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chextemporal

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Stanford AIMI 73

s59998731_1

p12253293

s59998731

Findings

Heart size is normal. The aorta is calcified. Hilar contours are stable and unremarkable. The lungs are highly inflated with flattening of the diaphragm, similar to prior. No pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax is seen. Dextroconvex thoracic scoliosis and small anterior endplate osteophytes in the thoracic spine are again seen.

Hilar contours are stable and unremarkable.

Hilar contours

Stable

['files/p12/p12253293/s59998731/c712c6c8-48d9a790-6b7a728a-bcbc5d4a-ccb7b4b8.jpg', 'files/p12/p12253293/s59998731/e2220f92-6c525976-dd7d10c2-1edce132-bb0b27e5.jpg']

['files/p12/p12253293/s57566236/3cf2802f-dacfa0e1-96214c09-aa99d3fd-5cfa23f1.jpg\n', 'files/p12/p12253293/s57566236/b40b319e-13af2bc9-662b67b7-ca05120b-4c44ae16.jpg\n']

s59998731_1

p12253293

s59998731

Impression

1. No evidence for pneumonia or other acute cardiopulmonary abnormalities. 2. Persistent pulmonary hyperinflation may reflect obstructive airways disease. Please correlate clinically.

2. Persistent pulmonary hyperinflation may reflect obstructive airways disease. Please correlate clinically.

pulmonary hyperinflation

Stable

['files/p12/p12253293/s59998731/c712c6c8-48d9a790-6b7a728a-bcbc5d4a-ccb7b4b8.jpg', 'files/p12/p12253293/s59998731/e2220f92-6c525976-dd7d10c2-1edce132-bb0b27e5.jpg']

['files/p12/p12253293/s57566236/3cf2802f-dacfa0e1-96214c09-aa99d3fd-5cfa23f1.jpg\n', 'files/p12/p12253293/s57566236/b40b319e-13af2bc9-662b67b7-ca05120b-4c44ae16.jpg\n']

s59998731_1

p12253293

s59998731

Findings

Heart size is normal. The aorta is calcified. Hilar contours are stable and unremarkable. The lungs are highly inflated with flattening of the diaphragm, similar to prior. No pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax is seen. Dextroconvex thoracic scoliosis and small anterior endplate osteophytes in the thoracic spine are again seen.

Dextroconvex thoracic scoliosis and small anterior endplate osteophytes in the thoracic spine are again seen.

Dextroconvex thoracic scoliosis and small anterior endplate osteophytes

thoracic spine

Stable

['files/p12/p12253293/s59998731/c712c6c8-48d9a790-6b7a728a-bcbc5d4a-ccb7b4b8.jpg', 'files/p12/p12253293/s59998731/e2220f92-6c525976-dd7d10c2-1edce132-bb0b27e5.jpg']

['files/p12/p12253293/s57566236/3cf2802f-dacfa0e1-96214c09-aa99d3fd-5cfa23f1.jpg\n', 'files/p12/p12253293/s57566236/b40b319e-13af2bc9-662b67b7-ca05120b-4c44ae16.jpg\n']

s59998788_7

p15290047

s59998788

Impression

In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Multiple rib fractures are stable. No evidence of pneumothorax. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

atelectasis

bilateral basilar

Stable

['files/p15/p15290047/s59998788/b8677240-66672031-2fac6cb4-09e27306-9fe680bb.jpg', 'files/p15/p15290047/s59998788/c5d1c50f-4f2823f8-56d9a002-589c002a-c9be660a.jpg']

['files/p15/p15290047/s59930848/5b885249-d798a4a6-faee04fe-bb7c7f9a-5e6784cd.jpg\n']

s59998788_7

p15290047

s59998788

Impression

In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Multiple rib fractures are stable. No evidence of pneumothorax. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

cardiac silhouette

Stable

['files/p15/p15290047/s59998788/b8677240-66672031-2fac6cb4-09e27306-9fe680bb.jpg', 'files/p15/p15290047/s59998788/c5d1c50f-4f2823f8-56d9a002-589c002a-c9be660a.jpg']

['files/p15/p15290047/s59930848/5b885249-d798a4a6-faee04fe-bb7c7f9a-5e6784cd.jpg\n']

s59998788_7

p15290047

s59998788

Impression

In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Multiple rib fractures are stable. No evidence of pneumothorax. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

Multiple rib fractures are stable.

rib fractures

Stable

['files/p15/p15290047/s59998788/b8677240-66672031-2fac6cb4-09e27306-9fe680bb.jpg', 'files/p15/p15290047/s59998788/c5d1c50f-4f2823f8-56d9a002-589c002a-c9be660a.jpg']

['files/p15/p15290047/s59930848/5b885249-d798a4a6-faee04fe-bb7c7f9a-5e6784cd.jpg\n']

s59998788_7

p15290047

s59998788

Impression

In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Multiple rib fractures are stable. No evidence of pneumothorax. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

In comparison with the earlier study of this date, the monitoring and support devices are unchanged.

monitoring and support devices

Stable

['files/p15/p15290047/s59998788/b8677240-66672031-2fac6cb4-09e27306-9fe680bb.jpg', 'files/p15/p15290047/s59998788/c5d1c50f-4f2823f8-56d9a002-589c002a-c9be660a.jpg']

['files/p15/p15290047/s59930848/5b885249-d798a4a6-faee04fe-bb7c7f9a-5e6784cd.jpg\n']

s59998788_7

p15290047

s59998788

Impression

In comparison with the earlier study of this date, the monitoring and support devices are unchanged. Multiple rib fractures are stable. No evidence of pneumothorax. Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

Little change in the bilateral layering pleural effusions with compressive basilar atelectasis and substantial enlargement of the cardiac silhouette.

