Suboptimal image as left costophrenic angle is not included in the film.
Pacemaker device noted in the left hemithorax with one electrode in place.
Both lungs are congested with upper lobe pulmonary venous diversion, prominent interstitial lung markings and multiple kerley B lines.
Increased cardiothoracic ratio.
Right costophrenic angle is clear.
Findings are suggestive of cardiogenic interstitial pulmonary oedema.