FINAL REPORT
 PORTABLE CHEST FILM ___ AT 5:39
 
 CLINICAL INDICATION:  ___-year-old with question aspiration pneumonia, assess
 for infiltrates.
 
 Comparison is made to the patient's previous studies dated ___ at 7:16.
 
 Portable AP upright chest film ___ 5:39 is submitted.
 
 IMPRESSION:
 
 No pneumothorax. Lungs are hyperinflated consistent with underlying emphysema. Improved aeration of the right lung apex. There are layering bilateral effusions, left greater than right. More focal opacity in the right mid-to-lower lung may represent loculated fluid, pneumonia or atelectasis. Overall cardiac and mediastinal contours are likely stable. The endotracheal tube, nasogastric tube and right subclavian PICC line are likely unchanged in position given differences in patient rotation.
