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chest x-ray; 'No Finding'; 'Support Devices'

The lungs are moderately well inflated and clear. No pleural effusions. Cardiomediastinal silhouette is unchanged. Enteric tube tip terminates in the expected location of the stomach. There is a right-sided central venous catheter terminating in the distal SVC. EKG leads overlie the chest wall. Contrast opacifying the hepatic flexure, transverse colon and splenic flexure of the colon noted.

chest x-ray; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'

As compared to ___ radiograph, heterogeneous opacities in the right lung have worsened, and a confluent opacity in the left lower lobe has substantially progressed. These findings may be due to multifocal pneumonia or aspiration, likely coexisting with pulmonary edema. Small left pleural effusion has increased in size.

chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia'

Heart size and mediastinum are unchanged including cardiomegaly. Interval increase in bibasal opacities is present and might reflect aspiration or potentially progression of infectious process. No interval increase in pleural effusion is seen. No pneumothorax seen.

chest x-ray; 'Pneumothorax'; 'Support Devices'

As compared to the previous radiograph, the nasogastric tube has been advanced. The tip is now in pre-pyloric position. The course of the tube is unremarkable. No evidence of complications, notably no pneumothorax. Appearance of the lung parenchyma, at slightly lower lung volumes, is unchanged as compared to the previous image.

chest x-ray; 'Lung Opacity'

The lung volumes are exceedingly low, resulting in crowding of the bronchovascular structures. There is a 2.8 cm rounded opacity seen in the right mid lung zone, projecting over the posterior right seventh rib. The mass shows central areas of lower attenuation suggesting either air bronchograms or necrosis. Bibasilar opacities could reflect aspiration. No pleural effusion or pneumothorax. Heart is normal size. The mediastinal contours are unremarkable.

chest x-ray; 'No Finding'; 'Support Devices'

A left-sided AICD is seen in adequate position with leads terminating in the right atrium and right ventricle, expected location. Heart appears mildly enlarged, this may be relate to AP view. No focal consolidation, pleural effusion or pneumothorax identified. No overt pulmonary edema.

chest x-ray; 'Cardiomegaly'; 'Support Devices'

Comparison to ___. No relevant change. Monitoring and support devices are stable. Low lung volumes. Moderate cardiomegaly without evidence of pulmonary edema or pleural effusions. No pneumonia.

chest x-ray; 'Lung Opacity'

Comparison to ___. Stable appearance, extent, and severity of the pre-existing parenchymal opacities, the most severe of which is located in the right upper lobe. Normal size of the cardiac silhouette. Mild elongation of the descending aorta.

chest x-ray; 'Cardiomegaly'

Post-interventional densities in the right upper lobe, presumably caused by parenchymal bleeding. No evidence of pneumothorax. Mild fluid overload. Moderate cardiomegaly and tortuosity of the thoracic aorta. Skin folds along the left chest wall.

chest x-ray; 'Atelectasis'; 'Enlarged Cardiomediastinum'; 'Lung Opacity'; 'Support Devices'

Patient is rotated somewhat to the left. Enlargement and indistinctness of the hila suggest pulmonary vascular engorgement with probable mild pulmonary edema. Left perihilar opacity is seen. There is plate like left mid lung opacity which may be due to atelectasis/ scarring. There is blunting of the left costophrenic angle which may be due to a small pleural effusion versus pleural thickening/scarring. The cardiac and mediastinal silhouettes are quite enlarged, possibly accentuated by mediastinal lipomatosis as well as AP technique.

chest x-ray; 'No Finding'

Lungs are clear, heart size normal, no pleural abnormality.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Support Devices'

Compared to the examination from approximately 6 hr prior, there has been interval placement of a right internal jugular approach central venous catheter terminating at the approximate level of the cavoatrial junction. No associated pneumothorax. Otherwise no relevant change.

chest x-ray; 'Atelectasis'; 'Support Devices'

Left PICC tip terminates in the upper SVC. Lung volumes are low. Heart size is moderately enlarged but unchanged. The mediastinal and hilar contours are similar with crowding of the bronchovascular structures noted. While there may be mild pulmonary vascular congestion, no overt pulmonary edema is demonstrated. Small bilateral pleural effusions are likely present with chronic elevation of the right hemidiaphragm again noted. Bibasilar atelectasis is present, more pronounced on the right. No pneumothorax is identified.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'

No previous images. Low lung volumes accentuate the transverse diameter of the heart. No vascular congestion, pleural effusion, or acute focal pneumonia. Some opacification in the retrocardiac area suggests atelectatic changes in the left lower lobe.

