14 year old DSH

Findings

The cardiac silhouette is enlarged. There is increased opacity in the pleural space with retraction of the lung lobes and widened pleural fissure lines. There is also a bronchointerstitial pattern throughout the lungs with regions of alveolar opacity. The pulmonary veins are mildly enlarged. In the portion of the abdomen included, the liver is enlarged and there is mildly decreased peritoneal detail.