FINDINGS:
The heart size is top normal. The hilar and mediastinal contours are normal.
 The lungs are hyperinflated, otherwise no focal consolidations concerning for
 pneumonia are identified.  Mild left basilar linear atelectasis/ scarring is
 again seen. There is no pneumothorax or pleural effusion. Incidental note is
 made of a 9 mm lung nodule projecting over the right anterior second rib
 interspace. Aortic annular calcifications are again noted. Old healed left
 lower lobe rib fractures are stable.

IMPRESSION:
1. No acute intrathoracic abnormalities identified. Hyperinflated lungs.
 
 2. 9 mm lung nodule projecting over the anterior second right rib interspace,
 was not well seen on the prior exam. A CT may be helpful for further
 evaluation.
 
 3. Extensive aortic annular calcifications raise concern for aortic stenosis.