FINDINGS:
Single frontal portable view of the chest.  Endotracheal tube
 terminates 4.2 cm above the carina.  The side port of a nasogastric tube is
 below the diaphragm.  Pulmonary vasculature is ill-defined, compatible with
 severe pulmonary edema.  Hazy opacity overlying both lungs and blunting of the
 costophrenic angles are compatible with bilateral pleural effusions.  No lobar
 consolidation or pneumothorax.  Mild cardiomegaly is similar to prior.  Leads
 of a left chest wall pacer terminates in the right atrium and ventricle. 
 Median sternotomy wires and numerous mediastinal clips are intact.

IMPRESSION:
Severe pulmonary edema with bilateral pleural effusions.