Vascular and nutrition access needed, evaluate vasculature in the neck and chest CHEST: LUNGS AND PLEURA: Large left pleural effusion with collapse of the left lung. Small right pleural effusion.MEDIASTINUM AND HILA: NG tube in the stomach.VASCULATURE: The left internal jugular vein is patent with a focus of ectasia just superior to its confluence with the subclavian vein (series 601, image 17). The right internal jugular vein is not visualized. The SVC appears small in caliber but patent proximally on postcontrast imaging. The distal SVC is not well visualized on postcontrast imaging, but appears patent on the coronal FIESTA sequence. There is a three-vessel aortic arch with a typical configuration of the major branch vessels. CHEST WALL: No significant abnormality noted.
1. Small caliber SVC with findings suggestive of patency on this limited exam.2. Patent left internal jugular vein. Nonvisualization of the right internal jugular vein.3. Large left pleural effusion with collapse of the left lung. Small right pleural effusion.