FINDINGS:
In the interim, feeding tube is in place, the tip passes below the
 level of the diaphragm, but is directed cephalad towards the gastroesophageal
 junction.  Bibasilar opacities, moderate pulmonary vascular engorgement, and
 mild pulmonary edema are unchanged.  The cardiac silhouette remains enlarged. 
 The mediastinal contours are normal.  A right chest pacemaker is in place,
 with unchanged position of atrial and ventricular leads.  Cholecystectomy
 clips are noted in the right upper quadrant.

IMPRESSION:
1.  Interval placement of feeding tube, the tip of which passes below the
 level of the diaphragm and is directed cephalad towards the gastroesophageal
 junction, or perhaps within a hiatal hernia.
 
 2.  Unchanged bibasilar atelectasis, pulmonary vascular engorgement, and mild
 pulmonary edema.
 
 Findings were discussed with Dr.   the SICU at 4:45pm