FINDINGS:
As compared to the previous radiograph, the patient was extubated
 and has received a tracheostomy tube.  Nasogastric tube was removed.  The
 pleural effusion and associated parenchymal opacity, likely atelectatic, on
 the left, have slightly increased in extent.  Known parenchymal opacity on the
 right, likely caused by aspiration pneumonia, unchanged.  Unchanged size of
 the cardiac silhouette.  No pneumothorax.