FINAL REPORT
 PORTABLE CHEST FILM, ___ AT 22:00
 
 CLINICAL INDICATION:  ___-year-old with sepsis, evaluate for interval change.
 
 Comparison to prior study of ___ at 20:50.
 
 Portable supine chest film, ___ at 10:00 p.m. is submitted.
 
 IMPRESSION:
 
 1.  No pneumothorax, although the sensitivity to detect pneumothorax is diminished given supine technique.
 2.  Endotracheal tube, nasogastric tube, and right internal jugular central line are unchanged in position, although the tip of the nasogastric tube is not visualized on the current study.
 3.  Low volumes with crowding of the pulmonary vasculature.
 4.  Overall cardiac and mediastinal contours are likely unchanged given differences in positioning and technique.
 5.  No evidence of pulmonary edema.
 6.  There are layering bilateral effusions with patchy bibasilar opacities, left greater than right, most likely reflecting compressive atelectasis, although pneumonia cannot be entirely excluded.
