FINDINGS:
Frontal and lateral chest radiographs were obtained. Lung volumes
 are low.  Compared to study from , there has been worsening
 of severe pulmonary edema with marked cardiomegaly as well as mediastinal
 vascular engorgement.  There are likely small bilateral pleural effusions. 
 There is no pneumothorax.  Aortic calcifications are again noted.

IMPRESSION:
1. Severe pulmonary edema with marked cardiomegaly and vascular congestion. 
 2. Probable small bilateral pleural effusions.