FINDINGS:
As compared to , increasing moderate left effusion.  Slight
 worsening of the retrocardiac and left basilar opacity.  The right lung is
 relatively unchanged low lung volumes.  Cardiomediastinal contours are
 unchanged.  Right-sided internal jugular catheter in similar position.

IMPRESSION:
Slight increase in moderate layering left-sided effusion and left basal
 opacity.