pleural effusions

bilateral

Stable

['files/p15/p15290047/s59998788/b8677240-66672031-2fac6cb4-09e27306-9fe680bb.jpg', 'files/p15/p15290047/s59998788/c5d1c50f-4f2823f8-56d9a002-589c002a-c9be660a.jpg']

['files/p15/p15290047/s59930848/5b885249-d798a4a6-faee04fe-bb7c7f9a-5e6784cd.jpg\n']

s59998824_33

p13485392

s59998824

Impression

Improvement in generalized level of radiodensity in the lungs over 24 hr is presumably due to improvement in the component that is due to recover verbal pulmonary edema, but the severe infiltrative pulmonary abnormality, probably largely pulmonary fibrosis, is of course unchanged. Pleural effusions small if any. No pneumothorax. Tracheostomy tube midline. Right PIC line ends in the mid to low SVC.

Improvement in generalized level of radiodensity in the lungs over 24 hr is presumably due to improvement in the component that is due to recover verbal pulmonary edema, but the severe infiltrative pulmonary abnormality, probably largely pulmonary fibrosis, is of course unchanged.

radiodensity in the lungs

Better

['files/p13/p13485392/s59998824/8619701e-6da1eb05-174c64fa-d1c594f7-8f10bee2.jpg']

['files/p13/p13485392/s59875604/5b9a6ea6-85953175-835d7141-c7c5753a-390086ef.jpg\n']

s59998824_33

p13485392

s59998824

Impression

Improvement in generalized level of radiodensity in the lungs over 24 hr is presumably due to improvement in the component that is due to recover verbal pulmonary edema, but the severe infiltrative pulmonary abnormality, probably largely pulmonary fibrosis, is of course unchanged. Pleural effusions small if any. No pneumothorax. Tracheostomy tube midline. Right PIC line ends in the mid to low SVC.

Improvement in generalized level of radiodensity in the lungs over 24 hr is presumably due to improvement in the component that is due to recover verbal pulmonary edema, but the severe infiltrative pulmonary abnormality, probably largely pulmonary fibrosis, is of course unchanged.

infiltrative pulmonary abnormality

Stable

['files/p13/p13485392/s59998824/8619701e-6da1eb05-174c64fa-d1c594f7-8f10bee2.jpg']

['files/p13/p13485392/s59875604/5b9a6ea6-85953175-835d7141-c7c5753a-390086ef.jpg\n']

s59998828_4

p12056181

s59998828

Impression

In comparison with the earlier study of this date, there is again probably a small left apical pneumothorax. Basilar opacification on the left is consistent with atelectatic changes. Otherwise, little interval change.

Otherwise, little interval change.

Stable

['files/p12/p12056181/s59998828/471eeb46-a6f2b9bf-c59c420d-479abe05-9675e2e9.jpg']

['files/p12/p12056181/s58702444/758abfbe-24fb9104-f402d07e-c17547f3-a304d179.jpg\n', 'files/p12/p12056181/s58702444/c687dc23-43c8129d-60a0be53-9d252428-bcb64268.jpg\n']

s59998828_4

p12056181

s59998828

Impression

In comparison with the earlier study of this date, there is again probably a small left apical pneumothorax. Basilar opacification on the left is consistent with atelectatic changes. Otherwise, little interval change.

In comparison with the earlier study of this date, there is again probably a small left apical pneumothorax.

pneumothorax

left apical

Worse

['files/p12/p12056181/s59998828/471eeb46-a6f2b9bf-c59c420d-479abe05-9675e2e9.jpg']

['files/p12/p12056181/s58702444/758abfbe-24fb9104-f402d07e-c17547f3-a304d179.jpg\n', 'files/p12/p12056181/s58702444/c687dc23-43c8129d-60a0be53-9d252428-bcb64268.jpg\n']

s59998831_20

p11911069

s59998831

Impression

1. Right internal jugular Port-A-Cath in unchanged position. No evidence of kinking. 2. Stable severe cardiomegaly.

1. Right internal jugular Port-A-Cath in unchanged position. No evidence of kinking.

right internal jugular Port-A-Cath

unspecified

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59998831_20

p11911069

s59998831

Impression

1. Right internal jugular Port-A-Cath in unchanged position. No evidence of kinking. 2. Stable severe cardiomegaly.

2. Stable severe cardiomegaly.

severe cardiomegaly

unspecified

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59998831_20

p11911069

s59998831

Findings

A right internal jugular Port-A-Cath is present with its tip in the upper-to-mid SVC, unchanged from prior exams. There is no evidence of kinking of the line. There is an unchanged calcified nodule in the right mid lung zone. Streaky linear opacities are most consistent with atelectasis, not significantly changed. There is no new consolidation. There is no pneumothorax. There is no right pleural effusion. The left costophrenic angle is obscured by the overlying cardiac shadow. The heart remains severely enlarged. The mediastinal contours are normal. The patient is status post a median sternotomy. The wires are intact.

A right internal jugular Port-A-Cath is present with its tip in the upper-to-mid SVC, unchanged from prior exams.

right internal jugular Port-A-Cath

upper-to-mid SVC

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59998831_20

p11911069

s59998831

Findings

A right internal jugular Port-A-Cath is present with its tip in the upper-to-mid SVC, unchanged from prior exams. There is no evidence of kinking of the line. There is an unchanged calcified nodule in the right mid lung zone. Streaky linear opacities are most consistent with atelectasis, not significantly changed. There is no new consolidation. There is no pneumothorax. There is no right pleural effusion. The left costophrenic angle is obscured by the overlying cardiac shadow. The heart remains severely enlarged. The mediastinal contours are normal. The patient is status post a median sternotomy. The wires are intact.

