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	There has been interval placement of a lower right chest pigtail catheter with evidence of some decrease in the right pleural effusion. Small right and moderate left bilateral pleural effusions persist. There is bibasilar atelectasis. Nodular opacity projects over the lateral left mid lung could relate to a pleural effusion and atelectasis although is not well characterized on this study. Cardiac and mediastinal silhouettes are stable. No definite pneumothorax is demonstrated.
	Persistent left greater than right basal streaky opacities likely reflect atelectasis which cleared to some degree on the subsequent study. No focal consolidation is seen with mild vascular congestion less pronounced than on the previous examination. No pleural effusion or pneumothorax is identified on this portable AP view. The heart is likely top normal in size with intact median sternotomy wires and otherwise normal cardiomediastinal silhouette. Slight right sided indentation of the trachea may reflect thyroid goiter.
	There is a right-sided PICC which terminates in the mid SVC. The heart size is normal. The hilar and mediastinal contours are normal. Note is made of subtle increase in consolidation at the left retrocardiac lung base. No large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
	Compared to the previous radiograph, the patient has received a new hemodialysis catheter over a left-sided approach. The course of the catheter is unremarkable, the tip of the catheter projects over the right atrium. Otherwise, there is no relevant change. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload. Unchanged elevation of the right hemidiaphragm with a mild-to-moderate right pleural effusion. Focal parenchymal opacities have newly occurred.
	As compared to the previous radiograph, the lung volumes are low. There are areas of atelectasis and post-biopsy opacities in the right lung. The multiple nodular opacities in the lungs are unchanged. There is, however, no evidence of pneumothorax. No pleural effusions.
	The patient is very rotated when compared to prior study performed one hour early. Right IJ catheter has been placed with the tip at the cavoatrial junction. There is no pneumothorax. There are no other interval changes.
	As compared to the previous radiograph, a Port-A-Cath was inserted. The port is located in the right pectoral region, the intravascular part of the device is unremarkable. After right upper lobectomy, the post-operative lung volumes on the right have normalized. No evidence for pneumothorax or other complications. No pulmonary edema. Borderline size of the cardiac silhouette. No pleural effusions.
	Since the prior study, there is now opacity at the right lung base worrisome for right middle lobe atelectasis. Small right pleural effusion was also seen on pre seeding chest CT. The left lung is clear. No overt pulmonary edema is seen. Cardiac and mediastinal contours are grossly stable. No pneumothorax is seen.
	No comparison. Mild overinflation. Normal size of the heart. Port-A-Cath and feeding in correct position. No pleural effusions. No pneumonia, no pulmonary edema.
	Portable frontal radiograph of the upper abdomen and chest demonstrates an enteric tube with tip within the stomach. An electronic device projecting over the right hemithorax obscures the underlying lung parenchyma. Stable heart and mediastinal contours. No large pleural effusion. The lung apices are is not included on this image.
	The right Port-A-Cath is stable with distal tip in the right atrium. No pneumothorax. Lung volumes are low but lungs are clear. Mediastinal contours, hilar, and heart borders are normal. No large pleural effusion.
	Right internal jugular catheter tip is in theright atrium, unchanged. There is no pneumothorax . Gaseous distention of a colonic loop in the right upper quadrant is present. There are no other interval changes
	Lungs are fully expanded and clear. Previous pleural effusions have not recurred. Cardiomediastinal and hilar silhouettes are normal. Right PIC line ends in the low SVC. Vascular clips denote right neck surgery.
	A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and moderately well-aerated lungs, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
	The cardiac silhouette is unchanged. There is no CHF, pneumothorax. There is persistent linear atelectasis in the right lung base and the right perihilar region.
	The endotracheal tube has been pulled back a few centimeters and now is appropriately sited with the distal lead tip 4 cm above the carina at the level of the aortic knob. The right IJ central line has distal lead tip at the distal SVC. There is improved aeration. There are no signs of overt pulmonary edema. There remains atelectasis at the lung bases. No pneumothoraces are seen. There is a left humeral hemiarthroplasty.
	2 chest tubes on the left in unchanged position. 1 cm left apical pneumothorax without evidence of tension. Mild retrocardiac atelectasis. The appearance of the heart and of the right lung is unchanged.
