FINDINGS:
Cervical fusion hardware projects over the cervical spine.  The heart is
 moderately enlarged.  The hilar contours are within normal limits.  There is
 mild pulmonary vascular congestion without frank pulmonary edema.  There is no
 focal consolidation, pleural effusion or pneumothorax.  Minimal bibasilar
 atelectasis.

IMPRESSION:
Moderate cardiomegaly and mild pulmonary vascular congestion without frank
 pulmonary edema.