FINDINGS:
Frontal and lateral views of the chest.  Severe cardiomegaly has increased
 since  with right and left atrial enlargement, consistent with
 right heart decompensation.  Lung volumes are low with a possibly small left
 pleural effusion.  No focal consolidation or pneumothorax.  A left subclavian
 vascular stent is new since the prior exam.

IMPRESSION:
Increased cardiomegaly.  No focal consolidation.