There is an unchanged calcified nodule in the right mid lung zone.

calcified nodule

right mid lung zone

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59998831_20

p11911069

s59998831

Findings

A right internal jugular Port-A-Cath is present with its tip in the upper-to-mid SVC, unchanged from prior exams. There is no evidence of kinking of the line. There is an unchanged calcified nodule in the right mid lung zone. Streaky linear opacities are most consistent with atelectasis, not significantly changed. There is no new consolidation. There is no pneumothorax. There is no right pleural effusion. The left costophrenic angle is obscured by the overlying cardiac shadow. The heart remains severely enlarged. The mediastinal contours are normal. The patient is status post a median sternotomy. The wires are intact.

Streaky linear opacities are most consistent with atelectasis, not significantly changed.

streaky linear opacities consistent with atelectasis

unspecified

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59998831_20

p11911069

s59998831

Findings

A right internal jugular Port-A-Cath is present with its tip in the upper-to-mid SVC, unchanged from prior exams. There is no evidence of kinking of the line. There is an unchanged calcified nodule in the right mid lung zone. Streaky linear opacities are most consistent with atelectasis, not significantly changed. There is no new consolidation. There is no pneumothorax. There is no right pleural effusion. The left costophrenic angle is obscured by the overlying cardiac shadow. The heart remains severely enlarged. The mediastinal contours are normal. The patient is status post a median sternotomy. The wires are intact.

The heart remains severely enlarged.

severely enlarged heart

unspecified

Stable

['files/p11/p11911069/s59998831/be6982b6-5d4333f1-7edf7d28-aac623a9-074c3852.jpg']

['files/p11/p11911069/s59817881/24b32fef-e8dcbf1f-fd52ee64-d2f6e79b-198dd713.jpg\n']

s59999054_8

p19367960

s59999054

Findings

NG tube terminates in the stomach. Surgical clips overlie the right upper quadrant. The heart is severely enlarged, similar to prior, with stable cardiomediastinal contours. Bilateral pleural effusions, right greater than left, are similar to prior with stable alveolar opacity at the right base. Opacity of the left base has minimally improved, with persistent retrocardiac opacity. No pneumothorax.

Bilateral pleural effusions, right greater than left, are similar to prior with stable alveolar opacity at the right base.

pleural effusions

right greater than left

Stable

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Findings

NG tube terminates in the stomach. Surgical clips overlie the right upper quadrant. The heart is severely enlarged, similar to prior, with stable cardiomediastinal contours. Bilateral pleural effusions, right greater than left, are similar to prior with stable alveolar opacity at the right base. Opacity of the left base has minimally improved, with persistent retrocardiac opacity. No pneumothorax.

Opacity of the left base has minimally improved, with persistent retrocardiac opacity.

opacity

retrocardiac

Stable

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Impression

Improved left base and persistent right base consolidation. Stable small bilateral pleural effusions.

Stable small bilateral pleural effusions.

small pleural effusions

bilateral

Stable

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Impression

Improved left base and persistent right base consolidation. Stable small bilateral pleural effusions.

Improved left base and persistent right base consolidation.

consolidation

left base

Better

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Findings

NG tube terminates in the stomach. Surgical clips overlie the right upper quadrant. The heart is severely enlarged, similar to prior, with stable cardiomediastinal contours. Bilateral pleural effusions, right greater than left, are similar to prior with stable alveolar opacity at the right base. Opacity of the left base has minimally improved, with persistent retrocardiac opacity. No pneumothorax.

Opacity of the left base has minimally improved, with persistent retrocardiac opacity.

opacity

left base

Better

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Findings

NG tube terminates in the stomach. Surgical clips overlie the right upper quadrant. The heart is severely enlarged, similar to prior, with stable cardiomediastinal contours. Bilateral pleural effusions, right greater than left, are similar to prior with stable alveolar opacity at the right base. Opacity of the left base has minimally improved, with persistent retrocardiac opacity. No pneumothorax.

The heart is severely enlarged, similar to prior, with stable cardiomediastinal contours.

severely enlarged heart

Stable

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999054_8

p19367960

s59999054

Impression

Improved left base and persistent right base consolidation. Stable small bilateral pleural effusions.

Improved left base and persistent right base consolidation.

consolidation

right base

Stable

['files/p19/p19367960/s59999054/7fbda590-161af11a-7b9b1487-6f4baf5f-b7fe62ed.jpg']

['files/p19/p19367960/s58040634/3cd96e41-83ecf985-a5322cd9-659fd0a5-c4574313.jpg\n']

s59999166_19

p14048242

s59999166

Findings

Compared to chest radiographs from ___, there is no significant change. Lung volumes remain low. There is moderate central vascular congestion without overt pulmonary edema. Mild bibasilar atelectasis persists. No focal consolidation. No pleural effusions. No pneumothorax. Right PICC line tip terminates in the mid SVC. Orogastric tube extends below the diaphragm and beyond the field-of-view.

Mild bibasilar atelectasis persists.

Atelectasis

Bibasilar

Stable

['files/p14/p14048242/s59999166/574b89e0-8c69e68a-dc144569-fa69db19-709d6d77.jpg']

['files/p14/p14048242/s59984922/c76c5b85-b0531be9-e8c99739-e5408774-eb5d8158.jpg\n']

s59999166_19

p14048242

s59999166

Findings

Compared to chest radiographs from ___, there is no significant change. Lung volumes remain low. There is moderate central vascular congestion without overt pulmonary edema. Mild bibasilar atelectasis persists. No focal consolidation. No pleural effusions. No pneumothorax. Right PICC line tip terminates in the mid SVC. Orogastric tube extends below the diaphragm and beyond the field-of-view.

Lung volumes remain low.

