FINDINGS:
There are opacities at the bilateral lung bases with air bronchograms
 concerning for aspiration/pneumonia.  There is also a small right and likely
 trace left pleural effusion.  The cardiac silhouette is markedly enlarged. 
 There is mild pulmonary vascular congestion.  No pneumothorax is seen.

IMPRESSION:
1.  Bibasilar opacities concerning for infection/ aspiration.  Recommend
 treating to full resolution.  If these opacities do not resolve, CT chest is
 recommended for further evaluation to exclude underlying neoplasm.
 
 2.  Small right and likely trace left pleural effusions.
 
 3.  Severe cardiomegaly, unchanged.