FINDINGS:
Lung volumes remain low. Heart size is mildly enlarged but unchanged. The
 aortic knob is calcified. Diffuse parenchymal opacities with architectural
 distortion and bronchiectasis is re- demonstrate compatible with known chronic
 fibrotic lung disease, overall similar compared to the prior exam. No new
 areas of focal consolidation, pleural effusion or pneumothorax is seen. No
 pulmonary edema is demonstrated.

IMPRESSION:
Relatively similar appearance of diffuse chronic chronic lung disease. No new
 gross focal consolidation identified.