FINDINGS:
Right PICC is no longer seen.  Tracheostomy remains in place.  Linear right
 basilar opacity could be due to atelectasis or scarring.  There is a left
 basilar opacity which silhouettes the hemidiaphragm.  The cardiomediastinal
 silhouette is not well assessed different positioning but demonstrates no
 significant change.  No acute osseous abnormalities detected.

IMPRESSION:
Left basilar opacity may be due to combination of effusion, atelectasis
 however infection or aspiration is also possible.  Its appearance is similar
 compared to previous exam in .