ayyuce/chexpert-subset · Datasets at Hugging Face

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	stable right upper extremity picc line. persistent mild cardiomegaly. no evidence of focal consolidation or pleural effusion.
	a feeding tube and nasogastric tube course below the diaphragm but the tip is outside the field of view. right internal jugular central venous catheter is unchanged in position. stable, diffuse patchy air space opacities. no pleural effusion. no pneumothorax. cardio mediastinal silhouette is unchanged.
	persistent bilateral patchy airspace opacities more prominent in the lung bases, which could represent infection, evolving diffuse alveolar damage, or organizing pneumonia. physician to physician radiology consult line: (483) 772-5663 i have personally reviewed the images for this examination and agreed with the report transcribed above.
	adjacent pigtail catheter stable more superiorly
	7/27/2000 at 13:19: redemonstration of epicardial pacer pads, implanted pacer, sternotomy wires and right lung parenchymal sutures. loculated right pleural effusion and small left pleural effusion. right basilar atelectasis. number 25 at 03:49: increased left pleural effusion, otherwise no significant interval change.
	increased confluence of the bilateral interstitial opacities especially in the mid to lower lung zones bilaterally, concerning for worsening pulmonary edema given clinical history. examination is slightly limited in the bases as the bilateral costophrenic sulci were not entirely included. no significant pleural effusions noted. no acute osseous abnormalities.
	redemonstration of cardiomegaly with intact leads from the dual chamber pacemaker of the right anterior chest wall. the right lower lobe demonstrates an increased prominence of a vague opacity
	lungs are grossly clear. no evidence of pulmonary edema, pleural effusions or pneumothorax.
	a single portable upright ap chest radiograph dated 4-6-01 at 1620 hours demonstrates stable and unchanged appearance of a left anterior chest wall dual lead pacemaker. there is improved aeration of the right lung base and a persistent left pleural effusion. otherwise, no significant interval change.
	there is no evidence of pneumothorax. supportive equipment is unchanged
	improved lung volumes, with diffuse reticular opacities, that may represent mild interstitial pulmonary edema. small bilateral pleural effusions. persistent air space opacities at bilateral lung bases, left greater than right. standard position and appearance of the left upper extremity picc and with the tip at the approximate cavoatrial junction. extensive surgical clips, mitral valve, and sternotomy wires are intact.
	frontal radiograph of the chest demonstrates stable position of tracheostomy tube and feeding tube and left arm picc. interval reexpansion of the left upper and left mid lung zones. there are persistent small bilateral effusions. there are persistent right greater than left bibasilar opacities that may represent residual atelectasis versus consolidation. there is persistent mild pulmonary edema. post thoracotomy changes again noted of a left sided rib.
	ap semi-erect film. a tracheostomy tube and bilateral central venous lines appear unchanged. the lung volumes are low, with likely mild pulmonary edema, bibasilar opacification and layering pleural effusions
	single frontal view of the chest on 1/7/2003 at 0832 demonstrates the feeding tube passing into the gastroesophageal junction. right picc is seen at the level of the cavoatrial junction. bilateral pleural effusions, stable. increased interstitial markings consistent with stable pulmonary edema. stable cardiomegaly.
	this could represent a focal area of atelectasis. the lungs are otherwise clear. there are no effusions. the heart size is within normal limits. there is still significant residual subcutaneous emphysema within the left lateral chest wall.
	endotracheal tube in place, with its tip approximately 5 cm above the carina. diffuse airspace opacities in both lungs ("white lung") consistent with extensive edema, hemorrhage, ards, or, less likely, extensive infection.
	single portable semiupright ap view of the chest demonstrates stable position of the endotracheal tube, nasogastric tube, feeding tube, left picc line, right internal jugular central venous catheter, right pleural pigtail drain and left chest tube. no pneumothorax. low lung volumes with persistent left lung base parenchymal opacity and small left pleural effusion. overall, no significant interval change.
	pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. emphysematous changes are seen in the lungs bilaterally, with flattening of the hemidiaphragms and blunting of the costophrenic angle. there are old left-sided rib fractures with associated pleural thickening. 3
	interval placement of a right ij central venous catheter. no pneumothorax is identified. bilateral reticular densities with confluence in the retrocardiac space. 3
	there is a tiny apical pneumothorax located in the bilateral apices. no evidence of tension pneumothorax. left greater than right lower lobe atelectasis. small bilateral pleural effusions.
	left subclavian catheter with tip in the superior vena cava. interval decrease in retrocardiac atelectasis or consolidation. 3
	left upper extremity picc line in place with the tip in region of cavoatrial junction. persistent elevation of the right hemidiaphragm with bibasilar atelectasis. persistent but decreased small left pleural effusion.
	redemonstration of right internal jugular sheath and catheter. post extubation development of a small left lower lobe atelectasis. otherwise, the cardiopulmonary status is unchanged with persistent mild interstitial pulmonary edema. small left pleural effusion.
	single ap semiupright view of the chest demonstrates interval status post placement of a double lumen left internal tubular central venous catheter with the tip projecting over the caval atrial junction. also status post interval placement of a left upper extremity picc line, the tip is not clearly visualized. redemonstration of right upper extremity picc line in stable position. grossly stable cardiopulmonary findings with bilateral effusions, right larger than left with associated atelectasis. signs of pulmonary edema.
	left basilar atelectasis or consolidation. esophageal tube ends in the stomach. low lung volumes.
	low lung volumes with crowding of interstitial lung markings. no evidence for line placement. no evidence of pneumothorax.
