FINAL REPORT
 EXAMINATION: CHEST (PORTABLE AP)
 
 INDICATION: History: ___M with right internal jugular central venous catheter
 
 TECHNIQUE: Supine AP view of the chest
 
 COMPARISON: ___ at 18:59
 
 FINDINGS: 
 
 Catheter terminating in the region of the T1 vertebral body again is unchanged, possibly a temperature probe, with cervical spinal hardware partially imaged. Heart size remains mildly enlarged. Endotracheal tube and enteric tubes are in unchanged positions. There has been interval placement of a right internal jugular central venous catheter with tip in the mid SVC. Superior mediastinal widening may be due to low lung volumes and supine AP positioning. Worsening pulmonary opacities in the perihilar regions and upper lung fields bilaterally may reflect a combination of worsening mild pulmonary edema and atelectasis. No large pneumothorax is identified on this supine exam.
 
 IMPRESSION: 
 
 Infection is not excluded. No large pneumothorax. Right internal jugular central venous catheter tip in the mid SVC. Worsening perihilar and upper lobe airspace opacities which may reflect a combination of worsening mild pulmonary edema and increased atelectasis.
