There is diagnostic contrast opacification of the pulmonary arteries. There is no pulmonary embolus.
Small bilateral pleural effusions and mild posterior basal atelectasis. Minor scar bands in the right lung apex. No focal consolidation.
Bronchial wall thickening within the lower lobes associated with a few peripheral centrilobular nodules and subtle peribronchial ground glass changes, particularly in the upper zones. Subpleural and interlobular septal markings in the lower zones, consistent with Kerley B lines.
There is no lymph node enlargement or other mediastinal abnormality.
Small sclerotic foci with the posterior aspects of the third and sixth ribs on the right, nonspecific, most likely representing enostosis.
Conclusion: No evidence of pulmonary embolism. Bilateral small pleural effusions with peribronchial thickening and interlobular septal thickening/Kerley B lines consistent with interstitial pulmonary oedema, with accompanying subtle peribronchial ground glass and scattered centrilobular nodules, likely reflecting an early mixed airspace component of oedema.