FINDINGS:
No significant interval change.  The lungs remain hyperinflated.  No focal
 consolidation, edema, or pneumothorax.  Bilateral pleural effusions are small.
 The heart is normal in size.  Retrocardiac opacity on the right is consistent
 with neo esophagus.  No acute osseous abnormality.

IMPRESSION:
Small bilateral pleural effusions are unchanged.  No evidence of pneumonia.