chest x-ray; 'Lung Lesion'

Portable AP upright image of the chest. The trachea is noted to be deviated to the right. The lungs are well expanded. Opacity at the medial right lung base, which represent atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. Mild atelectasis is seen in the left lung base. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is chronically enlarged.

chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices'

Widespread heterogeneous moderate to severe pulmonary opacification is changed in distribution, probably not in overall severity, since ___. This could be all pulmonary edema or con current abnormalities including pneumonia and pulmonary hemorrhage. Moderate cardiomegaly stable. Small pleural effusions are likely. No pneumothorax. Tracheostomy tube in standard placement. Left PIC line ends in the low SVC.

chest x-ray; 'Enlarged Cardiomediastinum'; 'Fracture'; 'Lung Opacity'

There is extensive pneumomediastinum and subcutaneous emphysema within the right neck and right lateral chest. There is no definite pneumothorax on this supine view even though there was one demonstrated on the previous CT is. There is widening of the superior mediastinum likely reflective of mediastinal hematoma. Additionally, extrapleural opacity overlying of the left lung apex is compatible with extrapleural soft tissue hematoma. Opacity involving the right upper lobe could reflect contusion. There are multiple right-sided rib fractures and left first rib fracture, better demonstrated on the previous CT count. Angulation of the left midclavicle likely relates to prior injury.

chest x-ray; 'No Finding'; 'Support Devices'

Comparison is made with prior study performed the same day earlier in the morning. ET tube is 3.3 cm above the carina in a standard position. There are no other interval changes.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'

Comparison is made to prior study from ___. There are extremely low lung volumes and the patient's chin overlaps the left upper lung field. This limits the study. There is crowding of the pulmonary vascular markings at the bases with subsegmental atelectasis. There is also a basilar left-sided pleural effusion. Overall, these findings are stable. No large pneumothoraces or definite consolidation are identified.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Support Devices'

As compared to the previous radiograph, there is no relevant change. Monitoring and support devices are constant. Bilateral basal opacities, with an unchanged left lower lobe atelectasis. No new parenchymal opacities. Normal size of the cardiac silhouette. No larger pleural effusions. No pneumothorax. Postoperative material after abdominal surgery.

chest x-ray; 'Consolidation'; 'Support Devices'

Feeding tube and endotracheal tube are unchanged in position. There is persistent dense consolidation within the right lung, stable. Consolidation at the left base is also seen and stable. There are no pneumothoraces. Heart size is within normal limits.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'

As compared to the previous radiograph, there is no relevant change. No visible pleural effusions. Unchanged moderate cardiomegaly with signs of minimal fluid overload and bilateral areas of atelectasis. Unchanged venous introduction sheath in the right internal jugular vein.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'

Semi-erect frontal view of the chest was obtained. Left PICC terminates in the upper SVC, and tracheostomy and PEG are in stable position. Blunting of the left costophrenic angle is compatible with a small left pleural effusion, similar to prior. Retrocardiac opacity is compatible with atelectasis and similar to prior. Right basilar opacity has worsened medially, and a new patchy opacity has developed peripherally at the right lung base. No pneumothorax. The cardiomediastinal silhouette is normal.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Enlarged Cardiomediastinum'; 'Pleural Effusion'; 'Support Devices'

Endotracheal tube ends approximately 5.4 cm above the carina and is adequately positioned. An orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Known loculated air at the right lung base is now replaced with fluid. Bilateral lower lung atelectasis and presumed small left pleural effusions are unchanged. Mildly enlarged heart size, mediastinal and hilar contours have a similar appearance. Right-sided internal jugular line ends at cavoatrial junction.

chest x-ray; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices'

Following placement of right pigtail pleural catheter, there remains near complete opacification of the right hemithorax from a large pleural effusion. There is no visible pneumothorax. Widespread pulmonary metastases are seen in the left lung, and there is also a persistent small left pleural effusion.

chest x-ray; 'Cardiomegaly'

MILD CARDIOMEGALY AND BORDERLINE PULMONARY VASCULAR CONGESTION UNCHANGED. NO PULMONARY EDEMA. NO PLEURAL EFFUSION. NO PNEUMOTHORAX.

chest x-ray; 'No Finding'; 'Support Devices'

Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. There is persistent increased opacification at the right lung base consistent with aspiration and atelectasis. There is persistent engorgement of the pulmonary vasculature without frank pulmonary edema. The cardiomediastinal and hilar contours are unchanged. Endotracheal tube ends 4.4 cm from the carina. Nasogastric tube ends in the stomach. The left-sided wide bore internal jugular central venous line ends at the left bracheocephalic vein. There is no pneumothorax, pleural effusion, or consolidation.

chest x-ray; 'Lung Opacity'

AP radiograph of the chest was compared to ___. The patient is slightly rotated to the left, which precludes precise comparison with the prior study. Within those limitations, this AP radiograph of the chest most likely demonstrates developing right lower lung opacity that is concerning for infectious process. Findings are new as compared to prior chest radiographs as well as CT abdomen obtained on ___. Alternatively, this finding could represent an area of atelectasis. Followup with chest radiograph is required. No pneumothorax is seen.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Enlarged Cardiomediastinum'; 'Pleural Effusion'; 'Support Devices'

Bilateral lung volumes are low. Bilateral hemidiaphragms are not elevated. The right hemidiaphragm contour is obscured from lung opacities, likely atelectasis. Increased retrocardiac density reflecting left lower lung atelectasis is unchanged. Small bilateral pleural effusions are similar. Prominant mediastinal contour and heart size is attributed to at least some extent from low lung volumes. Spinal fusion devices is present in the lower thoracic spine. Right chest tube ends near the right lung apex.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'

Lines and Tubes: Tracheostomy tube in unchanged position. EKG leads overlie the chest wall. Lungs: Lower lung volumes. Persistent, unchanged left lower lobe opacity comprising of atelectasis and/or consolidation. Stable mild haziness in the right lower lobe. Pleura: Unchanged moderate left pleural effusion. Left-sided chest tube is not clearly visualized owing to underpenetration. Mediastinum: Stable cardiomediastinal silhouette with unchanged cardiomegaly. Bony thorax: Unchanged

chest x-ray; 'No Finding'; 'Support Devices'

Comparison to ___. The patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the gastroesophageal junction, the tube needs to be advanced by approximately 5 cm. The patient has also received a right pectoral Port-A-Cath. The intravascular part of the device projects over the mid SVC. No evidence of pneumothorax or other complications.

chest x-ray; 'No Finding'; 'Support Devices'

Supine portable AP view of the chest provided. The tip of the endotracheal tube resides approximately 3.9 cm above the carina. The NG tube courses into the left upper quadrant. There is left subclavian central venous catheter with its tip in the mid SVC. Lung volumes are markedly low. There is no large consolidation or definite signs of effusion or pneumothorax. The heart size appears grossly unremarkable. No definite bony abnormalities are seen.

chest x-ray; 'Lung Opacity'; 'Pleural Other'

Left lower lobe opacity has worsened since the recent radiograph and could reflect an evolving pneumonia given clinical suspicion for this entity. Newly developed right lower lobe opacity could reflect additional site of infection or, alternatively, focal aspiration or atelectasis. Allowing for relatively low lung volumes, exam is otherwise unchanged with persistent bilateral upper lobe bullous disease with adjacent confluent areas of fibrosis and scarring accompanied by calcified granulomas.

chest x-ray; 'Lung Opacity'; 'Pneumonia'

The lungs appear somewhat hyperinflated raising concern for underlying emphysema. No pneumothorax is seen. Overall cardiac and mediastinal contours are within normal limits. There are streaky opacities along the right medial lung base which when correlated with the recent chest CT likely reflect an infectious process. No evidence of pulmonary edema. No pleural effusions.

chest x-ray; 'Lung Opacity'; 'Support Devices'

In comparison with the study of ___, following bronchoscopy there has been substantial Re aeration of the right lung. Areas of opacification persist, in the right mid and lower zones which could reflect some re-expansion edema, residual atelectasis, or even superimposed aspiration or pneumonia. The left lung is essentially clear. The endotracheal tube remains in good position. The nasogastric tube extends to the mid body of the stomach, where it coils back on itself so that the tip is pointing upwards just below the level of the esophagogastric junction.

chest x-ray; 'Lung Opacity'; 'Support Devices'

There is a right IJ central venous catheter with the distal lead tip at the cavoatrial junction. Some mild prominence of the pulmonary interstitial markings is suggestive of mild fluid overload. The cardiac silhouette and mediastinum is normal. There is no focal consolidation or pneumothoraces.

chest x-ray; 'Edema'

