FINAL REPORT
 PORTABLE AP CHEST FILM ___ AT 21:30
 
 CLINICAL INDICATION:  ___-year-old with IPH and respiratory failure, check ET
 tube placement.
 
 Comparison is made to the patient's previous study dated ___ at 13:41.
 
 A portable semi-erect chest film ___ at 9:35 p.m. is submitted.
 
 IMPRESSION:
 
 No pneumothorax. Biapical pleural thickening is again seen. Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning between studies. Possible small bilateral layering effusions. Overall lung volumes remain stable. There is indistinctness of the pulmonary vascularity suggestive of worsening interstitial pulmonary edema. More focal patchy opacities at both bases, left greater than right, may reflect atelectasis, although pneumonia cannot be entirely excluded. There has been interval placement of endotracheal tube, which has its tip 3.7 cm above the carina. A nasogastric tube is again seen coursing below the diaphragm with the tip not identified.
