Assessment #1 case-set #3 case #3

Diffuse b/l lung infiltrates may represent RDS

Endotracheal tube at the level of T5 at the carina. Recommend retracting.
Diffuse hazy groundglass opacities suggestive of ARDS.

pulmonary edema vs viral pna vs neonatal respiratory distress syndrome

ptx

Enteric tube coursing down the esophagus with distal tip in the stomach. Bilateral pulmonary edema and interstitial opacities.

Diffuse interstitial opacity, concern for viral infection vs edema

Diffuse bilateral pulmonary opacities which could represent a viral infection.

neonatal pneumonia

Enlarged cardiomediastinal silhouette with diffuse interstitial thickening bilaterally which raises concern for pulmonary edema. Cardiac echo could be obtained to evaluate heart function if clinically indicated.

Enteric tube courses below the diaphragm with distal tip projecting over the gastric body.

Multilobar pneumonia.
Enteric tube terminating in stomach.

Multifocal heterogenous airspace opacities involving the right > left lung base/midlung. These findings may represent multifocal pna.

No ptx or large effusuion.

Gastric decompression tube projects over the stomach.

Widened right-ward displaced mediastinum and enlarged boot shaped cardiac silhouette. Diffuse hazy opacities in bilateral lung fields.

ETT in mid to lower thoracic trachea. DHT terminates in stomach. hazy, airspace opacities bilaterally, which could represent infectious process. mildly enlarged cardiac silhouette. no pneumonthorax or pleural effusion

Diffuse airspace opacification c/f infectious etiology. Consider meconium aspiration, edema

Diffuse heterogenous pulmonary opacities concerning for bacterial pneumonia.

FINDINGS:

An enteric is present with tip in the stomach.

There are diffuse pulmonary interstitial opacities bilaterally consistent with edema. No pneumothorax or pleural effusion. The hear has an irregular contour and is borderline enlarged. A right perihilar opacity is suspicious for a right-sided aortic arch.

IMPRESSION:

1. Pulmonary interstitial edema.
2. Irregular cardiac shape with suspicion of right-sided aortic arch. Recommend echo for further evaluation.

Diffuse groundglass opacification bilaterally. ARDS?

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patchy.
linear opacity of right heart border the may represent small volume pneumothorax vs pneumomediastinum.
enlarged globular heart.

Nasogastric tube with tip projecting over the gastric body. EKG leads overlie the chest.

Diffuse hazy airspace opacities, concerning for neonatal pneumonia.

Coarse, heterogenous bilateral opacities throughout the lungs which raises concern for meconium aspiration or neonatal pneumonia. Gastric tube in anticipated position.

Bilateral hazy airspace opacities which could be seen with bacterial pneumonia in setting of fever. Ddx also includes TTN, and could be further evaluated with interval chest x ray in a few days to assess for resolution.

ETT over the midthoracic trachea. Gastric decompression over gastric body.

diffuse grainy airspace opacities, could reflect aspiration, edema, pna

f

pna

diffuse opacification of both lung fields, which could reflect meconium aspiration or pneumonia.

ET tube mid thoracic.

Slight enlargement of cardiac silhouette.

Increased intestinal, favor viral. No bac pna
Gastric suction tube

Patchy airspace opacification, most prevalent in the lung bases. This is most consistent with meconium aspiration vs pneumonia.
No acute osseous findings. Enteric tube project over the gastric bubble.

Hazy diffuse pulmonary opacities concerning for pneumonia.
Gastric tube tip projects over the gastric body.

Hazy opacification of the bialteral lung fields concerning for respiratory distress syndrome versus meconeum aspiration.

Bilateral confluent hazy airspace opacities concerning for neonatal PNA.

Diffuse coarse patchy airspace opacities concerning for meconium aspiration syndrome. ETT projects over T4. No pleural effusions or pneumothorax.

Gastric tube in expected radiographic position.
Diffuse hazy pulmonary opacities which could reflect multifocal pneumonia and / or pulm edema.
Mild gaseous distension of the stomach and partially visualized bowel loops.

1. Bilateral diffuse alveolar airspace opacities without pleural effusions. The cardiac sillouthette is at the upper limits of normal with a questionably abnormal contour. These findings could relate to pulmonary edema or multifocal pneumonia. No pneumothorax.
2. Gastric tube tip projecting over the stomach.

Low ET tube at carina, recommend retraction. Bilateral predominatly central and perihilar opacities suggestive of edema. However, multifocal pneumonia cannot be excluded and should be considered in the setting of fever. No pleural effusions or pneumothorax.

Consolidation int he right lower lobe. Additional patchy opacities in the left lower lobe.

ETT directed L mainstem

groundlass opacificationf o bilareral lung fields.

ET tube terminating in the right mainstem bronchus. Right pneumothorax.

Enteric tube projects over the gastric body.
Diffuse b/l hazy airspace opacities suggestive multifocal pneumonia or pulmonary edema. No large pleural effusion.

Enlarged cardiopericardial silhouette with water bottle configuration of the heart with distinct outline, concerning for pericardial effusion or pneumopericardium. Consider echocardiogram for further evaluation.

