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Stanford AIMI 60

Persistent low lung volumes with vascular congestion and mild pulmonary edema.

Prominent osteophytosis noted in the thoracic spine on the right; other visualized osseous structures are unremarkable.

Possible trace pleural fluid at the right costophrenic angle.

Possible emphysematous changes consistent with a COPD pattern.

Presence of bilateral patchy areas of consolidation with an underlying diffuse reticular pattern, showing little interval change.

Increased right apical radiodensity, likely due to patient rotation and overlying soft tissue.

Catheter tip appropriately positioned in the distal inferior vena cava.

An apparent endoscope is visible in profile within the proximal half of the thoracic portion of the esophagus.

Skin staple seen in the midline

Stable appearance of the right upper extremity peripherally inserted central catheter (PICC line), tracheostomy tube, and feeding tube.

Mild bibasilar atelectasis stable.

New small poorly defined opacity in the basal left lung, suggestive of radiological worsening.

Stable small dense opacity overlying the right third posterior rib, suggestive of a bone island or less likely a calcified granuloma.

Interval change with removal of PA catheter and new placement of a right internal jugular (IJ) line.

Improved ventilation at the right lung base compared to prior imaging.

Biliary stent present over the right upper quadrant.

Persistent linear subsegmental atelectasis in the left mid to lower lung zones.

Persistent bibasilar opacities consistent with atelectasis and/or pneumonia.

Dense left lower lobe airspace opacity, which may represent effusion with atelectasis; superimposed infection cannot be excluded.

Heart size likely normal, appearance possibly accentuated by portable technique and low lung volumes.

Elevation of the right hemidiaphragm, possibly related to hepatomegaly

Presence of an Automatic Implantable Cardioverter-Defibrillator (AICD) and LVAD.

Removed left-sided pacemaker with residual leads in situ.

Unchanged position of right internal jugular sheath.

Presence of pacemaker and sternotomy wires consistent with post-surgical status.

Normal cardiac silhouette and pulmonary vasculature with tortuous and calcified thoracic aorta.

Left basilar retrocardiac airspace opacity, potentially indicative of aspiration or infection.

Proper placement of the ET tube, terminating 2.5 cm from the carina.

Endotracheal (ET) tube in standard position, tip not visualized on film.

Tip of the feeding tube is located in the upper stomach, requiring advancement by at least 7 cm to position all side ports beyond the gastroesophageal (GE) junction.

Normal heart size with patchy vascular calcifications.

Interval improvement in previously noted left basilar opacity.

Substantial bibasilar atelectasis, likely related to low lung volumes.

Small bilateral pleural effusions, pulmonary edema, and cardiomegaly, suggestive of acute exacerbation of congestive heart failure.

Persistent left-sided effusion and atelectasis.

Unchanged position of multiple tubes and lines.

Interval improvement in aeration with residual opacity at the left base, suggestive of atelectasis and/or consolidation.

Borderline enlarged cardiac silhouette on subsequent imaging.

Increased right lung opacity, suggestive of pulmonary edema, with differential including consolidation.

A tortuous atherosclerotic descending aorta is present.

Near complete resolution of previously noted subtle airspace opacities.

Mild increase in aeration of the right lung with persistent hazy opacities bilaterally. No pleural effusion noted.

Stable appearance of an old distal right clavicular fracture.

Presence of a defibrillator plate, which obscures much of the left lung field.

Clear without evidence of focal consolidation.

Interval improvement of right middle and lower lobe consolidations.

Minimal hazy opacities in the right lower lung and left midlung zone, which may represent residual multifocal pneumonia. Clinical correlation and consideration for short-term follow-up imaging to assess for resolution is recommended.

If clinical concern persists for sternal or rib fracture, dedicated imaging is recommended.

Stable radiological appearance of COPD type emphysema, without significant changes noted.

Vertebral wedging, which may be related to previous trauma or osteoporotic changes.

Late atelectasis in the left lower lobe.

Underinflation of the lung bases, with a recommendation for repeat upright views to better evaluate for possible pneumonia.

Diminished lung volumes and slight interval increase in atelectasis at the left lung base. The lungs are otherwise clear.

Presence of a linear scar in the right upper lobe, which may be related to previous tuberculous infection.

Right internal jugular central venous line with tip terminating in the proximal right atrium.

Degenerative changes in the right shoulder are noted.

Deformity of the right humeral head, likely secondary to previous trauma.

Bilateral mid lung zone opacities, likely representing atelectasis.

Left upper lung zone opacity of unclear etiology; recommend further evaluation on follow-up imaging.

Right PICC line terminates at the origin of the SVC.

Multiple fractures involving the right clavicle, right ribs, and pelvis with associated subcutaneous emphysema.

Bilateral heterogeneous opacities with increased severity over the last 4 hours

Bilateral lower lobe heterogeneous opacities are noted, which may represent pneumonia or aspiration pneumonia, with differential considerations including atelectasis and asymmetric pulmonary edema. Clinical correlation is advised.

No focal parenchymal opacities in the aerated lungs

Elevated left diaphragm

Visualization of the tip of a right-sided femoral catheter.

Resolution of previously noted minimal opacity at the right lung bases.

Repositioning of the Swan-Ganz catheter with the tip now located in the pulmonary outflow tract.

Low lung volumes are noted with obscuration of the left hemidiaphragm, suggesting volume loss in the lower lobe and/or pleural effusion.

Unchanged position of right internal jugular central venous catheter with the tip in the mid SVC.

Presence of midline sternotomy wires with the inferiormost wires fractured, stable appearance.

No acute cardiac or pulmonary process is identified. There is no evidence of focal consolidation or pneumothorax.

Bilateral old rib fractures noted.

Left internal jugular (IJ) catheter and sheath present.

Linear opacity at the right lung base, possibly due to atelectasis, unchanged from prior.

Mild scoliosis with right convexity, a chronic skeletal finding without acute implications.

Stable left lower lobe opacification with possible left-sided pleural effusion.

The lungs are clear with no new lung consolidation.

Persistent plate-like atelectasis at the right lung base.

Slightly less aeration in the retrocardiac region compared to the prior study.

Degenerative changes in the lower thoracic and upper lumbar spine

Increase in moderate to large left pleural effusion.

Stable endotracheal tube, nasogastric tube, and right internal jugular line. The left internal jugular Swan-Ganz catheter has been advanced, with the tip now likely in the superior vena cava. Stable right chest tube and mediastinal drain.

Stable hilar prominence without new acute cardiopulmonary abnormality.

Mediastinal drains and median sternotomy wires unchanged.

Instrumentation device overlying the lower right lung zone.

Large bore left internal jugular line in place.

Bibasilar opacities are present, concerning for bilateral lower lobe collapse.

Endotracheal and nasoenteric tubes, as well as PICC and central venous catheters, are in satisfactory position.

Decreased size of the left pleural effusion with an air component at the apex and a smaller basal component.

Abnormal prominence of the right pulmonary hilum, suggesting further evaluation with chest CT.

The feeding tube is present, likely courses below the level of the diaphragms, but not well evaluated.

Residual contrast within the splenic flexure

Persistent small to moderate right pleural effusion without significant change.

Increasing opacification in the retrocardiac lung, suggestive of left lower lobe collapse/consolidation.

No evidence of focal parenchymal opacities.

No new opacity, pulmonary edema, or pneumothorax.

Persistent opacity in the right upper lung, similar to slightly increased compared to prior.

Improving right lung base opacity, likely indicative of resolving aspiration pneumonia.

Diffuse reticular pattern observed, which may suggest mild pulmonary edema. Stable appearance of innumerable pulmonary nodules.