<num>. interval placement of the left internal jugular line, with tip not clearly in a central vein. <num>. et tube now in the trachea, <num> cm above the carina. <num>. worsening opacification throughout the right lung field, especially the right upper lobe, concerning for aspiration, hemorrhage, or severe mitral valve regurgitation. dr. <unk> <unk> items <num> and <num> in the impression with dr. <unk> on <unk> at <time> am via telephone.