FINDINGS:
Hyperinflation is mild.  Cardiomegaly, mild pulmonary vascular congestion,
 mild pulmonary edema suggest volume overload.  There is no pleural effusion or
 focal consolidation.  There is no pneumothorax.  Multiple chronic appearing
 rib fractures are noted.

IMPRESSION:
Cardiomegaly, mild pulmonary vascular congestion, and mild pulmonary edema.