FINDINGS:
The lungs are well expanded and clear.  Coarsened interstitial
 markings are unchanged.  Cardiomediastinal silhouette is slightly enlarged but
 unchanged from prior exam.  There is no pneumothorax or pleural effusion.  An
 old fracture of the left clavicle is noted.

IMPRESSION:
No acute cardiopulmonary process.  Unchanged cardiomediastinal
 silhouette.