FINDINGS:
Compared with prior radiographs on  there is no significant
 change.  Borderline cardiomegaly is stable, with mild vascular congestion. 
 There is no overt pulmonary edema.  There is no focal consolidation or pleural
 effusion.  Longstanding right basilar atelectasis or scarring is unchanged. 
 No pneumothorax. A left chest wall pacemaker is stable in position.  Median
 sternotomy wires are stable in appearance.

IMPRESSION:
Stable borderline cardiomegaly with mild vascular congestion.  No overt
 pulmonary edema.