Hi and thank you for choosing HCM to post your question.I read carefully your question and in my opinion that report of chest x ray is not clear . Chest xray is an important examination for exploring lung disease but it can not be interpreted without correlation with clinical context. What are your symptoms?Do you have productive or dry cough,fever,chest pain?For how long are you suffering?Do you have any other health problem?Cardiac disease? Bilateral lung congestion with peribronchiolar thickening in the setting of heart failure suggests cardiac origin and the treatment is that of heart failure.Patchy consolidation can be related to cardiac failure but since it is not bilateral it can suggest even a lung infection especially if you have fever,productive cough and other constitutional symptoms.In this case you may need antibiotic.I will suggest you to consult a chest physician to specify what is the reason of radiologic changes and to decide the appropriate treatment. Hope my opinion can be helpful. Wish you good health. Kind regards Dr.Dushi