                                 FINAL REPORT
 REASON FOR EXAMINATION:  Evaluation of the patient with COPD, sepsis,
 intubated for airway protection.
 
 Portable AP radiograph of the chest was reviewed in comparison to .
 
 The patient remains intubated with the ET tube tip is 7 cm above the carina. 
 The NG tube tip passes below the diaphragm with its tip not clearly seen on
 the current examination.  The right internal jugular line tip is at the level
 of mid SVC.  The patient is in pulmonary edema, moderate, progressed since the
 prior study, associated bilateral pleural effusions.  Pleural calcifications
 are redemonstrated.  There is no pleural effusion or pneumothorax.
