IMPRESSION:
The NG tube has been removed. Heart size and mediastinum are unchanged in
 appearance with slight interval improvement of perihilar opacities with still
 present bibasal consolidations, a left lower lobe atelectasis and pleural
 effusion. No interval development of pneumothorax is seen.  Large left pleural
 effusion in conjunction with the atelectasis is corresponding to be
 opacification of the left lower lung. Mediastinal and hilar lymphadenopathy
 better appreciated on chest CT as well as axillary lymphadenopathy.