FINDINGS:
Marked cardiomegaly is unchanged.  Compared with the prior radiograph, there
 are increased bilateral diffuse interstitial lung markings and  B-lines,
 suggesting worsened pulmonary edema.  Small bilateral pleural effusions are
 also identified.  No focal consolidation is identified.  No large pleural
 effusions or pneumothorax.

IMPRESSION:
Findings suggestive of moderate to severe interstitial pulmonary edema.