FINDINGS:
Single AP upright portable view of the chest was obtained.  Chronic
 bilateral pleural effusions are again seen, decreased on the left.  There is
 bibasilar atelectasis.  The cardiac silhouette is top normal to mildly
 enlarged.  The aorta is mildly calcified.  Patient is status post median
 sternotomy with the superior most wire again seen to be fractured.  There is
 elevation of the right hemidiaphragm.