FINAL REPORT
PORTABLE AP CHEST FILM, ___ AT ___

INDICATION: ___-year-old with pneumonia, respiratory failure, assess for interval change.

Comparison is made to the patient's prior study dated ___ at ___.

Portable AP upright chest film ___ at ___ is submitted.

IMPRESSION:

No appreciable pneumothorax. The heart remains enlarged. Overall cardiac and mediastinal contours are likely unchanged given differences in patient positioning. Small layering bilateral effusions. Biapical pleural thickening with left apical pleural calcifications are stable. Multiple calcified hilar and mediastinal lymph nodes are seen, consistent with prior granulomatous infection. Lung hyperinflation consistent with underlying emphysema. There are postoperative changes in the right upper and mid lung. Right internal jugular central line, endotracheal tube and nasogastric tube are likely unchanged in position. Overall, there is some interval improvement in aeration in both lower lobes suggesting that pulmonary edema is improving. There are persistent bibasilar opacities, however, which either reflect persistent pulmonary edema or an infectious process.
