FINDINGS:
Right internal jugular central line terminates in the mid SVC. 
 Endotracheal tube is appropriately positioned 4.2 cm above the carina.  A left
 PICC terminates in the lower SVC.  Again seen are moderate pleural effusions,
 similar to the previous exam.  A vertical line in the right hemithorax
 represents a skinfold.  There is no pneumothorax or focal consolidation.  Mild
 pulmonary edema is stable.  Cardiomegaly is unchanged.

IMPRESSION:
No significant interval change since the prior exam.