FINDINGS:
Compared to the prior study there is increased bilateral pleural effusions,
 moderate on the left and small on the right.  There is increased size of the
 cardiac silhouette.  Surgical clips consistent with prior thyroid surgery are
 unchanged.  A stimulator with leads extending upwards is seen in the right
 chest wall.  A second device is seen inferior to the first which appears new
 from prior.

IMPRESSION:
Increased bilateral pleural effusions, left greater than right, and adjacent
 atelectasis.  Coexisting pneumonia in the left lower lobe is not excluded in
 the appropriate clinical setting.