FINDINGS:
Tip of endotracheal tube terminates 6 cm above the carina, and left
 PICC terminates in the distal left brachiocephalic vein near the junction with
 the superior vena cava.  Cardiac silhouette is stable in size.  Increased
 mediastinal vascular width accompanied by worsening pulmonary vascular
 congestion.  Multifocal areas of consolidation and poorly defined nodular
 opacities consistent with multifocal infection appear similar compared to the
 prior study as well as moderate right and small left pleural effusions.