FINAL REPORT
 EXAMINATION: CHEST (PA AND LAT)
 
 INDICATION: History: ___F with shortness of breath, cough, wheezing.
 
 TECHNIQUE: Upright AP and lateral views of the chest
 
 COMPARISON: Chest CTA ___, chest radiograph ___
 
 FINDINGS: 
 
 There are no acute osseous abnormalities. Left-sided AICD/pacer device is noted with leads terminating in the right atrium and right ventricle. Atherosclerotic calcifications are diffusely noted throughout the thoracic aorta. Patient is status post median sternotomy and mitral valve replacement. No pleural effusion or pneumothorax is identified. Moderate cardiomegaly is slightly increased in size compared to the previous study. Ill-defined nodular and hazy opacities are seen throughout the right lung, and likely involving the left mid lung field, which may reflect multifocal pneumonia with asymmetric pulmonary edema a differential consideration. Findings concerning for multifocal pneumonia primarily involving the right lung, with markedly asymmetric pulmonary edema within the differential diagnosis.
 
 IMPRESSION: 
 
 Followup radiographs after diuresis are recommended for further assessment.
