FINDINGS:
SINCE , multifocal pneumonia has resolved and there is no new
 consolidation or other evidence of active intrathoracic infection.  
 Persistent blunting of the right posterior pleural sulcus could be due to
 scarring or a small chronic pleural effusion.  The heart is no longer mildly
 enlarged and the neo esophagus, after esophagectomy, is no longer distended. 
 Mild pulmonary hyperinflation reflects emphysema.
 
 Healed fractures of the posterior right sixth and seventh ribs should not be
 mistaken for a lung or pleural lesion.

IMPRESSION:
Previous pneumonia resolved since .  No evidence of current infection.
 
 Emphysema.
 
 Small right pleural effusion or pleural scarring, clinically insignificant.