                                 FINAL REPORT
 HISTORY:  Incarcerated hernia, sepsis, vent dependence.  Question interval
 change.
 
 CHEST, SINGLE AP PORTABLE VIEW.
 
 COMPARISON:  Chest x-ray from  at 4:51 a.m.
 
 Rotated positioning.  A tracheostomy tube is in place.  A right IJ central
 line tip lies in the region of the SVC/RA junction.  The cardiomediastinal
 silhouette is prominent, but unchanged.  There is upper zone re-distribution
 and diffuse vascular blurring, raising the question of CHF/fluid overload. 
 The right costophrenic sulcus remains clear.  There is increased retrocardiac
 density consistent with left lower lobe collapse and/or consolidation,
 unchanged.
