FINDINGS:
Comparison is made to prior study of .
 
 The endotracheal tube, feeding tube, and right IJ central venous catheter are
 stable in position.  There is again seen cardiomegaly and left retrocardiac
 opacity, which is unchanged.  There are no pneumothoraces or signs for overt
 pulmonary edema.  A small right-sided pleural effusion is also present.