FINDINGS:
The heart is normal in size.  The mediastinal and hilar contours
 are unremarkable aside from patchy atherosclerotic calcification along the
 aortic arch.  There is no pleural effusion or pneumothorax.  The lungs appear
 clear.  Moderate anterior osteophytes are noted along the mid thoracic spine,
 with smaller ones along the thoracolumbar junction.

IMPRESSION:
No evidence of acute disease.  Normal cardiac size.