HISTORY:
Left-sided effusion.

FINDINGS:
There is vascular plethora and increased interstitial markings, consistent with CHF.
An ET tube is present, in satisfactory position approximately 3.4 cm above the carina.
Mediastinal widening consistent with known type A aortic dissection.
An NG tube is present, extending beneath diaphragm, off film.
Improved interstitial edema.
A right
