IMPRESSION:
In comparison with the study of , there is little interval
 change in this patient with intact midline sternal wires following CABG
 procedure. Cardiac silhouette is within normal limits and there is no vascular
 congestion, pleural effusion, or acute focal pneumonia. There is mild blunting
 of the left costophrenic angle, essentially unchanged and probably related to
 pleural thickening.