FINDINGS:
AP upright and lateral views of the chest are obtained.  Midline
 sternotomy wires, mediastinal clips, and AICD device are unchanged.  There is
 pulmonary vascular congestion and mild pulmonary edema.  Small bilateral
 pleural effusions are also noted, new.  Cardiomediastinal silhouette is
 stable.  No pneumothorax.  Bony structures are intact.

IMPRESSION:
Findings compatible with congestive heart failure.