FINAL REPORT
 AP CHEST, 5:38 A.M., ___
 
 HISTORY: ___-year-old woman with dermatomyositis, multi-region lung collapse,
 intubated.
 
 IMPRESSION: AP chest compared to ___:
 
 ET tube, right internal jugular line, and nasogastric drainage tube are in standard placements respectively.
 Pneumomediastinum developed on ___, and has increased slowly ever since.
 Pneumomediastinum and subcutaneous emphysema in the right neck are stable, new in the left neck.
 There may be a tiny right apical pneumothorax or alternatively extrapleural emphysema simulating pneumothorax.
 Right upper lobe is newly collapsed.
 Multifocal pulmonary consolidation strongly suggesting pneumonia in the lower lobes medially has not changed appreciably since ___.
 Moderate cardiomegaly is stable.
 There is no evidence of pneumoperitoneum or pneumoretroperitoneum.
 Possibility of perforation of the esophagus, less likely the trachea, was discussed with the clinical house staff in conference.
