FINDINGS:
PA and lateral views of the chest were provided.  Midline
 sternotomy wires and prosthetic cardiac valve are again seen.  The heart
 remains mildly enlarged.  The lungs are clear bilaterally.  No pneumothorax or
 effusion.  Mediastinal contour is stable.  Bony structures are intact. 
 Abandoned epicardial pacing wires are seen along the anterior chest wall.

IMPRESSION:
Stable mild cardiomegaly.  Otherwise unremarkable.