FINDINGS:
Scarring at the apices is again noted as seen on prior chest CT.  No pleural
 effusion or pneumothorax is seen.  No new focal consolidation is present.  The
 ascending aortic contour is prominent compatible with mild dilatation as seen
 on prior chest CT.  No evidence of cardiomegaly.  Hilar contours are normal.

IMPRESSION:
No evidence of acute cardiopulmonary process.  Mildly dilated ascending aorta,
 unchanged from prior chest CT.