Lung volumes

Lungs

Stable

['files/p14/p14048242/s59999166/574b89e0-8c69e68a-dc144569-fa69db19-709d6d77.jpg']

['files/p14/p14048242/s59984922/c76c5b85-b0531be9-e8c99739-e5408774-eb5d8158.jpg\n']

s59999293_4

p17255314

s59999293

Findings

Left Port-A-Cath terminates in the low SVC, slightly lower than before. Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Fully expanded, clear lungs.

Left Port-A-Cath terminates in the low SVC, slightly lower than before.

Left Port-A-Cath

low SVC

Worse

['files/p17/p17255314/s59999293/3d95bf1a-0bb096e3-234a3b43-7d7b94e1-ac5ffe86.jpg', 'files/p17/p17255314/s59999293/d68a25e5-7d71d914-3a424ae7-4f8a91ca-48288814.jpg']

['files/p17/p17255314/s59354381/589ee1a6-50a628ff-a8532470-4907d87c-e0305650.jpg\n', 'files/p17/p17255314/s59354381/7c9ea514-62d3ebbe-5973353c-96e45d97-07178a0d.jpg\n']

s59999345_3

p11296394

s59999345

Findings

PA and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal contour, including mild cardiomegaly, is unchanged. There is no pleural effusion or pneumothorax. Surgical clips in the right upper quadrant are again noted.

Surgical clips in the right upper quadrant are again noted.

Surgical clips

right upper quadrant

Stable

['files/p11/p11296394/s59999345/4fa438b9-04905e15-1e89f791-15e033e3-0d98c977.jpg', 'files/p11/p11296394/s59999345/7cc8a87d-73b355c3-adf98873-31cc6829-e1c57f95.jpg']

['files/p11/p11296394/s59918817/4e3709c9-f90ad0e7-7f3aacd0-a7711680-67bac824.jpg\n', 'files/p11/p11296394/s59918817/d9f389c5-0eaad9a1-820a0406-121c6ade-d71fa43c.jpg\n']

s59999345_3

p11296394

s59999345

Findings

PA and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal contour, including mild cardiomegaly, is unchanged. There is no pleural effusion or pneumothorax. Surgical clips in the right upper quadrant are again noted.

Cardiomediastinal contour, including mild cardiomegaly, is unchanged.

Mild cardiomegaly

Stable

['files/p11/p11296394/s59999345/4fa438b9-04905e15-1e89f791-15e033e3-0d98c977.jpg', 'files/p11/p11296394/s59999345/7cc8a87d-73b355c3-adf98873-31cc6829-e1c57f95.jpg']

['files/p11/p11296394/s59918817/4e3709c9-f90ad0e7-7f3aacd0-a7711680-67bac824.jpg\n', 'files/p11/p11296394/s59918817/d9f389c5-0eaad9a1-820a0406-121c6ade-d71fa43c.jpg\n']

s59999429_1

p10757690

s59999429

Findings

The heart size is within normal limits. The mediastinal and hilar contours appear unchanged. The previously described left pleural effusion is now markedly decreased. There is no pneumothorax. Minimal left basal atelectasis persists but is improved from before.

The mediastinal and hilar contours appear unchanged.

mediastinal and hilar contours

Stable

['files/p10/p10757690/s59999429/270198f0-62978c55-a4964173-d7e3c62b-a37840bd.jpg']

['files/p10/p10757690/s59966515/c2fc7a72-1cfa899d-c3063b36-7a040c4d-877e6df1.jpg\n', 'files/p10/p10757690/s59966515/e72c08a4-2a4aa6c4-bb93e908-81f31192-964ead49.jpg\n']

s59999429_1

p10757690

s59999429

Findings

The heart size is within normal limits. The mediastinal and hilar contours appear unchanged. The previously described left pleural effusion is now markedly decreased. There is no pneumothorax. Minimal left basal atelectasis persists but is improved from before.

The previously described left pleural effusion is now markedly decreased.

pleural effusion

left

Better

['files/p10/p10757690/s59999429/270198f0-62978c55-a4964173-d7e3c62b-a37840bd.jpg']

['files/p10/p10757690/s59966515/c2fc7a72-1cfa899d-c3063b36-7a040c4d-877e6df1.jpg\n', 'files/p10/p10757690/s59966515/e72c08a4-2a4aa6c4-bb93e908-81f31192-964ead49.jpg\n']

s59999429_1

p10757690

s59999429

Findings

The heart size is within normal limits. The mediastinal and hilar contours appear unchanged. The previously described left pleural effusion is now markedly decreased. There is no pneumothorax. Minimal left basal atelectasis persists but is improved from before.

Minimal left basal atelectasis persists but is improved from before.

atelectasis

left basal

Better

['files/p10/p10757690/s59999429/270198f0-62978c55-a4964173-d7e3c62b-a37840bd.jpg']

['files/p10/p10757690/s59966515/c2fc7a72-1cfa899d-c3063b36-7a040c4d-877e6df1.jpg\n', 'files/p10/p10757690/s59966515/e72c08a4-2a4aa6c4-bb93e908-81f31192-964ead49.jpg\n']

s59999431_4

p16233094

s59999431

Findings

Patient is status post median sternotomy and CABG. Linear areas of atelectasis/ scarring are seen at the bilateral mid to lower lungs. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, given differences in patient position and technique..

The cardiac and mediastinal silhouettes are stable, given differences in patient position and technique.

