FINDINGS:
There is subtle increased opacity over the right lower lung field
 laterally with persistent mild interstitial abnormality, which may represent
 small airways disease as seen on prior CT.  No pneumothorax or pleural
 effusion is detected.  Heart and mediastinal contours are stable with mild
 aortic tortuosity and calcification.

IMPRESSION:
Persistent mild interstitial abnormality with subtle increased
 opacity at the right lower lung field, concerning for pneumonia in the proper
 clinical setting.  
 
 These findings were discussed with Dr.  by Dr.  by
 telephone at 9:42 a.m. on  at the time of initial review of the
 study.