FINDINGS:
Compared with the prior chest radiograph, cardiomegaly is now moderate to
 severe, with indistinct pulmonary vasculature, thickening of the right major
 fissure, and small bilateral pleural effusions.  The mediastinal veins are
 wider.  The fiducial seed in the right hilus is unchanged in position.  No
 pneumothorax detected.

IMPRESSION:
Worsening pulmonary edema and cardiomegaly.