Male, 53 years old.Sudden onset of chest pain evaluate mediastinum. Severe cardiomegaly. Thickening of the fissures and vascular unsharpness consistent with moderate to severe pulmonary edema. Moderate volume of pleural fluid bilaterally.Please note that chest radiograph has a limited sensitivity for detection of vascular pathology including but not limited to dissection. Within this limitation, the mediastinum is without suspicious widening.
Moderate to severe CHF.