FINDINGS:
Midline sternotomy wires and mediastinal clips are unchanged.  The
 heart size continues to be mildly enlarged.  The lungs show increasing opacity
 with worsening pulmonary vasculature engorgement as well as right lower lung
 consolidation with air bronchograms, all compatible with worsening pulmonary
 edema.  Neither costophrenic sulcus is distinctly sharp, suggesting small
 pleural effusions.

IMPRESSION:
Worsening pulmonary edema; findings discussed with 
 at 11:00 am on  by  over the phone.