FINDINGS:
Interval extubation.  Apparent interval increase in cardiac size
 and width of vascular pedicle, even when allowances are made for lower lung
 volumes.  In the setting of new widespread bilateral air space opacities, this
 is likely due to worsening volume status of the patient with associated
 widespread pulmonary edema.  Coexisting aspiration is possible in the
 appropriate clinical setting.  Bilateral pleural effusions are present, with
 adjacent atelectasis at the lung bases.  Within the imaged portion of the
 upper abdomen, diffusely distended loops of bowel are not fully evaluated on
 this chest radiograph exam.