IMPRESSION:
There is new region of patchy density in the right lower lobe and a small
 region in the left lower lobe.  There is no CHF or pneumothorax.  There is
 hyperinflation.
 There is stable scarring in the right upper chest.  Postoperative clips seen
 in the right apex.  Patient is status post sternotomy.  Degenerative changes
 are present in the spine.