Yes Mary, updated, even rebooted!  I'm fairly comfortable I set a max size of 20MB here.  I even upped it to 50MB at one stage in an attempt to allow the large message that was looping in the queue directory through.  That didn't work either.  I have since had the failing message removed from the ISP queue.
# config show qmail
qmail=service
    MaxMessageSize=20000000
    status=enabled
# config show clamav
clamav=service
    ArchiveBlockEncrypted=no
    ArchiveBlockEntrypted=no
    ArchiveBlockMax=no
    ArchiveMaxCompressionRatio=300
    Checks=24
    DNSDatabaseInfo=current.cvd.clamav.net
    DatabaseMirror=db.local.clamav.net
    Debug=no
    DetectBrokenExecutables=no
    FilesystemScan=weekly
    FilesystemScanExclude=/proc,/sys,/usr/share,/var
    FilesystemScanFilesystems=/
    FilesystemScanReportTo=admin
    Foreground=yes
    HTTPProxyPassword=
    HTTPProxyPort=
    HTTPProxyServer=
    HTTPProxyUsername=
    HeuristicScanPrecedence=no
    IdleTimeout=60
    LeaveTemporaryFiles=no
    LogClean=no
    LogFileUnlock=yes
    LogTime=no
    LogVerbose=yes
    MaxAttempts=6
    MaxConnectionQueueLength=30
    MaxDirectoryRecursion=20
    MaxFileSize=20M
    MaxFiles=1500
    MaxRecursion=8
    MaxThreads=20
    Quarantine=enabled
    QuarantineDirectory=/var/spool/clamav/quarantine
    ReadTimeout=300
    ScanArchive=yes
    ScanHTML=yes
    ScanMail=yes
    ScanOLE2=yes
    ScanPE=yes
    ScanRAR=no
    SelfCheck=1800
    ShowProxySettings=no
    ShowUpdateSettings=no
    SignaturesUpdated=unknown
    UpdateNonOfficeHrs=disabled
    UpdateOfficeHrs=disabled
    UpdateWeekend=disabled
    status=enabled
# config show qpsmtpd
qpsmtpd=service
    Bcc=disabled
    BccMode=cc
    BccUser=maillog
    DNSBL=disabled
    LogLevel=6
    MaxScannerSize=25000000
    RBLList=whois.rfc-ignorant.org:dnsbl.njabl.org:zen.spamhaus.org
    RHSBL=disabled
    RequireResolvableFromHost=no
    SBLList=dsn.rfc-ignorant.org
    access=public
    qplogsumm=disabled
    status=enabled
# config show php
php=service
    AllowUrlFopen=Off
    status=enabled