FINDINGS:
PA and lateral views of the chest were obtained.  An AICD is
 unchanged in position with lead tip extending into the right ventricle region.
 Midline sternotomy wires are again seen.  There is interstitial pulmonary
 edema with bilateral small pleural effusions.  Heart size is stable and within
 normal limits.  Central hilar engorgement is noted.  No pneumothorax.  Bony
 structures are intact.

IMPRESSION:
Mild pulmonary edema with small bilateral pleural effusions.