FINDINGS:
AP upright and lateral views of the chest were provided.  A
 vascular stent is again noted in the region of the SVC, left brachiocephalic
 vein.  There is blunting of the right CP angle which could indicate a small
 effusion.  No overt signs of edema or pneumonia.  The cardiomediastinal
 silhouette is stable.  Bony structures are intact.  Degenerative changes again
 noted at the left glenohumeral joint.

IMPRESSION:
Small right pleural effusion.  Otherwise unremarkable.