FINDINGS:
AP single view of the chest has been obtained with patient in
 semi-upright position.  Comparison is made to the next preceding portable
 chest examinations of .  The patient remains intubated, the ETT
 in unchanged position.  Same holds for the right internal jugular approach
 double-lumen catheter terminating in the mid portion of the SVC.  Heart size
 is enlarged as before.  The most significant interval change in comparison
 with the preceding studies is a markedly increased perivascular haze,
 peripheral Kerley B lines on the bases, and beginning central edema around the
 hilar areas.  No significant amount of pleural effusion can be identified in
 the lateral pleural sinuses, nor is there any pneumothorax in the apical area.

IMPRESSION:
Increasing marked pulmonary congestion compatible with pulmonary
 edema.  Page was placed to referring physician,  at 2:10 p.m.