FINAL REPORT
EXAMINATION: CHEST (PORTABLE AP)

INDICATION: ___ year old woman with ascending cholangitis s/p open
cholecystectomy intubated, sedated // eval positioning of ETT eval
positioning of ETT

COMPARISON: Comparison to prior study dated ___ at 10:02

NOTIFICATION: Results were communicated by phone to ___, the patient's
nurse, on ___ at 17:45 at the time of discovery.

FINDINGS:

Portable semi supine chest film dated ___ at 16 28 is
submitted.
The heart remains enlarged.
A catheter is seen overlying the right upper quadrant.
A portion of a biliary stent and aortic stent are again seen.
There is no obvious pneumothorax or pneumomediastinum.
The left subclavian PICC line is unchanged in position with its
tip in the proximal SVC.
Nasogastric tube is seen coursing below the diaphragm with the tip not
identified.

IMPRESSION:

The endotracheal tube now has its tip approximately 4.5-5 cm above the carina.
There is persistent total opacification at the left lung base with an
associated effusion most likely reflecting partial lower lobe atelectasis,
although pneumonia cannot be excluded.
In addition, there is interval appearance of mild to moderate pulmonary and interstitial edema.
There has also been interval appearance of a right lateral chest wall and neck
subcutaneous emphysema. Subcutaneous emphysema is also seen in the left neck
soft tissues as well as a inferiorly in the left lateral abdominal wall.
Clinical correlation is advised as the subcutaneous emphysema is a new
finding.
