FINDINGS:
Multiple focal patchy opacities are seen in the bilateral lungs, concerning
 for multifocal pneumonia.  The heart size is normal.  No pulmonary edema,
 pleural effusion, or pneumothorax.  A radiopaque circular foreign body is seen
 projecting over the left lung base, possibly a nipple ring.

IMPRESSION:
Multiple focal patchy opacities are seen in the lungs, concerning for
 multifocal pneumonia or PCP.  Please correlate with patient's CD4 count.