FINDINGS:
As compared to the previous radiograph, there is a subtle but new
 opacity at the right lung base, in the medial aspect of the lung.  The
 opacities located in an area of bronchiectasis.  Given the clinical
 presentation, pneumonia must be suspected.  The referring physician, . 
 was paged for notification at the time of dictation, 3:18 p.m. on  and the findings were discussed over the telephone.
 
 Otherwise, the radiograph is unchanged, extensive overinflation with
 bronchiectasis but no pleural effusions or other parenchymal changes.  Normal
 size of the cardiac silhouette.  Unchanged position of the nasogastric tube.