FINDINGS:
There is again seen left-sided PICC line whose distal tip projects over the
 cavoatrial junction.
 
 The cardiomediastinal silhouette is unchanged. The bilateral hila are normal.
 
 There is a stable right lower lung calcified granuloma. There may be minimal
 left basilar atelectasis obscuring the left hemidiaphragm. There are no new
 focal lung consolidations.
 
 There is a stable minimal left apical pneumothorax, with a small medial
 component seen along the superior border of the cardiac silhouette.
 
 There are no pleural effusions.

IMPRESSION:
Stable minimal/small left apical pneumothorax with minimal medial component
 seen along superior cardiac silhouette.  Otherwise stable chest x-ray.