IMPRESSION:
AP chest compared to  at 9:02 p.m.:
 
 Previous moderate right pleural effusion and right basal atelectasis have both
 improved.  There is mild vascular engorgement in the upper lungs but no edema.
 Moderate cardiomegaly also looks to have had improved.  Thoracic aorta is
 generally large and heavily calcified but not focally aneurysmal.  Dr.
  was paged.