Cough and shortness of breath. Low lung volumes with extensive chronic airspace opacities and consolidation bilaterally. Apparent interval worsening may reflect the interval decrease in lung volumes rather than disease progression. Superimposed pneumonia would be difficult or impossible to exclude on portable plain film technique. No evidence of pulmonary edema.
Extensive opacities previously described as advanced nummular pulmonary sarcoidosis; superimposed pneumonia would be difficult or impossible to exclude a portable plain film technique, especially given interval decrease in lung volumes. Consider reduced dose thoracic CT.