FINDINGS:
Cardiac silhouette size is mild to moderately enlarged but unchanged.  The
 mediastinal contour is similar with atherosclerotic calcifications noted at
 the aortic knob.  Mild pulmonary vascular congestion is re- demonstrated.  No
 focal consolidation, pleural effusion or pneumothorax is present. 
 Hypertrophic changes are seen within the thoracic spine.

IMPRESSION:
Unchanged mild to moderate cardiomegaly and mild pulmonary vascular
 congestion.