IMPRESSION:
Compared to chest radiographs  through .
 
 The lung volumes have improved.  Cardiomegaly is severe, pulmonary vasculature
 is engorged, and left infrahilar consolidation is likely.  Pleural effusions
 are presumed, but not large.  No pneumothorax.
 
 Right internal jugular introducer ends at the origin of the SVC.  ET tube in
 standard placement.  Esophageal drainage tube passes into the stomach and out
 of view.