FINDINGS:
Moderate-to-large right pleural effusion and mild bibasilar atelectasis.  The
 mediastinal silhouette and hila are normal.  There is no change from .  There is no pulmonary edema.  Moderate degenerative changes of the
 thoracic spine are seen.

IMPRESSION:
Moderate-to-large right pleural effusion and bibasilar
 atelectasis, no change from .