	Lung volumes are low, but there are no focal consolidations concerning for pneumonia. Cardiac size remains stable; a prominent fat pad is noted on the left. The right hemidiaphragm is elevated. There is no pleural effusion or pneumothorax. Aorta is again tortuous. There is no evidence of free air. Assessment for volvulus will be performed on the subsequent CT of the abdomen and pelvis.
	No relevant change as compared to the previous examination. Borderline size of the cardiac silhouette. Moderate right and small left pleural effusion. Atelectasis at both the left and the right lung bases. No overt pulmonary edema. No focal lung opacities suggesting pneumonia.
	Left basal pigtail drainage catheter may have been repositioned slightly. Large left pleural effusion persists but may have decreased slightly. No pneumothorax. Heart is normal size. Left lower lobe consolidation is probably atelectasis. Right lung is grossly clear. ET tube is in standard placement. Esophageal drainage tube ends in the upper stomach.
	There is mild pulmonary vascular congestion. No focal consolidation is identified. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. There is persistent elevation of the right hemidiaphragm. A left subclavian stent is again noted.
	Slightly increased bibasilar opacities, left greater than right, which still more likely reflect atelectasis superimposed on postinflammatory scarring, although developing pneumonia cannot be excluded. Clinical correlation is advised. No evidence of pulmonary edema. The aorta appears prominent and unfolded but stable in appearance. No pneumothorax or pulmonary edema.
	As compared to the previous image, there is a substantial improvement in extent and severity of the pre-existing right-sided aspiration pneumonia. The basal components of the pneumonia have almost completely cleared. A remnant apical component is unchanged. The monitoring and support devices continue to be in correct position. Unchanged normal appearance of the cardiac silhouette. No abnormalities in the left lung.
	As compared to the previous radiograph, there is a new partial right lower lobe atelectasis, associated to mild elevation of the right hemidiaphragm. Mild fluid overload persists but there is no overt pulmonary edema. No new focal parenchymal opacities indicative of pneumonia. No pleural effusions.
	Tracheostomy and right-sided central line are unchanged in position. There is a VP shunt coursing along the right chest with tip in the right upper abdomen. Heart size is within normal limits. There are no focal consolidations, pleural effusion, or pulmonary edema. There are no pneumothoraces.
	Severe cardiomegaly is chronic. Heterogeneous opacification in the right midlung is concerning for pneumonia, but there are nodular opacities raising concern for malignancy. Consolidation at the left lung base has worsened, probably a second focus of pneumonia. Chest CT scanning might be helpful in evaluating these problems. Severe cardiomegaly is chronic. Pleural effusion minimal if any. No pneumothorax.
	As compared to the previous radiograph, the lung volumes have substantially decreased. There is no focal parenchymal opacity, but both lung bases appear denser than normal, which could be indicative of pneumonia. Moreover, there is comparative widening of the mediastinum, with disappearance of the right paratracheal stripe. No pleural effusions are seen. The size of the cardiac silhouette is borderline. No evidence of pneumothorax. If a repeat radiograph, optimally performed in standing position, continues to show these changes, CT should be considered to evaluate for potential parenchymal and mediastinal lesions.
	The intra-aortic balloon pump is approximately 1 cm from the aortic arch. There is mild cardiomegaly. There is no pneumothorax, effusion, consolidation or CHF.
	Nasogastric tube courses to the left of midline into the left lower hemi thorax ; and may be terminating within the patient's large hiatal hernia although can not excluded is in the airway on this study. Large hiatal hernia is seen. There is apparent enlargement of the cardiac silhouette which may in part be due to the large hiatal hernia. The patient is also somewhat kyphotic in position. Bibasilar atelectasis is seen. No large pleural effusion or pneumothorax.
	In comparison with the earlier study of this date, the tip of the endotracheal tube is about 2 cm above the carina. Nasogastric tube extends well into the stomach. Pigtail catheter is seen coiled in the mid abdomen. No change in the appearance of the heart and lungs from the examination 1 hr previously.
	The patient is status post tracheoplasty. The endotracheal tube is 3.5 cm from the carina. Right-sided chest without evidence of pneumothorax. Low lung volumes with small right-sided pleural effusion and bibasal atelectasis. Moderate cardiomegaly has increased since the prior and should have attention on the follow up to ensure no pericardial or mediastinal hematoma.
