FINAL REPORT
 INDICATION: ___M with confusion, malaise // eval pna
 
 TECHNIQUE: Chest AP and lateral
 
 COMPARISON: CTA head and neck ___.
 
 FINDINGS:
 
 DISH changes are present throughout the thoracic spine. The upper abdomen is unremarkable. The patient is status post right rotator cuff repair. On the lateral view, note is made of thickened fissures. The hilar are unremarkable. Nodular interstitial changes are also noted. Heart size is mildly enlarged. Prominent mediastinum is due a least in part to a borderline enlarged ascending aorta. Lung volumes are slightly low, and there is an opacity at the left lung base obscuring the left costophrenic angle, which may reflect atelectasis, small pleural effusion, or infection in the correct clinical setting.
 
 IMPRESSION:
 
 Overall appearance more consistent with pulmonary edema.