	mild elevation of the right hemidiaphragm. no radiographic evidence of acute cardiopulmonary disease. no fractures or pneumothorax identified.
	mild decrease and redistribution in large loculated right pleural effusion, with known pulmonary masses better evaluated on ct. "physician to physician radiology consult line: (859) 264-8810"
	left apical pneumothorax is seen. abnormal bibasilar opacities, right greater than left. no other significant interval change.
	sternotomy wires and right apical chest tube are unchanged. there has been interval development of a right-sided pneumothorax measuring 2.5 cm in apical axis. cardiomegaly unchanged. opacity at the left costophrenic angle likely represents an epicardial fat pad. findings comminuted with taylor carlynn, md in the cvicu.
	no evidence of a cardiopulmonary disease. no radiographic explanation for the patient's cough. no evidence of focal consolidation, pleural effusions, pulmonary edema or pneumothorax. no obvious endotracheal or endobronchial lesion. ct scan of the thorax is more sensitive for the evaluation of pulmonary disease as well as airways disease. cardiomediastinal silhouette is within normal limits. bony structures are unremarkable.
	no significant change in bibasilar consolidation, left greater than right, and mild pulmonary edema
	single view portable upright radiograph of the chest demonstrates a cardiac valve, sternotomy wires, and cardiomegaly. bilateral pleural effusions, with right greater than left dense opacification at the bases. if pulmonary edema is present, it is small in extent.
	redemonstration of findings consistent with cystic fibrosis including bronchiectasis and bronchial wall thickening. no focal consolidation or pleural effusion. standing and supine frontal views of the abdomen demonstrate large stool burden throughout the colon. there are cholecystectomy clips projecting in the right upper quadrant.
	postsurgical changes status post pulmonary nodule resection with anastomotic sutures again noted in the left lobe. there is a left chest tube and epidural catheter. persistent relative radiolucency of the left apex, without a definite pleural line to indicate the presence of a pneumothorax. stable loculated right pleural effusion and stable left lung base scarring. left chest wall edema compatible with postsurgical changes.
	single portable view of the chest. limited study secondary to the exclusion of the apices from view. no interval change in the position of the right chest tube. persistent right pleural effusion and/or pleural thickening. stable appearance of nodular opacity in the left lung base. no evidence of pneumothorax. cardiomediastinal silhouette and pulmonary vasculature are stable.
	moderate-sized left pleural effusion. right hilar mass not fully evaluated secondary to low lung volumes.
	portable ap semierect view of the chest demonstrates an improved but still present pulmonary edema. unchanged bilateral pleural effusions. opacification is greater on the left side, representative of consolidation versus atelectasis.
	single semi-upright ap view of the chest demonstrates stable positioning of an endotracheal tube, nasogastric tube, and left internal jugular central venous sheath. no significant change in cardiomegaly, diffuse reticular pattern of the lungs, which may reflect a mild degree of pulmonary edema, small bilateral pleural effusions, and bibasilar opacities, most dense in the retrocardiac area.
	band-like opacity projecting over right lung base may represent atelectasis or consolidation. interval decrease in right middle lobe opacity. left lung mid and lower zone opacities are not significantly changed. interval decrease in left-sided pleural effusion. possible small decrease in right-sided pleural effusion. interval increase in bilateral lung volumes. otherwise, no significant interval change of the chest.
	single frontal view of the chest demonstrates right middle and right lower lung zone consolidations with air bronchograms, likely secondary to pneumonia. a moderate right-sided pleural effusion is identified, which is likely parapneumonic in nature. there is no evidence of pneumothorax 4.the visualized osseous structures demonstrate no evidence of acute fracture.
	ap upright portable radiograph of the chest demonstrates a 2-lead pacemaker in stable position. there is interval development of bibasilar atelectasis. there is no pneumothorax.
	expiratory film shows large right pneumothorax with associated air fluid level in inferior hemithorax. associated mild mediastinal shift. persistent small left-sided pleural effusion.
	signs of chronic obstructive pulmonary disease, no pulmonary opacities. no pleural effusion. omarthrosis on the left.
	interval repositioning of the right upper extremity picc line, the tip now approximately 2.3 cm below the cavoatrial junction. no focal infiltrate, effusion or pneumothorax. stable cardiomediastinal silhouette. improved lung volumes.
	stable position of tracheostomy tube, left upper extremity picc and sternotomy wires. bilateral pleural effusions. worsening bibasilar opacities. stable reticular pattern, likely representing pulmonary edema. cardiomegaly.
	frontal and lateral radiographs of the chest demonstrates a retrocardiac opacity as well as left basilar opacity. this may represent atelectasis, aspiration, or consolidation. a right-sided picc line terminates 4.8 cm below the carina. there is blurring of the aortic knob, which may be positional in nature. attention at follow-up is recommended.
	single frontal semiupright view of the chest obtained. no evidence of pneumothorax; chest clear. assessment of the cardiac silhouette is slightly limited secondary to partially supine positioning of the patient. the heart size is either within normal limits, or else there may be mild cardiomegaly. there is no abnormal mediastinal widening. visualized osseous structures grossly within normal limits.
	no evidence of pulmonary edema, pleural effusion, or other acute cardiopulmonary disease. degenerative changes again noted within the spine.
	stable tubes and lines. hazy opacity in the left lung is consistent with pleural effusion. there is opacification in the retrocardiac region, consistent with atelectasis or consolidation. there is interval increase in pulmonary edema.
	persistent stable pulmonary edema. redemonstration of retrocardiac opacification. interval placement of a nasogastric tube, the tip of which is out of the scope of the current examination.
	worsening pneumonia with complete opacification of the right middle lobe and increasing consolidation in the right lower lobe.
