FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)

INDICATION: History: ___F with altered mental status

TECHNIQUE: ___

COMPARISON: Portable upright AP view of the chest

FINDINGS:

Remote right eighth rib fracture is again seen. No large pleural effusion or pneumothorax is identified. Mild cardiomegaly is re- demonstrated. The patient is status post median sternotomy and aortic valvular replacement. Mediastinal and hilar contours are unchanged with dense atherosclerotic calcification of the aortic knob noted. High riding right humeral head suggests underlying rotator cuff disease. Marked degenerative changes of both acromioclavicular joints are seen. Mild pulmonary vascular congestion is similar compared to the prior study. More focal patchy opacity in the retrocardiac region could reflect an area of atelectasis though infection is not completely excluded.

IMPRESSION:

Retrocardiac opacity likely reflects atelectasis but infection is not excluded in the correct clinical setting. Mild pulmonary vascular congestion.
