FINDINGS:
Moderate right pleural effusion is again seen, similar in size as compared the
 prior study, with overlying atelectasis.  The left lung is clear. No
 pneumothorax is seen.  Mediastinal contours are stable.  Moderate to marked
 enlargement of the cardiac silhouette is stable.  No overt pulmonary edema is
 seen although the pulmonary vessels appear mildly distended.

IMPRESSION:
Grossly stable moderate right pleural effusion with overlying atelectasis. 
 Persistent enlargement of the cardiac silhouette.  No overt pulmonary edema.