FINDINGS:
AP single view of the chest has been obtained with patient in
 upright position.  Comparison is made with the next preceding similar study of
 .  Previously identified right-sided PICC line remains in
 unchanged position terminating relatively low and apparently entering the
 upper portion of the right atrium.  The heart size is unchanged.  The
 pulmonary vasculature is not congested.  Previously present Dobbhoff line has
 been removed.  Considerable gas distended large bowel loops are seen in the
 left upper quadrant, a finding which existed already earlier.  No evidence of
 free subdiaphragmatic air on either side on this portable chest examination. 
 No pneumothorax in the apical area.