FINDINGS:
Interval increase of cardiomegaly and/or pericardial. The hila are
 normal.  There is no pleural effusion and no pneumothorax.  atherosclerotic
 calcification of the abdominal aorta is seen.  No displaced rib or clavicle
 fractures.  The height of the thoracic and upper lumbar vertebral bodies is
 normal.

IMPRESSION:
Interval increase of cardiomegaly and/or pericardial.