Cardiac and mediastinal silhouettes

Stable

['files/p16/p16233094/s59999431/8bf54841-27d03699-292c3c73-2430ac58-d5225211.jpg', 'files/p16/p16233094/s59999431/ae9b3328-1639be10-77b351b4-ab8ac17a-183095de.jpg']

['files/p16/p16233094/s59868093/0be0f383-ce4409fa-df5bbfdb-34721cb1-b1b8b61c.jpg\n', 'files/p16/p16233094/s59868093/9c40e318-024c0df7-b3fa9b25-910e01b4-d523056a.jpg\n']

s59999463_34

p11761571

s59999463

Impression

As compared to ___, there is a newly appeared left upper lobe and lingular are atelectasis. The stent in the left main bronchus appears unremarkable. Minimally decreased lung volumes on the right, with resulting increase in lung density at the right lung basis.

Minimally decreased lung volumes on the right, with resulting increase in lung density at the right lung basis.

lung volumes

right

Worse

['files/p11/p11761571/s59999463/9bcf199f-91905853-6fb8ef73-24afc0d3-179cc1be.jpg']

['files/p11/p11761571/s59995004/961140b5-04e03dc5-e21a2e42-5fcb2b94-7a384379.jpg\n']

s59999463_34

p11761571

s59999463

Impression

As compared to ___, there is a newly appeared left upper lobe and lingular are atelectasis. The stent in the left main bronchus appears unremarkable. Minimally decreased lung volumes on the right, with resulting increase in lung density at the right lung basis.

As compared to ___, there is a newly appeared left upper lobe and lingular are atelectasis.

atelectasis

lingular

New

['files/p11/p11761571/s59999463/9bcf199f-91905853-6fb8ef73-24afc0d3-179cc1be.jpg']

['files/p11/p11761571/s59995004/961140b5-04e03dc5-e21a2e42-5fcb2b94-7a384379.jpg\n']

s59999463_34

p11761571

s59999463

Impression

As compared to ___, there is a newly appeared left upper lobe and lingular are atelectasis. The stent in the left main bronchus appears unremarkable. Minimally decreased lung volumes on the right, with resulting increase in lung density at the right lung basis.

As compared to ___, there is a newly appeared left upper lobe and lingular are atelectasis.

atelectasis

left upper lobe

New

['files/p11/p11761571/s59999463/9bcf199f-91905853-6fb8ef73-24afc0d3-179cc1be.jpg']

['files/p11/p11761571/s59995004/961140b5-04e03dc5-e21a2e42-5fcb2b94-7a384379.jpg\n']

s59999472_0

p13966009

s59999472

Findings

The background density of the lung parenchyma is increased compared to prior particularly in the left hilar and suprahilar region. This corresponds with bronchiolar nodularity evident on the concurrent chest CT, raising the concern for a viral or atypical infection such as ___. There is no confluent consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits.

The background density of the lung parenchyma is increased compared to prior particularly in the left hilar and suprahilar region.

background density

left hilar and suprahilar region

Worse

['files/p13/p13966009/s59999472/1408eab2-99933dbb-b39e5336-3f82460f-5daaa269.jpg', 'files/p13/p13966009/s59999472/7c1d5404-71a99f61-660f988c-59c4416a-a9bcbc83.jpg']

['files/p13/p13966009/s55172982/381e3cad-75dcdd89-33fa282f-0374e527-cf175b5c.jpg\n', 'files/p13/p13966009/s55172982/6e526c1c-77a273f6-eb29de93-6f783531-42ae324e.jpg\n', 'files/p13/p13966009/s55172982/c9381b0e-70c2d083-da43f5b4-d479002d-897daf10.jpg\n']

s59999476_20

p13120648

s59999476

Impression

Compared to chest radiographs ___ through ___. Severe infiltrative pulmonary abnormality has not improved. Diaphragmatic and mediastinal contours are now entirely obscured. Moderate right pleural effusion is likely. Left pleural fluid volume and heart size are indeterminate. No pneumothorax. Right supraclavicular central venous catheter and a left PIC line both end in the upper right atrium.

Diaphragmatic and mediastinal contours are now entirely obscured.

contours

diaphragmatic and mediastinal

Worse

['files/p13/p13120648/s59999476/545322f2-c65b7fae-421fa4d0-b472575b-27b0bfc5.jpg']

['files/p13/p13120648/s58351114/a328d848-cb2c8788-f9b5e678-30485d2b-94579d3c.jpg\n']

s59999476_20

p13120648

s59999476

Impression

Compared to chest radiographs ___ through ___. Severe infiltrative pulmonary abnormality has not improved. Diaphragmatic and mediastinal contours are now entirely obscured. Moderate right pleural effusion is likely. Left pleural fluid volume and heart size are indeterminate. No pneumothorax. Right supraclavicular central venous catheter and a left PIC line both end in the upper right atrium.

Severe infiltrative pulmonary abnormality has not improved.

infiltrative abnormality

pulmonary

Stable

['files/p13/p13120648/s59999476/545322f2-c65b7fae-421fa4d0-b472575b-27b0bfc5.jpg']

['files/p13/p13120648/s58351114/a328d848-cb2c8788-f9b5e678-30485d2b-94579d3c.jpg\n']

s59999516_4

p13541358

s59999516

Impression

Compared to prior chest radiographs ___ through ___. New consolidation in the left lower lobe is accompanied by ipsilateral mediastinal shift. Although that indicates a component of atelectasis, there could be concurrent pneumonia in the left lower lobe particularly if patient has aspirated. Right lung is clear. Heart size top-normal. Left pleural effusion is presumed, but not large. Left PIC line ends in the mid SVC. ET tube tip is one cm below optimal placement with the chin down. Esophageal drainage tube ends in a nondistended stomach. .

