Rule out heart failure
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Despite a technically sub-optimal study due to grid cut off, the lungs and pleural space are clear. No acute intrathoracic pathology. Specifically, no interstitial pulmonary edema. Stable cardiomegaly.
Note the change in density across the PA chest x-ray, the patient's left side is uniformly more radio-opaque. Upon inspection of the imaging room, it was found the upright grid was turned upside down, resulting in consistent grid cut off across all studies performed that day.