<num>. worsening cardiomegaly, bilateral pulmonary edema, and widening of the vascular pedicle suggest chf exacerbation. <num>. left lower lung opacity is likely pleural effusion with a component of atelectasis, however, underlying pneumonia cannot be excluded. the above results were communicated via telephone by dr. <unk> to dr. <unk> <unk> at <time> p.m. on <unk>, <num> minutes after discovery.