FINDINGS:
Right-sided PICC terminates in the upper SVC.  A right-sided VP shunt appears
 unchanged in position. Lung volumes are low. Mediastinal and hilar contours
 are unchanged.  There is no pulmonary edema.  The right heart border and right
 hemidiaphragm are obscured by a heterogeneous consolidation with air
 bronchograms concerning for pneumonia versus atelectasis.  Left basilar
 atelectasis is unchanged compared to prior study.  There may be a small left
 pleural effusion, unchanged compared to prior study.  There is no
 pneumothorax.

IMPRESSION:
New consolidation in the right lung base concerning for pneumonia versus
 atelectasis.