New consolidation in the left lower lobe is accompanied by ipsilateral mediastinal shift.

consolidation

left lower lobe

New

['files/p13/p13541358/s59999516/d8326c86-d2b94c43-56fb1e27-0df0f299-8d9ed12f.jpg']

['files/p13/p13541358/s59236267/d27df7e6-f44114e2-aa058fcb-d9c05c32-f37a7af8.jpg\n']

s59999636_0

p16352630

s59999636

Findings

PA and lateral views of the chest are provided. There is left basal plate-like atelectasis again noted. The lungs are otherwise clear. Cardiomediastinal silhouette is normal. Bony structures are intact.

There is left basal plate-like atelectasis again noted.

plate-like atelectasis

left basal

Stable

['files/p16/p16352630/s59999636/08b2c9b2-d0c332b8-e573dbb7-8ed93a60-69feff45.jpg', 'files/p16/p16352630/s59999636/578a176c-ce729c63-ed8441fc-67506d50-e44d920f.jpg', 'files/p16/p16352630/s59999636/ae10b485-e31c1cf7-817ab392-e4e73445-88a1dfde.jpg']

['files/p16/p16352630/s57067582/76a12f7b-f396d847-6f3811d5-98630e94-8c076097.jpg\n', 'files/p16/p16352630/s57067582/e602d5b7-84c7b3c4-ba077f8c-5ecd7ad5-69909cf4.jpg\n']

s59999729_3

p14395528

s59999729

Findings

A left-sided biventricular pacemaker remains in unchanged position. The heart is enlarged. There is unchanged right pleural thickening. No focal consolidation concerning for pneumonia. No pneumothorax.

A left-sided biventricular pacemaker remains in unchanged position.

biventricular pacemaker

left-sided

Stable

['files/p14/p14395528/s59999729/1fc9a25e-f609dff1-f0ead9ab-13c4d252-6292a9f8.jpg', 'files/p14/p14395528/s59999729/f32290a2-1ba0d86a-20ecf165-ea1466be-2ec4ff89.jpg']

['files/p14/p14395528/s59629762/3dea3744-e55576ce-fdabce17-e42e4378-654f99f9.jpg\n', 'files/p14/p14395528/s59629762/b4ff40c1-189b1179-ec602e55-1a86fe37-715cf8ce.jpg\n']

s59999729_3

p14395528

s59999729

Impression

Unchanged position of a left sided biventricular pacemaker. No acute cardiopulmonary process.

Unchanged position of a left sided biventricular pacemaker.

biventricular pacemaker

left-sided

Stable

['files/p14/p14395528/s59999729/1fc9a25e-f609dff1-f0ead9ab-13c4d252-6292a9f8.jpg', 'files/p14/p14395528/s59999729/f32290a2-1ba0d86a-20ecf165-ea1466be-2ec4ff89.jpg']

['files/p14/p14395528/s59629762/3dea3744-e55576ce-fdabce17-e42e4378-654f99f9.jpg\n', 'files/p14/p14395528/s59629762/b4ff40c1-189b1179-ec602e55-1a86fe37-715cf8ce.jpg\n']

s59999729_3

p14395528

s59999729

Findings

A left-sided biventricular pacemaker remains in unchanged position. The heart is enlarged. There is unchanged right pleural thickening. No focal consolidation concerning for pneumonia. No pneumothorax.

There is unchanged right pleural thickening.

pleural thickening

right

Stable

['files/p14/p14395528/s59999729/1fc9a25e-f609dff1-f0ead9ab-13c4d252-6292a9f8.jpg', 'files/p14/p14395528/s59999729/f32290a2-1ba0d86a-20ecf165-ea1466be-2ec4ff89.jpg']

['files/p14/p14395528/s59629762/3dea3744-e55576ce-fdabce17-e42e4378-654f99f9.jpg\n', 'files/p14/p14395528/s59629762/b4ff40c1-189b1179-ec602e55-1a86fe37-715cf8ce.jpg\n']

s59999767_1

p13772456

s59999767

Impression

Heart size and mediastinum are normal. Interval improvement of interstitial opacities is noted in might be consistent with interval you improvement of pulmonary edema. Still present is left basal opacity, concerning for infectious process still.

Interval improvement of interstitial opacities is noted in might be consistent with interval you improvement of pulmonary edema.

Pulmonary edema

Better

['files/p13/p13772456/s59999767/c5c025a6-5868e42a-c8667405-7b3ad49a-901aacea.jpg', 'files/p13/p13772456/s59999767/e748f509-6cef4156-4e9e42f9-acb3f9a1-a9336d5e.jpg']

['files/p13/p13772456/s52705628/6f054d82-d1c9f9e1-6cf7b999-aa57e04a-02cabb8a.jpg\n', 'files/p13/p13772456/s52705628/f69cbce2-c70131a7-6ef113f9-f54af7fe-dfb7f71d.jpg\n']

s59999767_1

p13772456

s59999767

Impression

Heart size and mediastinum are normal. Interval improvement of interstitial opacities is noted in might be consistent with interval you improvement of pulmonary edema. Still present is left basal opacity, concerning for infectious process still.

Still present is left basal opacity, concerning for infectious process still.

opacity

left basal

Stable

['files/p13/p13772456/s59999767/c5c025a6-5868e42a-c8667405-7b3ad49a-901aacea.jpg', 'files/p13/p13772456/s59999767/e748f509-6cef4156-4e9e42f9-acb3f9a1-a9336d5e.jpg']

['files/p13/p13772456/s52705628/6f054d82-d1c9f9e1-6cf7b999-aa57e04a-02cabb8a.jpg\n', 'files/p13/p13772456/s52705628/f69cbce2-c70131a7-6ef113f9-f54af7fe-dfb7f71d.jpg\n']

s59999767_1

p13772456

s59999767

Impression

Heart size and mediastinum are normal. Interval improvement of interstitial opacities is noted in might be consistent with interval you improvement of pulmonary edema. Still present is left basal opacity, concerning for infectious process still.

