Radiology

Follow-up study to March 28, 2024 (12:26AM)

Endotracheal tube now seen with tip approx 5.5cm above the carina.
Pulmonary edema
Underlying pneumonia / atelectasis is not totally excluded.
Magnified heart
Atherosclerotic aorta
Bilateral pleural effusion
Degenerative osseous changes
Clinical correlation is recommended.

Follow-up study to March 28, 2024 (2:30AM)

Endotracheal tube again seen with tip approx 4cm above the carina.
Nasogastric tube now seen.
Right sided central catheter now seen.
Hypoaeraetd lungs
Interval regression in the degree of pulmonary edema
Underlying pneumonia / atelectasis is not totally excluded.
Magnified heart
Atherosclerotic aorta
Interval regression of the bilateral pleural effusion
Degenerative osseous changes
Clinical correlation is recommended.

Follow-up study to March 29, 2024

Endotracheal tube again seen with tip approx 4cm above the carina.
Nasogastric tube again seen.
Right sided central catheter remains seen.
Hypoaeraetd lungs
Interval progression in the degree of pulmonary edema
Underlying pneumonia / atelectasis is not totally excluded.
Magnified heart
Atherosclerotic aorta
Bilateral pleural effusion, stable in the right, interval progression in the left Degenerative
osseous changes
Clinical correlation is recommended.

March 28, 2024

Pulmonary congestion
Bilateral lower lung pneumonia / atelectasis
Magnified heart
Atherosclerotic aorta
Bilateral pleural effusion
Degenerative osseous changes
Clinical correlation is recommended.

March 28,2024
COMPARISON: None
FINDINGS:
The liver is normal in size with coarsened parenchymal echo pattern and diffuse
increase in echogenicity.
Marginal outline is smooth. There are no focal mass lesions noted. The intrahepatic
ducts are not dilated.
The gallbladder is physiologically distended. Its wall is not thickened. No pericholecystic
fluid seen. There are no intraluminal echoes or focal lesions noted. The common duct is
not dilated.
The pancreas and abdominal aorta are obscured by bowel gas
The spleen is normal in size and echotexture. There are no focal lesions appreciated.
The right kidney measures 10.7 x 5.3 x 5.9 cm with a parenchymal thickness of 2.4 cm.
The left kidney measures 10.6 x 5.3 x 5.0 cm with a parenchymal thickness of 1.7 cm.
Both kidneys are normal in size with smooth and regular contour. The cortico-medullary
pattern in both sides is intact. There is no evidence of hydronephrosis, lithiasis or mass
noted in both kidneys. Collecting systems are not dilated. A cyst is seen within the
superior pole of the right kidney measuring approximately 4.1 cm in diameter.
The urinary bladder is adequately distended. Its wall is not thickened. There are no
intraluminal echoes or focal mass seen.
The prostate gland measures 3.2 x 4.1 x 3.1 cm or 21 grams with normal parenchymal
echo pattern. No focal lesions are seen.
No evidence of ascites. Fluid collection is seen within the included portion of both
hemithoraces.
IMPRESSION:
Diffuse liver parenchymal disease with fatty infiltration
Right renal cortical cyst
Unremarkable sonogram of the gallbladder, spleen, left kidneys, urinary bladder and
prostate gland Incidental finding of bilateral pleural effusion.

Follow-up study to March 30, 2024

Endotracheal tube again seen with tip approx 5.7cm above the carina.
Nasogastric tube again seen.
Right sided central catheter remains seen.
Less hypoaeraetd lungs
Further interval progression in the degree of pulmonary edema
Underlying pneumonia / atelectasis is not totally excluded.
Magnified heart
Atherosclerotic aorta
No significant interval change of the bilateral pleural effusion
Degenerative osseous changes
Clinical correlation is recommended.

April 1, 20244
Findings:
Ultrasound of the right hemithorax shows free fluid collection estimated at 70cc.
Ultrasound of the left hemithorax shows free fluid collection estimated at 90cc.
IMPRESSION:
Minimal pleural effusions, bilateral

April 2, 2024
HISTORY: Desaturation
COMPARISON: None
FINDINGS:
Endotracheal tube is again seen with tip located 5.7 cm above the carina
Nasogastric tube is again seen
Right sided central venous catheter noted in the same position and location.
Lungs are less aerated.
No significant change in the degree of pulmonary edema
Heart is magnified.
Aorta is tortuous and calcified
There is minimal increase of the veil like haziness overlying the right hemithorax.
Osteophytes along the margins of the thoracic spine.
IMPRESSION:
Stable pulmonary edema and/or pneumonia
Bilateral pleural effusion, increasing in the right and no change in the left Atherosclerotic
aorta
Degenerative osseous changes