FINDINGS:
Since the prior chest x-ray of , mediastinal and
 hilar lymph node enlargement have decreased in extent, and a left upper lobe
 nodule has decreased in size.  No new areas of lung consolidation are evident
 to suggest the presence of pneumonia.  Small pleural effusions are apparently
 new.  Left hemidiaphragm remains mildly elevated.  No acute skeletal findings.

IMPRESSION:
1.  Since  CXR, a left upper lobe nodule has decreased in size and
 intrathoracic lymphadenopathy has also decreased.  Please see serial CT and
 PET-CT exams for more recent serial comparison of these findings.
 
 2.  Small bilateral pleural effusions are new.