FINDINGS:
The lungs are hypoinflated with crowding of vasculature.  No pleural effusion
 or pneumothorax.  Heterogeneous right lower lobe opacity is noted.  Heart
 size, mediastinal contour, and hila are unremarkable.  A right porta cath tip
 is in the low SVC.
 
 In comparison to  there is a new severe anterior wedge compression
 deformity of a mid thoracic body with increased sclerosis.  Two chronic severe
 compression fractures of the mid thoracic spine are similar in appearance to
  CT.

IMPRESSION:
1.  Heterogeneous right lower lobe opacity may represent pneumonia in the
 appropriate clinical setting.
 2.  3 severe compression fractures of the mid thoracic body, 2 which are
 chronic and unchanged since , and 1 which is of indeterminate age.