An endotracheal tube terminating 5.2 cm above the carina, orogastric tube terminating within the stomach, left IJ catheter terminating at the upper SVC, and left PICC terminating at the mid SVC are unchanged. There has been interval removal of a right internal jugular catheter. A fractured residual right subclavian pacer wire and left-sided pacemaker are unchanged in position. The heart is mildly enlarged. Moderate pulmonary edema has slightly improved. There is no pneumothorax, focal consolidation, or pleural effusion.

chest x-ray; 'Pneumonia'; 'Support Devices'

The ET tube is about 3.5 cm above carina. The NG tube extends into the stomach with side ports beyond the GE junction. There is a new left upper lobe hazy opacity consistent with pneumonia. The right lung is clear. There is persistent left lower lobe atelectasis and left pleural effusion. No right pleural effusion. The cardiomegaly is unchanged. The mediastinum is normal. No fractures.

chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices'

In comparison with the earlier study of this date, the IJ catheter has been pulled back so that the tip appears to lie in the lower portion of the SVC. Continued enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions. Other monitoring and support devices remain in place.

chest x-ray;

Portable AP radiograph of the chest was reviewed with no prior studies available for comparison. The patient is after median sternotomy and CABG. Heart size and mediastinum are normal in size. Lung volumes are preserved. No definitive focal consolidations are demonstrated, but multiple rib fractures may obscure on the right presence of parenchymal abnormalities. Left lung is essentially clear and there is no appreciable pleural effusion or pneumothorax.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices'

As compared to ___ radiograph, a right pleural catheter remains in place. There has not been an appreciable change in size of small right pleural effusion with adjacent right basilar atelectasis.

chest x-ray; 'Atelectasis'; 'Support Devices'

As compared to the previous radiograph, there is a mild elevation of the left hemidiaphragm. As a consequence, there is relatively massive atelectasis in the retrocardiac lung areas. Co-existing pneumonia, however, cannot be excluded. The increased radiodensity at the right lung base is likely the cause of decreased lung volumes. The patient has received a nasogastric tube in the interval. The tube shows a normal course, the tip is not included on the image. Normal size of the cardiac silhouette. No pneumothorax.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'

Comparison to ___, 05:50. Minimal decrease in lung volumes with subsequent increase in extent of the right basal atelectasis. Minimal fluid overload continues to be present. The retrocardiac atelectasis is unchanged. The presence of a minimal right pleural effusion obliterating the right costophrenic sinus cannot be excluded. ___, MD, PhD

chest x-ray; 'Pneumothorax'; 'Support Devices'

In comparison with the earlier study of this date, the left chest tube remains in place. There has been mild decrease in the degree of apical pneumothorax. Subcutaneous gas in the supraclavicular region and along the lower left lateral chest wall is unchanged.

chest x-ray; 'No Finding'; 'Support Devices'

Tip of the nasogastric tube lies within the stomach. The position of the right IJ sheath is unchanged and satisfactory. Bilateral pleural effusions are present. The degree of vascular engorgement on the current film appears less than it was on the prior chest x-ray of ___.

chest x-ray; 'Cardiomegaly'; 'Edema'

Portable chest radiograph demonstrates improved vascular plethora and decreased interstitial fluid consistent with overall improved pulmonary edema. Bilateral small pleural effusions are mildly increased in size. Mild cardiomegaly is unchanged. The right minimally enlarged hila is unchanged. Redemonstration of old left healed clavicular fracture.

chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'; 'Pneumonia'

As compared to ___, there is unchanged evidence of mild to moderate pulmonary edema. The pre-existing opacities in the lingular are unchanged. As noted in the previous reports, the opacity is a suspicious for pneumonia in the appropriate clinical setting. Moderate cardiomegaly persists. Unchanged alignment of the sternal wires. No larger pleural effusions.

chest x-ray; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices'

ET tube tip is for above the carinal. Left PICC line tip is at the level of cavoatrial junction. Cardiomegaly is substantial. Large bilateral pleural effusions are unchanged. Pulmonary edema is severe, unchanged.

chest x-ray; 'Atelectasis'; 'Support Devices'

As compared to the previous radiograph, there is no relevant change. An area of plate-like atelectasis has newly occurred on the left. On the right, the plate-like atelectasis that preexisted is constant in appearance. There is no evidence of pneumonia and no pulmonary edema. Unchanged normal size of the cardiac silhouette. No pneumothorax, no larger pleural effusions.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices'

