FINDINGS:
PA and lateral views of the chest provided.   Midline sternotomy wires and
 mediastinal clips again noted.  Lung volumes are low limiting assessment. 
 Bilateral pleural effusions appear slightly increased from prior. There is
 associated lower lobe atelectasis.  There is probable mild pulmonary edema. 
 Heart size is unchanged.  Mediastinal contour is stable.  Bony structures are
 intact.

IMPRESSION:
Findings concerning for pulmonary edema with bilateral pleural effusions
 appearing slightly increased from prior study.