Blunting of the right costophrenic angle posteriorly with bilateral pleural opacity, which may suggest pleural thickening or artifact; a small right pleural effusion cannot be ruled out. No evidence of pneumothorax, acute infiltrate, or consolidation. Cardiomediastinal silhouette is enlarged, consistent with biventricular enlargement, but appears stable. Pulmonary vasculature is within normal limits. Osseous structures are stable. Surgical clips are noted over the upper abdomen on the lateral view.
Simple pleural effusion (Uncertain) Pleural Other (Uncertain) Cardiomegaly (Present)