FINDINGS:
Patient is status post median sternotomy, aortic and mitral valve replacement.
 Moderate to severe cardiomegaly is unchanged.  The mediastinal and hilar
 contours are similar with atherosclerotic calcifications noted at the aortic
 knob.  Mild pulmonary edema is demonstrated with trace bilateral pleural
 effusions.  No focal consolidation or pneumothorax is present.  Atelectasis is
 seen in the lung bases.  No acute osseous abnormality is detected.

IMPRESSION:
Mild congestive heart failure with mild pulmonary edema and trace bilateral
 pleural effusions.