FINDINGS:
The heart is moderately enlarged.  There is mild prominence of
 pulmonary vascularity and interstitium without frank pulmonary edema.  Patchy
 opacity in the lingula is linear and suggests atelectasis.  Small bilateral
 pleural effusions are suspected.  The lungs are hyperinflated.  There is a
 mild lower thoracic wedge compression deformity that appears chronic and
 correlates with the prior CT findings.  Mild degenerative changes involve the
 right shoulder.

IMPRESSION:
Moderate cardiomegaly and findings suggesting mild vascular
 congestion.