IMPRESSION:
1.  Asymmetric nodular opacification of the right upper lobe raises concern
 for a disseminated infectious process, given the patient's history of sepsis. 
 If there is such a clinical concern, CT of the chest would facilitate
 diagnosis. 
 2.  Mild pulmonary edema has improved from  but remains unchanged
 from yesterday.  
 3.  Persistent, left greater than right small pleural effusions as well as
 bilateral lower lobe atelectasis.