FINDINGS:
Heart size is normal. The mediastinal and hilar contours are unchanged with
 slight tortuosity of the thoracic aorta again noted.  Pulmonary vasculature is
 not engorged, and hilar contours are stable. Ill-defined opacities within the
 left upper and lower lobes are new in the interval and concerning for
 pneumonia. The right lung is clear. No pleural effusion or pneumothorax is
 demonstrated. Multiple compression deformities within the thoracic spine are
 relatively unchanged.

IMPRESSION:
New ill-defined opacities within the left upper and lower lobes concerning for
 multifocal pneumonia.