FINDINGS:
Heart size is moderately enlarged but unchanged.  The aorta is tortuous and
 diffusely calcified.  Mediastinal contour is stable.  The pulmonary
 vasculature is not engorged.  Minimal subsegmental atelectasis is noted in the
 left lung base. The lungs are otherwise clear without focal consolidation.  No
 pleural effusion or pneumothorax is present.  No acute osseous abnormalities
 demonstrated.   Remote left-sided rib fracture is noted.

IMPRESSION:
No acute cardiopulmonary process.