IMPRESSION:
In comparison with the study of , the patient has taken a better
 inspiration.  The significant opacifications at the bases with poor definition
 the hemidiaphragms is less prominent, especially on the right, is unclear
 whether this represents decreased pleural effusion an atelectasis or merely is
 a manifestation a more upright position of the patient.
 The cardiac silhouette is within normal limits, though there are diffuse
 bilateral pulmonary opacifications.  This could represent significant
 pulmonary edema, though some of this probably represents the peribronchial and
 patchy consolidations as well as results of mucous plugging this seen on the
 CT examination of 