IMPRESSION:
AP chest compared to :
 
 Progressive consolidation in the left lung is most likely due to worsening
 pneumonia.  Left bronchial tree may be largely occluded by secretions.  There
 is new consolidation in the right mid and lower lung zones which would be
 attributed to pneumonia as well except that there is pulmonary vascular
 congestion and a slight increase in heart size raising possibility of
 concurrent cardiac decompensation.  Small left pleural effusion has increased
 in the interim.  Dr.  was paged.
                                                                       
 
                                 FINAL REPORT
 AP CHEST