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The trachea is midline.
Bilateral pleural effusions are noted, left greater than right. Left lower lung airspace opacification is noted adjacent to the pleural effusion.
The cardiomediastinal silhouette is unremarkable in size and contour. Intact median sternotomy wires and single lead left-sided pacemaker are also noted.
There is prominence of the interstitial markings. Bilateral hila are unremarkable.
There is also moderate osteoarthritis of the shoulders and acromioclavicular joints.