Chest X-Ray, Two Views

Chest X-Ray, Two Views

FINDINGS:  There is evidence of prior surgery with sternal wires.  The cardiac silhouette appears slightly enlarged.  There is pulmonary vascular prominence, which appears chronic in nature and would recommend clinical correlation.  The possibility of mild congestive heart failure cannot be excluded.  There is no evidence of significant pleural effusions, pneumothorax, or infiltrates.  There is osteopenia of the bones and degenerative changes.

IMPRESSION:  Slight pulmonary vascular prominence, which may be chronic in nature versus mild congestive heart failure.  Prior surgery and mild cardiomegaly.  Would recommend further evaluation as needed.  There are slight atherosclerotic changes to the aorta, which are calcified.