52-year-old male presents for evaluation of a Swan-Ganz and an intra-aortic balloon pump. Swan-Ganz catheter has its tip overlying the right main pulmonary artery. An intra-aortic balloon pump marker projects approximately 6.7 cm below the top of the aortic arch. An ICD overlies the left chest wall has its leads superimposing the right atrium, right ventricular apex, and coronary sinus.The cardiomediastinal silhouette is normal. Diffuse interstitial opacities are without substantial change. Left lower lobe patchy opacities suggestive of aspirated secretions and atelectasis. Right upper lobe opacity nonspecific and may correlate to a prior opacity seen on outside CT chest dated 03/17/16. Recommend follow up chest radiograph. No large pleural effusion. No pneumothorax. Diffuse bronchial wall thickening is chronic.
1.Swan-Ganz and intra-aortic balloon pump as described above.2.Right upper lobe opacity indeterminate but may been present previously and could be enlarging. Recommend follow-up chest radiographs to assess for improvement/resolution and exclude possibility of neoplastic process.3.Probable acute on chronic bronchitis with aspirated or retained secretions bilaterally and patchy atelectasis in the left lung base.Paged Dr. Abdulrahman Dia at the time of dictation to discuss findings.