FINDINGS:
The heart size is enlarged.  There is an interval worsening of the previously
 noted perihilar opacities.  There is also worsening of the right upper lobe
 opacity consistent with mitral regurgitation.  There is some subpulmonic fluid
 at the base of the right lung. There is no evidence of pneumothorax.

IMPRESSION:
Evidence of worsening pulmonary edema and mitral regurgitation.