	frontal and lateral views of the chest demonstrates asymmetric elevation of the left hemidiaphragm with associated mild opacity at the left lung base, likely atelectasis. the lungs are otherwise clear. no pneumothorax. normal heart size. no pulmonary edema or definite pleural effusion. callus formation around the old right medial clavicular fracture. no acute osseous abnormality.
	redemonstration of multiple rib fractures and left clavicle fracture. no pneumothorax. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	a small 6-mm focal opacity seen projecting over the anterior aspect of the right first rib which probably represents costal cartilage calcification. however a small pulmonary nodule cannot be excluded. recommend lordotic views for further evaluation. otherwise, no evidence of focal consolidation, pleural effusion, pulmonary edema or pneumothorax. cardiomediastinal silhouette is within normal limits. unremarkable bony structures.
	stable position of right chest tube and epidural catheter. tiny right apical pneumothorax remains. diffuse mild opacification, likely representing expected operative related contusion again seen in the right midlung zone lobe.
	heart size is at the upper limits of normal. lung fields are clear bilaterally, except for a small blunting of the left costophrenic angle, which is likely related to a small pleural effusion versus a small area of atelectasis. no radiographic evidence of infection.
	right chest tube and left ij line remain in place. small right apical pneumothorax is again seen, not significantly changed in size. patchy opacities persist in right lung as well as left mid and lower lung zones.
	stable right basilar opacity and elevated right hemidiaphragm reflecting atelectasis with a small amount of right pleural effusion. stable normal cardiomediastinal silhouette and coarse pulmonary markings consistent with the patient's advanced age.
	two leads remain in place. there has been interval placement of a new single lead pacer in the right neck with lead in the expected location of the right ventricle. no definite pneumothorax demonstrated. surgical skin staples are seen in the left chest wall. there are low lung volumes with small bibasilar opacities likely representing atelectasis.
	the lung markings are clear without evidence of airspace opacities, pleural effusion or pulmonary edema. the cardiomediastinal silhouette is normal. postsurgical changes in the left scapula. otherwise no osseous abnormalities.
	two mediastinal drains remain in place. the swan-ganz catheter has been retracted with tip now at the proximal superior vena cava. an additional left internal jugular central venous line tip remains at the level of the proximal superior vena cava. a right picc line tip is again noted at the level of the proximal superior vena cava. post surgical changes related to midline sternotomy. lung volumes remain slightly decreased with persistent left lower lobe retrocardiac opacity. the lungs are otherwise clear. no pleural effusion. cardiomediastinal silhouette is stable.
	stable positioning of tracheostomy and left picc line 2.decreasing reticular opacities consistent with decreasing pulmonary edema 3.bibasilar opacities with worsening of the mid to lower left lung 4.small bilateral pleural effusions increasing on the left 5.old right rib fracture
	no significant interval change. persistent left lower lobe atelectasis or consolidation with enlarged cardiac silhouette, which is stable. lines and tubes unchanged.
	stable small right pleural effusion. no new focal pulmonary consolidation is seen.
	upright pa and lateral chest radiographs demonstrate low lung volumes. increased opacities are present at bilateral lung bases including a bandlike opacity in the left midlung zone. these findings are likely related to atelectasis, however an early or developing consolidation could have a similar appearance. recommend clinical correlation. no pulmonary edema. cardiomegaly is present. redemonstration of tortuous thoracic aorta with calcified plaque.
	endotracheal tube tip is slightly low in position. remaining tubes and lines are in satisfactory and unchanged position. bilateral pleural effusions once again noted, largest on the right. this is stable. slight interval worsening of pulmonary edema. calcified mediastinal lymph nodes.
	increased lung volumes. bibasilar atelectasis, unchanged. resolution of left pleural effusion.
	right-sided chest tube has been repositioned. feeding tube is unchanged. persistent cardiomegaly with a large aorta. mild edema is unchanged. bibasilar opacities which may represent atelectasis vs consolidation appear to be stable.
	normal cardiomediastinal silhouette 2.right base linear opacity 3.small right pleural effusion 4.gaseous distention of the stomach
	bibasilar consolidation, with areas, which have a more rounded/nodular appearance on the right side. the differential includes infectious or even neoplastic processes
	single portable upright frontal view of the chest demonstrates low lung volumes with interval increased retrocardiac opacification causing obscuration of the left hemidiaphragm. interval increased nodular pattern with poor delineation of the pulmonary vasculature suggests pulmonary edema or sickle cell chest crisis. sclerosis of the humeral heads consistent with bony infarction.
	bilateral pleural effusions right greater than left, unchanged. mild pulmonary edema, unchanged. 4
	right ij catheter tip again seen in the proximal svc. persistent right middle lobe and left lingular vascular crowding and air space opacity may represent pulmonary edema, versus aspiration/infection. need clinical correlation and radiographic follow up to rule out infection. left pleural effusion unchanged in appearance. no evidence of pneumothorax. cardiomediastinal silhouette within normal limits for size and unchanged.
	suboptimal film with motion artifact. the lungs remain overall relatively well-aerated, without convincing focal opacity. no pneumothorax.
	lungs grossly clear. no evidence of a pleural effusion or pneumothorax 2.cardiomediastinal silhouette and vascularity appear normal. osseous structures appear normal.
	interval replacement of a right ij approach central line with a hickman catheter terminating at the cavoatrial junction. interval development of mild pulmonary edema. i have personally reviewed the images for this examination and agreed with the report transcribed above.
