FINDINGS:
PA and lateral views of the chest  at 12:55 are submitted.

IMPRESSION:
Stable bilateral layering pleural effusions with bibasilar airspace process
 likely reflecting compressive atelectasis.  There has been interval appearance
 of mild interstitial and pulmonary edema.  Left-sided pacer remains in place
 with the lead traversing a left superior vena cava to the right ventricular
 apex.  Status post median sternotomy with mitral annular ring.  No
 pneumothorax.