FINAL REPORT
 EXAMINATION: CHEST (PA AND LAT)
 
 INDICATION: ___ year old man with chest tube placed to water seal // Please
 assess for pneumothorax Please assess for pneumothorax
 
 COMPARISON: Comparison to prior study ___ at 17:18
 
 FINDINGS: 
 
 PA and lateral views of the chest ___ at 10:12 are submitted.
 No pulmonary edema.
 More rounded opacities at both lung bases likely correspond to known metastatic disease in this patient with rectal cancer.
 A right-sided Port-A-Cath is unchanged in position.
 Blunting of both posterior costophrenic angles may reflect small effusions or pleural thickening.
 
 IMPRESSION: 
 
 The patient is status post median sternotomy for CABG and aortic valve replacement with stable postoperative cardiac and mediastinal contours.
 The left apical pneumothorax is at least a stable, if not slightly smaller.
 The main pulmonary artery is prominent which may reflect underlying pulmonary arterial hypertension.
 The left chest tube remains in place.
 There is patchy increasing opacity at the right costophrenic angle which could reflect an area of atelectasis, although aspiration or early pneumonia should be considered.
 Lungs are hyperinflated with parenchymal scarring consistent with known underlying emphysema.