AP chest compared to ___: Heterogeneous opacification at the base of the left lung could be due to aspiration and atelectasis. More discrete atelectasis is seen in the infrahilar right lower lung. Upper lungs are clear. Mild cardiomegaly has worsened since ___. No pneumothorax. Pleural effusion is minimal if any. ET tube is in standard placement. Left subclavian line may extend as far as the origin of the SVC. Upper enteric drainage tube passes into the stomach and out of view.

chest x-ray; 'Edema'

Lung volumes are low resulting in bronchovascular crowding. However, there is also mild interstial opacities consistent with pulmonary edema. There is no large pleural effusion. No confluent consolidation or pneumothorax is evident. Cardiomediastinal and hilar contours are within normal limits.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices'

In comparison with the study of ___, there again are low lung volumes. Endotracheal tube and left subclavian PICC line remain in good position. Cardiac silhouette remains mildly enlarged with evidence of pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis.

chest x-ray; 'Cardiomegaly'

In comparison with the study of ___, the cardiac silhouette remains enlarged with tortuosity of the aorta. Indistinctness of engorged pulmonary vessels is again consistent with elevated pulmonary venous pressure. The left hemidiaphragm is now sharply seen. No evidence of acute focal consolidation. Of incidental note are surgical clips overlying the right lower chest, presumably within breast tissue.

chest x-ray; 'Enlarged Cardiomediastinum'; 'Support Devices'

Allowing for technical differences, I doubt significant interval change. ET tube, NG tube and 2 lead pacemaker similar in appearance. Cardiomediastinal silhouette is similar in size. Vascular plethora, increased retrocardiac density, and blunting of the right costophrenic angle are also similar to the prior study.

chest x-ray; 'Cardiomegaly'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices'

As compared to the previous radiograph, the left chest tube is in unchanged position. All other monitoring and support devices are also unchanged. The dimension of the pneumothorax on the left has decreased, the current dimension is approximately 6 mm, as opposed to 8 mm on the previous radiograph. The radiograph shows no evidence of tension. There is a right basal opacity, associated to a small right pleural effusion that has not substantially changed as compared to the previous image. Unchanged appearance of the cardiac silhouette.

chest x-ray; 'Cardiomegaly'; 'Edema'

The radiograph is underpenetrated secondary to the patient's body habitus. Allowing for this limitation, the lungs are well expanded. There are slightly increased interstitial opacities compared with prior chest radiographs, but no focal parenchymal opacity. Moderate cardiomegaly is unchanged. Costophrenic angles are partially obscured potentially from overlying soft tissue/technique versus small effusions. There is no pneumothorax. A left-sided PICC line ends in the lower SVC.

chest x-ray; 'No Finding'

AP chest compared to ___, 10:08 p.m.: Lungs are essentially clear, heart size is normal, and there is no pleural abnormality.

chest x-ray; 'Cardiomegaly'

AP portable upright view of the chest. Overlying EKG leads are present. The heart is stably enlarged. Hila are mildly congested. No overt edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Bony structures are intact.

chest x-ray; 'No Finding'

Sternotomy wires are intact. Mild right lung base opacity likely reflects atelectasis. There is no pneumothorax or large pleural effusion. Enlarged cardiac silhouette is similar to before and likely due to combination of enlarged heart and substantial mediastinal and pericardial fat as demonstrated on prior CT.

chest x-ray; 'Fracture'

No pneumothorax. Bilateral pleural effusions are moderate-to-large. The heart is enlarged. There is pulmonary vascular congestion and mild edema. Median sternotomy wires appear intact. No focal consolidation. No evidence of fracture on this single frontal view with portions of the lower ribs excluded from the image. Degenerative changes in the shoulder are moderate to severe.

chest x-ray; 'Lung Opacity'; 'Pleural Effusion'; 'Support Devices'

Support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable. Multifocal bilateral heterogeneous lung opacities with basilar predominance have slightly worsened in the interval, and a moderate right pleural effusion with intrafissural component has also increased. Small left pleural effusion is unchanged, and no visible pneumothorax is evident.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Support Devices'

Indwelling support and monitoring devices are unchanged in position. Cardiomediastinal contours are stable in appearance. Severe upper lobe predominant emphysema is again demonstrated. New linear opacities have developed in the right mid and both lower lungs, most consistent with areas of subsegmental atelectasis. Otherwise, no relevant change since the recent study. A feeding tube remains in place, with slightly more proximal location than before. The proximal portion of the radiodense tip is likely proximal to the gastroesophageal junction and could be advanced a few centimeters for standard positioning.

chest x-ray; 'Cardiomegaly'

