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Stanford AIMI 73

Mild increased opacity at the left lung base.

Essentially resolved bibasilar opacities.

Atelectasis at the left lung base laterally with blunting of the costophrenic angle, suggesting a possible small left effusion.

Increased right pleural effusion with associated atelectasis of the right middle and lower lobes.

Tortuosity of the descending thoracic aorta, likely accentuated by patient rotation.

Stable positioning of lines, catheters, and medical support devices without significant interval change.

Unchanged positioning of Swan-Ganz catheter terminating in the right pulmonary artery.

Small amount of edema and/or atelectasis in the right minor fissure

Median sternotomy wires and bibasilar left-sided pleural drains stable.

Suspected vascular clustering infiltrate in the retrocardiac area; clinical correlation and further evaluation are recommended.

The left PIC line tip is appropriately positioned near the superior cavoatrial junction.

Gaseous distention of the stomach has decreased since the prior study.

Interval improvement in aeration of the lung bases with no new focal consolidation.

Normal cardiomediastinal silhouette with clear lungs and no evidence of pneumothorax.

Persistent atelectasis of the left base.

Abnormal rounded contour of the left upper mediastinum, which may represent the known anterior mediastinal mass, appears larger than on previous imaging.

Mild to moderate multilevel degenerative changes of the spine.

Stable post-surgical changes at the left costophrenic angle.

Multiple left-sided rib fractures and a left clavicular fracture.

Lungs appear clear with no evidence of an acute process concerning for infection.

New finding of a left apical pneumothorax with persistent bibasilar atelectasis.

Mild to moderate cardiac enlargement, which appears unchanged.

Improvement in previously noted mild pulmonary edema with no appreciable residual pleural effusion.

Normal appearance of the left lung remains constant.

Persistent bilateral pleural effusions and pulmonary edema, with a noted decrease in the right pleural effusion.

Right lower lobe lesion consistent with known malignancy.

Dense consolidation on the lateral view compatible with multifocal right middle and lingular pneumonia.

Stable cardiomediastinal contours with no shift from midline.

Right internal jugular line in place, with no evidence of gross hemothorax.

Right internal jugular line with its tip in the region of the jugular vein.

Right basal alveolar interstitial opacities and left retrocardiac opacities are consistent with a COVID-19 infection.

The somewhat irregular appearance of the left costophrenic angle, which may represent mild pleural scarring, is grossly unchanged.

New opacification in the left lung base.

Trace right-sided pneumothorax, decreased in size compared to prior.

Lung parenchyma appears clear without evidence of pneumothorax or consolidation.

No change in the widening of the superior mediastinum; a thoracic CT scan is recommended for further evaluation if not previously performed.

Presence of left laminar atelectasis.

Mild cardiomegaly, increased in size when compared to previous imaging.

Bony structures, including the ribs and thoracic spine, are unremarkable with no acute abnormalities.

Vertebral body wedging in the thoracic spine suggestive of osteopenia.

Decreased lung volumes with persistent bibasilar opacities.

Right pleural effusion with suggestion of some apical thickening.

Laminar atelectasis in the right mid lung field, which could be secondary to a variety of causes including infection, obstruction, or post-surgical changes.

Streaky bibasilar opacities likely due to atelectasis.

Stable left subclavian peripherally inserted central catheter (PICC) line with tip 13 mm caudal to the carina.

Prominent mediastinal and left hilar adenopathy.

Pulmonary arteries are not distended

The endotracheal tube is positioned at the upper margin of the clavicles, approximately 7 cm from the carina, and requires advancement by 3 cm for optimal placement.

Heart size appears enlarged, which may be technique-related.

Nasogastric tube terminates in the upper stomach, with the side port at the level of the esophagogastric junction. Advancement of the tube by at least 5 cm is recommended for optimal positioning.

Cardiomediastinal silhouette appears enlarged, likely due to magnification.

Moderate pulmonary edema with bibasilar opacities, left greater than right.