	ap erect chest radiograph demonstrates a stable left basal chest drain, left upper extremity picc line, and nasoenteric tube. lung volumes are low. fluid levels are seen at the left base, likely representing loculated fluid. persistent opacification is seen in the retrocardiac region. hazy opacification is seen within the right lung, likely representing a layering pleural effusion. there is also patchy opacification at the right base.
	ap semi upright single view of the chest. the left subclavian central catheter, right upper extremity picc line, and sternotomy wires appear unchanged. there has been interval decrease in pulmonary edema and better aeration of the lungs bilaterally. there are still bibasilar opacities seen on this examination.
	single view at 03:17 hours: right picc line in place, with its tip approximately 6 cm above the cavoatrial junction. the lung volumes left little atelectasis versus consolidation and small bilateral pleural effusions. abdomen, single view at 05:30 hours shows interval placement of a feeding tube with its tip seen in the region of the gastric pylorus chest
	prominent reticular pattern, which stems from pulmonary fibrotic changes, and given presence of small bilateral pleural effusions possibly superimposed mild pulmonary edema. reticular pattern with bibasilar opacities, which can represent mild aspiration, infection, or acute exacerbation of underlying fibrotic lung disease. "physician to physician radiology consult line: (144) 764-6824"
	bilateral pleural effusions and associated basilar opacities, with interval increase on the right. the opacities may be due to atelectasis or pneumonia/pneumonitis, with aspiration included in the differential. background of mild pulmonary edema. "physician to physician radiology consult line: (307) 980-9556"
	single supine ap view of the chest demonstrates normal placement of a right subclavian central venous catheter with distal tip within the mid superior vena cava. no evidence of pneumothorax. interval development of a mild degree of interstitial pulmonary edema.
	six radiomarkers placed symmetrically adjacent to the lower sternum on both sides. new opacity in the right lower lung which could represent atelectasis and pneumonia cannot be excluded. recommend clinical correlation. stable sternal wires and mechanical aortic valve.
	frontal and lateral views of the chest demonstrate no focal consolidation or neural effusion. cardio mediastinal silhouette is within normal limits. all mary vasculature is within normal limits. osseous and soft tissue structures are grossly unremarkable.
	there has been interval development of a right upper lobe air-space opacity, which may represent aspiration or atelectasis. persistent retrocardiac air-space opacity and left-sided pleural effusion. underlying prominent reticular interstitium suggestive of pulmonary edema.
	right sided pleural drain remains in place with small right apical pneumothorax. persistent bilateral patchy airspace opacities with more focal density in the lung bases, left more than right, reflecting atelectasis or consolidation. small bilateral pleural effusions with fluid tracking within the minor fissure
	prominent calcification is seen within the mitral annulus. there is marked interstitial pulmonary edema, with bibasal opacities and pleural effusions, most marked on the right. severe degenerative changes are seen in the right glenohumeral joint, with numerous joint bodies.
	right ij tip at the svc. mediastinal drain in place. bibasilar consolidation. pulmonary edema.
	slight increase in opacities in the bilateral lung bases.
	no interval change. persistent interstitial edema and bibasilar atelectasis.
	linear opacity at the left lung base, likely atelectasis. low lung volumes with slightly increased opacity at the right lung base, likely atelectasis or consolidation
	single portable upright radiograph of the chest demonstrates unchanged appearance of right-sided chest tube. small right base pneumothorax. right base opacities may left small right effusion and adjacent atelectasis or consolidation. persistent left base opacity and postsurgical appearance of the left lung are unchanged. increasing subcutaneous emphysema along the right chest wall and base of right neck now extending to the base of the left neck.
	stable tracheostomy tube. interval increase in size of the left mid lung opacity consistent with worsening infectious process. redemonstration of a lucency projecting over the left lower lung zone consistent with a large bulla or loculated pneumothorax with underlying homogenous increased density which may represent lung collapse or other consolidation of the right lower lobe. stable chronic changes within the right upper lobe with associated bullous disease. no other significant interval change.
	portable radiograph of the chest demonstrates interval placement of right internal jugular central venous catheter with the tip in the superior vena cava. no pneumothorax. stable positioning of dual ventricular lead left chest wall pacer/icd. stable postsurgical changes with intact median sternotomy wires and several clips in overlying the right hilum. unchanged enlargement of the cardiac silhouette. persistent mild interstitial pulmonary edema. slightly improved retrocardiac opacity
	central line remains in place. mild pulmonary edema persists with slight improvement in lung volumes.
	mild pulmonary venous hypertension with mildly enlarged heart. mild prominence of the hilar regions. please correlate with old films if they are available. minimal patchy consolidation of the left lung base, consider atelectasis versus infection versus aspiration. attention on follow up.
	portable radiograph of the chest demonstrates interval placement of right internal jugular central venous catheter with the tip terminating 6.5 cm below the inferior margin of the carina. recommend withdrawing 2 cm. no pneumothorax is seen. ongoing low lung volumes, small bilateral pleural effusions and associated opacities in bilateral lung bases. no new areas of focal consolidation. unchanged mild to moderate enlargement of the cardiac silhouette. stable postsurgical changes status post cabg with intact median sternotomy wires. incompletely evaluated cervical spine fusion.
	interval placement of right ij central venous catheter with the tip likely in the mid svc. no pneumothorax. worsened right basilar opacities. "physician to physician radiology consult line: (181) 212-3797" i have personally reviewed the images for this examination and agreed with the report transcribed above.
	other lines and tubes are unchanged. persistent cardiomegaly. left retrocardiac opacity again seen, likely representing atelectasis with associated left pleural effusion.

