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The nasogastric tube is projected over the gastric body, approximately 10cm from the gastro-oesophageal junction. Surgical clips noted projected over the neck, mediastinum, left midzone and left axilla. There is interval reaccumulation of the left sided pleural effusion with associated collapse and consolidation of the left lower and mid-zones of the lung. Loss of the AP window with focal opacification may relate to hilar mass or lymphadenopathy.
Bowel gas pattern is normal. Unremarkable skeletal structures.