IMPRESSION:
In comparison with the study of , the endotracheal and nasogastric
 tubes have been removed. Right IJ catheter again extends to the mid to lower
 portion of the SVC.
 Left chest tube has been removed and there is no evidence of pneumothorax. 
 The patient has taken a better inspiration and there are mild opacifications
 at the bases consistent with atelectasis and possible small effusions.