	When compared to recent exam, there has been no definite interval change. The right lung base mass is again seen. Degree of opacification of the left mid to lower lung has not dramatically changed in appearance. Numerous other known pulmonary nodules are better assessed by a prior CT. Cardiomediastinal silhouette is grossly unchanged noting that is not well assessed due to consolidative process on the left.
	In comparison with the earlier study of this date, there has been an bronchoscopy a with apparent removal of a mucous plugging and substantial re-expansion of the left lung. Chest tube remains in place. On the right, there is little change in the substantial pneumothorax.
	Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Cardiac pacer defibrillator leads are unchanged in their respective positions.
	Heart is upper limits of normal in size in the aorta is tortuous. Mild pulmonary vascular congestion is present. Fullness of hilar structures is likely due to vascular engorgement but standard PA and lateral chest radiographs would be helpful when the patient's condition permits to exclude the possibility of lymphadenopathy. There are no focal areas of consolidation to suggest the presence of pneumonia.
	The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions, no pneumothorax. No lung nodules or masses.
	A right thoracostomy pigtail catheter is no longer present. A large right pleural effusion is minimally changed since 7:39 a.m. No definite pneumothorax is detected. The left lung remains relatively clear. There is unchanged moderate right pulmonary atelectasis and edema. The patient is post CABG.
	Interval development of moderate to severe pulmonary edema is demonstrated. Bilateral pleural effusions are present, left more than right. There is no pneumothorax. Cardiomegaly is mild. Diffuse infectious process although is a possibility is substantially less likely an reassessment after diuresis is justified.
	Compared to the prior study, there may be very slightly improved aeration in the right upper and mid zones. Otherwise, I doubt significant interval change.
	As compared to the previous radiograph, no relevant change is noted. Bilateral pleural effusions with mild to moderate pulmonary edema. Subsequent areas of atelectasis at both the left and the right lung bases. The left border of the heart is unremarkable, the right border cannot be exactly determine given coexisting pleural effusion. A non characteristic scarring in the right upper lobe is unchanged.
	Portable semi-upright radiograph of the chest demonstrates small residual right-sided pleural effusion with a small streak of linear atelectasis in the right perihilar region. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax.
	As compared to the previous radiograph, a right PICC line continues to be high. The course of the PICC line is unchanged. The tip projects over the lower SVC. There is no evidence of complications, notably no pneumothorax.
	The ET tube terminates approximately 5.5 cm above the carina. Enteric tube traverses below the diaphragm with the tip out of view of this film. The bases of the lungs demonstrate mild atelectasis otherwise no focal consolidations, pleural effusions or pneumothoraces are seen. Heart size is normal. Apparent widening of the mediastinum is secondary to mediastinal fat as seen on the CT. Note is made of a subtle nondisplaced fracture of the right lateral 5th rib, better evaluated on the recent CT.
	As compared to the previous radiograph, the loculated apicolateral portion of the left pleural effusion has slightly decreased in extent but is still clearly visible. The basal effusion has not changed. Unchanged perihilar postoperative opacities. Unchanged appearance of the heart and of the right lung. No pneumothorax.
	As compared to the previous radiograph, the position of the endotracheal tube is constant. The tip of the feeding tube is not included on the image but the tube shows a normal course. Small bilateral pleural effusions are unchanged. Constant low lung volumes and retrocardiac atelectasis. Moderate cardiomegaly persists.
	As compared to the previous radiograph, no relevant change is seen. The chest tube on the right is in unchanged position. No visible pneumothorax. Minimal atelectasis at the right lung bases. Unchanged appearance of the left lung. Moderate tortuosity of the thoracic aorta.
	Chest x-ray examination within normal limits. No focal infiltrate identified. Please note that early infection in the setting of neutropenia may be radiographically occult.
	The lung volumes are low. There is mild elevation of the right hemidiaphragm, with interposition of colon between the diaphragm and the right abdominal wall. Mild bilateral areas of atelectasis but no evidence of pneumonia. No pneumothorax, no pleural effusions. Normal size of the cardiac silhouette.
	Small right apical pneumothorax is slightly increased compared to the prior study, with visceral apical pleural line now just above the right fourth posterior rib level. Cardiomediastinal contours are stable in appearance. Worsening right juxtahilar and basilar consolidation as well as persistent left lower lobe atelectasis and/or consolidation, the latter accompanied by a moderate pleural effusion. Small right pleural effusion is unchanged. Right lower lobes septal thickening may reflect interstitial edema, possibly on the basis of reexpansion given recent right sided thoracentesis.
