Chest radiograph demonstrates a unipolar pacer in the left chest wall with a single lead going to the right ventricle. There is bibasilar consolidation, bilateral pleural effusions, and pulmonary vascular indistinctness, which are findings consistent with congestive heart failure (CHF). However, superimposed infection cannot be excluded. Mature callus formation around the right humeral shaft suggests old trauma. Diffuse idiopathic skeletal hyperostosis of the spine is noted.
Pulmonary congestion (Present) Pneumonia (Uncertain) Simple pleural effusion (Present) Acute humerus fracture (Absent) Pacemaker (Present)