FINDINGS:
Cardiac silhouette is enlarged.  The aorta is mildly tortuous. 
 Lungs are grossly clear, and there are no pleural effusions.  Bones are
 demineralized, and degenerative changes are present within the spine, as well
 as scoliosis.

IMPRESSION:
Cardiomegaly.  No evidence of pulmonary edema or pneumonia.