FINAL REPORT
 EXAMINATION: CHEST (AP AND LAT)

 INDICATION: ___ year old man with altered mental status

 TECHNIQUE: Upright AP and lateral views of the chest

 COMPARISON: Chest radiograph ___

 FINDINGS:

 No acute osseous abnormalities are detected. There is no pneumothorax. Calcified pleural plaques are re- demonstrated bilaterally and relate to prior asbestos exposure. Atherosclerotic calcifications are seen diffusely within the thoracic aorta. The mediastinal contour otherwise is unchanged. Left-sided pacemaker device is noted with leads terminating right atrium, right ventricle, and region of the coronary sinus. There is mild cardiomegaly with dense mitral annular calcifications. Patchy opacities are seen in the lung bases which may reflect atelectasis, though infection cannot be completely excluded. There is mild pulmonary edema, new in the interval with small bilateral pleural effusions.

 IMPRESSION:

 Patchy opacities in the lung bases may reflect atelectasis however infection cannot be completely excluded. Mild pulmonary edema with small bilateral pleural effusions.
