FINDINGS:
Enteric tube tip is in the mid stomach, new since prior exam.  Left PICC line
 tip not well seen, likely near cavoatrial junction.  Shallow inspiration. 
 Very shallow inspiration accentuates heart size.  There is prominent left
 cardiophrenic angle fat pads.  There are small bilateral pleural effusions,
 more apparent.  Mild bibasilar opacities, likely atelectasis tubing is
 projected over right abdomen.  Shallow inspiration accentuates pulmonary
 vascularity.  Thoracic curve convex to the right.

IMPRESSION:
Enteric tube tip in the mid stomach.  Shallow inspiration accentuates heart
 size, pulmonary vascularity.  Mild bibasilar opacities, likely atelectasis.