FINDINGS:
Moderate cardiomegaly is all stable compared to the prior exams
 dated back to at least .  There has been an interval increase
 in bilateral moderate pulmonary edema with interstitial thickening and
 perihilar vascular congestion compared to the prior exam from . 
 There may be small bilateral pleural effusions.  There is no evidence of
 pneumothorax.  The visualized osseous structures are unremarkable.  Note is
 made of a left subclavian stent, overall unchanged in position compared to the
 prior exam.

IMPRESSION:
Moderate pulmonary edema, overall increased compared to the prior
 exam from .