FINDINGS:
The heart size is normal.  The mediastinal and hilar contours are
 unremarkable. There is no large pleural effusion or pneumothorax. A large
 right basilar mass-like opacity is again noted with a small right pleural
 effusion. Mild pulmonary edema may be present. Degenerative changes throughout
 the thoracolumbar spine are noted.

IMPRESSION:
Large right basilar opacity again seen. Small right pleural effusion. Possible
 mild pulmonary edema.