                                 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:

 Right pleural thickening is chronic.  The cardiomediastinal silhouette shows
 moderate cardiomegaly. Elevation of the right hemidiaphragm is noted. There
 are no focal airspace opacities.  There is no pulmonary edema. Small bilateral
 pleural effusions are noted.  No pneumothorax.
 The cardiac apex is not well characterized due to overlying motion.

 IMPRESSION:

 1. No evidence of pneumonia.

 2. Moderate cardiomegaly.
