FINDINGS:
Lung volumes are low.  There has been interval increase in the
 cardiomediastinal silhouette and pulmonary vascular congestion compared with
 prior.  Bilateral hazy opacities, worst in the lower lobes, are concerning for
 pulmonary edema, however superimposed pneumonia cannot be excluded.  Tiny
 pleural effusions are suspected.

IMPRESSION:
Bilateral hazy opacities, worse in lower lobes, are concerning for pulmonary
 edema, however superimposed pneumonia cannot be excluded.