FINDINGS:
Right upper lobe consolidation is now more evident and increased opacity in
 the right lower lobe.  In addition, increased haziness over the left lung
 indicating increased and effusion.  Retrocardiac increased density may
 indicate the left lower lobe atelectasis.

IMPRESSION:
Worsening the appearance of the chest a with a increase consolidation in the
 and right upper lobe and left lower lobe as well as increased left pleural
 effusion