IMPRESSION:
1.  Dobbhoff tube tip overlying stomach.  Residual contrast appears unchanged
 compared with  at 2:29 a.m. The absence of interval change is atypical
 and raises question of local pooling of contrast.  Clinical correlation
 requested.
 
 2.  Bilateral effusions with underlying collapse and/or consolidation,
 unchanged.
 
 3.  CHF findings, also grossly unchanged.