stable right upper extremity picc line. persistent mild cardiomegaly. no evidence of focal consolidation or pleural effusion.

a feeding tube and nasogastric tube course below the diaphragm but the tip is outside the field of view. right internal jugular central venous catheter is unchanged in position. stable, diffuse patchy air space opacities. no pleural effusion. no pneumothorax. cardio mediastinal silhouette is unchanged.

persistent bilateral patchy airspace opacities more prominent in the lung bases, which could represent infection, evolving diffuse alveolar damage, or organizing pneumonia. physician to physician radiology consult line: (483) 772-5663 i have personally reviewed the images for this examination and agreed with the report transcribed above.

adjacent pigtail catheter stable more superiorly

7/27/2000 at 13:19: redemonstration of epicardial pacer pads, implanted pacer, sternotomy wires and right lung parenchymal sutures. loculated right pleural effusion and small left pleural effusion. right basilar atelectasis. number 25 at 03:49: increased left pleural effusion, otherwise no significant interval change.

increased confluence of the bilateral interstitial opacities especially in the mid to lower lung zones bilaterally, concerning for worsening pulmonary edema given clinical history. examination is slightly limited in the bases as the bilateral costophrenic sulci were not entirely included. no significant pleural effusions noted. no acute osseous abnormalities.

redemonstration of cardiomegaly with intact leads from the dual chamber pacemaker of the right anterior chest wall. the right lower lobe demonstrates an increased prominence of a vague opacity

lungs are grossly clear. no evidence of pulmonary edema, pleural effusions or pneumothorax.

a single portable upright ap chest radiograph dated 4-6-01 at 1620 hours demonstrates stable and unchanged appearance of a left anterior chest wall dual lead pacemaker. there is improved aeration of the right lung base and a persistent left pleural effusion. otherwise, no significant interval change.

there is no evidence of pneumothorax. supportive equipment is unchanged

improved lung volumes, with diffuse reticular opacities, that may represent mild interstitial pulmonary edema. small bilateral pleural effusions. persistent air space opacities at bilateral lung bases, left greater than right. standard position and appearance of the left upper extremity picc and with the tip at the approximate cavoatrial junction. extensive surgical clips, mitral valve, and sternotomy wires are intact.

frontal radiograph of the chest demonstrates stable position of tracheostomy tube and feeding tube and left arm picc. interval reexpansion of the left upper and left mid lung zones. there are persistent small bilateral effusions. there are persistent right greater than left bibasilar opacities that may represent residual atelectasis versus consolidation. there is persistent mild pulmonary edema. post thoracotomy changes again noted of a left sided rib.

ap semi-erect film. a tracheostomy tube and bilateral central venous lines appear unchanged. the lung volumes are low, with likely mild pulmonary edema, bibasilar opacification and layering pleural effusions

single frontal view of the chest on 1/7/2003 at 0832 demonstrates the feeding tube passing into the gastroesophageal junction. right picc is seen at the level of the cavoatrial junction. bilateral pleural effusions, stable. increased interstitial markings consistent with stable pulmonary edema. stable cardiomegaly.

this could represent a focal area of atelectasis. the lungs are otherwise clear. there are no effusions. the heart size is within normal limits. there is still significant residual subcutaneous emphysema within the left lateral chest wall.

endotracheal tube in place, with its tip approximately 5 cm above the carina. diffuse airspace opacities in both lungs ("white lung") consistent with extensive edema, hemorrhage, ards, or, less likely, extensive infection.

single portable semiupright ap view of the chest demonstrates stable position of the endotracheal tube, nasogastric tube, feeding tube, left picc line, right internal jugular central venous catheter, right pleural pigtail drain and left chest tube. no pneumothorax. low lung volumes with persistent left lung base parenchymal opacity and small left pleural effusion. overall, no significant interval change.

pa and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. emphysematous changes are seen in the lungs bilaterally, with flattening of the hemidiaphragms and blunting of the costophrenic angle. there are old left-sided rib fractures with associated pleural thickening. 3

interval placement of a right ij central venous catheter. no pneumothorax is identified. bilateral reticular densities with confluence in the retrocardiac space. 3

there is a tiny apical pneumothorax located in the bilateral apices. no evidence of tension pneumothorax. left greater than right lower lobe atelectasis. small bilateral pleural effusions.

left subclavian catheter with tip in the superior vena cava. interval decrease in retrocardiac atelectasis or consolidation. 3

left upper extremity picc line in place with the tip in region of cavoatrial junction. persistent elevation of the right hemidiaphragm with bibasilar atelectasis. persistent but decreased small left pleural effusion.

redemonstration of right internal jugular sheath and catheter. post extubation development of a small left lower lobe atelectasis. otherwise, the cardiopulmonary status is unchanged with persistent mild interstitial pulmonary edema. small left pleural effusion.

single ap semiupright view of the chest demonstrates interval status post placement of a double lumen left internal tubular central venous catheter with the tip projecting over the caval atrial junction. also status post interval placement of a left upper extremity picc line, the tip is not clearly visualized. redemonstration of right upper extremity picc line in stable position. grossly stable cardiopulmonary findings with bilateral effusions, right larger than left with associated atelectasis. signs of pulmonary edema.

left basilar atelectasis or consolidation. esophageal tube ends in the stomach. low lung volumes.

low lung volumes with crowding of interstitial lung markings. no evidence for line placement. no evidence of pneumothorax.

