FINDINGS:
Moderate cardiomegaly, central pulmonary vascular congestion, cephalization,
 and mild interstitial pulmonary edema is noted.  There is no large pleural
 effusion, pneumothorax, or lobar consolidation.  The thoracic aorta is
 ectatic.  No displaced rib fracture is identified.

IMPRESSION:
Moderate cardiomegaly and mild vascular congestion/edema.  No appreciable
 pleural effusion.