                                 FINAL REPORT
 REASON FOR EXAMINATION:  Worsening tachypnea and volume overload.
 
 Portable AP radiograph of the chest was reviewed in comparison to .
 
 The multifocal opacities on the current study appear to be progressed as
 compared to prior examination concerning for multifocal infection.  There is
 small amount of right pleural effusion, slightly increased since the prior
 study.  No definitive evidence of pulmonary edema is present, but it cannot be
 entirely excluded and reassessment of the patient after diuresis is
 recommended.  The position of the pacemaker is slightly unclear, and although
 unchanged since prior examinations, still most likely is in the right
 ventricle.
