FINDINGS:
Heart size is mildly enlarged.  The mediastinal and hilar contours
 unremarkable.  Calcified granulomas are noted within the left upper lung
 field.  No focal consolidation or pneumothorax is present.  The pulmonary
 vascularity is not engorged.  There are small bilateral pleural effusions,
 best seen on the lateral view.  No acute osseous abnormalities demonstrated.

IMPRESSION:
Small bilateral pleural effusions.  Please note that Chest CTA is recommended
 if there is a concern for pulmonary embolism.