Moderate diffuse bilateral pulmonary vascular congestion and interstitial edema with diffuse bronchial wall thickening and Kerley B lines mainly in the mid and lower lung zones are compatible with pulmonary edema from transfusion associated circulatory overload given history of transfusion.
No discrete large effusion or pneumothorax. No discrete focal pneumonia.
Heart appears at upper limits normal with mild diffuse prominence of the main pulmonary artery.
No acute osseous findings. No free air in the upper abdomen.