Heart is enlarged . CTR is 0.6
Blunting of right costophrenic angle suggestive of pleural effusion.
Fluid extending to right minor fissure.
Median sternotomy wires in situ with mediastinal surgical clips consistent with previous CABG
There is upper lobe venous diversion.
Coarsening of bronchovascular markings suggestive of COPD.
Air space opacities at both lung bases more on left