                                 FINAL REPORT
 HISTORY:  Recent pancreatitis, fall with gluteal hematoma, fever last night.
 Exclude pneumonia.

 TECHNIQUE:  Upright PA and lateral radiographs of the chest.

 COMPARISON:  Multiple prior radiographs of the chest most recent ___.  CTA of the chest ___.

 FINDINGS:

 Numerous bilateral pleural plaques are similar to the prior study.  Right
 pleural thickening is chronic.  The cardiomediastinal silhouette is unchanged
 with mild cardiomegaly. Elevation of the right hemidiaphragm is chronic. There
 are no concerning focal airspace opacities.  There is no pulmonary edema.
 There is no pleural effusion or pneumothorax.
 The cardiac apex is not well characterized due to overlying motion.

 IMPRESSION:

 1. Bilateral pleural plaques related to asbestos exposure are unchanged.

 2. No evidence of pneumonia.

 3. Stable Mild cardiomegaly.
