FINDINGS:
There is mild-to-moderate interstitial pulmonary edema.  The
 cardiac silhouette is moderately enlarged.  The mediastinal contours are
 normal with calcification noted in the aortic knob.  A left chest
 biventricular AICD is unchanged.  There is a small left and possibly right
 pleural effusion without pneumothorax.

IMPRESSION:
Interstitial pulmonary edema and small pleural effusions.