FINDINGS:
Ill-defined patchy opacities are seen in the right lung base with
 an associated small right pleural effusion, which is also confirmed in the
 lateral view.  A dense left-sided retrocardiac opacity abutting the left
 hemidiaphragm is unchanged since at least  compatible with a
 Bochdalek hernia. A small left pleural effusion is also likely present. There
 is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. 
 No other focal opacities are identified.  Mild cardiomegaly is unchanged from
 prior.  There is no pneumothorax.

IMPRESSION:
Right lower lobe pneumonia. Small bilateral pleural effusions.