FINAL REPORT
 INDICATION: History of left arm paralysis. Please evaluate.

 COMPARISONS: Radiograph of the chest performed earlier at 2am on the same
 day. CTA Head and Neck from ___.

 TECHNIQUE: AP and lateral view of the chest.

 FINDINGS: Visualized osseous structures are unremarkable. There is no pleural effusion or pneumothorax. There is a new focal consolidation seen at the right lung base. There is mild cardiomegaly. Note is also made of diffuse bilateral interlobular septal thickening, which could be secondary to patient's pulmonary edema, however an atypical infection or potential interstitial lung disease should also be considered. There is a .6-cm nodular opacity at the left lung base. There is a .9-cm nodular opacity at the mid right lung.

 IMPRESSION:

 1. New focal opacity overlying the right lung base, potentially atelectasis however infectious process is not excluded.

 2. Diffuse bilateral interstitial septal thickening; this could be secondary to pulmonary edema, however an atypical infection or potential interstitial lung disease should also be considered.

 3. Nodular opacities overlying the mid-right lung, and left lung base, for which a non-urgent CT of the chest is recommended for further evaluation.

 ___ were d/w Dr. ___ by Dr. ___ ___ at ___:___am by telephone on
 ___.