	No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen. No pulmonary edema is seen.
	As compared to the previous radiograph, no relevant change is seen with regard to the lung parenchyma. The lung parenchyma is markedly overinflated and shows areas of emphysematous destruction, mixed with post-operative and post-infectious scars. There is no new parenchymal opacity suggesting pneumonia. Moderate cardiomegaly persists. Marked tortuosity of the thoracic aorta. No pulmonary edema. No pleural effusions.
	The tip of the endotracheal tube is in appropriate position terminating 2.2 cm above the carina. The enteric tube is also in satisfactory position terminating in the gastric body with a side port below the GE junction. There is an opacity at the left lung base as well as atelectasis at the right lung base. There is mild pulmonary vascular congestion. No pneumothorax is seen.
	There has been interval placement of left-sided central venous catheter with tip projecting over the upper SVC. There is no pneumothorax. Lower lung volumes seen with secondary crowding of the bronchovascular markings. There has been no other change.
	Indwelling support and monitoring devices remain in standard position. Heart size is normal. Pulmonary vascular congestion and asymmetrical pulmonary edema pattern has slightly improved. Moderate layering right pleural effusion also appears slightly smaller.
	In comparison with the earlier study of this date, the right chest tube is been removed. Little overall change in the degree of pneumothorax in the right apex. Little overall change in the appearance of the heart and lungs.
	Since the prior study the pneumothorax on the right has substantially increased, currently moderate to large. Compressed lung is re- demonstrated. Vascular congestion is noted in the left lung. Bilateral pleural effusions are moderate.
	Previously noted right lower lobe heterogeneous opacities have resolved and were likely atelectatic. Heart size is top normal, and mediastinal silhouette is stable without central vascular congestion or interstitial edema. Lungs are clear. There is no large effusion or pneumothorax.
	Hazy opacity in the right mid-lung is likely due to overlying breast implant. Left lower lobe opacities are concerning for pneumonia. Furthermore, given leftward cardiac shift, an obstructive process in the left lower lobe cannot be ruled out. A left PICC line is not well seen with the tip possibly in the lower SVC. The heart size is stable. No pneumothorax.
	After placement of right chest tube, right lung has expanded there is a residual small to moderate pneumothorax. No other interval change from prior study.
	The cardiac silhouette is mildly enlarged. The aorta is calcified and slightly tortuous. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The lungs remain hyperinflated, with flattening of the diaphragms. No pulmonary edema is seen.
	As compared to the previous radiograph, there is unchanged moderate cardiomegaly. In the interval, the pre-existing pleural effusions have increased in extent and severity, notably on the right. Signs of mild fluid overload are present. Relatively extensive bilateral basal areas of atelectasis. The stent in the trachea is unchanged.
	A left internal jugular catheter terminates within the left axillary vein. There is no pneumothorax. The lung volumes are low, which accentuates the bronchovascular structures. Despite this, there is evidence of mild pulmonary edema and congestion of the central vasculature. Pleural effusions are small if any. There is no pneumothorax. The aorta is very tortuous, and the ascending portion may be dilated. The hilar pulmonary arteries are dilated Calcifications are seen within the carotid arteries.
	As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The tip of the catheter projects over the mid to lower SVC. There is no evidence of complications, notably no pneumothorax. The known right upper lobe and the right paramediastinal opacity and mass. No new parenchymal opacities. No pleural effusions. Unchanged normal size of the cardiac silhouette.
	Severe pulmonary edema have has worsened and moderate right pleural effusion has increased. There is no pneumothorax. Moderate cardiomegaly is stable. New endotracheal tube is in standard position. Atrial biventricular pacer defibrillator leads are unchanged in their respective positions.
	AP portable upright view of the chest. Port-A-Cath again noted residing over the right chest wall with catheter tip extending to the low SVC. Mild pulmonary edema is new from prior exam. No large effusion or pneumothorax. No convincing signs of pneumonia. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
	As compared to the previous radiograph, there is a lesser inspiratory effort. As a consequence, the size of the cardiac silhouette appears larger than on the previous exam. However, there is no evidence of pulmonary edema. No pneumonia. No pleural effusions. No other acute or chronic changes.
