FINDINGS:
In comparison to the chest radiographs obtained , there is an
 unchanged to minimally enlarged, partially loculated, right pleural effusion
 with extension into the minor fissure and an enlarged, small, left pleural
 effusion.  Severe cardiomegaly with is unchanged without pulmonary vascular
 congestion or pulmonary edema.  Cardiomediastinal hilar silhouettes are
 stable.

IMPRESSION:
Unchanged to minimally enlarged, moderate, right pleural effusion and mildly
 enlarged, small, left pleural effusion.