Watch out!  The ET tube is malpositioned into the right mainstem bronchus.  This emergency required us to call the ER doctors because removal and repositioning of the ET tube is warranted.

Observation

Clinical History: s/p cardiac arrest.

Technique: DX chest, portable 1 view

ET tube with its tip in the right mainstem bronchus. Suggest retraction by about 5 cm. There is marked cardiomegaly. Opacities are noted bilaterally more on the suprahilar and perihilar regions with air-bronchograms. Followup with PA and lateral chest radiograph is recommended.

Impression

APPARENT MALPOSITION OF ET TUBE, AS DESCRIBED. SUGGEST RETRACTION BY ABOUT 5 CM. MARKED CARDIOMEGALY. FINDINGS IN THE LUNGS POSSIBLY DUE TO PULMONARY EDEMA OR PNEUMONIA. RECOMMEND FOLLOW-UP.