FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)

INDICATION: ___ year old man with esoph perf; s/p left thoracotomy drainage
for esophageal perforation.

TECHNIQUE: Portable AP radiograph of the chest from ___.

COMPARISON: ___.

FINDINGS:

Status post interval thoracotomy with interval increase in moderate layering right pleural effusion.
Slightly increased bilateral interstitial and airspace opacities which are likely due to pulmonary edema.
There is no obvious pneumothorax.
The heart is mildly enlarged despite the projection.
Left lateral chest wall skin ___ and small postoperative subcutaneous emphysema are new.

IMPRESSION:

The patient is status post interval thoracotomy with placement of two left apical chest tubes and a mediastinal drain.
A moderate layering right pleural effusion has increased.
Widespread bilateral interstitial and airspace opacities have slightly increased.
An endotracheal tube ends in the lower trachea above the carina.
A nasogastric tube enters the stomach, distal tip not visualized.
