FINDINGS:
The ET tube is still slightly low, 1.7 cm above the carina.  Right
 IJ line tip is at the cavoatrial junction.  There are bilateral pleural
 effusions, vascular plethora, patchy areas of alveolar edema.  The overall
 impression is that of CHF and underlying infectious infiltrate cannot be
 excluded.  Compared to the prior study, the fluid status is slightly worse.