No pulmonary embolism. The mediastinum appears normal. No pericardial effusion. No aortic dissection involving the arch or descending aorta is evident. There is no mediastinal, hilar or axillary lymphadenopathy.
A large collection within the right hemithorax represents stomach (the patient had a gastric pull through procedure as a neonate) and not massive empyema. The stomach does appear rather distended. There are some gastric vessels demonstrated coming up from the coeliac axis. The distended stomach may be related to a recent large meal. However, a gastric outlet obstruction may need to be considered. Clinical correlation suggested, and further investigation indicated as required. There does appear to be a small amount of right-sided pleural fluid adjacent to the stomach. The right lung appears anteriorly compressed. There is consolidation affecting the right lung anteriorly likely related to atelectasis. Pneumonia cannot be completely excluded. There is a shift of the mediastinum to the left.
No endobronchial lesion is seen.