Interval extubation with removal of endotracheal and nasogastric tubes.

Enlarged heart size and tortuous thoracic aorta with atherosclerotic calcification. No evidence of pulmonary edema.

Dense consolidation in the left lower lobe, likely representing pneumonia.

Endotracheal tube, feeding tube, nasogastric tube, and right internal jugular line are in stable position. The tip of the left internal jugular line is not visualized.

Bilateral diffuse alveolar interstitial infiltrate suggestive of an underlying pulmonary pathology.

Possible pneumoperitoneum or right basilar pneumothorax, difficult to evaluate on this portable exam.

New large right-sided pleural effusion with associated compressive atelectasis of the right lung.

Unchanged position of the two left-sided chest tubes and the pigtail catheter over the medial basal aspect of the left hemithorax.

Mild pulmonary edema, unchanged from previous.

Persistent bibasilar opacities and small left pleural effusion.

Removal of a left and a right chest tube noted with one chest tube remaining on each side.

Stable emphysematous changes, most prominent in the right upper lung zone.

Right lower lung opacities are stable.

Blunting of the bilateral costophrenic sulci, suggestive of pleural effusion.

No definite rib fracture identified, with limitations due to overlying external metallic densities.

Central venous line appropriately placed in the superior vena cava via the right upper limb.

Chronic bilateral rib deformities and unchanged elevation of the right hemidiaphragm.

No displaced rib fractures noted on limited assessment

Surgical clips near the trachea at the level of the thoracic inlet, unchanged from prior.

Superior mediastinum and lung apices partially obscured by the patient's chin.

Worsening bilateral interstitial opacities, suggestive of pulmonary edema, multifocal pneumonia, or ARDS.

Mediastinal clips and median sternotomy wires present with fracture of the superior most 2 wires.

The right IJ line is appropriately positioned in the right atrium.

The tip of the Swan-Ganz catheter is appropriately positioned in the interlobar artery.

No free air beneath the right hemidiaphragm.

Slight decrease in size of the left upper lobe lung mass and associated satellite nodule.

Stable cardiomeginal silhouette with a tortuous thoracic aorta, consistent with prior exam findings.

Possible small region of consolidation at the right lung base medially; follow-up recommended to exclude developing pneumonia.

Masses identified in the left lung apex and left lung base.

Lungs are grossly clear with stable blunting of the left costophrenic angle, which may represent chronic pleural thickening or a small pleural effusion. No evidence of pneumothorax. Lung aeration and volume appear stable.

Moderate left pleural effusion, which has increased in size since the last examination.

Stable postsurgical changes consistent with right thoracotomy and presence of two right-sided chest tubes in stable position.

Obscured but appears grossly unchanged.

A three-lead pacemaker/AICD is present with entry via the left subclavian vein, with two leads in the right ventricle and one in the right atrium.

Recommend close interval follow-up to ensure stability of the air collection.

Prominent interstitial reticular markings, which may be due to low volumes, pulmonary edema, or atypical infection.

Slightly increased small right and moderate left layering pleural effusions.

Stable appearance of medical devices in situ.

Interval decrease in atelectasis/consolidation at the right lung base.

Left proximal humeral lesion consistent with enchondroma, unchanged from prior examinations.

Slightly decreased subcutaneous gas along the left shoulder.

The right peripherally inserted central catheter (PICC) line, left subclavian central venous catheter, and feeding tube are in stable positions.

No evidence of pneumonia or acute cardiopulmonary process on the portable chest radiograph.

Unchanged diffuse reticular pattern, which may be consistent with chronic pulmonary disease or a component of pulmonary edema.

Possible chronic interstitial lung disease or mild pulmonary edema.

Right upper and middle lobe pneumonia.

New small left-sided pleural effusion, suggesting mild interval fluid overload.

Interval advancement of the right upper extremity PICC line, with its tip now located in the mid/distal superior vena cava.