FINDINGS:
A frontal upright view of the chest was obtained reportedly.  Low
 lung volumes result in bronchovascular crowding.  A right Port-A-Cath is again
 seen, although the tip is not well visualized.  A chest tube overlies the
 right hemithorax. A right pleural density is a loculated effusion. No new
 opacity. A tiny right pneumothorax is newly apparent.  Cardiac and mediastinal
 silhouettes are stable. Barium from recent esophagram is noted.

IMPRESSION:
1.  Tiny right apical pneumothorax is newly apparent. Otherwise, no change
 from .
 
 Findings discovered at 11:37 a.m.and discussed with Dr.  at 11:38
 a.m.  by phone.