FINDINGS:
Intact sternotomy wires are unchanged.  There is moderate cardiomegaly with
 interval increase in interstitial markings suggestive of pulmonary edema. 
 Indistinct costophrenic angles may suggest trace effusions. No pneumothorax is
 seen.  There is no focal consolidation. The cardiac and mediastinal
 silhouettes are unremarkable.

IMPRESSION:
Moderate cardiomegaly and mild pulmonary edema with trace effusions.  No focal
 consolidation.