FINDINGS:
In comparison with study of , the patient has taken a better
 inspiration.  Cardiac silhouette is within normal limits and there is no
 evidence of vascular congestion or pleural effusion.  No acute pneumonia.  
 
 Multiple old healed rib fractures are seen.
 
 There again are calcified hilar and mediastinal lymph nodes, compatible with
 the sequela of known sarcoidosis.