FINDINGS:
One portable AP semi-erect view of the chest.  Severe pulmonary
 edema is unchanged.  Bilateral pleural effusions are unchanged.  Moderate
 cardiomegaly is stable.  There is no evidence of pneumothorax.  Sternotomy
 wires and mitral valve hardware are in appropriate position.  Right atrial
 transvenous pacer lead still passes posteriorly in the right atrium ending at
 the inferior cavoatrial junction, a nonstandard position.  The right
 ventricular lead is in appropriate position.

IMPRESSION:
1.  Unchanged severe pulmonary edema.  Bilateral pleural effusions are
 unchanged. 
 
 2.  Right atrial lead still ends at the inferior cavoatrial junction.