FINDINGS:
Endotracheal and enteric tubes have been removed.  Lung volumes are slightly
 improved since the next most recent study.  There is new fullness of the hila
 bilaterally without  pulmonary edema. There are new bibasilar opacities
 in the left retrocardiac and right infrahilar regions. There is  pleural
 effusion or pneumothorax. Heart size is exaggerated by low lung volumes,
 likely top-normal.

IMPRESSION:
1. New bibasilar opacities worrisome for pneumonia.
 2. New hilar fullness bilaterally may reflect central pulmonary vascular
 congestion although there is   pulmonary edema.
 3. Followup imaging after treatment is recommended. Chest CT should be
 considered if findings persist.