FINDINGS:
As compared to the previous radiograph, the pre-existing right
 pleural effusion has minimally increased in extent.  A left pleural effusion
 is constant.  Constant bilateral areas of atelectasis.  Moderate cardiomegaly.
 The tracheostomy tube and the right pigtail catheter as well as the
 nasogastric tube are in unchanged position.  No pneumothorax.