IMPRESSION:
As compared to previous radiograph of 1 day earlier, a right internal jugular
 vascular catheter has been placed, with tip at the cavoatrial junction and a
 small right apical pneumothorax with 2 chest tubes in place.  Right pleural
 effusion has substantially decreased in size following recent decortication
 procedure.  Pulmonary vascular congestion is accompanied by minimal
 interstitial edema.