FINDINGS:
There is a granuloma projecting over the heart on the left.  Otherwise the
 lungs are well expanded and clear.  No pleural abnormality is seen.  The
 mediastinum and hilar contours are normal.  Heavily calcified thyroid nodule
 is again seen, unchanged from prior.  Cardiomegaly appear stable.

IMPRESSION:
1. No acute cardiopulmonary abnormality or acute TB infection.  One calcified
 granuloma.
 2. Cardiomegaly, stable.