<num>. marked cardiomegaly is similar to the prior film, allowing for differences in positioning. <num>. multifocal opacities most pronounced in the right upper and left lower zones again noted, non-specific, but compatible with pneumonic infiltrates. equivocal new area of patchy opacity at the left upper zone. <num>. although there may be small bilateral effusions, the difference, if any, is minimal. <num>. no definite superimposed chf.