FINAL REPORT
 PORTABLE CHEST FILM, ___ AT 3:56
 
 CLINICAL INDICATION:  ___-year-old with necrotizing pneumonia, evaluate for
 change.
 
 Comparison is made to the patient's previous study dated ___ at 3:02.
 
 Portable AP upright chest film on ___ at 3:56 is submitted.
 
 IMPRESSION:
 
 1. No pneumothorax is appreciated.
 2. A right PICC line has its tip in the proximal SVC.
 3. There is bilateral interstitial abnormality which likely reflects mild interstitial pulmonary edema.
 4. The heart is stably enlarged which may reflect cardiomegaly, although pericardial effusion cannot be excluded.
 5. Right internal jugular central line has its tip in the superior vena cava.
 6. A feeding tube is seen coursing below the diaphragm with the tip not identified.
 7. A right pleural effusion remains.
 8. The aorta is calcified, consistent with atherosclerosis.
 9. Focal patchy opacity at the right base may represent an area of confluent edema or possibly pneumonia or atelectasis.
 10. Clinical correlation is advised.
