FINDINGS:
Heart size is mildly enlarged with a left ventricular predominance. The aorta
 is tortuous.  Mediastinal and hilar contours are unchanged.  Pulmonary
 vasculature is not engorged.  No focal consolidation, pleural effusion or
 pneumothorax is demonstrated.  Chronic fracture deformity of the left proximal
 humerus is re- demonstrated.  There are mild degenerative changes seen in the
 thoracic spine.

IMPRESSION:
No acute cardiopulmonary abnormality.