FINAL REPORT
 EXAMINATION: CHEST (PA AND LAT)
 
 INDICATION: History: ___M with chest pain
 
 TECHNIQUE: Chest PA and lateral
 
 COMPARISON: Chest radiograph ___
 
 FINDINGS: 
 
 Partially imaged within the upper abdomen is an aortic stent graft. A left-sided AICD device is noted with single lead terminating in the right ventricle. Patient is status post median sternotomy and CABG. Lungs remain hyperinflated suggestive of underlying COPD. The aorta remains tortuous with atherosclerotic calcifications noted in the aortic arch. Moderate cardiomegaly appears increased in size compared to the prior study. Mild degenerative changes are noted in the thoracic spine. There is no pneumothorax. Mild pulmonary edema is present along with trace bilateral pleural effusions. Patchy opacities in the lung bases may reflect areas of atelectasis, though infection or aspiration cannot be excluded.
 
 IMPRESSION: 
 
 Patchy bibasilar airspace opacities may reflect atelectasis, though infection or aspiration cannot be excluded in the correct clinical setting. Mild congestive heart failure with mild interstitial pulmonary edema and trace bilateral pleural effusions.
