FINDINGS:
As compared to the previous radiograph, the endotracheal tube, the
 two feeding tubes, and the left internal jugular vein catheter are unchanged. 
 The extent of bilateral pleural effusions has substantially increased, leading
 to widespread and relatively severe homogeneous opacification of the right and
 left hemithorax.  Extensive subsequent atelectasis must be suspected. 
 Borderline size of the cardiac silhouette, unchanged.