Interval improvement of interstitial opacities is noted in might be consistent with interval you improvement of pulmonary edema.

Interstitial opacities

Better

['files/p13/p13772456/s59999767/c5c025a6-5868e42a-c8667405-7b3ad49a-901aacea.jpg', 'files/p13/p13772456/s59999767/e748f509-6cef4156-4e9e42f9-acb3f9a1-a9336d5e.jpg']

['files/p13/p13772456/s52705628/6f054d82-d1c9f9e1-6cf7b999-aa57e04a-02cabb8a.jpg\n', 'files/p13/p13772456/s52705628/f69cbce2-c70131a7-6ef113f9-f54af7fe-dfb7f71d.jpg\n']

s59999807_12

p19497741

s59999807

Impression

AP chest compared to ___: The intrathoracic portion of the right pigtail coursing over the right lower chest is more horizontally oriented now than it was on ___, comparable to the appearance on ___. Moderate right and smaller left pleural effusions are unchanged. There is greater atelectasis in the right lower lobe. Consolidation in the left lower lobe has been present for several days and could be atelectasis as well. Upper lungs clear. No pneumothorax. Heart size top normal. Right jugular dual-channel catheter ends in the upper right atrium.

Moderate right and smaller left pleural effusions are unchanged.

pleural effusions

right and left

Stable

['files/p19/p19497741/s59999807/e56dbf08-8b564eb4-831fa870-d590f7c7-423cb05f.jpg']

['files/p19/p19497741/s59342126/4adbc082-bea84d84-78f6c658-cb4bc722-5546e140.jpg\n']

s59999824_0

p19148695

s59999824

Findings

Heart size remains mildly enlarged. Mediastinal contour is similar with diffuse atherosclerotic calcifications noted. Low lung volumes are demonstrated with crowding of the bronchovascular structures and possible mild pulmonary vascular congestion. Focal opacity in the retrocardiac region is concerning for pneumonia with blunting of the left costophrenic angle suggestive of a trace left pleural effusion. No pneumothorax is identified. There are no acute osseous abnormalities.

Heart size remains mildly enlarged.

mildly enlarged heart

Stable

['files/p19/p19148695/s59999824/66bd155f-6b30082b-9a7aa677-b6ff2ac7-d29e2f49.jpg']

['files/p19/p19148695/s51475630/0a8654af-747d6a63-ba49daec-4013ca41-65fa89ee.jpg\n']

s59999824_0

p19148695

s59999824

Findings

Heart size remains mildly enlarged. Mediastinal contour is similar with diffuse atherosclerotic calcifications noted. Low lung volumes are demonstrated with crowding of the bronchovascular structures and possible mild pulmonary vascular congestion. Focal opacity in the retrocardiac region is concerning for pneumonia with blunting of the left costophrenic angle suggestive of a trace left pleural effusion. No pneumothorax is identified. There are no acute osseous abnormalities.

Mediastinal contour is similar with diffuse atherosclerotic calcifications noted.

diffuse atherosclerotic calcifications

Stable

['files/p19/p19148695/s59999824/66bd155f-6b30082b-9a7aa677-b6ff2ac7-d29e2f49.jpg']

['files/p19/p19148695/s51475630/0a8654af-747d6a63-ba49daec-4013ca41-65fa89ee.jpg\n']

s59999849_18

p11738518

s59999849

Impression

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC. Repositioning would be recommended. However, it is noted that the patient was subsequently imaged on ___ at 10 am and on that study, the PICC line is now in satisfactory position. The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. There is stable pulmonary vascular congestion. No pneumothorax is seen. The heart remains enlarged. Overall mediastinal contours are stable.

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC.

Left subclavian PICC line

proximal right brachiocephalic vein near its junction with the SVC

Worse

['files/p11/p11738518/s59999849/3098153a-20955938-49bffbe5-4ce615b6-908c55ad.jpg']

['files/p11/p11738518/s59360697/cce953e7-aea08f9c-9e995fae-6be08ecc-5caa911e.jpg\n']

s59999849_18

p11738518

s59999849

Impression

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC. Repositioning would be recommended. However, it is noted that the patient was subsequently imaged on ___ at 10 am and on that study, the PICC line is now in satisfactory position. The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. There is stable pulmonary vascular congestion. No pneumothorax is seen. The heart remains enlarged. Overall mediastinal contours are stable.

The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded.

opacity and associated small effusion

left basilar

Stable

['files/p11/p11738518/s59999849/3098153a-20955938-49bffbe5-4ce615b6-908c55ad.jpg']

['files/p11/p11738518/s59360697/cce953e7-aea08f9c-9e995fae-6be08ecc-5caa911e.jpg\n']

s59999849_18

p11738518

s59999849

Impression

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC. Repositioning would be recommended. However, it is noted that the patient was subsequently imaged on ___ at 10 am and on that study, the PICC line is now in satisfactory position. The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. There is stable pulmonary vascular congestion. No pneumothorax is seen. The heart remains enlarged. Overall mediastinal contours are stable.

Overall mediastinal contours are stable.

mediastinal contours

Stable

['files/p11/p11738518/s59999849/3098153a-20955938-49bffbe5-4ce615b6-908c55ad.jpg']

['files/p11/p11738518/s59360697/cce953e7-aea08f9c-9e995fae-6be08ecc-5caa911e.jpg\n']

s59999849_18

p11738518

s59999849

Impression

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC. Repositioning would be recommended. However, it is noted that the patient was subsequently imaged on ___ at 10 am and on that study, the PICC line is now in satisfactory position. The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. There is stable pulmonary vascular congestion. No pneumothorax is seen. The heart remains enlarged. Overall mediastinal contours are stable.

