IMPRESSION:
Skin  have been removed from the left hemithorax, and aeration of the
 left lower lobe has improved considerably following evacuation of much of the
 previous left pleural effusion.  Midline pleural drainage catheter is
 unchanged in position. Small residual right pleural effusion has is slightly
 larger despite the pigtail drainage catheter in the lateral hemithorax.  Very
 small right apical pneumothorax is unchanged.  There is no pneumothorax on the
 left.  Heart is chronically, moderately to severely enlarged but there is no
 pulmonary edema.