FINDINGS:
There is a small bilateral pleural effusions.  The thoracic aorta is tortuous
 with calcified plaque at the arch.  The cardiac silhouette is stably mild to
 moderately enlarged.  There is mild vascular congestion.  There is no focal
 lung consolidation.  No acute osseous abnormality seen.  A metallic object
 projecting over the upper thorax on lateral view is likely outside of the
 patient.

IMPRESSION:
1. Small bilateral pleural effusions and mild vascular congestion.
 2. Stable cardiomegaly.