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Stanford AIMI 76

Right chest wall port with appropriately positioned catheter tip.

Streaky opacities in the right lower and left mid lungs, suggesting minor scarring or atelectasis.

No pulmonary consolidations identified.

Interval placement of a tunneled right internal jugular catheter without evidence of pneumothorax.

No thoracic parenchymal alterations.

Clear lungs with a linear focus of scar at the left base.

Slight radiological improvement in the lungs with increased aeration in the upper fields.

Slight compression deformity of a mid thoracic vertebral body.

Near-complete re-expansion of the left lung post pigtail chest tube placement.

Perihilar opacities, which may represent atelectasis or developing infection.

Stable cardiomegaly with a left atrial appendage clip in place.

Normal limits allowing for patient rotation.

Presence of a right apical chest tube and a fine bore right basal chest drain. Surgical clips are noted in the right upper quadrant.

No new airspace opacity

Slight improvement in heterogeneous opacification in the left lower lobe.

Possible mild central pulmonary vascular engorgement.

No change in the marked enlargement of the thoracic aorta.

Atelectasis in the right lower lobe without evidence of pneumonic infiltrates.

Patchy, parenchymal opacities in the bilateral lower lung zones.

Normal chest radiograph with no evidence of pulmonary infiltrates or pleural effusion.

A radiolucent line is again seen bordering the left cardiac silhouette, which may represent pneumopericardium.

Presence of a left chest cardiac conduction device generator with associated leads.

Successful interval placement of left upper extremity PICC with the tip projecting in the right atrium. Interval removal of the right upper extremity PICC.

Obscuration of the right costophrenic angle, may suggest a small right pleural effusion.

Decreased size of the cardiomediastinal silhouette

More distinct pulmonary vascular markings without evidence of pulmonary edema.

Bilateral platelike atelectasis noted.

Stable positioning of the left internal jugular line with the distal tip overlying the left brachiocephalic vein distally.

Mild peribronchial wall thickening, which may suggest mild interstitial edema.

Development of a mild reticular pattern in the lungs, suggestive of possible pulmonary edema.

Low lung volumes without definite consolidation or edema in the chest.

No pneumothorax following bilateral chest tube removal.

Coalescent left basilar opacification suggestive of pneumonia.

Mass in the lower mediastinum with hydroaerial level suggestive of a hiatal hernia.

Chronic obstructive pulmonary disease (COPD) with evidence of chronic inflammatory changes in the right base.

Known fracture of the leftmost sternal wire, unchanged.

Mild indistinctness of pulmonary vasculature, potentially related to lower lung volumes or vascular congestion.

Interval decrease in right pleural effusion.

Patchy opacity at the right base, likely representing compressive atelectasis.

Severe diffuse bilaterally symmetric pulmonary fibrosis.

Unchanged calcified nodule in the right midlung.

Likely bibasilar atelectasis; however, pneumonia cannot be entirely excluded. Clinical correlation is recommended.

Small right pleural effusion, unchanged from prior imaging.

Presence of small effusions and atelectasis at both lung bases, as suggested by the obscured hemidiaphragms.

Two left upper lobe masses with surrounding opacities, likely representing post-procedural changes.

Unchanged dense retrocardiac opacification, likely representing atelectasis.

No pneumothorax or new consolidations are identified.

Successful removal of the right upper extremity PICC line and subsequent insertion of a left upper extremity PICC line with the distal tip appropriately located in the right atrium, approximately 3.3 cm beyond the cavoatrial junction.

Cervical Spine: Multilevel degenerative changes, most prominent at C5-C6 and C6-C7 with disc space narrowing and end plate irregularity. Anterolisthesis of C4 on C5.

Improvement in bilateral lung aeration and pulmonary vasculature cephalization, suggesting possible residual mild pulmonary edema.

The right internal jugular (IJ) dialysis line is in place with the tip at the cavoatrial junction. A feeding tube is present, with its position to be confirmed as subdiaphragmatic.

No evidence of pneumothorax associated with the recent device placement.

Stable partially calcified goiter in the right thyroid lobe with associated tracheal deviation.

Diffuse bilateral pulmonary opacifications consistent with multifocal pneumonia.

Partial opacification of the thoracic anterior longitudinal ligament

Left-sided Port-A-Cath terminates in the low SVC without complications.

Enteric tube courses through the esophagus into the stomach, directed superiorly, likely terminating in the fundus of the stomach.

Minimal bilateral apical pleural thickening, symmetrically distributed.

Degenerative changes in the lumbar spine without significant radiological abnormalities in the pulmonary parenchyma.

Nasogastric tube appropriately positioned in the gastric fundus.

Persistent retrocardiac opacity and a small left pleural effusion are noted.

Mild left mid lung and right base opacities, possible multifocal infection or vascular congestion.

Supportive devices, including tubes and lines, are positioned appropriately.

Central venous catheter with appropriate placement in the superior vena cava.

Diffuse airspace opacities are present, most confluent within the upper lobes and left base.

Status post median sternotomy with persistent significant enlargement of the cardiac-pericardiac silhouette.

Presence of medical support devices including right internal jugular central venous catheter, mediastinal drains, prosthetic aortic valve, and median sternotomy wires.

Presence of a brachiocephalic vein stent and dialysis catheter.

Possible bilateral pleural effusions cannot be excluded.

Ends approximately 2.5 cm above the carina.

Dobbhoff feeding tube tip is now projected over the stomach following repositioning.

Large gastric hernia at the base of the left lung.

Catheter curled in the right chest base.

Persistent dense consolidation in the right mid and bilateral lower lung zones with slight improvement in aeration in the right upper lobe.

Normal heart and mediastinal contours within the limitations of low lung volumes

Attenuation of pulmonary vascular markings towards the apices, suggesting emphysema.

Stable appearance of the endotracheal tube in subsequent images, with the tip located approximately 3 cm above the carina in the latest image.

Probable mild pulmonary edema with a small right pleural effusion, slightly decreased from the prior study. No new areas of focal consolidation.

The left subclavian PICC line has been advanced with the tip now located in the right atrium. There is no evidence of pneumothorax.

Unremarkable cardiomediastinal contours with no change from prior exam.

Subtle rounded enlargement of the inferior right paratracheal soft tissue density; further evaluation with nonemergent chest CT is suggested.

Minimal residual change in the ipsilateral costophrenic sinus.

Left-sided internal jugular catheter tip in the proximal right atrium, could be repositioned 3 cm to the cavoatrial junction.

The findings were discussed with the referring clinician.

Comminuted fracture of the right clavicle mid shaft.

Small presumed residual pleural effusion at the right lung base, stable

Stable cardiac and mediastinal contours, accounting for positioning differences.

An ill-defined opacity in the periphery of the lower right lung, likely a summation artifact.

Cephalization of the vasculature consistent with pulmonary venous hypertension.

Basilar opacities and signs of pulmonary edema remain unchanged.

CT recommended for further evaluation due to greater sensitivity in detecting atypical infections.

Suggestion of a retrocardiac opacity.

Marked cardiomegaly with a cardiothoracic ratio (CTR) of 18/30, mild cephalization noted without overt pulmonary edema. Lungs are clear with no pleural effusion.

Small left apical pleural cap present without change.

Properly positioned left upper extremity PICC line with the tip 5.0 cm below the carina.

Interval repositioning of two left-sided chest tubes with other lines and tubes unchanged.

Multilevel degenerative changes in the thoracic spine with mild anterior compression deformities

Minimal stranding opacity at the right base, suggestive of atelectasis.

Nodular density overlying the anterior right 2nd rib, not seen on prior studies.

Lungs are clear with no abnormalities detected on the left side.