FINDINGS:
The heart is normal in size.  The mediastinal and hilar contours
 appear within normal limits.  The lungs appear clear.  There are no pleural
 effusions or pneumothorax.  Mild rightward convex curvature is again centered
 along the upper thoracic spine.  Cholecystectomy clips project over the right
 upper quadrant of the abdomen.  Bony structures are unremarkable otherwise.

IMPRESSION:
No evidence of acute disease.