FINAL REPORT
 INDICATION:  History of pericardial effusion.  Please assess for parenchymal
 consolidations.
 
 COMPARISONS:  Chest radiographs dating back to ___.
 
 TECHNIQUE:  Single AP portable exam of the chest.
 
 FINDINGS:  There is no evidence of a pneumothorax. The left pleural effusion is unchanged. The heart is again severely enlarged, overall stable compared to exams dating back to ___. There is an NG tube which extends below the diaphragm with the tip likely in the body of the stomach. There appears to be interval increase in the opacification over the right lung suggestive of a slight increase in extent and severity of the right pleural effusion. There is worsening of a left lower lung atelectasis. The ET tube terminates approximately 7 cm from the carina. Massively enlarged triangular cardiac silhouette is again suggestive of a pericardial effusion. The degree of pulmonary edema is constant. There is a right-sided central line with the tip in the mid SVC.
 
 IMPRESSION:  
 
 1. Increase in consolidation at the left lung base, likely secondary to atelectasis, however infection cannot be excluded.
 
 2. Interval worsening of opacification over the right lung suggestive of an increase in the extent and severity of the right pleural effusion.
