Info Images Findings Impression Reco/Acuity Case Images View Images / Launch Visage Case Notes History 26 year old female with renal failure. Exam AP portable chest Prior Study Multiple prior portable chest exams. Dicom View Reference Material
Section 1 Submit Findings Case127 Findings Technique The exam is technically correct, and is not expiratory, is not rotated, nor over or under penetrated, nor limited by overlying structures or soft tissues, body habitus, patient positioning, or motion. Yes No Support Devices There is an ETT or tracheostomy tube present and the ETT is less than 2cm from the carina or the ETT or tracheostomy tube is otherwise in an abnormal position. Yes No There is a venous line or lines present and in an improper location or otherwise abnormal. Yes No There is a PAC in place that is not in a main pulmonary artery or is otherwise abnormal. Yes No There is an NG tube and/or feeding tube in place that does not go below the GE junction or has other abnormality. Yes No There is a cardiac pacemaker/AICD or temporary transvenous pacemaker and the leads are fractured or in an abnormal location, not in the RA, RV, or coronary sinus. Yes No There is a chest tube in place and the side port of the chest tube is outside of the bony thorax or the tube is otherwise abnormally positioned. Yes No There are other devices such as an IABP, LVAD, vascular stents, cardiac valves, gastrostomy tube, other drains or tubes, anesthesia catheter, VP shunt, or neurostimulator present and improperly positioned. Yes No Cardiomediastinum The mediastinum is abnormally widened considering the technique. Yes No There is abnormal shift of the mediastinum. Yes No There is air in the soft tissues of the mediastinum. Yes No There is abnormal tracheal deviation or narrowing. Yes No There is enlargement of the cardiac silhouette. Yes No The heart borders are abnormal. Yes No There is pneumopericardium. Yes No The right paratracheal stripe is thickened or enlarged. Yes No Vasculature The aorta is dilated, tortuous, ectatic, calcified, or there is a focal contour abnormality. Yes No The central pulmonary arteries or hila are enlarged. Yes No There is cephalization or haziness of the pulmonary vessels or congestion of the central pulmonary vasculature. Yes No Lungs The lungs are hyperinflated or underinflated. Yes No There is focal, multifocal, or diffuse airspace disease. Yes No There is focal or diffuse interstitial disease. Yes No There is focal or lobar atelectasis or total collapse of the lung. Yes No There is cavitary or cystic disease with or without air fluid levels or soft tissue nodularity. Yes No The position of the major and minor fissures is abnormal. Yes No There is elevation, depression, or contour abnormality of the right or left hemidiaphragm. Yes No The right or left hemidiaphragm is focally or diffusely obscured. Yes No Pleura There is focal or diffuse abnormality of the pleura or chest wall. Yes No There is a pleural effusion or blunting of the costophrenic angle. Yes No There is focal fluid in the fissures. Yes No There is asymmetric pleural thickening or capping of the apices. Yes No There is a pneumothorax, hydro/pneumothorax, or hemo/pneumothorax. Yes No Bones, Soft Tissues, Upper Abdomen The ribs, clavicles, shoulder, spine, or other visualized bones are abnormal. Yes No There is free air beneath the diaphragm. Yes No The bowel or organs of the upper abdomen are abnormal. Yes No There is subcutaneous emphysema, focal or diffuse soft tissue abnormality, radiopaque foreign body, or post-surgical change or hardware. Yes No