	Comparison is made with prior study performed 5 hours earlier. Moderate cardiomegaly, widened mediastinum, and diffuse predominantly perihilar bilateral opacities are stable. There are small bilateral effusions. Lines and tubes are in unchanged standard position. There is no pneumothorax. There is no subcutaneous emphysema.
	A left chest wall dual-lead pacemaker remains with leads terminating in the right atrium and right ventricle in unchanged position. Dense opacification of the left lung base with obscuration of the left hemidiaphragm and the left cardiac contour is likely a combination of pleural fluid and atelectasis, although underlying consolidation cannot be excluded. There is no large right pleural effusion. There is no pneumothorax. Increased interstitial markings are consistent with pulmonary edema. Heavy calcification of the aortic knob is again noted. A vascular stent is noted projecting over the right axilla.
	The Swan-Ganz catheter tip is seen slightly more advanced in the main pulmonary artery but still in the borders of the mediastinum. The lungs are clear. The left pacemaker is unchanged. Heart size is moderately enlarged. No pneumothorax or pulmonary edema.
	Moderate pulmonary edema has worsened. In addition there may be focal consolidation in the right midlung and both lung bases, making it impossible to exclude concurrent aspiration pneumonia. Moderate cardiomegaly and mediastinal venous engorgement are worse, indicating at least a component of cardiac decompensation. Small right pleural effusion is presumed. There is no pneumothorax.
	A portable frontal chest radiograph demonstrates opacification of the left hemithorax, with minimally aerated lung is seen at the left apex. This is consistent with increased severe left pleural effusion. The right lung is clear, without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette cannot be evaluated secondary to overlying opacity in the left hemithorax.
	Supine portable view of the chest was obtained. Endotracheal tube is seen terminating approximately 4.4 cm above the level of the carina. A nasogastric tube is seen coursing below the diaphragm, inferior aspect not included on the image. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top-normal, accentuated by supine, AP technique. Mediastinal and hilar contours are unremarkable.
	In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 3 cm above the carina. The patient has taken a better inspiration and there is no evidence of acute cardiopulmonary disease.
	As compared to the previous radiograph, there is unchanged evidence of very low lung volumes with a tracheostomy tube and the left PICC line. Alignment of sternal wires is constant. There are substantial bilateral pleural effusions, potentially minimally increasing on the left. Signs of mild-to-moderate pulmonary edema continue to be present. The extent of the bilateral basal areas of atelectasis is constant. No new parenchymal opacities.
	There are decreased lung volumes. Volume loss with resultant increased opacification is seen within the left lower and right middle lobes, likely related representing atelectasis. A small left pleural effusion is seen. There is no focal consolidation, pneumothorax, or pulmonary edema. There is mild enlargement of the cardiomediastinal silhouette, although this may be exaggerated due to the AP projection and decreased lung volumes.
	Aside from a linear band of atelectasis at each lung base, lungs are clear Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
	Compared to the prior study there is no significant interval change.
	Right chest wall power injectable Port-A-Cath and left hemodialysis catheter are present, the tips projecting over the superior cavoatrial junction. Persisting layering left pleural effusion with overlying atelectasis. No focal consolidation or pneumothorax identified. Interval placement of a drainage tube which projects over the right upper quadrant. No evidence of free air under the diaphragms.
	Portable AP upright chest radiograph obtained. AP technique limits evaluation for cardiomegaly, though the heart does appear to be top normal in size. No signs of CHF/pulmonary edema. No large effusion or pneumothorax is seen. No definite signs of pneumonia. A vague nodular opacity projects over the left upper lung which could represents an artifact, though a pulmonary nodule not excluded. Bony structures are intact. Degenerative changes are partially imaged in the T-spine.
	Low lung volumes are similar to prior. The pulmonary vasculature appears slightly engorged and there is at least moderate interstitial edema. There is no focal consolidation, significant effusion, or pneumothorax. Mild cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Aortic calcification is not significantly changed.
	Two frontal images of the chest demonstrate a pigtail catheter and a chest tube in place in the right chest with persistent right lung base opacity which is unchanged from prior imaging. There is no pneumothorax. The left lung is clear. There is some atelectasis noted bilaterally at the bases. Cardiomediastinal silhouette is unchanged.
