FINDINGS:
Comparison is made to the previous study from .
 
 There is cardiomegaly.  There is a tortuous aorta.  There is a prominent right
 pulmonary vein which is stable.  There is atelectasis within the mid lung
 fields bilaterally.  These are unchanged.  There is a reverse total shoulder
 arthroplasty on the left.  Degenerative changes of the thoracic spine with
 hyperinflation.