FINDINGS:
PA and lateral views of the chest provided.   The heart appears mildly
 enlarged.  The mediastinal contour is normal.  The lungs appear relatively
 clear without convincing evidence for pneumonia or edema.  No large effusion
 or pneumothorax.  There is severe degenerative disease in the thoracic spine
 with mild kyphotic angulation at the thoracolumbar junction.  Degenerative
 changes also notable at the right shoulder.

IMPRESSION:
Mild cardiomegaly without signs of edema or pneumonia.