FINAL REPORT
PORTABLE AP CHEST FILM ___ AT ___
 
INDICATION: ___-year-old with recent tracheal reconstruction and now with shortness of breath, question pneumothorax, question communication between lung field.
 
AP portable chest film dated ___ at ___ is submitted and compared to prior study from ___ at ___ and a PA and lateral study of ___.
 
IMPRESSION:
 
1. No definite pneumothorax is seen.
2. A right chest tube remains in place.
3. Interval increase in subcutaneous emphysema involving the neck soft tissues and right lateral chest wall.
4. There is also a lucency in the left mediastinum raising concern for pneumomediastinum.
5. Right-sided remote rib fractures are again seen.
6. A right internal jugular central line remains in place with its tip in the distal SVC.
7. Streaky opacities at the right base are likely unchanged since ___ and therefore may reflect scarring or subsegmental atelectasis.
8. Overall, there has been improved aeration at the left upper and mid lung, although there is persistent consolidation at the left base which may represent a partial lower lobe collapse versus pneumonia.
9. No evidence of pulmonary edema.
