FINDINGS:
PA and lateral views of the chest provided.   Midline sternotomy wires and
 prosthetic cardiac valve are noted.  The heart is mildly enlarged as on prior.
 Lungs are clear without focal consolidation, large effusion or pneumothorax. 
 Mediastinal contour is normal.  No overt signs of edema or congestion.  Bony
 structures are intact.

IMPRESSION:
Cardiomegaly unchanged.