FINDINGS:
Frontal and lateral radiographs of the chest.  An AICD is in unchanged
 position though.  Midline sternotomy wires and mediastinal clips are again
 noted heart size is mildly enlarged, unchanged.  There is pulmonary vascular
 congestion.  No focal consolidation or pleural effusion.  No pneumothorax.

IMPRESSION:
Pulmonary vascular congestion and persistent cardiomegaly.