FINDINGS:
Since the previous radiograph, there has been continued improvement
 in the previously described pulmonary edema.  There are moderate bilateral
 effusions, which are unchanged.  There are small bibasilar hazy opacities
 consistent with atelectasis.  The cardiomediastinal silhouette is normal. 
 Cervical hardware is again noted.

IMPRESSION:
1.  Continued improvement in pulmonary edema.
 2.  Moderate bilateral pleural effusions.