Portable frontal chest radiograph demonstrates clear well-expanded lungs. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged, the mediastinal contours are normal. The pulmonary vasculature is normal.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'

Severe cardiomegaly is stable. Mitral annulus is noted. Left pleural effusion and adjacent atelectasis have resolved. Small right effusion and adjacent atelectasis have decreased. Mild vascular congestion has improved. There is no pneumothorax. Sternal wires are aligned

chest x-ray; 'Support Devices'

Portable AP radiograph of the chest was reviewed with no prior studies available for comparison. Heart size and mediastinum are stable. Lungs are essentially clear. Right central venous line tip terminates at the level of superior/mid SVC. There is no pleural effusion or pneumothorax.

chest x-ray; 'Cardiomegaly'; 'Lung Opacity'

In comparison with the study of ___, there again are diffusely prominent reticular markings throughout both lungs, without evidence of enlargement of the cardiac silhouette. In the appropriate clinical setting, PCP pneumonia or influenza would have to be considered. Otherwise, little change.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Pleural Effusion'; 'Support Devices'

As compared to the previous radiograph, no relevant change is seen. Sternal wires are in unchanged position. Right central venous access line is constant. Moderate cardiomegaly. Minimal left pleural effusion and subsequent left retrocardiac atelectasis. No pulmonary edema. No pneumonia.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'

ET tube present, tip approximately 0.1 cm above the carina. NG tube present, tip and side-port beneath diaphragm, with tip extending beyond film. Right IJ central line tip overlies the proximal SVC. No pneumothorax is detected. The cardiomediastinal silhouette is similar, possibly slightly decreased in size. Retrocardiac density is significantly improved, with negligible residua. Minimal subsegmental atelectasis at both bases noted. Hazy opacity at the right costophrenic angle could reflect a small right effusion. Minimal blunting left costophrenic angle remains present, improved compared with previously seen left effusion. Rounded opacity overlying the left lung base is noted, question nipple shadow. (Review of chest x-ray from ___, suggests that this represents a nipple shadow). Attention to this area on followup films is requested.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Pneumonia'; 'Support Devices'

As compared to the previous radiograph, the right-sided chest drain is in unchanged position. The extent of the right pleural effusion has minimally increased. There is no evidence of the pneumothorax. On the left, there is increasing retrocardiac and left basal atelectasis but no effusion is present. No focal parenchymal opacities suggesting pneumonia. No overt pulmonary edema.

chest x-ray; 'Lung Opacity'; 'Pneumonia'

Single portable AP upright chest radiograph demonstrates hyperinflated lungs and flattening of the diaphragms. Prominent interstitial markings are noted at bilateral lung bases which when compared to prior study dated ___ is largely unchanged. No focal consolidation convincing for pneumonia is seen. Heart is within upper limits of normal in size. There is no evidence of pulmonary edema. There is no pneumothorax or large pleural effusion.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Lung Opacity'

Stable low lung volumes, mild vascular congestion, cardiomegaly, enlargement of the pulmonary arteries and bibasilar opacities likely atelectasis

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Lung Opacity'

In comparison with the earlier study of this date, the patient has taken a somewhat better inspiration. There is again enlargement of the cardiac silhouette with pulmonary edema and bibasilar opacifications consistent with atelectasis and possible small pleural effusions.

chest x-ray; 'Consolidation'; 'Support Devices'

ET tube tip is 4 cm above the carinal. NG tube tip is in the stomach. Bibasal consolidations are present. There is potentially free air below the diaphragm demonstrated, please correlate with patient history of recent abdominal intervention 's.

chest x-ray; 'Cardiomegaly'; 'Edema'; 'Lung Lesion'; 'Lung Opacity'

Single portable AP radiograph. Right apical consolidation has increased in size since ___. Fiducial markers are seen within biopsy proven right lower lobe squamous cell carcinoma. Surrounding airspace opacities in the right base has increased. There are also interstitial opacities in the left lung. Severe cardiomegaly has progressed since ___.

chest x-ray; 'Lung Opacity'; 'Support Devices'

Since a recent radiograph of several hr earlier, the patient has been intubated with tip of endotracheal tube terminating 3.7 cm above the carina. Lung volumes are low. New patchy and linear opacities in the right mid and both lower lungs may reflect atelectasis and or aspiration.

chest x-ray; 'Consolidation'; 'Pleural Effusion'

