FINAL REPORT
 EXAMINATION: Chest radiograph.
 
 INDICATION: ___M with dyspnea with exertion and cough. Assess for pneumonia.
 
 TECHNIQUE: Chest PA and lateral
 
 COMPARISON: Chest radiograph ___, ___.
 
 FINDINGS: 
 
 No pneumothorax. The lungs are hyperinflated with flattening of diaphragms. Mediastinal contour and hila are unremarkable. Limited evaluation of the osseous structures are notable for multilevel degenerative changes. Moderate aortic knob calcifications with tortuous aorta. A left pacer device lead tips are in the right atrium and right ventricle. No right pleural effusion. Stable mild cardiomegaly.
 
 IMPRESSION: 
 
 1. Small left pleural effusion.
 2. Emphysema or chronic obstructive pulmonary disease.
 3. Right lower lobe peribronchial wall thickening is noted.
 4. Early right lower lobe pneumonia.
