FINDINGS:
Frontal and lateral views of the chest.  There are new bilateral
 increased interstitial markings throughout the lungs with central pulmonary
 vascular engorgement.  There is no pleural effusion.  The cardiac silhouette
 is mildly enlarged, new since prior as well.  Hypertrophic changes are noted
 in the spine.  Surgical clips seen in the upper abdomen.

IMPRESSION:
Mild pulmonary edema.