HOSPITAL: Central Hospital Bang Kapi District, Bangkok, Thailand

WARD: 23
CONSULTANT: Dr Kasem Channarong

PATIENT NAME: Sgt Maryann Elizabeth

Date of Birth: 17/05/1966
HOSPITAL NUMBER: X748493
DATE / TIME DOCUMENTATION

26/08/2022 Dr Kasem Channarong – f2

16:38
CXR performed on 25/08/2022

Indication for CXR – fractured ribs, shortness of breath and fever

environmental acquired pneumonia

Interception for CXR

Image quality:
➢ No evidence of Rotation
➢ AP film

Airway:
➢ Trachea Central
➢ Carina and bronchi normal
➢ Hilar Abnormalities

Breathing:
➢ Lung fields – area of increased opacity in the left lower zone
➢ Pleura – no pleura abnormalities

Cardiac:
➢ Cardiac borders visible
➢ Normal heart size

Diaphragm
➢ Loss of left costophrenic angle
➢ Overlying area of increased opacity
➢ No other abnormalities of the diaphragm

Plan
1. Maintain O2 saturation between 94 – 98%
2. Sputum culture
3. Blood Culture
4. Effective surgery

Dr Kasem Channarong
Bleep 542742