FINDINGS:
Mild to moderate enlargement of the cardiac silhouette is unchanged.  The
 mediastinal and hilar contours are within normal limits.  Pulmonary
 vasculature is not engorged.  Small bilateral pleural effusions are not
 substantially changed in the interval.  There is minimal associated
 atelectasis in the lung bases without focal consolidation.  No pleural
 effusion or pneumothorax is demonstrated.  No acute osseous abnormalities
 seen.

IMPRESSION:
Mild bilateral pleural effusion, unchanged.