FINDINGS:
Frontal and lateral chest radiographs demonstrate intact sternal wires.  There
 has been interval placement of a left chest wall pacer device with leads
 overlying the bilateral atria and the right ventricle.  There is also a valve
 prosthesis.  Lungs are well expanded, without focal consolidation, pleural
 effusion, or pneumothorax.  Unchanged cardiomegaly. The visualized upper
 abdomen is unremarkable.

IMPRESSION:
No acute cardiopulmonary process.