Assessment #1 case-set #4 case #8 vanderbilt

Possible right sided aortic arch although difficult to determine given the inability to window. Otherwise normal.

Abnormal L heart contour. Consider echo/CT.

Normal

middle mediastinal mass

Air fluid level of the stomach with gastric distension and paucity of bowel gas and dense opacification of the abdomen, concerning for ingested radiolucent foreign body causing gastric outlet obstruction. Locules of bowel gas of the right lower abdominal quadrant. No definite pneumatosis.

nl

normal

Lungs are clear. Linear hype density over the RLL favored skin fold or artifact.
Cardio thymic silhouette is w/in nml limits.
Air fluid level in the stomach. Paucity of bowel gas limits evaluation.

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flattened diaphragm, likely asthma

1. No acute cardiopulmonary abnormality.
2. Nonspecific relative paucity of bowel gas.

no acute intrathoracic findings

overall paucity of bowel gas, nonspecific in nature.

Air fluid level in stomach.

No acute cardiopulmonary abnormality. Non specific paucity of bowel gas within the abdomen.

Steeple sign. No acute pulmonary, cardiac, bony abnormalities.

FINDINGS:

Hyperexpanded lungs bilaterally. No airspace opacity of consolidation. No pleural effusion or pneumothorax.

The cardiac silhouette is normal. The bones are unremarkable.

IMPRESSION:

Hyperexpanded lungs bilaterally. In the setting of cough, this is suspicious for foreign body aspiration. No radiopaque objects seen, but a radiolucent foreign body aspiration should be considered in this age group.

RLL pna.

Unable to window

hyperinflated lung fields without focal consolidation

Widening of the superior mediastinum with right upper lung opacity. Findings concerning for mediastinal mass.

LLL bronchopneumonia.

Small rounded airspace opacification within the left lung base. Finding overlaps bone and could represent benign osseous finding, although cannot exclude pneumonia or aspiration.

Incidental right-sided aortic arch. Recommend cardiology consult and ECHO if not already performed.

No focal consolidation or other acute findings.

Spine sign concerning for pna

hazy infiltrates b /l

Viral pneumonia vs reactive small airways disease

Diffuse hazy opacities of bilateral lung with peribronchial thickening. Hyperexpanded lungs with flattening of diaphragms bl. c/w viral infection

Peribronchial thickening with flattening of the diaphragm, concerning for viral pneumonia and/or reactive airway disease. No consolidative PNA, pleural effusion, or PTX. Cardiomediastinal silhouette WNL.

Bilateral hyperinflation and peribronchial thickening, nonspecific though can be seen in the setting of viral/inflammatory etiologies. No focal airspace opacity to suggest bacterial pna.

General paucity of bowel gas limites evaluation.

No acute osseous abnl.

Hyperinflation with interstitial prominence which may represent atypical/viral infeciton including bronchiolitis. Patchy opacity in the left lung base could relate to superimposed pneumonia.

Hyperexpanded lung volumes and mild perihilar central haziness as can be seen in the setting of viral infection.

Acute viral bronchiolitis

Mild hyperexpansion with peribronchial cuffing which can be seen in atypical/viral infections. Query patchy airspace disease on lateral view overlying the inferior thoracic spine which may represent branching hilar structures versus superimposed bacterial pneumonia.

Central bronchial wall thickening suspicious for a viral infection. No focal consolidation. No effusion or pneumothorax.
Cadiomediatinal silhouette is within normal limits.
No bony or soft tissue abnormalities.

increased perihilar opacities with pewribronchial cuffing as can be seen in the setting of reactive small airway disease or viral infection. no pleural effusion or pneumothorax.

Peribronchial thickening that could relate to viral bronchiolitis.

Hyperexpanded lungs with peribronchial thickening suggesting viral bronchiolitis.

Narrowed trachea c/f croup. Inc opacity

Continuous diaphragm sign and slight lucency along the right mediastinal border and right lung apex, which could indicate trace right sided pneumothorax and pneumomediastinum.
Perihilar opacification, which could be seen in the setting of viral infection.

mild patchy perihilar opacities bilaterally may represent viral infection versus reactive airway disease. no focal consolidation, pleural effusion, or pneumothorax. heart size is normal

Hyperinflation of the lungs with perihilar haziness, which can be seen with viral infection or reactive airway disease.
No focal opacity, pleural effusion, or pneumothorax.
Paucity of bowel gas, nonsepcific.

hyperinflation, consistent with viral

lung hyperinflation with peribronchilar intersitial opacities consistent with viral pneumonia

Viral pna

viral

f

Bilateral central bronchial thickening which can be seen with viral bronchiolitis or reactive airway disease.

Prominent right paratracheal stripe. Etiology includes aortic vascular anomaly or paratracheal lymph nodes. Recommend CT chest for further evaluation.

a

Perihilar opacities, increased interstitital opacities, and increased lung volumes, like secondary to viral infection.

Patchy/streaky perihilar predominant opacities and mild hyperinflation which can be seen in the setting of viral infection/reactive airways disease. No radiographic evidence of consolidative pneumonia.

viral bronchiolitis

Perihilar streaky opacities can be seen in viral infection or reactive airway disease.

Hyperinflation with diffuse peribronchial thickening and perihilar atelectasis suggestive of viral bronchiolitis. No focal airspace opacification.

Hazzy interstitial opacities of bilateral lungs, which may represent viral pneumonia in the appropriate clinical setting.

There is no evidence of pleural effusion or pneumothorax.

Enlarged cardiac silhuoette concerning for pericardial effusion. Thickened interstituim in the RLL concerning for viral pathology vs. edema.

No bacterial pna.

Peribronchial thickening diffusely which can be seen in reactive airway disease vs viral bronchiolitis.

viral chest, hyperexpanded lungs

Hyperinflation with peribronchial cuffing suggestive of viral bronchiolitis or reactive airway disease. No focal consolidation to suggest bacterial pneumonia.

b/l hyperinflation of the lungs with central peribronchial thickening, consistent with viral bronchitis vs reactive airway dz. no focal airspace opacities.

possible lower lobe opacity .. image isn’t bright enough to see

Increased bronchovascular and interstitial lung markings in a perhilar predominant pattern, which is suggestive of bronchiolitis.

Hyperinflation with peribronchial thickening, concerning for viral infection vs reactive airways disease. No focal consolidation.

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Right lower lung pneumonia