FINDINGS:
The heart appears to be at the upper limit of normal in size.  The
 cardiomediastinal contour is unremarkable.  The lungs are clear with no
 evidence of focal consolidations.  There is a rounded opacity projecting over
 the right base, likely the nipple shadow as it does not seem to reproduce in
 the lateral view.  No pleural effusions and no pneumothorax.  Surgical clips
 are again noted in the axilla.

IMPRESSION:
No significant changes compared to the previous radiograph.