Cough and right lung egophony. Chronic biapical scarring and posterior costophrenic angle blunting. Cardiothoracic ratio progressively increasing, now upper normal. Unfolding of the thoracic aorta with prominence of the ascending segment present previously. No focal airspace opacities or specific signs of pulmonary edema. A faint spherical opacity projecting over the right lower thorax most likely reflects summation artifact, not visualized on the lateral film.
Tortuous thoracic aorta, correlate for systemic hypertension. Cardiothoracic ratio remains within normal limits but is been progressively increasing. No conclusive acute pulmonary abnormalities. Short-term PA and lateral chest radiograph follow-up may be obtained if patient remains symptomatic.