FINDINGS:
PA and lateral views of the chest provided.   AICD is unchanged with leads
 extending to the region the right atrium and right ventricle. The heart is
 moderately enlarged which appears unchanged. No convincing signs of pneumonia
 or overt edema. No large effusion or pneumothorax. The mediastinal contour
 stable. Bony structures are intact. Pectus excavatum deformity again noted.

IMPRESSION:
Cardiomegaly. No signs of superimposed pneumonia.