FINDINGS:
As compared to the previous radiograph, the cardiac silhouette is
 unchanged.  There is increasing opacity at the right lung base.  As previously
 noted, there is volume loss.  This volume loss could now be accompanied by a
 small right pleural effusion.  The left hemidiaphragm is also less visible,
 suggesting the potential for a small left pleural effusion.  The monitoring
 and support devices, in particular the position of the endotracheal tube is
 constant.  
 
 At the time of observation and dictation, 8:41 a.m., on , the
 referring physician .  was paged for notification.