Findings:
Post-surgical changes with sternotomy wires.
There is interstitial edema, peribronchial cuffing, interlobular septal thickening appearing as Kerley B lines, pulmonary vascular congestion with cephalization of the pulmonary veins, and cardiomegaly.

Impression:
Pulmonary edema, pulmonary vascular congestion, and cardiomegaly. These findings are characteristic of CHF.

Recommendations:
For your training purposes, recommendations are not included in this report.