	1. Endotracheal tube, feeding tube, left PICC line all remain stable. Lungs are hyperinflated with relative paucity of vasculature in the apices consistent with underlying emphysema. There are small bilateral effusions, left greater than right, with bibasilar patchy opacities not significantly changed. Overall, cardiac and mediastinal contours are stable. No pneumothorax.
	A new orogastric tube is seen to course below the diaphragm into the stomach with its distal end terminating in pylorus and is appropriately positioned. The lung is clear. The right chest is incompletely imaged; however, the imaged portions are unremarkable. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
	Tracheostomy is in place. Heart size and mediastinum are stable. Right PICC line tip is at the level of lower SVC. Left basal consolidation is noted, new all concerning for progression of infectious process.
	Interval placement of right chest tube, with a decrease in right pleural effusion and no definite pneumothorax. Cardiomegaly is accompanied by pulmonary vascular congestion, worsening pulmonary edema, new small left pleural effusion, and bibasilar lung opacities. The latter may reflect atelectasis, aspiration, or infectious pneumonia.
	Lung volumes are low. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Minimal patchy opacities in the lung bases likely reflect atelectasis. There is no focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
	Left PICC tip terminates in the upper SVC. Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal atelectasis in the lung bases. No large pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
	Cardiomediastinal contours are midline. Lines and tubes are in standard position. There has been no interval change in the appearance of the lungs with no recurrence of collapse. Chronic findings of left perihilar mass, bilateral effusions larger on the left and multifocal opacities in the right apex and right base are unchanged.
	In comparison with the devices are unchanged. Little change in the appearance of the heart and lungs with bilateral layering pleural effusions, more prominent on the left. In the appropriate clinical setting it would be difficult to exclude superimposed pneumonia.
	ET tube ends 2.6 cm above the carina. There is mild volume overload. Heterogeneous opacity at the left lung base is unchanged, worrisome for aspiration. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. New NG tube ends in the stomach.
	In comparison to prior radiograph from 1 day earlier, a small left pleural effusion has nearly resolved. Nasogastric tube has been slightly withdrawn, with side-port now in close proximity to the GE junction. No other relevant change.
	In the interval, the endotracheal tube, left-sided chest tube, mediastinal tube, enteric tube, and right central line have been removed. No pneumothorax. Lung volumes are lower and there is increased bibasilar atelectasis and stable bilateral upper lobe atelectasis. Small left pleural effusion.
	As compared to the previous radiograph, there is no relevant change. Moderate pulmonary edema with areas of atelectasis at the right lung base and in the right perihilar areas. Identical changes, but less severe, are also seen in the left perihilar regions. Borderline size of the cardiac silhouette with left pectoral pacemaker. No pleural effusions.
	As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The clips projecting over the right axilla are unchanged in appearance. The heart is borderline in size, as are the diameters of the pulmonary vessels. However, no signs of overt pulmonary edema are seen. No pleural effusions. No evidence of pneumonia.
	As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal appearance of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No pleural effusions. No pneumothorax.
	A Port-A-Cath terminates at the cavoatrial junction. The heart is normal in size. The mediastinal and hilar contours appear unchanged. It is difficult to evaluate opacities seen on prior chest CT since these were radiographically occult. There are streaky left basilar opacities on this examination, not specific but suggesting minor atelectasis with a suspected very small new left-sided pleural effusion. The right lung remains clear by radiography. There is no pneumothorax or right-sided pleural effusion.
	Nasogastric tube is seen coursing below the diaphragm with the tip not identified. Linear opacity at the right base persists likely reflecting subsegmental atelectasis. Lung volumes remain diminished. No developing airspace consolidation to suggest pneumonia. No pulmonary edema. Crowding of the pulmonary vasculature. Stable cardiac and mediastinal contours. No pneumothorax.
	Compared to the prior radiograph, the lung volumes are unchanged. Bibasilar atelectasis is unchanged, worse on the right. Right pneumothorax is imperceptible. Right pleural catheter stable.
	There is a single lead pacemaker with the tip projecting over the expected location of the right ventricle. The heart is moderately enlarged. There is mild pulmonary vascular redistribution. There are no definite infiltrates. There is no pneumothorax
	Left-sided pacemaker, left ventricular assist device, and right-sided PICC line are unchanged position. Bilateral chest tubes have been removed. No pneumothoraces are seen on either side. There are small bilateral effusions, right slightly greater than left. There are no pneumothoraces. Several right-sided rib fractures are again seen.