Pt c/o Chest pain at night with Breathing difficultie please diagnosis

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There is Cardiomegaly and Pleural thickening Right with unsharp right CP angle. Hilar shadow is heavy. Pain may be due to pleural disease. Needs ECG and Echocardiogram to exclude failure / incipient failure as cause of night time breathlessness.

Sir Very elaborate and to the point answer There may be element of left hheart failure so there is orthopnia
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Pleurisy with thickened pleura right. Cardiomegaly.

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Cardiomegaly, hazyness rt paracardiac area, rt pleural thickening.hyperinflated lung fields, obliterated bilateral costophrenic angle.

Cardiomegaly with rt thickens pleura

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