FINDINGS:
The lungs are clear without focal consolidation. The cardiac silhouette is
 moderately enlarged. There may be trace pleural effusions. The patient's arm
 overlies the chest on the lateral view, partially obscuring the view. Single
 lead left-sided AICD is seen with lead extending to the expected position of
 the right ventricle. No overt pulmonary edema.

IMPRESSION:
Moderate cardiomegaly and trace pleural effusions.