hx of muscular dystrophy 85 year old male diagnosed in 1952, hx of prostate cancer, high beam radiation sesium implants, colostomy and fistula between prostate and bladder, 22 French foley 30cc bulb placed monthly by urologist. increased shortness of breath, bilateral basilar opacities in all lung fields along with cardiomegaly. pacemaker and resp 24 to 30 o2 sats on 3lpm via nc 90 to 92% costovertbal angles not well visualized. pulse rate 110 to 120....... no hx of smoking or exposure to chemical etc. Could passed radiation therapy have caused scaring of lung fields