FINAL REPORT
 EXAMINATION: CHEST (PORTABLE AP)
 
 INDICATION: ___ year old man with COPD, recent PNA and UTI admitted with
 septic shock. // ?interval change ?interval change
 
 IMPRESSION: 
 
 Left internal jugular line ends at the origin of the SVC. Patient has
 severe emphysema. Mild pulmonary edema best seen at the
 left lung base and small bilateral pleural effusions are still present.
 Compared to chest radiographs since ___, most recently ___,
 read in conjunction with chest CT on ___. If clinical management decisions
 depend on greater certainty regarding pulmonary and pleural abnormalities,
 than chest CT scanning would be required. Large areas of heavy pleural
 calcification obscure both lungs. Nasogastric tube ends in the upper portion
 of a nondistended stomach. Heart is not enlarged. Pneumonia probably
 developed in the left lower lobe superior segment between
 ___ and ___, accompanied by dense consolidation in the
 posterior basal segment probably atelectasis, and simultaneously improved in
 the axillary region of the right lung.
