FINAL REPORT
 EXAMINATION: CHEST (PORTABLE AP)
 
 INDICATION: ___ M w/ h/o AF on coumadin, ischemic stroke ___, ___, DM, PVD,
 UGIB in past, p/w dyspnea/hypoxia. According to EMS/nursing staff, pt ate
 lunch, then was increasingly altered w/ coughing presents with hypoxemic
 respiratory distress and shock. b/l chest tubes in place // ?interval changes
 ?interval changes
 
 COMPARISON: Comparison to ___ at 13:13
 
 FINDINGS: 
 
 Heart remains stably enlarged. Mediastinal contours are unchanged. Slightly worsening patchy opacity at the right base and in the periphery of the left mid lung could reflect atelectasis, although pneumonia and asymmetric pulmonary edema should also be considered.
 
 IMPRESSION: 
 
 Portable semi-erect chest radiograph ___ at 03:50 is submitted. Endotracheal tube, left subclavian PICC line, bilateral pleural pigtail catheters, and nasogastric tube are unchanged, although the tip of the nasogastric tube is not identified. No obvious pneumothorax, although the sensitivity to detect pneumothorax is diminished given semi-erect technique.
