FINDINGS:
In comparison with the study of , there is increasing bilateral
 hazy opacification of both lungs in a patient with substantial enlargement of
 the cardiac silhouette.  Although this could all represent pulmonary edema, in
 the appropriate clinical setting the possibility of supervening pneumonia
 would have to be considered.  Some hazy basilar opacification suggests
 possible small pleural effusions.
 
 There is some displacement of the lower cervical trachea to the left,
 suspicious for thyroid mass on the right.
 
 Of incidental note are several rounded opacifications in the region of the
 stomach, most likely representing pills.  Poor definition of the left
 hemidiaphragm would be consistent with some substantial volume loss in the
 left lower lobe.