IMPRESSION:
In comparison with the earlier study of this date, there have been 2 left
 chest tubes inserted as part of a decortication procedure.  The pigtail
 catheter is been removed.  The area of increased opacification in the left
 mid-zone is not definitely present.  There are some streaks of opacification
 in the left upper zone that could represent areas of volume loss.  Atelectasis
 is also seen at the left base.
 Continued enlargement of the cardiac silhouette with retrocardiac
 opacification consistent with volume loss in the lower lobe and pleural fluid.