Sickle cell pain rule out infection or acute chest. Stents projecting over the left brachiocephalic vein appear similar. IVC filter unchanged in position and may be suprarenal. Cardiomegaly, unchanged. Basilar scarring, left greater than right. No pleural fluid or focal airspace opacity. Degenerative changes spine. Humeral head chronic infarcts.
No specific evidence of acute chest. Unchanged cardiomegaly.