FINDINGS:
Endotracheal tube terminates in appropriate position in the trachea.  There is
 an enteric tube which terminates in the stomach.  There is a right Port-A-Cath
 which terminates in the distal SVC.  There is a small left pleural effusion
 with adjacent atelectasis.  There is also increased opacity in the left
 mid-lower lung zone, concerning for aspiration or infection.  There is no
 focal consolidation or pneumothorax.  The heart is normal in size. Widening of
 the mediastinum may be due to extension of the pleural effusion.

IMPRESSION:
1.  Appropriate position of support lines and devices.
 2.  Small left pleural effusion with adjacent atelectasis.  Left mid-lower
 lung zone opacities concerning for aspiration or pneumonia.
 3.  Widening of the mediastinum may be due to extension of the pleural
 effusion.