FINDINGS:
In comparison with the study of , there is no change or evidence
 of acute cardiopulmonary disease.  The lungs are clear and there is no
 vascular congestion or pleural effusion.
 
 Of incidental note is dilatation of the trachea consistent with the patient's
 known tracheomalacia.  The esophageal capsule is no longer present and there
 are surgical clips in the upper abdomen.