Findings: Cardiomegaly with enlargement of the left atrium. A dense mitral valve prosthesis (MitraClip) is seen in place. Patchy areas of ground glassing are seen in both lungs which may be due to pulmonary oedema. Mild bilateral apical pleural thickening, suggestive of previous chronic granulomatous infection. Multiple prominent partially calcified mediastinal lymph nodes are seen. The trachea is patent and well-aerated. Diffuse osteopenia is noted in the visualised skeleton. Decreased body height of the 8th dorsal vertebra is noted without any retropulsion. A few surgical clips are seen in the thyroid bed (history of total thyroidectomy).