FINAL REPORT

HISTORY: Hypertensive urgency, fluid overload.

CHEST, TWO VIEWS.

COMPARISON: ___, 7:29 a.m.

IMPRESSION:

1.  Again seen is evidence of COPD, with hyperinflation, flattened diaphragms, and parenchymal distortion.
2.  The patient's left-sided pacemaker with lead tips over
