The initial AP portable supine chest radiograph demonstrates an endotracheal tube tip at the thoracic inlet, partial visualization of lumbar fixation hardware with interposition graft, and radio-opaque material superior to the level of this hardware. There is subcutaneous gas within the left neck soft tissues and a possible tiny left apical pneumothorax. Minimal left lower lobe retrocardiac opacity likely represents atelectasis. No evidence of pulmonary edema or pleural effusions. The cardiomediastinal silhouette is within normal limits.
Simple pleural effusion (Absent) Atelectasis (Uncertain) Simple pneumothorax (Uncertain) Suboptimal endotracheal tube (Present) Subcutaneous Emphysema (Present)