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Stanford AIMI 63

No change in the positioning of the left-sided vagal nerve stimulator.

Right pectoral Port-A-Cath is in normal position.

Low lung volume within the right lung with associated basilar atelectasis.

New right basilar airspace opacity, which may represent atelectasis or infection; clinical correlation recommended.

Low lung volumes with right greater than left pleural effusion.

Mild residual left lower lobe atelectasis without significant change.

No evidence of left-sided pneumothorax; however, further evaluation with PA and lateral views is recommended to assess the cause of left-sided chest pain.

Small left pleural effusion and mild retrocardiac opacity, unchanged from prior imaging.

Cardiac silhouette at the upper limit of normal, no further evaluation required at this time.

Dobhoff tube positioned in the esophagus in the neck, just above the level of the tracheostomy.

Evidence of a healed left clavicular fracture and rib fractures is observed.

Presence of two right internal jugular catheters, one being a Swan-Ganz catheter with its tip overlying the right ventricular outflow tract.

Chest radiograph limited by technique; widened mediastinum raises concern for vascular injury. CT angiography of the chest is recommended for further evaluation.

New compression deformity at the mid thoracic spine, approximately at T7 vertebral body level.

Bilateral skin folds are noted.

Status post left pneumonectomy with associated hydropneumothorax.

Bilateral pigtail catheters are in place at the bases.

Fiducial marker position in the left mid to upper lung.

The aorta is ectatic.

Mild prominence of pulmonary interstitium, likely representing mild interstitial edema.

Cardiomegaly present, assessment limited due to patient rotation.

Calcifications and mild tortuosity appear unchanged.

Enlarged hiatus hernia, which may be contributing to aspiration and increasing left lower lobe atelectasis.

Right apical pneumothorax measuring 18 mm.

Fracture of the left anterolateral aspect of the 3rd rib.

Endotracheal tube with the tip positioned approximately 2.6 cm above the carina.

Upper lobe vascular congestion, similar to previous findings.

Laminar atelectasis in the left mid fields, possibly indicative of previous inflammation or minor lung collapse.

Stable indeterminate nodularity in the left mid chest.

Widespread consolidation noted in the right mid and both lower lung fields.

Hemodialysis catheter extends to the right atrium.

Left subclavian catheter with tip appropriately located in the superior vena cava.

Unchanged enlargement of the cardiac silhouette without evidence of pulmonary edema.

Increased air space opacity in the left mid-lower lung, suggesting an infectious or inflammatory process.

Increased pulmonary vascular markings suggesting mild congestion

Unchanged small bilateral pleural effusions and left retrocardiac opacity.

Mildly displaced fracture of the posterior right seventh rib, likely in a subacute or healing phase.

Mild opacity at the left lung base, possibly related to atelectasis; early infection cannot be excluded.

Feeding tube extending to the level of the stomach

Stable positioning of the left pacemaker.

Reticulonodular pattern suggestive of atypical or viral infection.

Dense left retrocardiac opacity, suspicious for atelectasis or consolidation.

Air distended loops of bowel, similar in appearance to prior exams.

Clear without evidence of pneumonia or acute abnormality.

Endotracheal tube position remains unchanged at the level of the clavicles.

Patient has an Implantable Cardioverter Defibrillator (ICD) in situ.

Successful placement of left pleural catheter with substantial decrease in left pleural effusion.

Volume loss in the right hemithorax with associated rightward lateral deviation of the trachea.

Improved pulmonary edema with no evidence of focal infiltrate.

Increased right pleural effusion since the last examination.

Unchanged position of right pectoral pacemaker with leads in the right atrium and ventricle

Persistent diffuse bilateral alveolar interstitial pattern with bilateral basal opacities, more significant in the left lower lobe.

Surgical clips in the right upper quadrant indicative of previous cholecystectomy.

Presence of endotracheal tube, feeding tube, nasogastric tube, right subclavian Swan-Ganz catheter.

The heart size appears within normal limits.

Heart size at the upper limits of normal, no abnormalities noted.

Low lung volumes are noted; however, the lungs are clear.

Minimal increase in linear left base opacities, which may represent atelectasis or scarring, though early consolidation cannot be excluded.

Degree of pulmonary vascularity is within normal limits

Cardiac mediastinal silhouette remains unchanged.

Small left effusion and minimal blunting of the right costophrenic angle, similar to prior film.

Stable positioning of the endotracheal tube, nasogastric tube, left subclavian line, and ventriculoperitoneal shunt catheter.

Mild interstitial abnormalities and borderline vascular congestion, suggesting chronic mild cardiac decompensation.

Stable post-surgical changes with screw and plate fixation of right-sided rib fractures.

Linear densities at the bilateral medial lung bases

Severe bullous emphysematous changes in the upper lungs, particularly on the left.

Right internal jugular central venous catheter is unchanged in position.

Persistence of right-sided pleural effusion and bibasilar opacities.

Persistent low lung volumes and left retrocardiac opacity.

A left chest wall Port-A-Cath is noted, terminating in the lower SVC.

Small apical bilateral pneumothoraces without significant overall change in size.

Bilateral breast prosthesis unchanged

Hyperinflation of the lungs with linear atelectasis or scarring in the left midlung.

Stable appearance of median sternotomy wires, atrial appendage clip, and LVAD.

Stable right apical fibrosis with a large bulla, without evidence of active pulmonary disease.

Increased opacity at the right lung base suggestive of pleural effusion.

Mild fluid in the minor fissure.

Patchy opacity throughout the right lung, suggestive of atelectasis, consolidation, or postoperative contusion.

No evidence of radiopaque foreign body along the aerodigestive tract.

Patchy minor atelectasis/consolidation at the lung bases.

Possible partial right basal atelectasis with questionable opacity, suggesting the possibility of an early infectious process.

Presence of a reservoir in the left hemithorax with extension to the superior vena cava, likely indicating a central venous catheter placement.

Left pleural pigtail catheter in similar position

Persistent elevation of the left hemidiaphragm, which may suggest underlying pathology or previous surgical intervention. Further clinical correlation is recommended.

Nonobstructive bowel gas pattern in large and small bowel.

Enlarged cardiac silhouette and bilateral pleural effusions, left greater than right, with associated bilateral lung base opacities.

Right internal jugular dual-lumen dialysis catheter in stable position with the tip near the cavoatrial junction.

Small bilateral pleural effusions, with the left side appearing chronic.

Evidence of minimal disc degeneration in the mid and lower thoracic spine.