Cardiomegaly with pulmonary vascular congestion and worsening bibasilar opacities, likely secondary to a combination of chronic interstitial lung disease, emphysema, and superimposed acute processes such as atelectasis, aspiration, or dependent edema. Infection is considered less likely.
Pulmonary congestion (Present) Emphysema (Present) Cardiomegaly (Present) Edema (Uncertain) Atelectasis (Uncertain) Aspiration (Uncertain)