IMPRESSION:
The patient has a history of multifocal pneumonia.  In the interval, the
 extent and severity of the right upper lobe parenchymal opacities has markedly
 increased.  Slightly increased  left perihilar parenchymal opacities
 and the right basal opacities.  The left apical opacities are constant in
 extent and severity.
 No pleural effusions.  Unchanged appearance of the cardiac silhouette.
 Interval removal of the left internal jugular vein catheter.