FINAL REPORT
 EXAMINATION: CHEST (PORTABLE AP)
 
 INDICATION: ___ year old woman with VAP // ? acute change ? acute change
 
 COMPARISON: Comparison to prior study dated ___ at 04:55
 
 FINDINGS: 
 
 Endotracheal tube and right central line are unchanged in position. Several calcified nodular opacities in the left lower lung and at both apices are suggestive of prior granulomatous infection. Portable semi-erect chest film ___ at 05:06 is submitted. A nasogastric tube is seen coursing below the diaphragm with the tip not identified.
 
 IMPRESSION: 
 
 No definite new airspace consolidation is appreciated. The previously noted interstitial edema has improved. There is blunting of the left costophrenic angle which may reflect a small effusion. However, overall appearance has not changed. Overall cardiac and mediastinal contours are stable given differences in patient rotation. Marked right pleural calcifications encasing most of the lung limiting evaluation.
