FINDINGS:
The cardiomediastinal and hilar contours are stable. The aorta is again noted
 to be tortuous. The patient is status post CABG with median sternotomy wires
 in place.  The second most superior median sternotomy wires again noted to be
 fractured.  There is no pleural effusion or pneumothorax. The lungs are
 well-expanded with stable scarring at the right costophrenic angle. There is
 no new focal consolidation concerning for pneumonia.  There is no overt
 pulmonary edema.  The upper abdomen is unremarkable aside from surgical clips.

IMPRESSION:
No acute cardiopulmonary process.