FINDINGS:
Lung volumes are low.  There is no focal consolidation.  No pleural effusion
 or pneumothorax.  There is moderate central vascular congestion, interstitial
 edema, and a small amount of fluid in the fissures bilaterally.  Heart size is
 moderately enlarged but likely accentuated by lower lung volumes.  Mitral
 annular calcifications are seen.  .  Osseous structures are intact.

IMPRESSION:
Moderate pulmonary vascular congestion and interstitial edema.
 Moderate cardiomegaly.