FINDINGS:
As compared to prior chest radiograph from , there has
 been interval placement of a left IJ central venous catheter with its tip
 terminating in the mid to upper SVC.  ET tube now terminates 3 cm above the
 carina.  There has been interval increase of a left moderate to large pleural
 effusion with improving atelectasis at the left lower lung. There is worsening
 of a moderate to large right pleural effusion with presumably some
 atelectasis.  Pulmonary vasculature remains engorged. There is no
 pneumothorax.

IMPRESSION:
1.  Interval placement of left central IJ venous catheter with its tip
 terminating in the upper-to-mid SVC, no pneumothorax.
 
 2.  Worsening moderate-large bilateral pleural effusions with improved
 atelectasis at the left lower lung.
 
 These findings were discussed with Dr.  by Dr.   telephone
 on  at 11:45 a.m., at time of discovery.