FINAL REPORT
 HISTORY:  MDS, neutropenic with wet cough, low-grade fevers, crackles in left
 lower lung, question pneumonia.
 
 CHEST, TWO VIEWS.
 
 COMPARISON:  Chest x-ray from ___ at 18:30 p.m.
 
 Minimal blunting of the posterior costophrenic angle, but no gross effusion.
 The aorta is calcified and minimally unfolded.
 There is mild-to-moderate cardiomegaly.
 Left-sided pacemaker-type device (apparently an ICD) is present, with lead
 tips over right atrium and right ventricle.
 The lungs are hyperinflated and the diaphragms are flattened, consistent with
 COPD.
 A small density in the right upper zone overlying the right clavicle measures
 approximately 3.8 mm and could correspond to the nodular density seen on the
 ___ CT scan.
 Right upper zones remain clear.
 There are some patchy opacities at both lung bases, which have progressed compared with ___, and which could represent pneumonic infiltrates.
 Minimal stranding in the lingula is likely also present.
 No CHF.
 
 IMPRESSION:
 
 1.  Small nodular density (3.8 mm) right upper zone, likely corresponds to
 finding on the ___ CT scan.
 
 2.  COPD and cardiomegaly.
 
 3.  Patchy opacities in both lower lobes posteriorly, that could represent
 pneumonic infiltrates and that have progressed compared with the CXR from
 ___ at 18:30 p.m. Lingular stranding likely also present.
