Exam at 0604 hrs: Interval placement of a right internal jugular catheter with the tip correctly positioned in the superior vena cava (SVC). No evidence of pneumothorax. There is an increase in mild pulmonary edema and a slight enlargement of the cardiac silhouette. No other changes are noted from the previous exam.
Edema (Present) Suboptimal central line (Absent) Simple pneumothorax (Absent) Cardiomegaly (Uncertain)