IMPRESSION:
Compared to chest radiographs  through .
 
 Lung volumes remain quite low.  Severe pulmonary vascular engorgement has
 worsened, moderate right pleural effusion is still present.  Consolidation or
 atelectasis is moderate in the left lower lobe, unchanged, but may have
 worsened on the right.
 
 ET tube in standard placement.  Nasogastric tube ends in the distal stomach.