IMPRESSION:
Moderate to large right pleural effusion is stable or slightly larger.  Severe
 cardiomegaly is unchanged.  Pulmonary and mediastinal vascular engorgement
 have increased.  No pneumothorax.
 
 ET tube and feeding tube are in standard placements.  Right subclavian line
 ends at the superior cavoatrial junction.  An esophageal probe ends at the
 gastroesophageal junction.