IMPRESSION:
AP chest compared to :
 
 Severe cardiomegaly and mediastinal vascular engorgement have worsened. 
 Greater opacification of the basal left lung could be combination of
 atelectasis and edema or even pneumonia.  Pleural effusions are small if any,
 more likely left than right.  ET tube in standard position.  Nasogastric tube
 passes in to the stomach and out of view.  No pneumothorax.