FINDINGS:
AP portable chest x-ray in supine position shows interval increase
 of left lung base opacification due to increased pleural effusion and 
 atelectasis.  Right lung base has improved with reduced pleural effusion. 
 Persistent mild vascular congestion.  Heart size is larger since prior CXR.
 Dedicated echocardiography is recommended to assess pericardial effusion. 
 There is no pneumothorax.

IMPRESSION:
Interval increase of left pleural effusion and atelectasis with
 improved ventilation of the right lung base.  Increased cardiomegaly warrants
 further characterization by echocardiography.
 
 Findings were paged to Dr ,  at 6:13 by Dr 