IMPRESSION:
Compared to prior chest radiographs,  through .
 
 Moderate bilateral pleural effusions have improved, mediastinal venous
 engorgement and suggestion of mild edema have resolved.  Moderate cardiomegaly
 is chronic.  Severe bilateral lower lobe atelectasis is unchanged.
 
 ET tube and right internal jugular line are in standard placements. 
 Nasogastric tube passes into the stomach and out of view.  No pneumothorax.