FINDINGS:
AP and lateral views of the chest.  Low lung volumes.  Two
 calcified granulomas in the left lung are unchanged.  No focal consolidation
 or pneumothorax.  There are small bilateral pleural effusions. 
 Cardiomediastinal and hilar contours are stable. Degenerative changes are
 again seen in the spine.

IMPRESSION:
Small bilateral pleural effusions.