FINDINGS:
The cardiac silhouette is mildly enlarged.   Left-sided pacer leads are
 unchanged.  There is a central pulmonary vascular congestion with mild edema. 
 Heterogeneous bibasilar opacities are likely due to edema however in the
 correct clinical circumstance infection cannot be excluded.  There are tiny
 bilateral pleural effusions.  There is no pneumothorax.  The visualized
 osseous structures are grossly unremarkable.

IMPRESSION:
Mild pulmonary edema.  Heterogeneous bibasilar opacities are likely due to
 edema however infection cannot be excluded given the correct clinical
 circumstance.  Small effusions.