IMPRESSION:
Moderate right pleural effusion is larger, moderate left pleural effusion
 stable or slightly smaller compared to .  Heart is normal size.
 
 Multi focal pulmonary consolidation is more pronounced in the right upper lobe
 today than it was on .  Extensive bibasilar consolidation is
 probably a combination of pneumonia and severe atelectasis, unchanged
 recently.  There is no pneumothorax.  Tracheostomy tube in standard placement.
 Left PIC line ends in the upper right atrium.