A large caliber dual lumen central venous catheter is present with its tip in the superior vena cava, approached from the left side. No evidence of pneumothorax. The left lung is clear. The right lung shows fine diffuse parenchymal opacity and pleural thickening, which could also represent pleural effusion in the right pleural space.
Simple pneumothorax (Absent) Suboptimal central line (Present) Simple pleural effusion (Uncertain)