FINDINGS:
The cardiomediastinal silhouette is unremarkable.  Central pulmonary
 vasculature is congested, with indistinctness of the pulmonary vasculature
 overall.  Patchy bilateral opacities are noted, worse at the right base. 
 Bilateral pleural effusions are present.

IMPRESSION:
Findings consistent with pulmonary edema.  Infection is not excluded.