FINDINGS:
PA and lateral views of the chest are compared to previous exam
 from .  The lungs remain clear of consolidation.  Note is
 made of bilateral nipple shadows at the lung bases.  There is no effusion or
 pulmonary vascular congestion.  Cardiomediastinal silhouette is within normal
 limits.  Osseous and soft tissue structures are unchanged, noting degenerative
 changes at the left glenohumeral joint.

IMPRESSION:
No acute cardiopulmonary process.