FINDINGS:
The patient is status post median sternotomy and CABG.  The heart size is
 moderately enlarged.  The aorta is tortuous.  There is moderate pulmonary
 edema with a moderate size right pleural effusion and trace left pleural
 effusion.  Scarring within the lung apices is noted.  Fluid is noted to track
 within the minor fissure.  No pneumothorax is identified.  No acute osseous
 abnormality is visualized.

IMPRESSION:
Moderate congestive heart failure with moderate size right and trace left
 pleural effusions.