mild elevation of the right hemidiaphragm. no radiographic evidence of acute cardiopulmonary disease. no fractures or pneumothorax identified.

mild decrease and redistribution in large loculated right pleural effusion, with known pulmonary masses better evaluated on ct. "physician to physician radiology consult line: (859) 264-8810"

left apical pneumothorax is seen. abnormal bibasilar opacities, right greater than left. no other significant interval change.

sternotomy wires and right apical chest tube are unchanged. there has been interval development of a right-sided pneumothorax measuring 2.5 cm in apical axis. cardiomegaly unchanged. opacity at the left costophrenic angle likely represents an epicardial fat pad. findings comminuted with taylor carlynn, md in the cvicu.

no evidence of a cardiopulmonary disease. no radiographic explanation for the patient's cough. no evidence of focal consolidation, pleural effusions, pulmonary edema or pneumothorax. no obvious endotracheal or endobronchial lesion. ct scan of the thorax is more sensitive for the evaluation of pulmonary disease as well as airways disease. cardiomediastinal silhouette is within normal limits. bony structures are unremarkable.

no significant change in bibasilar consolidation, left greater than right, and mild pulmonary edema

single view portable upright radiograph of the chest demonstrates a cardiac valve, sternotomy wires, and cardiomegaly. bilateral pleural effusions, with right greater than left dense opacification at the bases. if pulmonary edema is present, it is small in extent.

redemonstration of findings consistent with cystic fibrosis including bronchiectasis and bronchial wall thickening. no focal consolidation or pleural effusion. standing and supine frontal views of the abdomen demonstrate large stool burden throughout the colon. there are cholecystectomy clips projecting in the right upper quadrant.

postsurgical changes status post pulmonary nodule resection with anastomotic sutures again noted in the left lobe. there is a left chest tube and epidural catheter. persistent relative radiolucency of the left apex, without a definite pleural line to indicate the presence of a pneumothorax. stable loculated right pleural effusion and stable left lung base scarring. left chest wall edema compatible with postsurgical changes.

single portable view of the chest. limited study secondary to the exclusion of the apices from view. no interval change in the position of the right chest tube. persistent right pleural effusion and/or pleural thickening. stable appearance of nodular opacity in the left lung base. no evidence of pneumothorax. cardiomediastinal silhouette and pulmonary vasculature are stable.

moderate-sized left pleural effusion. right hilar mass not fully evaluated secondary to low lung volumes.

portable ap semierect view of the chest demonstrates an improved but still present pulmonary edema. unchanged bilateral pleural effusions. opacification is greater on the left side, representative of consolidation versus atelectasis.

single semi-upright ap view of the chest demonstrates stable positioning of an endotracheal tube, nasogastric tube, and left internal jugular central venous sheath. no significant change in cardiomegaly, diffuse reticular pattern of the lungs, which may reflect a mild degree of pulmonary edema, small bilateral pleural effusions, and bibasilar opacities, most dense in the retrocardiac area.

band-like opacity projecting over right lung base may represent atelectasis or consolidation. interval decrease in right middle lobe opacity. left lung mid and lower zone opacities are not significantly changed. interval decrease in left-sided pleural effusion. possible small decrease in right-sided pleural effusion. interval increase in bilateral lung volumes. otherwise, no significant interval change of the chest.

single frontal view of the chest demonstrates right middle and right lower lung zone consolidations with air bronchograms, likely secondary to pneumonia. a moderate right-sided pleural effusion is identified, which is likely parapneumonic in nature. there is no evidence of pneumothorax 4.the visualized osseous structures demonstrate no evidence of acute fracture.

ap upright portable radiograph of the chest demonstrates a 2-lead pacemaker in stable position. there is interval development of bibasilar atelectasis. there is no pneumothorax.

expiratory film shows large right pneumothorax with associated air fluid level in inferior hemithorax. associated mild mediastinal shift. persistent small left-sided pleural effusion.

signs of chronic obstructive pulmonary disease, no pulmonary opacities. no pleural effusion. omarthrosis on the left.

interval repositioning of the right upper extremity picc line, the tip now approximately 2.3 cm below the cavoatrial junction. no focal infiltrate, effusion or pneumothorax. stable cardiomediastinal silhouette. improved lung volumes.

stable position of tracheostomy tube, left upper extremity picc and sternotomy wires. bilateral pleural effusions. worsening bibasilar opacities. stable reticular pattern, likely representing pulmonary edema. cardiomegaly.

frontal and lateral radiographs of the chest demonstrates a retrocardiac opacity as well as left basilar opacity. this may represent atelectasis, aspiration, or consolidation. a right-sided picc line terminates 4.8 cm below the carina. there is blurring of the aortic knob, which may be positional in nature. attention at follow-up is recommended.

single frontal semiupright view of the chest obtained. no evidence of pneumothorax; chest clear. assessment of the cardiac silhouette is slightly limited secondary to partially supine positioning of the patient. the heart size is either within normal limits, or else there may be mild cardiomegaly. there is no abnormal mediastinal widening. visualized osseous structures grossly within normal limits.

no evidence of pulmonary edema, pleural effusion, or other acute cardiopulmonary disease. degenerative changes again noted within the spine.

stable tubes and lines. hazy opacity in the left lung is consistent with pleural effusion. there is opacification in the retrocardiac region, consistent with atelectasis or consolidation. there is interval increase in pulmonary edema.

persistent stable pulmonary edema. redemonstration of retrocardiac opacification. interval placement of a nasogastric tube, the tip of which is out of the scope of the current examination.

