FINDINGS:
There is increased opacity over the left mid lung in the perihilar
 region, concerning for pneumonia.  Blunting of the right costophrenic angle
 appears chronic and unchanged compared to .  No pleural effusion or
 pneumothorax is detected.  Heart size is mildly enlarged and similar compared
 to prior.  The aorta is calcified and tortuous.

IMPRESSION:
Left mid lung opacity, concerning for pneumonia.  Follow-up
 radiograph after treatment is recommended to ensure resolution and exclude
 underlying pathology.
 
 Findings and recommendations were discussed with  by 
  by telephone at 9:10 p.m. on  at the time of initial review of
 the study after attending radiologist review.