particularly on the right, similar to prior studies, may be due to vascular engorgement. No large pleural effusion is seen although trace pleural effusion would be difficult to exclude, particularly on the right. No definite focal consolidation. |
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chest x-ray; 'No Finding' | Single portable view of the chest. The lungs are clear where not obscured by overlying cardiac leads and wires. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified. |
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chest x-ray; 'Atelectasis'; 'Consolidation'; 'Lung Lesion'; 'Support Devices' | The ET tube tip is approximately 3.4 cm above the carina. The right internal jugular line tip is at the level of superior SVC. Heart size and mediastinum are unchanged in appearance as well as widespread consolidations, right hilar enlargement and partial right middle lobe atelectasis. Overall, the findings are new after the surgery and were not seen on the pre-surgical examination, that is most likely consistent with atelectasis and unlikely to represent neoplasms. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion' | In comparison with study of ___, there is little overall change. No evidence of pneumothorax after thoracentesis. Mild residual opacification at the left base consistent with effusion and atelectasis. Continued enlargement of the cardiac silhouette without pulmonary vascular congestion. |
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chest x-ray; | Lung volumes are low. Right-sided Port-A-Cath tip appears to terminate within the proximal right atrium. Heart size is mildly enlarged. Mediastinal contours are unchanged. Pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects atelectasis. No focal consolidation, definite pleural effusion or pneumothorax is seen. Posterior fusion hardware is again noted within the upper thoracic spine. |
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chest x-ray; 'Fracture' | The heart is normal in size. There is slight unfolding and calcification along the thoracic aorta. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. There are nondisplaced posterolateral fractures involving the left sixth and seventh ribs, of uncertain acuity. |
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chest x-ray; 'Cardiomegaly' | AP chest radiograph provided. Lung volumes are quite low. Heart appears mildly enlarged. There is increased pulmonary opacity noted bilaterally, which in part could be exaggerated due to low lung volumes and bronchovascular crowding, though mild edema is difficult to exclude. Curvilinear calcification projecting over the heart likely reflects mitral annular calcification. The mediastinal contour is poorly assessed. Clips in the right upper quadrant noted. |
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chest x-ray; 'Atelectasis'; 'Support Devices' | In comparison with the study of ___, the nasogastric tube is coiled within the upper stomach with the tip pointing upwards towards the distal esophagus. Dilatation of gas-filled loops of bowel persists. Low lung volumes with mild atelectatic changes at the bases. The left central catheter has been removed. |
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chest x-ray; 'Fracture' | The lungs are clear. No obvious effusion or pneumothorax based on a supine film. The cardiomediastinal silhouette is within normal limits. Mid left clavicular fracture is mildly displaced. No other displaced fractures identified. |
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chest x-ray; 'Consolidation'; 'Edema' | Bilateral heterogeneous consolidations are unchanged. Moderate cardiomegaly is stable. There is mild pulmonary vascular congestion and pulmonary edema. There is no pneumothorax. Pleural effusions are presumed but not substantial. Mediastinal contours are normal. Right IJ catheter ends in the low SVC. The ET tube is appropriately positioned. The enteric tube ends in the upper stomach. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | Compared to chest radiographs ___ and ___. Mild to moderate bibasilar atelectasis worsened slightly since earlier in the day. Small bilateral pleural effusions have increased. Heart size is normal, but larger than it was earlier today. There is no pulmonary edema. No pneumothorax. Nasogastric drainage tube ends in the distal stomach. Right jugular line ends in the low SVC. |
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chest x-ray; | Moderate cardiomegaly is a stable. Pacer leads are in standard dose. Aortic stent is in place. Vascular congestion has improved. Biapical thickening is a stable. Bilateral small effusions on the right and moderate on the left have decreased. Retrocardiac atelectasis have increased. There is no pneumothorax |
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chest x-ray; 'Cardiomegaly'; 'Consolidation'; 'Pleural Effusion' | Extensive bilateral consolidations throughout the left lung and right mid lung are grossly unchanged. Cardiomegaly is a stable. Small right effusion is stable. There is no pneumothorax |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices' | In comparison with the study of ___, all of the monitoring and support devices have been removed. There appears to be a small right apical pneumothorax. Left apex is not well seen, and the small pneumothorax in this area could be considered. Continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Small left effusion with atelectatic changes at the bases. Possibly a smaller right effusion with mild atelectatic changes. |
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chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices' | As compared to the previous radiograph, there is no relevant change. Minimal pleural air inclusion at the site of resection. Unchanged bilateral pleural effusions and areas of basal atelectasis. Unchanged mild fluid overload Unchanged mild cardiomegaly. The monitoring and support devices, including the right-sided chest tube, are in constant position. |
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chest x-ray; 'Edema' | Single portable upright AP image of the chest. There are low lung volumes. There is an interval increase in the alveolar opacities bilaterally, consistent with moderate to severe new onset pulmonary edema. The cardiomediastinal silhouette appears to be somewhat enlarged from prior exam, particularly in the right mediastinum. There is no large pleural effusion or pneumothorax. A pacer is seen overlying the left anterior chest with intact leads in appropriate position. |
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chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices' | Following re-intubation, and endotracheal tube is in standard position. As compared to previous radiograph from earlier the same date, bibasilar atelectasis has worsened, and a small right pleural effusion has developed. Small left pleural effusion is unchanged, and there is no visible pneumothorax. |
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chest x-ray; 'Pneumothorax'; 'Support Devices' | Comparison to ___, 04:45 status post placement of a new nasogastric tube. The tip of the tube projects over the gastroesophageal junction. The tube should be advanced by approximately 5-10 cm. No complications, notably no pneumothorax. The endotracheal tube is in stable position. Stable appearance of the heart and of the lung parenchyma. |
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