worsening pneumonia with complete opacification of the right middle lobe and increasing consolidation in the right lower lobe.

frontal and lateral views of the chest demonstrates asymmetric elevation of the left hemidiaphragm with associated mild opacity at the left lung base, likely atelectasis. the lungs are otherwise clear. no pneumothorax. normal heart size. no pulmonary edema or definite pleural effusion. callus formation around the old right medial clavicular fracture. no acute osseous abnormality.

redemonstration of multiple rib fractures and left clavicle fracture. no pneumothorax. i have personally reviewed the images for this examination and agreed with the report transcribed above.

a small 6-mm focal opacity seen projecting over the anterior aspect of the right first rib which probably represents costal cartilage calcification. however a small pulmonary nodule cannot be excluded. recommend lordotic views for further evaluation. otherwise, no evidence of focal consolidation, pleural effusion, pulmonary edema or pneumothorax. cardiomediastinal silhouette is within normal limits. unremarkable bony structures.

stable position of right chest tube and epidural catheter. tiny right apical pneumothorax remains. diffuse mild opacification, likely representing expected operative related contusion again seen in the right midlung zone lobe.

heart size is at the upper limits of normal. lung fields are clear bilaterally, except for a small blunting of the left costophrenic angle, which is likely related to a small pleural effusion versus a small area of atelectasis. no radiographic evidence of infection.

right chest tube and left ij line remain in place. small right apical pneumothorax is again seen, not significantly changed in size. patchy opacities persist in right lung as well as left mid and lower lung zones.

stable right basilar opacity and elevated right hemidiaphragm reflecting atelectasis with a small amount of right pleural effusion. stable normal cardiomediastinal silhouette and coarse pulmonary markings consistent with the patient's advanced age.

two leads remain in place. there has been interval placement of a new single lead pacer in the right neck with lead in the expected location of the right ventricle. no definite pneumothorax demonstrated. surgical skin staples are seen in the left chest wall. there are low lung volumes with small bibasilar opacities likely representing atelectasis.

the lung markings are clear without evidence of airspace opacities, pleural effusion or pulmonary edema. the cardiomediastinal silhouette is normal. postsurgical changes in the left scapula. otherwise no osseous abnormalities.

two mediastinal drains remain in place. the swan-ganz catheter has been retracted with tip now at the proximal superior vena cava. an additional left internal jugular central venous line tip remains at the level of the proximal superior vena cava. a right picc line tip is again noted at the level of the proximal superior vena cava. post surgical changes related to midline sternotomy. lung volumes remain slightly decreased with persistent left lower lobe retrocardiac opacity. the lungs are otherwise clear. no pleural effusion. cardiomediastinal silhouette is stable.

stable positioning of tracheostomy and left picc line 2.decreasing reticular opacities consistent with decreasing pulmonary edema 3.bibasilar opacities with worsening of the mid to lower left lung 4.small bilateral pleural effusions increasing on the left 5.old right rib fracture

no significant interval change. persistent left lower lobe atelectasis or consolidation with enlarged cardiac silhouette, which is stable. lines and tubes unchanged.

stable small right pleural effusion. no new focal pulmonary consolidation is seen.

upright pa and lateral chest radiographs demonstrate low lung volumes. increased opacities are present at bilateral lung bases including a bandlike opacity in the left midlung zone. these findings are likely related to atelectasis, however an early or developing consolidation could have a similar appearance. recommend clinical correlation. no pulmonary edema. cardiomegaly is present. redemonstration of tortuous thoracic aorta with calcified plaque.

endotracheal tube tip is slightly low in position. remaining tubes and lines are in satisfactory and unchanged position. bilateral pleural effusions once again noted, largest on the right. this is stable. slight interval worsening of pulmonary edema. calcified mediastinal lymph nodes.

increased lung volumes. bibasilar atelectasis, unchanged. resolution of left pleural effusion.

right-sided chest tube has been repositioned. feeding tube is unchanged. persistent cardiomegaly with a large aorta. mild edema is unchanged. bibasilar opacities which may represent atelectasis vs consolidation appear to be stable.

normal cardiomediastinal silhouette 2.right base linear opacity 3.small right pleural effusion 4.gaseous distention of the stomach

bibasilar consolidation, with areas, which have a more rounded/nodular appearance on the right side. the differential includes infectious or even neoplastic processes

single portable upright frontal view of the chest demonstrates low lung volumes with interval increased retrocardiac opacification causing obscuration of the left hemidiaphragm. interval increased nodular pattern with poor delineation of the pulmonary vasculature suggests pulmonary edema or sickle cell chest crisis. sclerosis of the humeral heads consistent with bony infarction.

bilateral pleural effusions right greater than left, unchanged. mild pulmonary edema, unchanged. 4

right ij catheter tip again seen in the proximal svc. persistent right middle lobe and left lingular vascular crowding and air space opacity may represent pulmonary edema, versus aspiration/infection. need clinical correlation and radiographic follow up to rule out infection. left pleural effusion unchanged in appearance. no evidence of pneumothorax. cardiomediastinal silhouette within normal limits for size and unchanged.

suboptimal film with motion artifact. the lungs remain overall relatively well-aerated, without convincing focal opacity. no pneumothorax.

lungs grossly clear. no evidence of a pleural effusion or pneumothorax 2.cardiomediastinal silhouette and vascularity appear normal. osseous structures appear normal.

interval replacement of a right ij approach central line with a hickman catheter terminating at the cavoatrial junction. interval development of mild pulmonary edema. i have personally reviewed the images for this examination and agreed with the report transcribed above.

