FINDINGS:
PA and lateral views of the chest were obtained.  Again noted is
 stable position of a pacemaker overlying the left chest with leads in the
 right atrium and ventricle.  Cardiomediastinal silhouette including
 cardiomegaly and tortuosity of the thoracic aorta is unchanged.  There is no
 focal consolidation.  There is no pleural effusion or pneumothorax.

IMPRESSION:
No evidence of pneumonia.