Hyperinflated lung fields are consistent with a known history of COPD. The trachea is central, with a tracheostomy in situ. The cardiomediastinal contour is normal.
There is a large, elliptiform, mass-like left hemithoracic opacity with sharp borders. There is no cavitation, no associated air-fluid level, no calcification, and no overlying rib erosion.
There is apical bronchovascular distortion consistent with previous pulmonary tuberculosis. There are bibasal effusions.
There is a left subclavian access CVP with overlying ECG leads.
The lateral view is absent, in keeping with a portable and intensive care setting.