FINDINGS:
PA and lateral views of the chest are compared to prior from
 .  The lungs are clear of focal consolidation.  There is no
 significant pleural effusion.  There has been interval enlargement of the
 cardiac silhouette since .  Osseous and soft tissue structures
 are unremarkable.

IMPRESSION:
No acute cardiopulmonary process.  New cardiomegaly when compared
 to .