 WET READ:    8:17 PM
  No significant change in loculated right pleural effusion dating back to .  Stable left lower lung opacity from .  
  
 
                                 FINAL REPORT
 REASON FOR EXAMINATION:  Evaluation of the patient with decompensated
 congestive heart failure and decreased breath sounds.
 
 Portable AP radiograph of the chest was compared to  and
 .
 
 The thoracic spine hardware as well as most likely mediastinal fiducial
 markers are redemonstrated, unchanged.  Heart size overall is stable with
 prominence of the right hilum.  Bilateral pleural effusions, right more than
 left are demonstrated with loculations suspected on the right, again with no
 substantial changes compared to the prior imaging.  On the other hand, there
 is interval improvement of interstitial pulmonary edema, but new more focal
 opacity is demonstrated in the left upper and lower lobe that might be
 concerning for infectious process.
