FINDINGS:
The patient has prior history of gastric pull-through with radiation therapy
 for esophageal cancer.
 
 Right upper lobe consolidation in posterior segment has slightly improved. 
 The lungs are hyperinflated.  6 mm right lower lobe nodule is unchanged since
 .  Small right pleural effusion is stable since .  There is
 no pneumothorax.  Mediastinal and cardiac contours are normal.