                                 FINAL REPORT
 CHEST ON 
 
 HISTORY:  CHF, question interval change.
 
 REFERENCE EXAM:  .
 
 Compared to the study from the prior day, the dual-lead pacemaker is
 unchanged.  There is increased cardiomegaly, which is moderate-to-severe. 
 Bilateral hazy vasculature, pulmonary vascular redistribution, and alveolar
 edema.  There are small bilateral effusions, right greater than left and
 Kerley B lines.  Compared to the prior exam, the CHF is worsened.
