FINDINGS:
PA and lateral views of the chest provided.   Midline sternotomy wires,
 mediastinal clips and prosthetic cardiac valves again noted as well as
 abandoned pacer leads and midline sternotomy wires.  Interval removal of the
 right IJ central venous catheter and feeding tube Airspace consolidation is
 again noted in the right lower lung which is is concerning for pneumonia. 
 There is a small right pleural effusion.  Hilar congestion is noted without
 frank edema.  Heart is stably enlarged.

IMPRESSION:
Right lower lobe consolidation concerning for pneumonia.  Small right pleural
 effusion.  Cardiomegaly with hilar congestion.