FINDINGS:
The ET tube terminates approximately 2.9 cm from the carina.  There
 is an OG tube which traverses below the diaphragm with the tip out of view
 from this radiograph.  The Swan-Ganz catheter appears to be in appropriate
 position.  Again seen is moderate enlargement of the heart, overall stable
 compared to the prior exam.  There appears to be slight interval increase in
 focal consolidation at the left lung base compared to the prior exam.  The
 left upper and mid lung zones appear to be overall well aerated, unchanged
 compared to the prior exam.  There has been slight interval improvement in the
 right lung field which is obscured by a moderate-to-large right pleural
 effusion.  No evidence of pneumothorax.

IMPRESSION:
Slight interval increase in focal consolidation at the left lung base compared
 to the prior exam, likely secondary to worsening small left pleural effusion. 
 No evidence of pneumothorax.