FINDINGS:
AP and lateral views of the chest. 
 
 Thereis hyperinflation, consistent with background COPD.  There is increased
 diffuse parenchymal opacities bilaterally, more prominent at the bases
 consistent with mild pulmonary edema.  There are small bilateral pleural
 effusions layering posteriorly, left greater than right.  There is fluid in
 the major fissure seen on the lateral view.  There is moderate cardiomegaly. 
 No pneumothorax. The left hemidiaphragm is elevated laterally.

IMPRESSION:
Moderate cardiomegaly, mild pulmonary edema and small bilateral
 pleural effusions consistent with CHF.