IMPRESSION:
Increasing opacities in the left lower lobe are due to increasing pleural
 effusion and adjacent atelectasis.  Right lower lobe atelectasis and small
 effusion have also increased.  Moderate to severe cardiomegaly is stable. 
 Mild vascular congestion has improved.  There is no evident pneumothorax. 
 Right IJ catheter sheath tip is right internal jugular vein.  The sternal
 wires are intact.