IMPRESSION:
As compared to the previous radiograph, no relevant change is seen. The
 monitoring and support devices are constant. Unchanged distribution and
 severity of the pre-existing parenchymal opacities.  No pleural effusions. The
 nasogastric tube is barely visible at the level of the lower parts of the
 thorax. The device might have been pulled back.  A confirmation radiograph
 should be obtained within the next few hr.