Chest PA-View radiograph of my wife says 1- Cardiomegaly present,Left ventricular type. 2- Left sided pleural effusion noted. 3- Unfolding of aorta . 4- Bilateral hilar prominence with hilar opacities. Visualized bone and soft tissue normal. The calicut based hospital is proceeding with angigram,but a cardiologist from USA is of the suggestion that with the present tests taken (ECG,Chest X ray,Blood Test,Eco Cardiograph) digonasing is possible.