FINDINGS:
Lung volumes are low which leads to bronchovascular crowding.  The heart is
 severely enlarged without overt edema.  Replaced mitral valve appears in
 unchanged position.  There is no pneumothorax.  Trace bilateral pleural
 effusions are noted.  Median sternotomy wires are present.

IMPRESSION:
1.  Severe cardiomegaly without overt edema or focal consolidation.
 
 2.  Trace bilateral pleural effusions.