IMPRESSION:
Heterogeneous opacification in the right lower lobe arm  is probably
 obscured canal by right lower lobe atelectasis and small right pleural
 effusion.  Pulmonary vasculature, mediastinal veins, and heart size of all
 increased since  indicating volume overload or cardiac
 decompensation.  No pneumothorax.
 
 Right jugular line ends in the low SVC.  Feeding tube ends in the stomach.