FINAL REPORT
 CHEST, TWO VIEWS: ___
 
 HISTORY: ___-year-old with wheezing.
 
 COMPARISON: ___
 
 IMPRESSION: More confluent region of opacity in the left upper lobe, potentially superimposed infection. Findings suggestive of pulmonary vascular congestion and small effusions with cardiomegaly.
 
 FINDINGS: AP and lateral views of the chest. The cardiac silhouette has enlarged since prior. Blunting of the posterior costophrenic angles is suggestive of small effusions. There is increased hazy opacity throughout both lungs with indistinct pulmonary vascular markings. The lungs are hyperinflated with flattening of the diaphragms. There is a superimposed more confluent consolidation in the left mid lung laterally. Atherosclerotic calcification is noted at the aortic arch. Left chest wall dual-lead pacing device seen with lead tips in the right ventricular apex and right atrium. No acute osseous abnormality is identified.
