Cardiomegaly with evidence of a median sternotomy, likely post coronary artery bypass grafting, and left ventricular support device placement. There are signs of pulmonary edema with bilateral pleural effusions and a right pseudotumor. Persistent retrocardiac density raises the possibility of infection.
Simple pleural effusion (Present) Cardiomegaly (Present) Edema (Present) Pneumonia (Uncertain)