CXR CVS Template

Normal

CHEST (PA UPRIGHT) (AP SUPINE)

HISTORY: Known case ____, was sent to follow-up.

COMPARISON: Chest radiograph on _____.

FINDINGS:

  • Tubes and lines: None.
  • Lungs and trachea: Normal lung volumes. No abnormal pulmonary opacity.
  • Diaphragm, pleura and costophrenic angles: No pneumothorax or pleural effusion.
  • Heart and mediastinum: Normal cardiac silhouette. Normal mediastinal contour. Tortuous aorta ?.
  • Bony structures: Unremarkable for age. Degenerative change of the spine.
  • Upper abdomen: Unremarkable.

IMPRESSION:

  • No abnormal pulmonary opacity.

Tube & lines

  • Tip of enteric tube in stomach

Lung

Adequacy

  • Suboptimal inspiration

Summation

  • Symmetrical subtle patchy ground glass opacities at periphery of bilateral lower lung zones; probably summation of breast tissues.

Aging

  • Diffuse mild tortuous lung marking at both lungs could be due to aging process.

Atelectasis

Subsegmental Atelect

  • Subsegmental atelectasis/fibrosis at ___ zone.

Plate Atelect

  • Linear opacity at left ___ lung zone, probably plate atelectasis/fibrosis.

Heart & Mediastinum

Cardiomegaly

  • {degree} cardiomegaly (with atherosclerotic change of the aorta)

  • Enlarged cardiac silhouette; probably relate to suboptimal inspiration or true opacity.

Pulmonary Venous HTN

Lungs and trachea:

  • [Cephalization | increased redistribution] of the pulmonary vessels

  • (+) Diffuse interstitial opacities

  • (+) Peribronchial cuffing

  • (+) Blurring of pulmonary vasculature | perihilar haziness

in both lungs (with Kerley B lines), likely representing

  • Interstitial pulmonary edema.

(Follow-Up) Increased degree of interstitial pulmonary edema, seen as …

Diaphragm, pleura and costophrenic angles: (Minimal) Fluid in right minor fissure.

Heart and mediastinum: Increased pulmonary vasculature.

IMPRESSION:

  • Cardiomegaly with pulmonary edema.

Pulmonary Arterial HTN

Heart and mediastinum: Enlargement of the MPA and right descending interlobar pulmonary artery with rapid tapering of distal pulmonary artery.

IMPRESSION:

  • Enlargement of the MPA and right descending lobar pulmonary artery, concerning for pulmonary arterial hypertension. {echo + clinical corr}

Aorta

  • Tortuous aorta.
  • [Marked] tortuosity of the (descending) thoracic aorta, unchanged.
  • Calcified aortic knob.

Surgery

  • Evidence of median sternotomy with intact median sternal wires.

  • Evidence of CABG

Stent

  • Evidence of coronary stents, unchanged.

Prosthetic Valve

  • Seen prosthetic aortic valve

Bony

  • Degenerative change of spine.

Diaphragm

Eventration

  • (Persistent) of focal lobulated contour of the ___ hemidiaphragm, probably focal eventration or focal diaphragmatic defect related to remote diaphragmatic injury.

Pleura

Effusion

Mild

  • Mild Blunting of the ___ costophrenic angle(s), probably small amount of pleural effusion or pleural thicking.

Moderate

  • Decreased {side} lung volume with [increased | decreased] amount of {side} pleural effusion and passive atelectasis of [RLL | LLL].

Pleural thickening

  • Persistent blunting of the ___ costophrenic angle(s), probably pleural thicking.

Abdomen

Gallstone

  • Round calcification at RUQ abdomen, likely calcified gallstone.

Recommend

  • Echo + Clinical: Correlation with echocardiogram and clinical contex are reccommended.