83 year old with bilateral pleural effusions, right larger than left with bibasilar compressive atelectasis. There is significant coronary calcification including left main disease and possible LAD stent. The left atrium is enlarged likely secondary to elevated left ventricular end diastolic pressure. This finding and the pleural effusions suggest CHF. Visualization of the wall of the aorta without the usual coarsened calcification raises the possibility of anemia
Ashley Davidoff MD TheCommonVein.net RnD image