IMPRESSION: Worsening right lower lobe pneumonia and mild pulmonary edema.

INDICATION: ___-year-old woman with known CHF, with weakness and malaise.

COMPARISON: Chest radiograph done earlier today at 11:52 a.m.

PORTABLE AP CHEST RADIOGRAPH: A left chest wall AICD device is seen with leads in expected position in the right atrium and right ventricle. Streaky opacities in the left lung base, likely represent atelectasis. There is stable mild cardiomegaly. There is increasing consolidation in the right lung base, consistent with pneumonia. The hilar and mediastinal contours are stable, with moderate aortic calcification. No large pleural effusion or pneumothorax is seen. Mild pulmonary edema is slightly worse since the earlier study done today at 11:52 a.m.
