FINDINGS:
In comparison with the earlier study of this date, the tip of the
 orogastric tube is at the level of the GE junction and should be advanced at
 least 7 cm for better positioning.  Other monitoring and support devices
 remain in place.  Continued low lung volumes with bibasilar opacifications. 
 This most likely represents a combination of vascular congestion and
 atelectasis.  However, in the appropriate clinical setting, supervening
 pneumonia would have to be considered.