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ETT in situ. NGT with tip and side-holes in the stomach.
Multifocal, patchy bilateral lobar consolidation with air bronchograms are most in keeping with bacterial pneumonia. Large loculated left-sided pleural effusion with an air-fluid level and pleural thickening is consistent with empyema. There is associated compressive atelectasis of the left lung and mild mediastinal shift. Heart and great vessels are within normal limits. Non-pathologically enlarged mediastinal lymph nodes are likely reactive. No suspicious osseous lesion is identified.