FINDINGS:
Improved lung volumes bilaterally.  Interval increase in left pleural effusion
 and persistent small right pleural effusion.  Bibasilar opacities left greater
 than right is unchanged.  No pneumothorax is seen. The cardiac and mediastinal
 silhouettes are unchanged.  Dual lead pacemaker with pacer leads in the right
 atrium right ventricle in expected positions.

IMPRESSION:
Increase in moderate left pleural effusion and persistent small right pleural
 effusion.
 
 No significant change in left lower lobe consolidation.