FINDINGS:
PA and lateral views of the chest were obtained.  Heart is normal
 in size and cardiomediastinal contour is unchanged compared to the prior
 examination.  The lungs are symmetrically expanded and hyperinflated with
 biapical scarring as before.  There is no focal consolidation, pleural
 effusion, or pneumothorax.  Pulmonary vascularity is within normal limits. 
 There is however a new round 1 cm nodule projecting over the cardiac
 silhouette on the lateral view, potentially localizing to the right perihilar
 region on the frontal view.

IMPRESSION:
No evidence of acute intrathoracic abnormality.  New nodule in
 the chest, potentially on the right as discussed above, for which dedicated CT
 is suggested.
 
 This recommendation was discussed by Dr.  with Dr. .