The heart remains enlarged.

heart size

Stable

['files/p11/p11738518/s59999849/3098153a-20955938-49bffbe5-4ce615b6-908c55ad.jpg']

['files/p11/p11738518/s59360697/cce953e7-aea08f9c-9e995fae-6be08ecc-5caa911e.jpg\n']

s59999849_18

p11738518

s59999849

Impression

Left subclavian PICC line now courses across the midline and heads cephalad in the proximal right brachiocephalic vein near its junction with the SVC. Repositioning would be recommended. However, it is noted that the patient was subsequently imaged on ___ at 10 am and on that study, the PICC line is now in satisfactory position. The left basilar opacity and associated small effusion are unchanged likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded. There is stable pulmonary vascular congestion. No pneumothorax is seen. The heart remains enlarged. Overall mediastinal contours are stable.

There is stable pulmonary vascular congestion.

pulmonary vascular congestion

Stable

['files/p11/p11738518/s59999849/3098153a-20955938-49bffbe5-4ce615b6-908c55ad.jpg']

['files/p11/p11738518/s59360697/cce953e7-aea08f9c-9e995fae-6be08ecc-5caa911e.jpg\n']

s59999880_6

p18081075

s59999880

Findings

The lungs are clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again seen in the aorta. No visualized acute osseous abnormalities.

The cardiomediastinal silhouette is stable.

Cardiomediastinal silhouette

Stable

['files/p18/p18081075/s59999880/6fb83cea-81b4bb82-fd220fef-073d4691-f5145a72.jpg', 'files/p18/p18081075/s59999880/c21f1512-0788cbd5-1eb83a90-d5278f83-ef513d83.jpg']

['files/p18/p18081075/s57038596/efaa507c-0bfb02c8-f06c7620-a38c8ed5-ec222fe5.jpg\n']

s59999888_0

p15411545

s59999888

Impression

No previous images. Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion or pleural effusion. However, there are multiple pulmonary nodules consistent with metastatic melanoma, the most prominent of which is in the left mid zone posteriorly.

However, there are multiple pulmonary nodules consistent with metastatic melanoma, the most prominent of which is in the left mid zone posteriorly.

pulmonary nodules

left mid zone posteriorly

New

['files/p15/p15411545/s59999888/4dc598f1-4c3ca6c9-795de4eb-93d90886-28af63e5.jpg', 'files/p15/p15411545/s59999888/b15a3c64-92fe10c7-2a7885cc-f199a8f6-a16e469a.jpg']

s59999924_0

p11069411

s59999924

Findings

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Heart size remains normal. No configurational abnormality is noted. Unchanged appearance of thoracic aorta without evidence of local contour abnormalities. Pulmonary vasculature is not congested. Again seen are bilateral extensive fibrotic changes in the upper lung zones coinciding with elevation of the hilar structures. These changes have not undergone any alteration during the latest three-year examination interval. Comparison is extended to an older chest examination of ___ and again there is no evidence of any interval change.

These changes have not undergone any alteration during the latest three-year examination interval.

fibrotic changes

bilateral upper lung zones

Stable

['files/p11/p11069411/s59999924/1cf7dea0-479cf50f-ee813007-eef46fd5-4184dd07.jpg', 'files/p11/p11069411/s59999924/40f933a9-6e3f9bf0-ce80cea3-4b16345e-3dfa8c4a.jpg']

['files/p11/p11069411/s55735180/42416027-f50666e2-87b85b2d-a47ef9d4-f391259e.jpg\n', 'files/p11/p11069411/s55735180/53742cd6-78a52f14-479dea2c-43b2df06-32676e00.jpg\n']

s59999924_0

p11069411

s59999924

Findings

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Heart size remains normal. No configurational abnormality is noted. Unchanged appearance of thoracic aorta without evidence of local contour abnormalities. Pulmonary vasculature is not congested. Again seen are bilateral extensive fibrotic changes in the upper lung zones coinciding with elevation of the hilar structures. These changes have not undergone any alteration during the latest three-year examination interval. Comparison is extended to an older chest examination of ___ and again there is no evidence of any interval change.

Again seen are bilateral extensive fibrotic changes in the upper lung zones coinciding with elevation of the hilar structures.

fibrotic changes

bilateral upper lung zones

Worse

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s59999924_0

p11069411

s59999924

Impression

Stable upper lobe changes of mostly interstitial nature including hilar elevation compatible with the clinical diagnosis of sarcoidosis. The present examination excludes new acute pulmonary abnormalities.

Stable upper lobe changes of mostly interstitial nature including hilar elevation compatible with the clinical diagnosis of sarcoidosis.

changes of interstitial nature

upper lobes

Stable

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s59999924_0

p11069411

s59999924

Findings

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Heart size remains normal. No configurational abnormality is noted. Unchanged appearance of thoracic aorta without evidence of local contour abnormalities. Pulmonary vasculature is not congested. Again seen are bilateral extensive fibrotic changes in the upper lung zones coinciding with elevation of the hilar structures. These changes have not undergone any alteration during the latest three-year examination interval. Comparison is extended to an older chest examination of ___ and again there is no evidence of any interval change.

Heart size remains normal.

Heart size

Stable

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s59999924_0

p11069411

s59999924

Findings

PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Heart size remains normal. No configurational abnormality is noted. Unchanged appearance of thoracic aorta without evidence of local contour abnormalities. Pulmonary vasculature is not congested. Again seen are bilateral extensive fibrotic changes in the upper lung zones coinciding with elevation of the hilar structures. These changes have not undergone any alteration during the latest three-year examination interval. Comparison is extended to an older chest examination of ___ and again there is no evidence of any interval change.

Unchanged appearance of thoracic aorta without evidence of local contour abnormalities.

appearance

thoracic aorta

Stable

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