                                 FINAL ADDENDUM
 ADDENDUM:  Lateral view also demonstrates presence of at least moderate in
 size hiatal hernia.
 
 
                                 FINAL REPORT
 REASON FOR EXAMINATION:  Pre-operative assessment.
 
 PA and lateral upright chest radiographs were reviewed in comparison to
 multiple prior studies dating back to .
 
 Cardiomegaly is moderate, unchanged.  Bulging of the thoracic descending aorta
 with known area of aneurysm is re-demonstrated, slightly increased since .
 Potentially should be re-evaluated with cross-sectional imaging since the
 prior cross-sectional imaging was obtained in .  Current study
 demonstrates diffuse interstitial prominence that might be consistent with
 mild interstitial pulmonary edema.  No definitive pleural effusion or
 pneumothorax is seen.
