FINDINGS:
PA and lateral views of the chest were obtained.  Midline
 sternotomy wires and mediastinal clips are again noted.  Heart is mildly
 enlarged, though this appears stable.  The aorta is tortuous, also unchanged. 
 There is mild interstitial edema without large effusions or pneumothorax.  No
 definite signs of pneumonia.  Bony structures are demineralized.  A mild wedge
 deformity of a vertebra at the thoracolumbar junction is noted.  There is
 stable from prior.

IMPRESSION:
Mild cardiomegaly with interstitial edema.