FINDINGS:
There is moderate cardiomegaly. There is mild pulmonary vascular congestion
 without overt edema, effusion, or consolidation. Osseous structures are
 unremarkable.  There is no definite focal consolidation.

IMPRESSION:
Moderate enlargement of the cardiac silhouette potentially due to underlying
 cardiac enlargement although pericardial effusion would be possible.
 Vascular congestion without focal consolidation.