FINDINGS:
Heart size is normal.  The aorta is tortuous.  Mediastinal and hilar contours
 are normal.  The pulmonary vasculature is normal.  Scarring within the lung
 apices is stable.  No focal consolidation, pleural effusion or pneumothorax is
 seen.  Moderate multilevel degenerative changes are noted in the thoracic
 spine.

IMPRESSION:
No acute cardiopulmonary process.