FINAL REPORT
 INDICATION: History: ___ with SOB // R/O acute process
 
 TECHNIQUE: Portable AP upright view of the chest.
 
 COMPARISON: Outside chest CT from ___ at 20:50
 
 IMPRESSION:
 
 1. Follow-up chest radiograph after diuresis would be helpful.
 
 2. Bilateral interstitial opacities may be due to mild pulmonary interstitial edema or atypical pneumonia.
 
 3. Underlying emphysema and chronic interstitial changes.
 
 FINDINGS:
 
 Opacification of the left costophrenic angle may represent pleural thickening or a small pleural effusion. Diffuse bilateral interstitial opacities with prominence of the hilar structures may represent mild pulmonary interstitial edema, however, an atypical infection may have a similar appearance. Mediastinal contours are unremarkable. Lucent appearance of the upper lungs, right more than left, and hyperinflation is suggestive of underlying emphysema. Heart is normal size.