Cardiac size is normal. Small right and moderate left pleural effusions have increased. Bibasilar consolidations have increased on the left worrisome for pneumonia. There is no pneumothorax. There is biapical pleural thickening. Right central catheter tip is in the mid to lower SVC

chest x-ray; 'Atelectasis'; 'Consolidation'; 'Lung Opacity'; 'Pleural Effusion'

In comparison with the study of ___, the patient has taken a better inspiration. The significant opacifications at the bases with poor definition the hemidiaphragms is less prominent, especially on the right, is unclear whether this represents decreased pleural effusion an atelectasis or merely is a manifestation a more upright position of the patient. The cardiac silhouette is within normal limits, though there are diffuse bilateral pulmonary opacifications. This could represent significant pulmonary edema, though some of this probably represents the peribronchial and patchy consolidations as well as results of mucous plugging this seen on the CT examination of ___

chest x-ray; 'Pneumothorax'; 'Support Devices'

After placement of right chest tube, right lung has expanded there is a residual small to moderate pneumothorax. No other interval change from prior study.

chest x-ray; 'Pneumothorax'

AP chest, with no prior chest radiographs. Right apical pneumothorax is small. There is no left pneumothorax or pleural effusion on either side. Bilateral pleural drains in place. Right supraclavicular infusion port ends in the right atrium. Heart size top normal. Lungs grossly clear.

chest x-ray; 'Cardiomegaly'

As compared to the previous radiograph, there is minimal decrease in lung volumes, likely by a lesser inspiratory effort, with subsequent crowding of vascular structures at the left and right lung bases. No evidence of acute changes such as pneumonia or pulmonary edema. Borderline size of the cardiac silhouette. Unchanged right central venous access line.

chest x-ray; 'Atelectasis'; 'Lung Opacity'; 'Pleural Effusion'

As compared to the previous radiograph, the Swan-Ganz catheter, the endotracheal tube, and the chest and mediastinal tubes have been removed. There are potential minimal right and left pleural effusions but no evidence of pneumothorax. Minimal retrocardiac atelectasis with overall slightly decreasing lung volumes. No other newly appeared focal parenchymal opacities. No evidence of pneumonia. No substantial fluid overload.

chest x-ray; 'Atelectasis'; 'Consolidation'; 'Lung Opacity'; 'Pneumonia'; 'Support Devices'

Right PICC line tip is at the level of mid SVC. Heart size and mediastinum are unchanged. If retrocardiac consolidation is more pronounced than on the previous study most likely representing atelectasis and potentially infectious process. Right basal consolidation appears to be unchanged. Right mid lung opacity is unchanged. No pulmonary edema is seen.

chest x-ray; 'Cardiomegaly'; 'Pleural Effusion'

Compared to prior chest radiographs only ___. Widespread severe interstitial pulmonary abnormality has features suggesting some chronic lung disease, but there is moderate to severe cardiomegaly and small pleural effusions, so some of it may be due to acute pulmonary edema as well. The lungs are hyperinflated and the lucencies in the upper lungs suggest emphysema. No pneumothorax.

chest x-ray; 'Cardiomegaly'; 'Lung Lesion'; 'Pleural Effusion'; 'Support Devices'

The ET tube tip is 5.5 cm above the carina. The heart size and mediastinum are unchanged including cardiomegaly. Bilateral pleural effusions are moderate. Vascular engorgement is mild. Overall, no substantial interval change demonstrated. The large thyroid gland contributes to the right upper mediastinal enlargement and better appreciated on the CT chest. Pulmonary nodules seen on the chest CT are not seen on the current study but should be followed at least within three months interval for assessment of stability given the relatively large size. Also, correlation with history of malignancy is present is required.

chest x-ray; 'Pneumothorax'; 'Support Devices'

Interval advancement of Dobbhoff tube with the wires still in place. The tip terminates in the central parts of the stomach. No evidence of complications, notably no pneumothorax.

chest x-ray; 'Lung Lesion'

When compared to recent exam, there has been no definite interval change. The right lung base mass is again seen. Degree of opacification of the left mid to lower lung has not dramatically changed in appearance. Numerous other known pulmonary nodules are better assessed by a prior CT. Cardiomediastinal silhouette is grossly unchanged noting that is not well assessed due to consolidative process on the left.

chest x-ray; 'Atelectasis'; 'Pleural Effusion'; 'Support Devices'

