IMPRESSION:
AP chest compared to  through , 1:18 p.m.:
 
 Severe bilateral infiltrative pulmonary abnormality continues to worsen. 
 Small bilateral pleural effusions and moderate cardiomegaly suggest that at
 least some of this abnormality is due to pulmonary edema, but the widespread
 recurrent infiltrative pulmonary abnormality present to varying degrees on
 chest CT scans since  suggests an underlying process such as chronic
 pulmonary drug toxicity.
 
 ET tube is in standard placement.  Swan-Ganz catheter ends in the right
 pulmonary artery.  No pneumothorax.