FINAL REPORT
 PORTABLE AP CHEST FILM ___ AT ___
 
 CLINICAL INDICATION:  ___-year-old with worsening secretions.
 
 Comparison is made to the patient's previous studies dated ___ at 257.
 
 A portable supine chest film ___ at ___ is submitted.
 
 IMPRESSION:
 
 1.  The heart remains enlarged. Mediastinal contours are unchanged. The pulmonary edema has slightly worsened. There are layering bilateral effusions with associated airspace opacity most likely reflecting compressive atelectasis. Calcification in the aorta consistent with atherosclerosis. Endotracheal tube has its tip 3.5 cm above the carina. A right subclavian central line has its tip in the distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. No evidence of pneumothorax, although the sensitivity to detect a pneumothorax is diminished given supine technique.
