IMPRESSION:
PA and lateral chest compared to  and :
 
 Hyperinflation due to emphysema is chronic.  There has been surgical resection
 of the mid portion of the right fifth posterior rib.  Large scale hilar lymph
 node calcification, left greater than right and granulomatous calcifications
 in the left apex are longstanding.
 
 Cardiomediastinal and hilar silhouettes and pleural surfaces are otherwise
 normal.  There are no lung findings to suggest pneumonia, or findings of
 appreciable atelectasis or bronchiectasis.