IMPRESSION:
Cardiomegaly and mediastinal contours are stable. Interval substantial
 increase in right pleural effusion and unchanged appearance of moderate left
 pleural effusion, larger than right is demonstrated. Pulmonary edema has
 improved which potentially may explain increase in pleural effusion as a
 result of lung clearance. Multifocal calcifications projecting over the lungs
 are re- demonstrated.