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HISTORY:   47 year–old status post CABG.

PA AND LATERAL CHEST:   In comparison to the previous exam there has been interval removal of the right central line. Interval removal of skin staples has been done. There is left basilar atelectasis and small bilateral pleural effusions, which are unchanged.

IMPRESSION:

• Status post CABG with interval removal of CVP line and skin staples.
• Small bilateral pleural effusions and atelectatic changes of the left base consistent with postoperative changes.

HISTORY:  Check line placement for new Cordis.

AP PORTABLE:   Compared to previous exam, there has been interval removal of the right internal jugular Swan-Ganz catheter. A right internal jugular Cordis has been inserted. The tip is in the region of the superior vena cava. Bilateral pleural effusion is present and bibasilar atelectatic changes.

IMPRESSION:

• Interval removal Swan-Ganz catheter.
• Status post CABG with postop atelectatic changes and pleural effusions.

ROUTINE CHEST:   PA and lateral views submitted with previous films for comparison. Significant cardiomegaly and increased density overlying the expected location of the aortic valve. Lungs are free of infiltrates bilaterally. The osseous structures are intact.

IMPRESSION:   Cardiomegaly and suggestion of aortic valve calcifications. ROUTINE CHEST:  Normal cardiomediastinal silhouette. Postoperative changes from previous median sternotomy are noted. Mild blunting of the left costophrenic angle is noted presumably related to surgery. There are atelectatic changes of the left lower 4 lobe.

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