FINDINGS:
Left-sided dual lumen central venous catheter tip terminates in the low SVC in
 courses through a stent within the left brachiocephalic and superior vena
 cava.  A vascular stent is also noted within the left upper extremity. 
 Cardiac silhouette size is normal.  Mediastinal and hilar contours are
 unchanged unchanged with similar rightward deviation of the trachea due to a
 known left thyroid goiter again noted.  The pulmonary vasculature is not
 engorged.  Minimal patchy opacities in the lung bases likely reflect areas of
 atelectasis.  There may be trace bilateral pleural effusions, but no focal
 consolidation or pneumothorax is present.  Clips are noted about the neck. 
 Remote fractures of the right posterior ribs are again seen.

IMPRESSION:
Bibasilar atelectasis with possible trace bilateral pleural effusions.