<num>. cardiomegaly with a left ventricular configuration, substantially increased since remote earlier radiographs. <num>. mild diffuse interstitial abnormality, most suggestive of mild pulmonary vascular congestion. <num>. somewhat confluent interstitial opacification in the right lower lung, although not necessarily representing a separate process. followup radiographs are recommended in the short-term, however, preferably with pa and lateral technique if possible, to reassess.