FINDINGS:
PA and lateral views of the chest.  The opacity within the left mid
 lung field compatible with known chest wall mass as seen on prior CT is again
 seen.  Emphysematous changes and right upper lobe scarring are again seen and
 unchanged.  Small right pleural effusion is new. No pneumothorax.  The
 cardiomediastinal and hilar contours are stable.

IMPRESSION:
New small right pleural effusion. Redemonstration of left chest
 wall mass and severe emphysema.