Productive cough, green tinged. New fast AF. Bibasal crackles.
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Marked cardiomegaly. Peribronchial cuffing, upper lobar diversion and Kerley B lines evident. Minor blunting of the right costphrenic angle but no pleural effusion. Increased bibasal opacification may represent supperadded infection, but cardiac failure is the main picture.
Typical findings of pulmonary oedema due to cardiac dysfunction, including cardiomegaly, peribronchial cuffing, venous distention and increased interstitial markings.