FINDINGS:
Cardiac silhouette size appears moderately enlarged, increased from prior. 
 The mediastinal and hilar contours are within normal limits.  Mild perihilar
 haziness and vascular indistinctness compatible with mild pulmonary vascular
 congestion.  No focal consolidation, pleural effusion or pneumothorax is seen.
 There are no acute osseous abnormalities.

IMPRESSION:
Moderate cardiomegaly, increased from prior, with mild pulmonary vascular
 congestion.