FINDINGS:
Reappearance of moderate right pleural effusion obscures the right heart
 border.  There is elevation of the right hemidiaphragm.  The cardiac
 silhouette continues to be mildly enlarged with no signs of vascular
 congestion.  No focal consolidation is seen.  Left internal jugular catheter
 ends in a known left persistent vena cava.

IMPRESSION:
Reappearance of moderate right pleural effusion.