Endotracheal tube has been slightly withdrawn in the interval, now terminating approximately 5 cm from the carina. A Dobbhoff tube is noted with tip in the fundus of the stomach. A nasogastric tube is also seen, with tip at the level of the gastroesophageal junction, and side port within the distal esophagus, in unchanged position. The cardiac, mediastinal and hilar contours are stable. Moderate to large right and small left bilateral pleural effusions are again noted. Bibasilar compressive atelectasis is present. There is no pneumothorax. There is no pulmonary vascular congestion. No acute osseous abnormality is present. The right PICC remains unchanged in position, with tip terminating in the region of the axillary/subclavian vein.

chest x-ray; 'No Finding'; 'Support Devices'

In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. Again there may be mild kinking of the right subclavian line between the clavicle and first rib, with the tip again extending to the upper SVC.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Support Devices'

As compared to the previous radiograph, bilateral platelike atelectasis have developed at the lung bases. No other change. The right internal jugular vein catheter is in situ. No pleural effusions. Borderline size of the cardiac silhouette without pulmonary edema.

chest x-ray; 'No Finding'

The lungs are clear. There is no focal consolidation, edema, or effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormality.

chest x-ray; 'Cardiomegaly'; 'Consolidation'; 'Pleural Effusion'; 'Support Devices'

Compare to prior chest radiographs ___ through ___ at 11:11. Right PIC line is been repositioned, now ends in the mid SVC. Consolidation of the right lung base is larger, could be worsening pneumonia. Moderate cardiomegaly stable. Aside from atelectasis, left lung is grossly clear. Thoracic aorta is generally large. No pneumothorax. Pleural effusions presumed, but not large.

chest x-ray; 'Atelectasis'; 'Consolidation'; 'Pleural Effusion'; 'Pneumothorax'; 'Support Devices'

As compared to previous radiograph from 1 day earlier, bilateral small pneumothoraces are a persistent finding, with a left pigtail pleural catheter remaining in place. Interval slight decrease in extent of pneumomediastinum. Moderate layering right pleural effusion and small layering left pleural effusion on this semi upright radiograph with adjacent bibasilar atelectasis and or consolidation.

chest x-ray; 'Edema'; 'Lung Opacity'; 'Pneumonia'; 'Support Devices'

AP radiograph of the chest was compared to prior study obtained the same day earlier. Since the prior study, there is substantial interval progression of perihilar and lower lobe opacities consistent with interval development of pulmonary edema on the top of preexisting multifocal pneumonia. Tubes and lines are in unchanged position.

chest x-ray; 'Consolidation'; 'Pleural Effusion'; 'Pneumonia'

Comparison is made with prior study ___. Cardiomediastinal contours are normal. Bibasilar consolidations have worsened bilaterally; on the left could be just reexpansion pulmonary edema, on the right is likely pneumonia. There is no pneumothorax. Small left pleural effusion is unchanged.

chest x-ray; 'Lung Opacity'; 'Pleural Effusion'

The lung volumes are very low. Bibasilar patchy airspace opacities could represent aspiration or infection. Trace bilateral pleural effusions are likely present. No pneumothorax. Mild cardiomegaly is stable. The aorta is mildly unfolded. No pulmonary edema is demonstrated.

chest x-ray; 'No Finding'; 'Support Devices'

Right PICC has been replaced or repositioned, now terminating in the lower superior vena cava. Otherwise, no relevant short interval change since the recent study.

chest x-ray; 'Edema'; 'Lung Opacity'; 'Pleural Effusion'; 'Pneumonia'

Improving bilateral asymmetrical alveolar opacities involving the left lung to a greater degree than the right. The rapid degree of improvement in some of the opacities suggests a component of pulmonary edema superimposed upon underlying multifocal pneumonia. Moderate left and small right pleural effusions are again demonstrated.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices'

Comparison to ___. Comparison to ___. The right pigtail catheter in the pleural space is in stable position. Stable small right pleural effusion. Stable subsequent atelectasis. Moderate cardiomegaly persists. Mild pulmonary edema is unchanged.

chest x-ray; 'Atelectasis'; 'Cardiomegaly'; 'Edema'; 'Pleural Effusion'; 'Support Devices'

Left subclavian catheter tip is in the cavoatrial junction. ET tube is in standard position. NG tube tip is out of view below the diaphragm. Widened mediastinum and cardiomegaly are stable Large bilateral pleural effusions larger on the right side with adjacent atelectasis are stable. Moderate pulmonary edema has worsened

chest x-ray; 'No Finding'; 'Support Devices'

No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Right PICC line extends to the lower portion of the SVC. Of incidental note is a cervical spinal fusion device.