FINDINGS:
A single portable AP chest radiograph was obtained and is limited
 by portable technique and patient rotation.  Focal opacity at the left base
 appears more conspicuous compared with prior studies dating back to . 
 No other distinct consolidation is identified.  There is no effusion or
 pneumothorax.  Mild cardiomegaly is unchanged.  Tracheostomy tube remains in
 unchanged position.  Right upper quadrant surgical clips and a percutaneous
 gastrostomy tube are in appropriate positions.

IMPRESSION:
Increased conspicuity of left lower lobe opacity could represent
 developing consolidation and/or aspiration or atelectasis.