right basilar pleural pigtail catheter remains in place. there is a tiny right apical pneumothorax. the heart remains enlarged. mediastinal contours are stable. a left-sided pacer remains in place. there is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. a rounded contour to the right medial lung base may reflect prominent epicardial fat when correlated with abdominal ct studies from <unk> and <unk>, although a medial lung nodule cannot be entirely excluded. this can be re-assessed on followup imaging. no large effusions.