FINDINGS:
A pacer/defibrillator unit projects over the left chest with leads
 in the right atrium and right ventricle.  The heart size continues to be
 severely enlarged with a globular appearance compatible with patient's known
 history of cardiomyopathy.  The lungs show mildly engorged pulmonary
 vasculature and edema.  There is no pleural effusion or pneumothorax.

IMPRESSION:
Stably dilated heart compatible with cardiomyopathy and mild
 edema.