ap erect chest radiograph demonstrates a stable left basal chest drain, left upper extremity picc line, and nasoenteric tube. lung volumes are low. fluid levels are seen at the left base, likely representing loculated fluid. persistent opacification is seen in the retrocardiac region. hazy opacification is seen within the right lung, likely representing a layering pleural effusion. there is also patchy opacification at the right base.

ap semi upright single view of the chest. the left subclavian central catheter, right upper extremity picc line, and sternotomy wires appear unchanged. there has been interval decrease in pulmonary edema and better aeration of the lungs bilaterally. there are still bibasilar opacities seen on this examination.

single view at 03:17 hours: right picc line in place, with its tip approximately 6 cm above the cavoatrial junction. the lung volumes left little atelectasis versus consolidation and small bilateral pleural effusions. abdomen, single view at 05:30 hours shows interval placement of a feeding tube with its tip seen in the region of the gastric pylorus chest

prominent reticular pattern, which stems from pulmonary fibrotic changes, and given presence of small bilateral pleural effusions possibly superimposed mild pulmonary edema. reticular pattern with bibasilar opacities, which can represent mild aspiration, infection, or acute exacerbation of underlying fibrotic lung disease. "physician to physician radiology consult line: (144) 764-6824"

bilateral pleural effusions and associated basilar opacities, with interval increase on the right. the opacities may be due to atelectasis or pneumonia/pneumonitis, with aspiration included in the differential. background of mild pulmonary edema. "physician to physician radiology consult line: (307) 980-9556"

single supine ap view of the chest demonstrates normal placement of a right subclavian central venous catheter with distal tip within the mid superior vena cava. no evidence of pneumothorax. interval development of a mild degree of interstitial pulmonary edema.

six radiomarkers placed symmetrically adjacent to the lower sternum on both sides. new opacity in the right lower lung which could represent atelectasis and pneumonia cannot be excluded. recommend clinical correlation. stable sternal wires and mechanical aortic valve.

frontal and lateral views of the chest demonstrate no focal consolidation or neural effusion. cardio mediastinal silhouette is within normal limits. all mary vasculature is within normal limits. osseous and soft tissue structures are grossly unremarkable.

there has been interval development of a right upper lobe air-space opacity, which may represent aspiration or atelectasis. persistent retrocardiac air-space opacity and left-sided pleural effusion. underlying prominent reticular interstitium suggestive of pulmonary edema.

right sided pleural drain remains in place with small right apical pneumothorax. persistent bilateral patchy airspace opacities with more focal density in the lung bases, left more than right, reflecting atelectasis or consolidation. small bilateral pleural effusions with fluid tracking within the minor fissure

prominent calcification is seen within the mitral annulus. there is marked interstitial pulmonary edema, with bibasal opacities and pleural effusions, most marked on the right. severe degenerative changes are seen in the right glenohumeral joint, with numerous joint bodies.

right ij tip at the svc. mediastinal drain in place. bibasilar consolidation. pulmonary edema.

slight increase in opacities in the bilateral lung bases.

no interval change. persistent interstitial edema and bibasilar atelectasis.

linear opacity at the left lung base, likely atelectasis. low lung volumes with slightly increased opacity at the right lung base, likely atelectasis or consolidation

single portable upright radiograph of the chest demonstrates unchanged appearance of right-sided chest tube. small right base pneumothorax. right base opacities may left small right effusion and adjacent atelectasis or consolidation. persistent left base opacity and postsurgical appearance of the left lung are unchanged. increasing subcutaneous emphysema along the right chest wall and base of right neck now extending to the base of the left neck.

stable tracheostomy tube. interval increase in size of the left mid lung opacity consistent with worsening infectious process. redemonstration of a lucency projecting over the left lower lung zone consistent with a large bulla or loculated pneumothorax with underlying homogenous increased density which may represent lung collapse or other consolidation of the right lower lobe. stable chronic changes within the right upper lobe with associated bullous disease. no other significant interval change.

portable radiograph of the chest demonstrates interval placement of right internal jugular central venous catheter with the tip in the superior vena cava. no pneumothorax. stable positioning of dual ventricular lead left chest wall pacer/icd. stable postsurgical changes with intact median sternotomy wires and several clips in overlying the right hilum. unchanged enlargement of the cardiac silhouette. persistent mild interstitial pulmonary edema. slightly improved retrocardiac opacity

central line remains in place. mild pulmonary edema persists with slight improvement in lung volumes.

mild pulmonary venous hypertension with mildly enlarged heart. mild prominence of the hilar regions. please correlate with old films if they are available. minimal patchy consolidation of the left lung base, consider atelectasis versus infection versus aspiration. attention on follow up.

portable radiograph of the chest demonstrates interval placement of right internal jugular central venous catheter with the tip terminating 6.5 cm below the inferior margin of the carina. recommend withdrawing 2 cm. no pneumothorax is seen. ongoing low lung volumes, small bilateral pleural effusions and associated opacities in bilateral lung bases. no new areas of focal consolidation. unchanged mild to moderate enlargement of the cardiac silhouette. stable postsurgical changes status post cabg with intact median sternotomy wires. incompletely evaluated cervical spine fusion.

interval placement of right ij central venous catheter with the tip likely in the mid svc. no pneumothorax. worsened right basilar opacities. "physician to physician radiology consult line: (181) 212-3797" i have personally reviewed the images for this examination and agreed with the report transcribed above.

other lines and tubes are unchanged. persistent cardiomegaly. left retrocardiac opacity again seen, likely representing atelectasis with associated left pleural effusion.