FINAL REPORT
 EXAMINATION: CHEST (PORTABLE AP)
 
 INDICATION: ___ year old man with recent STEMI c/b cardiogenic shock now with
 concern for PNA // Interval change; evaluate for consolidation vs pulm edema
 
 TECHNIQUE: Portable chest
 
 COMPARISON: ___
 
 FINDINGS: 
 
 Dual lead pacemaker is again visualized. The ET tube is 4 cm above the Carina and is pointed on to the right with the tip likely against the right side of the trachea. NG tube tip is off the film but the proximal port is in the proximal stomach. The Swan-Ganz catheter tip is in the right descending pulmonary artery. The heart is moderately enlarged. Worsened pulmonary edema.
 
 IMPRESSION: 
 
 There is bilateral moderate effusions layering posteriorly that have increased compared to prior. There is bilateral hazy alveolar infiltrate right greater than left. An underlying infectious infiltrate cannot be exclude
