                                 FINAL REPORT
 HISTORY:  Left lower lobe collapse.
 
 CHEST, SINGLE AP PORTABLE VIEW.
 
 ET tube is present.  The tip is obscured but appears to lie in satisfactory
 position above the carina.  An orogastric-type tube is present, tip extending
 beneath diaphragm off film.  Left IJ central line tip overlies proximal SVC. 
 A dual-lumen right IJ catheter appears to overlie the distal SVC and SVC/RA
 junction.  No pneumothorax is detected.  
 
 Suspect background COPD.  Heart size is borderline with left ventricular
 configuration.  There is upper zone redistribution, without overt CHF.  There
 is increased retrocardiac opacity, with partial obscuration of the diaphragm,
 consistent with left lower lobe collapse and/or consolidation.  Probable small
 left effusion.  There is also a small right effusion with a small amount of
 associated collapse and/or consolidation.  
 
 Compared with  at 14:24 p.m., the pleural-parenchymal findings are quite
 similar, possibly minimally improved at the right base.  The radiopaque tip of
 the Dobhoff-type tube has been advanced and now extends off the film.
