FINDINGS:
The heart size is enlarged, but there is no mediastinal widening. 
 The lungs demonstrate bibasilar atelectasis as well as plate atelectasis. 
 Trace pleural effusion is present bilaterally.  There is no pneumothorax.  The
 pulmonary vasculature appears mildly engorged.

IMPRESSION:
Increased cardiomegaly with mild engorgement of pulmonary vessels
 and basilar atelectasis and trace pleural effusion.  Findings may represent
 early failure.