FINDINGS:
Lung volumes are reduced compared to the previous exam, which accentuates the
 size of the cardiac silhouette. Heart size remains mildly enlarged.
 Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is
 normal. Patchy opacities are demonstrated in both lung bases, more so on the
 right. No pneumothorax or pleural effusion is present. There are no acute
 osseous abnormalities.

IMPRESSION:
Patchy opacities in both lung bases, more so on the right. These findings are
 concerning for pneumonia.
 
 RECOMMENDATION(S):
 
 Followup radiographs after treatment are recommended to ensure resolution of
 these findings.