IMPRESSION:
AP chest compared to , 5:21 p.m.:
 
 Right internal jugular line tip projects over the upper SVC.
 
 No pneumothorax or associated pleural effusion or mediastinal widening.  Large
 cardiomediastinal silhouette, particularly in the region of the grafted
 thoracic aorta is longstanding.  Left pleural thickening or fluid has been
 stable postoperatively.  Following removal of the left pleural tubes, there
 has been no increase in fluid.  Tiny left apical pneumothorax is not
 clinically significant.