IMPRESSION:
1.  Left subclavian central line has its tip in the proximal SVC.  There is a
 nasogastric tube coursing below the diaphragm with the tip not identified.  A
 second tube parallels the course of the first one and could reflect a second
 nasogastric tube with its tip overlying the stomach or may be extrinsic to the
 patient.  Clinical correlation is advised.  A catheter is also seen overlying
 the right mid abdomen.  There continues to be bilateral effusions, right
 greater than left, and patchy airspace disease throughout both lungs. 
 Overall, there has been improvement in aeration suggesting improving pulmonary
 edema.  There continues to be a more consolidative process in the left base
 which could be related to the pulmonary edema or possibly represents partial
 lower lobe atelectasis and/or pneumonia.  Continued followup imaging would be
 helpful.  Overall, cardiac and mediastinal contours are stable.  No
 pneumothorax is appreciated.  A somewhat elliptical opacity in the right mid
 lung may reflect loculated fluid within the horizontal fissure.