FINDINGS:
PA and lateral chest views were obtained with patient in upright
 position.  Analysis is performed in direct comparison with the next preceding
 similar study of .  The heart size is within normal limits.  No
 configurational abnormality is seen.  Thoracic aorta mildly widened and
 elongated but without local contour abnormalities.  Pulmonary vasculature is
 not congested.  No signs of acute or chronic parenchymal infiltrates are
 present, and the lateral and posterior pleural sinuses are free.  No
 pneumothorax in apical area.  Moderate degree of degenerative changes in the
 thoracic spine were already shown on previous chest examination as well as
 calcified abnormalities at anterior end of first right-sided rib not to be
 confused with pulmonary abnormalities.
 
 Comparison with the next previous study of  demonstrates no
 significant interval change.  Thus, no evidence of cardiac enlargement,
 pulmonary congestion or acute infiltrates.  Degenerative changes in the
 thoracic spine have increased moderately since the preceding examination 
 years ago.