Diffuse ground glass opacities of the bilateral lungs, possibly due to TTN. No pleural effusion. No ptx.

Feeding tube projects over the gastric body.

ET tube is low lying possibly in right main… not optimal screen +/= cant level to further ascertain
increasing opacification of the bilateral lung fields with a mildly enlarged cardiac sihoulette concerning for edema

Diffuse airway opacities with no pleura effusions or pneumothorax. Findings are favored to represent pneumonia in the setting of fever, however, pulmonary edema and TTN cannot be excluded.
ET tube projects at the level of the carina. Reccomend retraction.

Cardiothymic sillhouette is within normal limits. Curvilinear luceny along the right heart border is concerning for pneumomediastinum.
Patchy opacities throughout the bilateral lung fields concerning for respiratory distress syndrome versus pneumonia. No pleural effusion or pneumothorax.
Feeding tube projects over the gastric body.

Esophagogastric tube tip extends into the stomach.

Cardiomediastinal contours are enlarged with an enlarged right ventricle concerning for heart strain. In combination with pulmonary interstitial edema, this raises concern for tricuspid anomaly or anomalous venous return.

Recommend cardiology consult and echocardiogram for further assessment.

Diffuse heterogeneous pulmonary opacities concerning for meconium aspiration vs pneumonia.

Right mainstem ET tube, bilateral infiltrates

Bilateral airspace opacities concerning for viral pneumonia or edema.

Dense consolidations of both lungs with air bronchogram, likely representing extensive bacterial pneumonia.

bilateral hazy opacitites, right greater than left, with small left pleural effusion. consider bacterial pnuemonia

Coarse ground glass opacities throughout the lungs bilaterally with hyperexpansion, which can be seen with meconium aspiration.

TTN with small left pleural effusion.

bilateral hazy opacifications, TTN vs pneumonia

hazy opacities throughout both lungs-edema vs infection
borderline enlargement of heart
enteric tube projects over stomach.

hazy b/l

Diffuse patchy and hazy opacities throughout the bilateral lungs with more focal confluent opacities within the bibasilar regions. Findings may represent a combination of edema, atelectasis, and/or pneumonia.
Gastric tube tip terminates over the gastric body.
Normal cardiothymic silhouette.

small pleural effusions bilaterally.
diffuse opacities bilaterally

ET tube tip projects near carina, and should be pulled back x mm.

Multifocal hazy opacities, which can be seeen in the setting of multifocal bacterial infection (given fever) or viral infection.

lucenecy along the right heart border and deep right sulcus may rerpresent ptx. TTN

Meconium aspiration vs multi focal PNA

Right greater than left hazy opacities, concerning for pulmonary edema, cannot exclude pna. Gastric suction tube terminates over gastric body.

Diffuse hazy lung opacities bilaterally concerning for multifocal pneumonia. Additionally, the right heart border is enlarged and superimposed pulmonary edema could also be considered.

diffuse ground glass opacities in the bilateral lungs, like representing pulmonday edema, however superimposed infection, cannot be excluded.

-hazy opacification of the lungs bilaterally without clear effusion, edema of atypical possible
-lucency along the right heart border and right lateral lung that may represent pleural gas, could be further evaluated with lateral radiogaphs
-gastric tube in appropriate position.

Enteric tube terminates in the stomach. Diffuse groundglass opacities in bilateral lung fields that may represent edema and/or pneumonia.Moderate sized right pneumothorax.

heart is enlarged. There is bilateral pulmonary airspace opacity mostly centrally distributed, suspicious for mild pulmonary edema. There is small amount of left pleural effusion.

diffuse haziness of the bilateral lungs with luciencies tracking along the heart border and around the thymus which may represent pneumomediatinum, pneumothorax, or barotrauma.

ETT in the mid trachea. Low lung volumes. Bilateral diffuse airspace opacifications involving the majority of the lung fields. Concerning for hyaline membrane disease vs. neonatal PNA.

Apparent pneumothorax evidenced by linear lucency at the right heart border and lucencies at the lateral apex and base. Diffuse air space opacities with possible air bronchograms concerning for bacterial pneumonia.

Enteric tube terminates in the right mainstem bronchus. Recommend retraction and repeat radiograph to assess for appropriate positioning.
Diffuse hazy opacities in the bilateral lungs, which could represent infection, aspiration, atelectasis or a combination of these processess.
Abnormal lucency along the right cardiac border and in the right apical and basilar lung, concerning for right pneumothorax.

Multifocal pneumonia

l ptx and possible L pneumediastinum (lucency along r heart bord)
increased lung volumes and corase heterogenous opacities may represent pna in this pt with fever or ttn.

Small anterior right pneumothorax.
Diffuse hazy opacities of the bilateral lungs concerning for pneumonia. Likely small bilateral pleural effusions.

typed report but not saved

x

Lucency outlining the right mediastinum concerning for pneumothorax.

diffuse bilat granular opacities likely aspiration or neonatal pneumonia.

concerning for multifocal pna, likely right ptx