A chest X-ray (AP portable view) of a 73-year-old male patient showing the following annotated findings with clearly labeled colored arrows and text boxes: 1. RED ARROW pointing to an enlarged cardiac silhouette (cardiothoracic ratio > 0.5) with label "CARDIOMEGALY - Enlarged cardiac shadow, CTR > 0.5" 2. YELLOW ARROWS on both lower lung zones pointing to haziness/increased opacity with label "BILATERAL BASAL OPACITIES - Pleural effusion vs consolidation" 3. BLUE ARROW pointing to the right costophrenic angle showing blunting with label "RIGHT CP ANGLE BLUNTING - Possible pleural effusion" 4. GREEN ARROW pointing to the left costophrenic angle with label "LEFT CP ANGLE BLUNTING - Possible pleural effusion" 5. ORANGE ARROWS pointing to increased vascular markings in upper lung zones with label "UPPER LOBE VENOUS DIVERSION - Pulmonary venous hypertension" 6. WHITE ARROW pointing to the trachea showing mild deviation with label "TRACHEA - Midline / assess deviation" 7. PURPLE label at the lung fields indicating "BILATERAL PERIHILAR HAZINESS - Pulmonary edema pattern" 8. ECG lead circles visible on chest wall labeled "ECG ELECTRODES" The image should look like a real annotated radiology teaching case with the original CXR appearance (black background, white/gray lung fields), and all annotations clearly visible in different colors with leader lines and boxes. Patient details at bottom: Mr. Pandurang Yadav, 73Y, Portable AP, 6/13/2026