FINDINGS:
Peribronchial opacification in the right middle lobe increased
 since ,  is pneumonia.  Minor atelectatic changes are noted
 at the right lung base. Mild cardiomegaly and a very tortuous and generally
 large thoracic aorta, with heavy calcifications of the knob, are chronic. Old
 rib cage deformities are noted on the left.

IMPRESSION:
Mild right middle lobe pneumonia, worsened since .